Sinuva

— THERAPEUTIC CATEGORIES —
  • Miscellaneous respiratory disorders

Sinuva Generic Name & Formulations

General Description

Mometasone furoate 1350mcg; per sinus implant.

Pharmacological Class

Steroid.

How Supplied

Kit—1 (implant + delivery system)

Manufacturer

Generic Availability

NO

Sinuva Indications

Indications

Nasal polyps in patients ≥18yrs who have had ethmoid sinus surgery.

Sinuva Dosage and Administration

Adult

To be used by physicians trained in otolaryngology for placement in ethmoid sinus under endoscopic visualization. Insert 1 implant for 90 days. Implant can be removed at Day 90 or earlier based on physician's discretion. Do not reprocess or reuse.

Children

<18yrs: not established.

Sinuva Contraindications

Not Applicable

Sinuva Boxed Warnings

Not Applicable

Sinuva Warnings/Precautions

Warnings/Precautions

Respiratory tract tuberculosis. Systemic infections (eg, fungal, bacterial, viral, parasitic). Ocular herpes simplex. Immunosuppression. If exposed to measles or chickenpox, consider anti-infective prophylactic therapy. Nasal ulcers or trauma: avoid. Monitor nasal mucosa for epistaxis, irritation, infection, perforation. Change in vision, history of increased intraocular pressure, glaucoma, and/or cataracts: monitor closely. Monitor postoperatively and during periods of stress for adrenal response. Consider implant removal if hypercorticism and adrenal suppression occurs. Hepatic impairment. Pregnancy. Nursing mothers.

Sinuva Pharmacokinetics

Absorption

98–99% plasma protein bound.

Metabolism

Hepatic (primarily CYP3A4).

Elimination

Half-life: ~5 hours.

Sinuva Interactions

Interactions

May be potentiated by strong CYP3A4 inhibitors (eg, ketoconazole).

Sinuva Adverse Reactions

Adverse Reactions

Bronchitis, nasopharyngitis, otitis media, headache, presyncope, asthma, epistaxis; hypersensitivity reactions, immunosuppression, HPA axis effects.

Sinuva Clinical Trials

See Literature

Sinuva Note

Not Applicable

Sinuva Patient Counseling

See Literature