Syprine

— THERAPEUTIC CATEGORIES —
  • Inborn errors of metabolism

Syprine Generic Name & Formulations

General Description

Trientine HCl 250mg; caps.

Pharmacological Class

Chelating agent.

How Supplied

Caps—100

Syprine Indications

Indications

Wilsons disease in patients who are intolerant of penicillamine.

Syprine Dosage and Administration

Adult

Swallow whole. Take on an empty stomach. 750–1250mg/day in 2–4 divided doses; max 2000mg/day. Increase dose if clinical response not adequate or free serum copper is persistently >20mcg/dL. Determine maintenance dose at 6–12 month intervals.

Children

<6yrs: not recommended. Swallow whole. Take on an empty stomach. 6–12yrs: 500–750mg/day in 2–4 divided doses; max 1500mg/day. Increase dose if clinical response not adequate or free serum copper is persistently >20mcg/dL. Determine maintenance dose at 6–12 month intervals.

Syprine Contraindications

Not Applicable

Syprine Boxed Warnings

Not Applicable

Syprine Warnings/Precautions

Warnings/Precautions

Not for treatment of biliary cirrhosis. Monitor for iron deficiency anemia (esp. women). Monitor for symptoms of fever or skin eruption; take body temperature nightly during 1st month of treatment. Any site of exposure to capsule contents must be washed with water. Do 24-hour urinary copper analysis periodically (eg, every 6–12 months). Pregnancy (Cat.C). Nursing mothers.

Syprine Pharmacokinetics

See Literature

Syprine Interactions

Interactions

Absorption may be inhibited by mineral supplements; separate dosing of iron by at least 2 hours. Separate dosing of any other drug, food, or milk by at least 1 hour.

Syprine Adverse Reactions

Adverse Reactions

Iron deficiency, systemic lupus erythematosus, dystonia, muscular spasm, myasthenia gravis, contact dermatitis.

Syprine Clinical Trials

See Literature

Syprine Note

Not Applicable

Syprine Patient Counseling

See Literature