Flucytosine Capsules, USP Rx Only 8459901/0822F

Manufacturer
American Health Packaging
Effective date
2024-12-02
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
3
Source
full-release
Hydrated at
2026-05-31 21:18:33

Label at a glance#

ProductFlucytosine
Active ingredientFLUCYTOSINE
Label structure16 sections

Boxed warning

Use with extreme caution in patients with impaired renal function. Close monitoring of hematologic, renal and hepatic status of all patients is essential. These instructions should be thoroughly reviewed before administration of flucytosine.

Indications and uses

Flucytosine capsules are indicated only in the treatment of serious infections caused by susceptible strains of Candida and/or Cryptococcus . Candida: Septicemia, endocarditis and urinary system infections have been effectively treated with flucytosine. Limited trials in pulmonary infections justify the use of flucytosine. Cryptococcus: Meningitis and pulmonary infections have been treated effectively. Studies in ...

Dosage and administration

The usual dosage of flucytosine capsules are 50 to 150 mg/kg/day administered in divided doses at 6-hour intervals. Nausea or vomiting may be reduced or avoided if the capsules are given a few at a time over a 15-minute period. If the BUN or the serum creatinine is elevated, or if there are other signs of renal impairment, the initial dose should be at the lower level (see WARNINGS ). Flucytosine capsules should b...

Label contents#

Full prescribing information#

WARNING

BOXED WARNING SECTION

Use with extreme caution in patients with impaired renal function. Close monitoring of hematologic, renal and hepatic status of all patients is essential. These instructions should be thoroughly reviewed before administration of flucytosine.

DESCRIPTION

DESCRIPTION SECTION

Flucytosine Capsules USP, an antifungal agent, is available as 250 mg and 500 mg capsules for oral administration. In addition to the active ingredient of flucytosine USP, each capsule contains anhydrous lactose, gelatin, iron oxide black, potassium hydroxide, potato starch, shellac, silicon dioxide, talc and titanium dioxide. In addition, the 250 mg capsule shell contains D&C yellow 10, FD&C blue 1 and FD&C yellow 6.

Chemically, flucytosine is 5-fluorocytosine, a fluorinated pyrimidine which is related to fluorouracil and floxuridine. It is a white or almost white crystalline powder with a molecular weight of 129.09 and the following structural formula:

Structrual Formula
Structrual Formula

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

Flucytosine is rapidly and virtually completely absorbed following oral administration. Flucytosine is not metabolized significantly when given orally to man. Bioavailability estimated by comparing the area under the curve of serum concentrations after oral and intravenous administration showed 78% to 89% absorption of the oral dose. Peak serum concentrations of 30 to 40 mcg/mL were reached within 2 hours of administration of a 2 g oral dose to normal subjects. Other studies revealed mean serum concentrations of approximately 70 to 80 mcg/mL 1 to 2 hours after a dose in patients with normal renal function receiving a 6-week regimen of flucytosine (150 mg/kg/day given in divided doses every 6 hours) in combination with amphotericin B. The half-life in the majority of healthy subjects ranged between 2.4 and 4.8 hours. Flucytosine is excreted via the kidneys by means of glomerular filtration without significant tubular reabsorption. More than 90% of the total radioactivity after oral administration was recovered in the urine as intact drug. Flucytosine is deaminated (probably by gut bacteria) to 5-fluorouracil. The area under the curve (AUC) ratio of 5-fluorouracil to flucytosine is 4%. Approximately 1% of the dose is present in the urine as the α-fluoro-β-ureido-propionic acid metabolite. A small portion of the dose is excreted in the feces.

The half-life of flucytosine is prolonged in patients with renal insufficiency; the average half-life in nephrectomized or anuric patients was 85 hours (range: 29.9 to 250 hours). A linear correlation was found between the elimination rate constant of flucytosine and creatinine clearance.

In vitro studies have shown that 2.9% to 4% of flucytosine is protein-bound over the range of therapeutic concentrations found in the blood. Flucytosine readily penetrates the blood-brain barrier, achieving clinically significant concentrations in cerebrospinal fluid.

Pharmacokinetics in Pediatric Patients
Limited data are available regarding the pharmacokinetics of flucytosine administered to neonatal patients being treated for systemic candidiasis. After five days of continuous therapy, median peak levels in infants were 19.6 mcg/mL, 27.7 mcg/mL, and 83.9 mcg/mL at doses of 25 mg/kg (N=3), 50 mg/kg (N=4), and 100 mg/kg (N=3), respectively. Mean time to peak serum levels was of 2.5 ± 1.3 hours, similar to that observed in adult patients. A good deal of interindividual variability was noted, which did not correlate with gestational age. Some patients had serum levels > 100 mcg/mL, suggesting a need for drug level monitoring during therapy. In another study, serum concentrations were determined during flucytosine therapy in two patients (total assays performed =10). Median serum flucytosine concentrations at steady state were calculated to be 57 ± 10 mcg/mL (doses of 50 to 125 mg/kg/day, normalized to 25 mg/kg per dose for comparison). In three infants receiving flucytosine 25 mg/kg/day (four divided doses), a median flucytosine half-life of 7.4 hours was observed, approximately double that seen in adult patients. The concentration of flucytosine in the cerebrospinal fluid of one infant was 43 mcg/mL 3 hours after a 25 mg oral dose, and ranged from 20 to 67 mg/L in another neonate receiving oral doses of 120 to 150 mg/kg/day.

MICROBIOLOGY

SPL UNCLASSIFIED SECTION

Mechanism of Action
Flucytosine is taken up by fungal organisms via the enzyme cytosine permease. Inside the fungal cell, flucytosine is rapidly converted to fluorouracil by the enzyme cytosine deaminase. Fluorouracil exerts its antifungal activity through the subsequent conversion into several active metabolites, which inhibit protein synthesis by being falsely incorporated into fungal RNA or interfere with the biosynthesis of fungal DNA through the inhibition of the enzyme thymidylate synthetase.

Activity In Vitro
Flucytosine has been shown to be active against most strains of the following microorganisms both in vitro and in clinical infections.

Candida albicans
Cryptococcus neoformans

Susceptibility Testing
For specific information regarding susceptibility test interpretive criteria and associated test methods and quality control standards recognized by FDA for this drug, please see: www.fda.gov/STIC.

Drug Resistance
Flucytosine resistance may arise from a mutation of an enzyme necessary for the cellular uptake or metabolism of flucytosine or from an increased synthesis of pyrimidines, which compete with the active metabolites of flucytosine (fluorinated antimetabolites). Resistance to flucytosine has been shown to develop during monotherapy after prolonged exposure to the drug.

Drug Combination
Antifungal synergism between flucytosine and polyene antibiotics, particularly amphotericin B has been reported in vitro. Flucytosine is usually administered in combination with amphotericin B due to lack of cross-resistance and reported synergistic activity of both drugs.

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

Flucytosine capsules are indicated only in the treatment of serious infections caused by susceptible strains of Candida and/or Cryptococcus.

Candida: Septicemia, endocarditis and urinary system infections have been effectively treated with flucytosine. Limited trials in pulmonary infections justify the use of flucytosine.

Cryptococcus: Meningitis and pulmonary infections have been treated effectively. Studies in septicemias and urinary tract infections are limited, but good responses have been reported.

Flucytosine capsules should be used in combination with amphotericin B for the treatment of systemic candidiasis and cryptococcosis because of the emergence of resistance to flucytosine (see MICROBIOLOGY).

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

Flucytosine capsules are contraindicated in patients with a known hypersensitivity to the drug.

Flucytosine capsules are contraindicated in patients with known complete dihydropyrimidine dehydrogenase (DPD) enzyme deficiency (see WARNINGS).

WARNINGS

WARNINGS SECTION

Flucytosine must be given with extreme caution to patients with impaired renal function. Since flucytosine is excreted primarily by the kidneys, renal impairment may lead to accumulation of the drug. Flucytosine serum concentrations should be monitored to determine the adequacy of renal excretion in such patients. Dosage adjustments should be made in patients with renal insufficiency to prevent progressive accumulation of active drug.

Flucytosine must be given with extreme caution to patients with bone marrow depression. Patients may be more prone to depression of bone marrow function if they: 1) have a hematologic disease, 2) are being treated with radiation or drugs which depress bone marrow, or 3) have a history of treatment with such drugs or radiation. Bone marrow toxicity can be irreversible and may lead to death in immunosuppressed patients. Frequent monitoring of hepatic function and of the hematopoietic system is indicated during therapy.

5-Fluorouracil is a metabolite of flucytosine. Dihydropyrimidine dehydrogenase is a key enzyme involved in the metabolism and elimination of 5-fluorouracil. Therefore, the risk of severe drug toxicity is increased when flucytosine is used in individuals with deficiency in DPD. Possible drug toxicities include mucositis, diarrhea, neutropenia, and neurotoxicity. Determination of DPD activity may be considered where drug toxicity is confirmed or suspected. In the event of suspected drug toxicity, consider stopping flucytosine treatment.

PRECAUTIONS

PRECAUTIONS SECTION

General

GENERAL PRECAUTIONS SECTION

Before therapy with flucytosine is instituted, electrolytes (because of hypokalemia) and the hematologic and renal status of the patient should be determined (see WARNINGS). Close monitoring of the patient during therapy is essential.

Laboratory Tests

LABORATORY TESTS SECTION

Since renal impairment can cause progressive accumulation of the drug, blood concentrations and kidney function should be monitored during therapy. Hematologic status (leukocyte and thrombocyte count) and liver function (alkaline phosphatase, SGOT and SGPT) should be determined at frequent intervals during treatment as indicated.

Drug Interactions

DRUG INTERACTIONS SECTION

Cytosine arabinoside, a cytostatic agent, has been reported to inactivate the antifungal activity of flucytosine by competitive inhibition. Drugs which impair glomerular filtration may prolong the biological half-life of flucytosine.

Drug/Laboratory Test Interactions

DRUG & OR LABORATORY TEST INTERACTIONS SECTION

Measurement of serum creatinine levels should be determined by the Jaffé reaction, since flucytosine do not interfere with the determination of creatinine values by this method. Most automated equipment for measurement of creatinine makes use of the Jaffé reaction.

Carcinogenesis, Mutagenesis, Impairment of Fertility

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

Flucytosine has not undergone adequate animal testing to evaluate carcinogenic potential. The mutagenic potential of flucytosine was evaluated in Ames-type studies with five different mutants of S. typhimurium and no mutagenicity was detected in the presence or absence of activating enzymes. Flucytosine was nonmutagenic in three different repair assay systems (i.e., rec, uvr and pol).

There have been no adequate trials in animals on the effects of flucytosine on fertility or reproductive performance. The fertility and reproductive performance of the offspring (F1 generation) of mice treated with 100 mg/kg/day (345 mg/m 2/day or 0.059 times the human dose), 200 mg/kg/day (690 mg/m 2/day or 0.118 times the human dose) or 400 mg/kg/day (1380 mg/m 2/day or 0.236 times the human dose) of flucytosine on days 7 to 13 of gestation was studied; the in utero treatment had no adverse effect on the fertility or reproductive performance of the offspring.

Pregnancy

PREGNANCY SECTION

Teratogenic Effects
Flucytosine was shown to be teratogenic (vertebral fusions) in the rat at doses of 40 mg/kg/day (298 mg/m 2/day or 0.051 times the human dose) administered on days 7 to 13 of gestation. At higher doses (700 mg/kg/day; 5208 mg/m 2/day or 0.89 times the human dose administered on days 9 to 12 of gestation), cleft lip and palate and micrognathia were reported. Flucytosine was not teratogenic in rabbits up to a dose of 100 mg/kg/day (1423 mg/m 2/day or 0.243 times the human dose) administered on days 6 to 18 of gestation. In mice, 400 mg/kg/day of flucytosine (1380 mg/m 2/day or 0.236 times the human dose) administered on days 7 to 13 of gestation was associated with a low incidence of cleft palate that was not statistically significant. Studies in pregnant rats have shown that flucytosine injected intraperitoneally crosses the placental barrier. There are no adequate and well-controlled studies in pregnant women. Flucytosine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Nursing Mothers

NURSING MOTHERS SECTION

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from flucytosine, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

Pediatric Use

PEDIATRIC USE SECTION

The efficacy and safety of flucytosine has not been systematically studied in pediatric patients. A small number of neonates have been treated with 25 to 200 mg/kg/day of flucytosine, with and without the addition of amphotericin B, for systemic candidiasis. No unexpected adverse reactions were reported in these patients. It should be noted, however, that hypokalemia and acidemia were reported in one patient who received flucytosine in combination with amphotericin B, and anemia was observed in a second patient who received flucytosine alone. Transient thrombocytopenia was noted in two additional patients, one of whom also received amphotericin B.

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

The adverse reactions which have occurred during treatment with flucytosine is grouped according to organ system affected.

Cardiovascular: Cardiac arrest, myocardial toxicity, ventricular dysfunction.

Respiratory: Respiratory arrest, chest pain, dyspnea.

Dermatologic: Rash, pruritus, urticaria, photosensitivity.

Gastrointestinal: Nausea, emesis, abdominal pain, diarrhea, anorexia, dry mouth, duodenal ulcer, gastrointestinal hemorrhage, acute hepatic injury including hepatic necrosis with possible fatal outcome in debilitated patients, hepatic dysfunction, jaundice, ulcerative colitis, enterocolitis, bilirubin elevation, increased hepatic enzymes.

Genitourinary: Azotemia, creatinine and BUN elevation, crystalluria, renal failure.

Hematologic: Anemia, agranulocytosis, aplastic anemia, eosinophilia, leukopenia, pancytopenia, thrombocytopenia, and fatal cases of bone marrow aplasia.

Neurologic: Ataxia, hearing loss, headache, paresthesia, parkinsonism, peripheral neuropathy, pyrexia, vertigo, sedation, convulsions.

Psychiatric: Confusion, hallucinations, psychosis.

Miscellaneous: Fatigue, hypoglycemia, hypokalemia, weakness, allergic reactions, Lyell’s syndrome.

To report SUSPECTED ADVERSE REACTIONS, contact Aurobindo Pharma USA, Inc. at 1-866-850-2876 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

OVERDOSAGE

OVERDOSAGE SECTION

There is no experience with intentional overdosage. It is reasonable to expect that overdosage may produce pronounced manifestations of the known clinical adverse reactions. Prolonged serum concentrations in excess of 100 mcg/mL may be associated with an increased incidence of toxicity, especially gastrointestinal (diarrhea, nausea, vomiting), hematologic (leukopenia, thrombocytopenia) and hepatic (hepatitis).

In the management of overdosage, prompt gastric lavage or the use of an emetic is recommended. Adequate fluid intake should be maintained, by the intravenous route if necessary, since flucytosine is excreted unchanged via the renal tract. The hematologic parameters should be monitored frequently; liver and kidney function should be carefully monitored. Should any abnormalities appear in any of these parameters, appropriate therapeutic measures should be instituted.

Since hemodialysis has been shown to rapidly reduce serum concentrations in anuric patients, this method may be considered in the management of overdosage.

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

The usual dosage of flucytosine capsules are 50 to 150 mg/kg/day administered in divided doses at 6-hour intervals. Nausea or vomiting may be reduced or avoided if the capsules are given a few at a time over a 15-minute period. If the BUN or the serum creatinine is elevated, or if there are other signs of renal impairment, the initial dose should be at the lower level (see WARNINGS).

Flucytosine capsules should be used in combination with amphotericin B for the treatment of systemic candidiasis and cryptococcosis because of the emergence of resistance to flucytosine (see MICROBIOLOGY).

HOW SUPPLIED

HOW SUPPLIED SECTION

Flucytosine Capsules, USP 250 mg are grey opaque cap and green opaque body size ‘2’ hard gelatin capsules, imprinted FLU on cap and 250 on body filled with white to off white powder.
 Unit dose packages of 30 (3 x 10) NDC 60687-599-21

Flucytosine Capsules, USP 500 mg are grey opaque cap and white opaque body size ‘0’ hard gelatin capsules, imprinted FLU on cap and 500 on body filled with white to off white powder.
 Unit dose packages of 30 (3 x 10) NDC 60687-610-21

Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].

FOR YOUR PROTECTION: Do not use if blister is torn or broken

PACKAGING INFORMATION

SPL UNCLASSIFIED SECTION

American Health Packaging unit dose blisters (see How Supplied section) contain drug product from Aurobindo Pharma USA, Inc. as follows:
(250 mg / 30 UD) NDC 60687-599-21 packaged from NDC 59651-331
(500 mg / 30 UD) NDC 60687-610-21 packaged from NDC 59651-332

Distributed by:
American Health Packaging
Columbus, OH 43217

8459901/0822F

Package/Label Display Panel – Carton – 250 mg

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

250 mg Flucytosine Tablets Cartons250 mg Flucytosine Tablets Cartons

NDC 60687- 599-21

Flucytosine
Capsules, USP

250 mg

30 Capsules (3 x 10)                 Rx Only

Each Capsule Contains:
Flucytosine USP..................................................................... 250 mg

Usual Dosage: See full prescribing information.

Store at 20° to 25°C (68° to 77°F); excursions permitted between
15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].

FOR YOUR PROTECTION: Do not use if blister is torn or broken.

The drug product contained in this package is from
NDC # 59651-331, Aurobindo Pharma USA, Inc.

Distributed by: American Health Packaging, Columbus, Ohio 43217

759921
0459901/1124

Package/Label Display Panel – Blister – 250 mg

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

250 mg Flucytosine Tablet Blister250 mg Flucytosine Tablet Blister

Flucytosine
Capsule, USP

250 mg

Package/Label Display Panel – Carton – 500 mg

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

500 mg Flucytosine Tablets Carton500 mg Flucytosine Tablets Carton

NDC 60687- 610-21

Flucytosine
Capsules, USP

500 mg

30 Capsules (3 x 10)                 Rx Only

Each Capsule Contains:
Flucytosine USP..................................................................... 500 mg

Usual Dosage: See full prescribing information.

Store at 20° to 25°C (68° to 77°F); excursions permitted between
15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].

FOR YOUR PROTECTION: Do not use if blister is torn or broken.

The drug product contained in this package is from
NDC # 59651-332, Aurobindo Pharma USA, Inc.

Distributed by: American Health Packaging, Columbus, Ohio 43217

761021
0461021/1124

Package/Label Display Panel – Blister – 500 mg

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

500 mg Flucytosine Tablet Blister500 mg Flucytosine Tablet Blister

Flucytosine
Capsule, USP

500 mg

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
197702flucytosine 250 MG Oral CapsulePSN3
197703flucytosine 500 MG Oral CapsulePSN3
197702flucytosine 250 MG Oral CapsuleSCD3
197703flucytosine 500 MG Oral CapsuleSCD3

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
FLUCYTOSINE Pharmacologic Class Indexing2Indexing - Pharmacologic Class20181113

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
e4cbbebe-6acb-b5dc-a199-fda613aaf07bProduct name520200728

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
60687-599-11Flucytosine1 in 1 BLISTER PACKCAPSULE13
60687-599-21Flucytosine30 in 1 BOX, UNIT-DOSECAPSULE303
60687-610-11Flucytosine1 in 1 BLISTER PACKCAPSULE13
60687-610-21Flucytosine30 in 1 BOX, UNIT-DOSECAPSULE303

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
60687-599FLUCYTOSINE CAPSULE [AMERICAN HEALTH PACKAGING]3Current NDC, Legacy NDC, 2 package rows20241204_4b1c40b2-e0fb-47d5-b821-889b3090cebe.zip
60687-610FLUCYTOSINE CAPSULE [AMERICAN HEALTH PACKAGING]3Current NDC, Legacy NDC, 2 package rows20241204_4b1c40b2-e0fb-47d5-b821-889b3090cebe.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
60687-599-11EA - Each60687-5990c2d66f1-7221-4475-b687-714644ccdbce12021-10-08
60687-599-21EA - Each60687-599a0471042-1b2c-42b2-88c9-96ead98cb5b012021-10-08
60687-610-11EA - Each60687-610a802cb48-09e5-4efe-b6f8-e804ebd57b4512021-10-08
60687-610-21EA - Each60687-6100f87a9b2-039f-4699-88d0-a320d309467012021-10-08

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 13 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
60687-59960687-599-11, 60687-599-21
60687-61060687-610-11, 60687-610-21
59651-331
59651-332

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 23 matching rows.

Source Document#

Source XML

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 43.

Orange Book products#

Current product rows page 1 of 1 · 2 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
A213665-001FLUCYTOSINEFLUCYTOSINE250MGCAPSULE / ORALAB2020-05-01
A213665-002FLUCYTOSINEFLUCYTOSINE500MGCAPSULE / ORALAB2020-05-01

Therapeutic equivalence codes#

Current TE-code rows page 1 of 1 · 2 matching rows.

Application-product, TE code table
Application-productTE code
A213665-001AB
A213665-002AB

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 78 observed states.

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2024-05-31 18:47 UTC2024-05A213665-001FLUCYTOSINE250MGCAPSULE / ORALAB2020-05-018072bd15b7f6…
2024-05-31 18:47 UTC2024-05A213665-002FLUCYTOSINE500MGCAPSULE / ORALAB2020-05-018072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A213665-001FLUCYTOSINE250MGCAPSULE / ORALAB2020-05-015c6f7cd8ea54…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A213665-002FLUCYTOSINE500MGCAPSULE / ORALAB2020-05-015c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A213665-001FLUCYTOSINE250MGCAPSULE / ORALAB2020-05-015d02ea3f76ae…
2022-04-08 23:34 UTC2022-04A213665-002FLUCYTOSINE500MGCAPSULE / ORALAB2020-05-015d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A213665-001FLUCYTOSINE250MGCAPSULE / ORALAB2020-05-014b0b4de00fa7…
2022-04-04 05:41 UTC2022-04A213665-002FLUCYTOSINE500MGCAPSULE / ORALAB2020-05-014b0b4de00fa7…
2022-03-09 01:35 UTC2022-03A213665-001FLUCYTOSINE250MGCAPSULE / ORALAB2020-05-01bb7c543d1eb4…
2022-03-09 01:35 UTC2022-03A213665-002FLUCYTOSINE500MGCAPSULE / ORALAB2020-05-01bb7c543d1eb4…

Observed Orange Book normalized TE history#

Normalized TE history page 1 of 2 · 78 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2026-09-14 22:38:342026-08A213665-001AB184e616aacf4f…
2026-09-14 22:38:342026-08A213665-002AB184e616aacf4f…
2026-08-18 06:07:402026-07A213665-001AB1caaa826d4ba7…
2026-08-18 06:07:402026-07A213665-002AB1caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A213665-001AB1011fe1cb6892…
2026-02-19 14:30 UTC2026-02A213665-002AB1011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A213665-001AB131067a03dcf5…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A213665-002AB131067a03dcf5…
2025-08-23 18:47 UTC2025-08A213665-001AB16a471c1ec25d…
2025-08-23 18:47 UTC2025-08A213665-002AB16a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A213665-001AB1fd3edfee7708…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A213665-002AB1fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A213665-001AB1b8a1b40f171c…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A213665-002AB1b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A213665-001AB103ed91905a0d…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A213665-002AB103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A213665-001AB12680178bc6a6…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A213665-002AB12680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A213665-001AB15bbf6a4d5a75…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A213665-002AB15bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A213665-001AB1d8e5a09893c0…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A213665-002AB1d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A213665-001AB1d06236e962d9…
2024-10-29 15:01 UTC2024-10A213665-002AB1d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A213665-001AB179d66fd596c7…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A213665-002AB179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A213665-001AB1301d65b070ca…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A213665-002AB1301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A213665-001AB11e350fbaab3a…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A213665-002AB11e350fbaab3a…
2024-05-31 18:47 UTC2024-05A213665-001AB18072bd15b7f6…
2024-05-31 18:47 UTC2024-05A213665-002AB18072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A213665-001AB15c6f7cd8ea54…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A213665-002AB15c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A213665-001AB15d02ea3f76ae…
2022-04-08 23:34 UTC2022-04A213665-002AB15d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A213665-001AB14b0b4de00fa7…
2022-04-04 05:41 UTC2022-04A213665-002AB14b0b4de00fa7…
2022-03-09 01:35 UTC2022-03A213665-001AB1bb7c543d1eb4…
2022-03-09 01:35 UTC2022-03A213665-002AB1bb7c543d1eb4…

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 2 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
FlucytosineFLUCYTOSINEAmerican Health Packaging4b1c40b2-e0fb-47d5-b821-889b3090cebe2024-12-02Boxed warning, Warnings, Adverse reactionsExact identifier
ndc (package): 60687-599-21
ndc (package): 60687-610-11
ndc (package): 60687-599-11
ndc (package): 60687-610-21
ndc (product): 60687-599
ndc (product): 60687-610
ndc11 (package): 60687059921
ndc11 (package): 60687061011
ndc11 (package): 60687061021
ndc11 (package): 60687059911
spl id: 284ff75e-657f-cfe0-e063-6394a90a8cab
spl set id: 4b1c40b2-e0fb-47d5-b821-889b3090cebe
FLUCYTOSINEFLUCYTOSINEAurobindo Pharma Limited8b55832c-6771-4f5b-9aef-f88a1d22795e2022-03-02Boxed warning, Warnings, Adverse reactionsExact identifier
ndc (product): 59651-331
ndc (product): 59651-332

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.