NDC 68712-049-02 Sitavig (ACYCLOVIR) Buccal Tablets 50 mg

Manufacturer
Cipher Pharmaceuticals US LLC | Farmea
Effective date
2017-04-18
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
7
Source
full-release
Hydrated at
2026-05-31 20:23:45

Label at a glance#

ProductSitavig
Active ingredientACYCLOVIR
Label structure27 sections

Indications and uses

SITAVIG is indicated for the treatment of recurrent herpes labialis (cold sores) in immunocompetent adults (1) .

Dosage and administration

Application of one SITAVIG 50 mg buccal tablet as a single dose to the upper gum (canine fossa) region (2.1) . SITAVIG should be applied within one hour after the onset of prodromal symptoms and before the appearance of any signs of herpes labailis. Do not crush, chew, suck or swallow tablets ( 2.2 )

Storage and handling

SITAVIG 50 mg buccal tablets are supplied as off-white tablets containing 50 mg of acyclovir. SITAVIG tablets have a rounded side and a flat side. SITAVIG tablets are packaged in blisters (NDC 68712-049-02). SITAVIG should be stored at 20 to 25°C (68 to 77°F) [see USP controlled room temperature]; excursions between 15 and 30°C (59-86°F) permitted at room temperature. Protect from moisture, and keep out of reach o...

Label contents#

Full prescribing information#

HIGHLIGHTS OF PRESCRIBING INFORMATION

SPL UNCLASSIFIED SECTION

These highlights do not include all the information needed to use SITAVIG safely and effectively.  See full prescribing information for SITAVIG.

SITAVIG (acyclovir) buccal tablets 50mg

Initial U.S. Approval:  1982

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

SITAVIG is indicated for the treatment of recurrent herpes labialis (cold sores) in immunocompetent adults (1).

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

  • Application of one SITAVIG 50 mg buccal tablet as a single dose to the upper gum (canine fossa) region (2.1).
  • SITAVIG should be applied within one hour after the onset of prodromal symptoms and before the appearance of any signs of herpes labailis.
  • Do not crush, chew, suck or swallow tablets ( 2.2)

DOSAGE FORMS AND STRENGTHS

DOSAGE FORMS & STRENGTHS SECTION

50 mg buccal tablets (3).

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

Known hypersensitivity to acyclovir, milk protein concentrate, or any other component of the product (4).

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

Most common adverse reactions (> or =1%) are:  headache and application site pain (6.1).

To report SUSPECTED ADVERSE REACTIONS, contact Cipher Pharmaceuticals U.S. LLC at 1-800-499-4468 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

DRUG INTERACTIONS

DRUG INTERACTIONS SECTION

Due to low dose and minimal systemic absorption of SITAVIG, drug interactions are unlikely (7).

USE IN SPECIFIC POPULATIONS

USE IN SPECIFIC POPULATIONS SECTION

  • Nursing Mothers:  Caution should be exercised when administered to a nursing woman (8.3).

SPL UNCLASSIFIED SECTION

See 17 for PATIENT COUNSELING INFORMATION AND FDA-Approved Patient Labeling

Revised: 10/2015

FULL PRESCRIBNG INFORMATION:  CONTENTS *

SPL UNCLASSIFIED SECTION

1 INDICATIONS AND USAGE

2 DOSAGE AND ADMINISTRATION

   2.1 Basic Dosing Information

   2.2 Administration Instructions

3 DOSAGE FORMS AND STRENGTHS

4 CONTRAINDICATIONS

6 ADVERSE REACTIONS

   6.1 Clinical Trial Experience

7 DRUG INTERACTIONS

8 USE IN SPECIFIC POPULATIONS

   8.1 Pregnancy

   8.2 Labor and Delivery

   8.3 Nursing Mothers

   8.4 Pediatric Use

   8.5 Geriatric Use

   8.6 Immunocompromised Patients

10 OVERDOSAGE

11 DESCRIPTION

12 CLINICAL PHARMACOLOGY

   12.1 Mechanism of Action

   12.3 Pharmacokinetics

   12.4 Microbiology

13 NONCLINICAL TOXICOLOGY

   13.1 Carcinogenesis, Mutagenesis, Impairment ofFertility

14 CLINICAL STUDIES

16 HOW SUPPLIED/STORAGE AND HANDLING

17 PATIENT COUNSELING INFORMATION

   17.1 Instructions for Use

   17.2 Adverse Reactions

* Sections or subsections omitted from the full prescribing informationare not listed.

1     INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

SITAVIG is indicated for the treatment of recurrent herpes labialis (cold sores) in immunocompetent adults.

2     DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

2.1     Basic Dosing Information

One SITAVIG 50 mg buccal tablet should be applied as a single dose to the upper gum region (canine fossa).

2.2     Administration Instructions

SITAVIG should be applied within one hour after the onset of prodromal symptoms and before the appearance of any signs of herpes labialis lesions. The tablet should be applied with a dry finger immediately after taking it out of the blister.  The tablet should be placed to the upper gum just above the incisor tooth (canine fossa) and held in place with a slight pressure over the upper lip for 30 seconds to ensure adhesion.  For comfort the rounded side should be placed to the upper gum, but either side of the tablet can be applied.  Tablet should be applied on the same side of the mouth as the herpes labialis symptoms.

Once applied, SITAVIG stays in position and gradually dissolves during the day.  [See Clinical Pharmacology (12.3)].  In addition,

  • SITAVIG should not be crushed, chewed, sucked or swallowed.
  • Food and drink can be taken normally when SITAVIG is in place.  Avoid any situation which may interfere with adhesion of the tablet such as chewing gum, touching or pressing the tablet after placement, wearing upper denture, and brushing teeth.  If the teeth need to be cleaned while the tablet is in place, rinse the mouth gently.  Drink plenty of liquids in the case of dry mouth.
  • If SITAVIG does not adhere or falls off within the first 6 hours, the same tablet should be repositioned immediately.  If the tablet cannot be repositioned, a new tablet should be placed.
  • If SITAVIG is swallowed within the first 6 hours, the patient should drink a glass of water and a new tablet should be applied.  [See Patient Counseling Information (17)].
  • SITAVIG does not need to be reapplied if the tablet falls out or is swalloed after the first 6 hours

3     DOSAGE FORMS AND STRENGTHS

DOSAGE FORMS & STRENGTHS SECTION

SITAVIG is a buccal tablet containing 50 mg of acyclovir.  SITAVIG tablets are round, off-white tablets, with a rounded side and a flat side.  The tablets are marked with an "AL21" on the flat side.

4     CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

SITAVIG is contraindicated in patients with known hypersensitivity (e.g., anaphylaxis) to acyclovir, milk protein concentrate, or any other component of the product.

6     ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

6.1  Clinical Trial Experience

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.

The overall safety of SITAVIG was assessed in 378 adult subjects having at least 4 herpes labialis episodes the previous year.

One randomized, double-blind, placebo controled trial was conducted in patients with recurrent herpes labialis (cold sores).  In this trial, 378 HSV infected subjects used SITAVIG as a single dose, and 397 subjects used placebo.

Selected treatment emergent adverse events without regard to causality and reported in at least 1% of patients can be seen in Table 1.  

Table 1:

Selected Treatment Emergent Adverse Events reported in at least 1% of patients 
            Event

SITAVIG

 N = 378

Placebo

N = 397

 Nervous System Disorders

    Headache

    Dizziness

    Lethargy

    3%

    1%

    1%

   3%

   1%

   0

 Gastrointestinal system Disorders

    Gingival Pain

    Aphthous Stomatitis

    1%

    1%

   0.38%

    0   

 Administration Site Conditions

    Application Site Pain

    Application Site Irritation

    1%

    1%

    1%

    0

 Skin and Subcutaneous Disorders

    Erythema

    Rash

    1%

    1%

    0.3%

    0.3%

The treatment emergent adverse events considered related to the treatment that occurred in greater than or equal to 1% of patients included headache (1% SITAVIG vs. 2% placebo) and application site pain (1% both arms).  There was no discontinuation of SITAVIG due to adverse drug reactions.  Most treatment related to adverse events were mild or moderate in severity.  One report of headache from both treatment arms was classified as severe.

7     DRUG INTERACTIONS

DRUG INTERACTIONS SECTION

No interaction studies have been performed with SITAVIG. Acyclovir is primarily eliminated unchanged in the urine via active tubular secretion. Drugs administered concomitantly that compete with tubular secretion may increase acyclovir plasma concentrations. However, due to the low dose and minimal systemic absorption of SITAVIG, systemic drug interactions are unlikely.

8     USE IN SPECIFIC POPULATIONS

USE IN SPECIFIC POPULATIONS SECTION

8.1     Pregnancy

PREGNANCY SECTION

Pregnancy Category B

No studies with SITAVIG have been performed in pregnant women. Systemic exposure of acyclovir following buccal administration of SITAVIG is minimal. SITAVIG should be used during pregnancy only if the potential benefit outweighs the potential risk to the fetus. There are no adequate and well-controlled studies of systemic acyclovir in pregnant women. A prospective epidemiologic registry of acyclovir use during pregnancy between 1984 and 1999 followed 749 pregnancies in women exposed to systemic acyclovir during the first trimester of pregnancy resulting in 756 outcomes. The occurrence rate of birth defects approximated that found in the general population.  However, the size of the registry was insufficient to evaluate the risk for less common defects or to permit reliable or definitive conclusions regarding the safety of acyclovir in pregnant women and their developing fetuses.

Animal Data

Animal reproduction studies have not been conducted with SITAVIG. Acyclovir was not teratogenic in the mouse, rabbit or rat at exposures greatly in excess of human exposure.

8.2     Labor and Delivery

LABOR & DELIVERY SECTION

SITAVIG should not be administered during labor and delivery as there is no experience with SITAVIG.

8.3     Nursing Mothers

NURSING MOTHERS SECTION

It is not known whether topically applied acyclovir is excreted in breast milk. Systemic exposure following buccal administration is minimal. After oral administration of acyclovir, concentrations have been documented in breast milk in 2 women and ranged from 0.6 to 4.1 times the corresponding plasma levels. These concentrations would potentially expose the nursing infant to a dose of acyclovir up to 0.3 mg/kg/day. There is no experience with SITAVIG in nursing mothers. SITAVIG should be administered to a nursing mother with caution.

8.4     Pediatric Use

PEDIATRIC USE SECTION

Safety and effectiveness of SITAVIG in pediatric patients have not been established. The ability of pediatric patients to comply with the application instructions has not been evaluated. Use in younger children is not recommended due to potential risk of choking.

8.5     Geriatric Use

GERIATRIC USE SECTION

Clinical studies of SITAVIG did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects.

8.6     Immunocompromised Patients

SPL UNCLASSIFIED SECTION

The safety of SITAVIG has not been studied in immunocompromised subjects.

10     OVERDOSAGE

OVERDOSAGE SECTION

Acyclovir absorption and systemic exposure following application of SITAVIG are minimal. Overdose is therefore unlikely [see Clinical Pharmacology ( 12.3)] .

Symptomatic and supportive care is the basis for management.

11     DESCRIPTION SECTION

DESCRIPTION SECTION

SITAVIG (acyclovir) buccal tablet is applied topically to the gum and releases acyclovir as the buccal tablet gradually dissolves [see Clinical
Pharmacology ( 12.3)] . Acyclovir is a synthetic purine nucleoside analogue active against herpes viruses. The chemical name of acyclovir is 2-amino-1,9-dihydro-9-[(2-hydroxyethoxy)methyl]-6H-purin-6-one; it has a molecular formula of C 8H 11N 5O 3 and a molecular weight of 225. The structural formula is shown in Figure 1.

StructureStructure

Acyclovir drug substance is a white or almost white crystalline powder. SITAVIG contains 50 mg of acyclovir, USP and the following inactive
ingredients: hypromellose, USP; milk protein concentrate; sodium lauryl sulfate, NF; magnesium stearate, NF; microcrystalline cellulose,
NF; povidone, USP; colloidal silicon dioxide, NF.

12     CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

12.1     Mechanism of Action

MECHANISM OF ACTION SECTION

Acyclovir is an antiviral drug [see Microbiology (12.4)].

12.3    Pharmacokinetics

PHARMACOKINETICS SECTION

Absorption and Distribution


Salivary

Single dose application of SITAVIG containing 50 mg of acyclovir to the buccal mucosa in 12 healthy volunteers provided mean maximum
salivary concentrations of 440 μg/mL 8 hours after application of the tablet. The pharmacokinetic parameters of acyclovir in the saliva of
healthy volunteers are provided in Table 2 .

Table 2: Pharmacokinetic (PK) Parameters of Acyclovir in Saliva Following Application of a Single SITAVIG 50 mg Tablet in Healthy Volunteers (N = 12)

Salivary PK Parameters(N = 12)                Mean ±SD (Min - Max)      

AUC 0-24h (mcg.h/mL)                                 2900 ± 2400 (849 - 9450)
C max (mcg/mL)                                            440 ± 241 (149 – 959)
T max (hour)                                              7.95 ± 4.08 (3.07 – 18.05)

In the Phase 3 study, the levels of acyclovir in saliva were measured within 24 hours of SITAVIG application in 56 patients with recurrent
herpes labialis (mean value 88.1 micrograms per mL) and were within the range of those observed in the PK study in healthy volunteers.
In healthy volunteers, the median duration of buccal adhesion was 14 hours following application of a single SITAVIG 50 mg tablet.

Plasma

Plasma concentrations of acyclovir were measured in 12 healthy volunteers after a single-dose application of SITAVIG 50 mg buccal tablet. Acyclovir concentrations had a delayed appearance (undetectable at 5 hours) and were below the concentrations required for antiviral activity (range: 17.5 to 55.3 nanogram per mL).

Metabolism and Excretion

Acyclovir is metabolized to 9-[(carboxymethoxy)methyl]guanine (CMMG) and 8-hydroxy-acyclovir (8-OH-ACV) by oxidation and hydroxylation, and is primarily excreted unchanged by the kidneys.

Food Effect

There was no formal food effect study conducted with SITAVIG; however, in clinical studies patients were allowed to eat and drink while taking SITAVIG.

12.4     Microbiology

MICROBIOLOGY SECTION

Mechanism of Action


Acyclovir is a synthetic purine nucleoside that is phosphorylated intracellularly by the viral encoded thymidine kinase (TK) of HSV into acyclovir monophosphate, a nucleotide analogue. The monophosphate is further converted into diphosphate by cellular guanylate kinase and into triphosphate by a number of cellular enzymes. In a biochemical reaction, acyclovir triphosphate inhibits replication of herpes viral DNA by competing with nucleotides for binding to the viral DNA polymerase and by incorporation into and termination of the growing viral DNA chain. The cellular thymidine kinase of normal, uninfected cells does not use acyclovir effectively as a substrate, hence toxicity to mammalian host cells is low.

Antiviral activity


The quantitative relationship between the cell culture susceptibility of herpes viruses to antivirals and the clinical response to therapy
has not been established in humans, and virus sensitivity testing has not been standardized. Sensitivity testing results, expressed as
the concentration of drug required to inhibit by 50% the growth of virus in cell culture (EC50), vary greatly depending upon a number
of factors. Using plaque-reduction assays on Vero cells, the median EC50 value of acyclovir against clinical herpes virus isolates (subjects
receiving placebo) was 1.3 μM (range: < 0.56 to 3.3 μM).


Drug Resistance


Resistance of HSV to acyclovir can result from qualitative and quantitative changes in the viral TK and/or DNA polymerase. Clinical
isolates of HSV with reduced susceptibility to acyclovir have been recovered from immunocompromised subjects, especially with
advanced HIV infection. While most of the acyclovir-resistant mutant isolates from immunocompromised subjects thus far have been
found to be TK-deficient, other mutant isolates involving the viral TK gene (TK partial and TK altered) or DNA polymerase have been
identified. TK-negative mutants may cause severe disease in infants and immunocompromised adults.

The possibility of viral resistance to acyclovir should be considered in immunocompromised subjects who show poor clinical response during therapy.

13     NONCLINICAL TOXICOLOGY

NONCLINICAL TOXICOLOGY SECTION

13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

Systemic exposure following buccal administration of acyclovir is minimal. Results from previous studies of carcinogenesis, mutagenesis
and fertility for acyclovir are not included in the full prescribing information for SITAVIG due to the minimal exposure that results
from buccal administration. Information on these studies following systemic exposure is available in the full prescribing information for
acyclovir products approved for oral and parenteral administration.

14     Clinical Studies

CLINICAL STUDIES SECTION

Study in Patients with Recurrent Herpes Labialis (cold sores)

The efficacy and safety of SITAVIG was evaluated in a randomized, double-blind, placebo-controlled, patient-initiated, multicenter trial comparing SITAVIG 50 mg administered as a single dose (n = 378) to placebo (n = 397) in patients with recurrent herpes labialis (cold sores). A total of 376 SITAVIG treated patients and 395 placebo treated patients were included in the Intent to Treat (ITT) efficacy population defined as all patients who took study treatment and who had a start date and time of treatment initiation recorded. The mean age was 41.0 years (range: 18-80 years) and the majority of patients were female (68.6%), and Caucasian (94.9%). All patients had at least 4 herpes episodes in the previous year of whom 68.4% had ≥ 5 episodes.  Patients were instructed to initiate treatment within one hour after the onset of prodromal symptoms and before the appearance of any signs of herpes labialis lesions by applying the tablet to the buccal mucosa in the canine fossa. If the tablet was detached within the first 6 hours, subjects were instructed to reapply a tablet.


The mean and median durations of the recurrent herpes labialis episode (ITT population, n=771) were approximately half a day shorter in patients treated with SITAVIG compared with patients treated with placebo.

16     HOW SUPPLIED/STORAGE AND HANDLING

HOW SUPPLIED SECTION

SITAVIG 50 mg buccal tablets are supplied as off-white tablets containing 50 mg of acyclovir. SITAVIG tablets have a rounded side and
a flat side. SITAVIG tablets are packaged in blisters (NDC 68712-049-02).

SITAVIG should be stored at 20 to 25°C (68 to 77°F) [see USP controlled room temperature]; excursions between 15 and 30°C (59-86°F)
permitted at room temperature. Protect from moisture, and keep out of reach of children.

17     PATIENT COUNSELING INFORMATION

SPL UNCLASSIFIED SECTION

Patients should be informed that SITAVIG is not a cure for cold sores. See FDA-approved patient labeling (Patient Information and Instructions for Use) .

17.1     Instructions For Use

INSTRUCTIONS FOR USE SECTION

Read the Instructions for Use that comes with SITAVIG before you start using it. Talk to your doctor or pharmacist if you have any questions.

Important:
SITAVIG should be applied to the area of the upper gum above the incisor tooth.
SITAVIG tablets should not be crushed, sucked, chewed or swallowed.

If it comes out before 6 hours have gone by, reapply it.
If this does not work then a new tablet should be applied.
It should not be applied to the inside of the lip or cheek.
• Tablet should be applied on the same side of the mouth as the herpes labialis symptoms.
• Do not remove SITAVIG if it sticks to your upper gum. If SITAVIG does not stick or falls off of your upper gum within the first 6
hours that you apply it, place it back onto your upper gum. If it still does not stick, replace it with a new SITAVIG tablet.
• Do not re-apply SITAVIG if it falls out or you swallow it after it has been in place 6 hours or longer.
• If you swallow SITAVIG within the first 6 hours of applying it, drink a glass of water and place a new SITAVIG tablet onto your upper gum.

17.2 Adverse Reactions

ADVERSE REACTIONS SECTION

Patients may experience adverse reactions including headache, and application site pain.

Patient Information

INFORMATION FOR PATIENTS SECTION

SITAVIG (SIT-a-vig) (acyclovir) buccal tablets


What is SITAVIG?
• SITAVIG is a prescription medicine used to treat cold sores (herpes labialis) in adults with normal immune systems.
• It is not known if SITAVIG is safe and effective in children.

Who should not use SITAVIG?
Do not use SITAVIG if you are allergic to:
• acyclovir or any of the ingredients in SITAVIG. See the end of this leaflet for a complete list of ingredients in SITAVIG.
• milk protein concentrate

Before using SITAVIG, tell your healthcare provider about all of your medical conditions, including if you:
• are pregnant or plan to become pregnant. It is not known if SITAVIG will harm your unborn baby.
• are breastfeeding or plan to breastfeed. It is not known if SITAVIG passes into your breast milk.
• Tell your healthcare provider about all the medicines you take, including prescription or over-the-counter medicines, vitamins, or herbal supplements.

How should I use SITAVIG?
See the detailed Instructions for Use for informationabout how to use SITAVIG.
• Use SITAVIG exactly as your healthcare provider tells you to use it.
• Use SITAVIG within 1 hour after you have the first symptom of a cold sore, such as itching, redness, burning, or tingling,
   and before a cold sore appears.
• You may eat and drink while using SITAVIG.
• Do not crush, chew, suck, or swallow SITAVIG tablets.
• SITAVIG will slowly dissolve over time while in your mouth and should be left in place.
• Gently rinse your mouth with water to clean your teeth while SITAVIG is in place.
• Drink more liquids if your mouth becomes dry while using SITAVIG.


What should I avoid while using SITAVIG?
You should avoid activities that may prevent SITAVIG from sticking to your gum, including: touching or pressing SITAVIG
after you apply it, wearing upper dentures, chewing gum, and brushing your teeth during the treatment day.

What are the possible side effects of SITAVIG?
The most common side effects of SITAVIG include: headache and pain where SITAVIG is applied.
These are not all the possible side effects of SITAVIG. Call your doctor for medical advice about side effects. You may
report side effects to FDA at 1-800-FDA-1088.


How should I store SITAVIG?
• Store SITAVIG between 68°F to 77°F (20°C to 25°C). Keep SITAVIG tablets dry.

Keep SITAVIG and all medicines out of the reach of children.

General information about the safe and effective use of SITAVIG
Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use
SITAVIG for a condition for which it was not prescribed. Do not give SITAVIG to other people, even if they have the same
symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about
SITAVIG that is written for health professionals.

What are the ingredients in SITAVIG?
Active ingredient: acyclovir
Inactive ingredients: hypromellose, milk protein concentrate, sodium lauryl sulfate, magnesium stearate,microcrystalline cellulose, povidone, colloidal silicon dioxide.


Manufactured By: Farméa,10 rue Bouché Thomas, ZAC d’orgemont, 49 000 Angers - France

For more information call 1-800-499-4468.

This Patient Information has been approved by the U.S. Food and DrugAdministration. Issue: April/2013 Reference ID: 3292406

INSTRUCTIONS FOR USE

INSTRUCTIONS FOR USE SECTION

SITAVIG (SIT-a-vig) (acyclovir) buccal tablets

Read the Instructions for Use that comes with SITAVIG before you start using it. Talk to your healthcare provider or pharmacist if you have any questions.

SPL UNCLASSIFIED SECTION

Important:
• SITAVIG should be applied within 1 hour after you have the first symptom of a cold sore, such as itching, redness, burning, or tingling, and before a cold sore appears.
• SITAVIG should be applied on the same side of your mouth as the cold sore symptoms.
• SITAVIG should be applied to your upper gum, just above your incisor tooth.
• SITAVIG should not be applied to the inside of your lip or your cheek.
• If SITAVIG does not stick to your upper gum or falls off of your upper gum within the first 6 hours after you apply it, the same tablet should be placed back onto your upper gum right away. If this SITAVIG tablet does not stay in place, apply another SITAVIG tablet to your upper gum.  
• Do not re-apply SITAVIG if it falls out or you swallow it after it has been in place 6 hours or longer.
• If you swallow SITAVIG within the first 6 hours of applying it, drink a glass of water and place a new SITAVIG tablet onto your upper gum.

How to apply Sitavig

SPL UNCLASSIFIED SECTION

Step 1:  Before you apply SITAVIG, find the area on your upper gum, just above either the left or the right incisor.  The incisor tooth is the tooth just to the right or left of your two front teeth (See Figure A).  This is where you should apply SITAVIG. 

Figure A

Fig AFig A


Step 2:

Peel back the cover of the blister pack. Take 1 SITAVIG out of the blister pack. When removed from the blister pack, SITAVIG must be used right away. SITAVIG is round on one side and flat on the other side (See Figure B).

Figure B

Fig BFig B


Step 3: Place the flat side of SITAVIG on your dry fingertip. Apply the round side of SITAVIG to your upper gum (See Figure C). The flat side will be facing the inside of your lip.


Figure C

Fig CFig C

Step 4: Hold SITAVIG in place by applying a slight pressure with your finger on the outside of your upper lip, over the area where SITAVIG is placed, for 30 seconds. This will help SITAVIG stick to your gum (See Figure D).


Figure D

Fig DFig D


Step 5: Leave the SITAVIG tablet in place until it dissolves.

This Instructions for Use has been approved by the U.S. Food and Drug Administration.
Manufactured By:
      Farméa
      10 rue Bouché Thomas
      ZAC d’orgemont
      49 000 Angers - France

Distributed By:

      Cipher Pharmaceuticals U.S. LLC

      Charleston, SC  29401

       1-800-449-4468

       www.cipherpharma.com

       www.sitavig.com


U.S. Pat. No.: 8,592,434, 8,747,896 and 8,791,127.
©2013 Cipher Pharmaceuticals U.S. LLC
Revised: 10/2015                                                                                                      SIT-PI-0417

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

image descriptionimage description

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
1423662acyclovir 50 MG Buccal TabletPSN7
1493276Sitavig 50 MG Buccal TabletPSN7
1493276acyclovir 50 MG Buccal Tablet [Sitavig]SBD7
1423662acyclovir 50 MG Buccal TabletSCD7
1423662acycycloguanosine 50 MG Buccal TabletSY7
1493276acycycloguanosine 50 MG Buccal Tablet [Sitavig]SY7
1493276Sitavig 50 MG Buccal TabletSY7

DailyMed Pharmacologic Classes#

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

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
33190c02-82e1-0a4d-d716-9ccd23588463Product name520250225
c367d1da-5a72-8966-6d11-1eb9a73ae758Product name320231115
3c386306-c48a-413e-bb69-70cb268496f3Product name120210727
5518bf13-db2f-2e9c-3679-e70ecf03752cProduct name920210614
27897900-0e40-497b-97e1-88057e68fe6cProduct name420200710
ca834e59-e669-229c-9288-0ccb76dc373eProduct name920200220
d7f95c49-d3e1-4bbc-a389-e9cd73f59a28Product name120190702
fb15b394-3715-4c87-a447-421489aa8739Product name320170727
7bdc4804-3832-c0df-e519-72b6d47c9792Product name120140508

FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDCEffectiveActionDocumentIndexing SPLRelated label
68712-049-022020-01-31C16284748780-19d75b9cf-fe7b-f424-e053-dadaa90a57ceNDC 68712-049-02 Sitavig (ACYCLOVIR) Buccal Tablets 50 mg

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
68712-049-02Sitavig2 in 1 BLISTER PACKTABLET, DELAYED RELEASE27
68712-049-02Sitavig1 in 1 CARTONTABLET, DELAYED RELEASE17

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
68712-049SITAVIG (ACYCLOVIR) TABLET, DELAYED RELEASE [CIPHER PHARMACEUTICALS US LLC]7Legacy NDC, 2 package rows20170419_00f7425a-6236-47ff-a087-f28f8cdb1aec.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
68712-049-02EA - Each68712-04983bf83e3-070e-40ec-ad84-ea9da6f29afd12014-06-03

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIISPL versionUploaded
ACYCLOVIRACTIVE INGREDIENTX4HES1O11F5
ACYCLOVIRACTIVE MOIETYX4HES1O11F5
CELLULOSE, MICROCRYSTALLINEINACTIVE INGREDIENTOP1R32D61U5
COLLOIDAL SILICON DIOXIDEINACTIVE INGREDIENTETJ7Z6XBU45
HYPROMELLOSE 2208 (15000 MPA.S)INACTIVE INGREDIENTZ78RG6M2N25
MAGNESIUM STEARATEINACTIVE INGREDIENT70097M6I305
POVIDONEINACTIVE INGREDIENTFZ989GH94E5
SODIUM LAURYL SULFATEINACTIVE INGREDIENT368GB5141J5
WATERINACTIVE INGREDIENT059QF0KO0R5

Products#

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

DailyMed product names page 1 of 1 · 9 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
68712-04968712-049-02

Ingredients#

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

DailyMed ingredient rows page 1 of 1 · 8 matching rows.

Source Document#

Source XML

Inactive ingredient matches#

Inactive Ingredient Database values describe FDA-listed use contexts. The match method and ambiguity count are shown because ingredient names, routes, and dosage forms are not always unique. Browse recovered IID releases and source provenance.

Inactive ingredient links page 1 of 4 · 194 matching rows.

DailyMed ingredient, IID ingredient, UNII table
DailyMed ingredientIID ingredientUNIIDosage form / routePotencyMaximum daily exposureMatch
POVIDONEPOVIDONEFZ989GH94ESUSPENSION/ DROPS / OPHTHALMIC0.6 %w/vExact identifier — unii candidate
30 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4SYSTEM / TRANSDERMAL35 mgExact identifier — unii candidate
49 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30POWDER / TOPICAL104 mgExact identifier — unii candidate
39 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30IMPLANT / SUBCUTANEOUS0.5 mgExact identifier — unii candidate
39 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JOINTMENT / TOPICAL14 mgExact identifier — unii candidate
42 equally ranked IID candidates
CELLULOSE, MICROCRYSTALLINEMICROCRYSTALLINE CELLULOSEOP1R32D61UCAPSULE, EXTENDED RELEASE / ORAL1246 mgExact identifier — unii candidate
28 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30CREAM / TOPICALNAExact identifier — unii candidate
39 equally ranked IID candidates
POVIDONEPOVIDONEFZ989GH94ESUSPENSION / ORAL20 mg/5mlExact identifier — unii candidate
30 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JCREAM / VAGINAL12 mgExact identifier — unii candidate
42 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30POWDER / ORAL25 mgExact identifier — unii candidate
39 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JINSERT / VAGINAL15 mgExact identifier — unii candidate
42 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30TABLET, DELAYED RELEASE / ORAL144 mgExact identifier — unii candidate
39 equally ranked IID candidates
CELLULOSE, MICROCRYSTALLINEMICROCRYSTALLINE CELLULOSEOP1R32D61UTABLET, FILM COATED, EXTENDED RELEASE / ORAL615 mgExact identifier — unii candidate
28 equally ranked IID candidates
POVIDONEPOVIDONEFZ989GH94ETABLET, FILM COATED / ORAL240 mgExact identifier — unii candidate
30 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4TABLET / ORAL750 mgExact identifier — unii candidate
49 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JGRANULE / ORAL12 mgExact identifier — unii candidate
42 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JTABLET, ORALLY DISINTEGRATING / ORAL16 mgExact identifier — unii candidate
42 equally ranked IID candidates
CELLULOSE, MICROCRYSTALLINEMICROCRYSTALLINE CELLULOSEOP1R32D61UTROCHE / ORAL300 mgExact identifier — unii candidate
28 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30WAFER / ORAL66 mgExact identifier — unii candidate
39 equally ranked IID candidates
POVIDONEPOVIDONEFZ989GH94ETABLET, CHEWABLE / ORAL48 mgExact identifier — unii candidate
30 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JSUSPENSION, EXTENDED RELEASE / ORAL0.08 mg/1mlExact identifier — unii candidate
42 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JDROPS / ORALNAExact identifier — unii candidate
42 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JPELLET / ORAL2 mgExact identifier — unii candidate
42 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30GRANULE / ORAL629 mgExact identifier — unii candidate
39 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4PASTE / DENTAL34 %w/wExact identifier — unii candidate
49 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4FILM, SOLUBLE / ORAL2 mgExact identifier — unii candidate
49 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30TABLET, FOR SUSPENSION / ORAL131 mgExact identifier — unii candidate
39 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4POWDER, FOR SOLUTION / ORAL280 mgExact identifier — unii candidate
49 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30TABLET, FILM COATED / ORAL96 mgExact identifier — unii candidate
39 equally ranked IID candidates
POVIDONEPOVIDONEFZ989GH94EDROPS / ORALNAExact identifier — unii candidate
30 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4TABLET, CHEWABLE, EXTENDED RELEASE / ORAL2 mgExact identifier — unii candidate
49 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4POWDER, FOR SUSPENSION / ORAL2553 mgExact identifier — unii candidate
49 equally ranked IID candidates
POVIDONEPOVIDONEFZ989GH94ECAPSULE, COATED, EXTENDED RELEASE / ORALNAExact identifier — unii candidate
30 equally ranked IID candidates
POVIDONEPOVIDONEFZ989GH94ETABLET, COATED / ORAL49.2 mgExact identifier — unii candidate
30 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4GEL / DENTAL19 %w/wExact identifier — unii candidate
49 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4CAPSULE, COATED, EXTENDED RELEASE / ORALNAExact identifier — unii candidate
49 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JCAPSULE / RESPIRATORY (INHALATION)NAExact identifier — unii candidate
42 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JCAPSULE, COATED, EXTENDED RELEASE / ORALNAExact identifier — unii candidate
42 equally ranked IID candidates
HYPROMELLOSE 2208 (15000 MPA.S)HYPROMELLOSE 2208 (15000 MPA.S)Z78RG6M2N2TABLET / ORAL375 mgExact identifier — unii candidate
6 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JCAPSULE / ORAL600 mgExact identifier — unii candidate
42 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4PELLET / ORAL34 mgExact identifier — unii candidate
49 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4TABLET, DELAYED RELEASE / ORAL1190 mgExact identifier — unii candidate
49 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30RING / VAGINAL2 mgExact identifier — unii candidate
39 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JTABLET / ORAL233 mgExact identifier — unii candidate
42 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JTABLET, ORALLY DISINTEGRATING, DELAYED RELEASE / ORAL3 mgExact identifier — unii candidate
42 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30TABLET, FILM COATED, EXTENDED RELEASE / ORAL53 mgExact identifier — unii candidate
39 equally ranked IID candidates
CELLULOSE, MICROCRYSTALLINEMICROCRYSTALLINE CELLULOSEOP1R32D61UIMPLANT / INTRAVITREAL1.66 mgExact identifier — unii candidate
28 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JSHAMPOO / TOPICAL65 %w/wExact identifier — unii candidate
42 equally ranked IID candidates
CELLULOSE, MICROCRYSTALLINEMICROCRYSTALLINE CELLULOSEOP1R32D61UCAPSULE, COATED PELLETS / ORAL456 mgExact identifier — unii candidate
28 equally ranked IID candidates
CELLULOSE, MICROCRYSTALLINEMICROCRYSTALLINE CELLULOSEOP1R32D61UTABLET / SUBLINGUAL43.2 mgExact identifier — unii candidate
28 equally ranked IID candidates
SODIUM LAURYL SULFATESODIUM LAURYL SULFATE368GB5141JCREAM / TOPICAL214 mgExact identifier — unii candidate
42 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4GRANULE / ORAL5000 mgExact identifier — unii candidate
49 equally ranked IID candidates
COLLOIDAL SILICON DIOXIDESILICON DIOXIDEETJ7Z6XBU4FILM, EXTENDED RELEASE / TRANSDERMAL49 mgExact identifier — unii candidate
49 equally ranked IID candidates
POVIDONEPOVIDONEFZ989GH94ECAPSULE, EXTENDED RELEASE / ORAL56 mgExact identifier — unii candidate
30 equally ranked IID candidates
HYPROMELLOSE 2208 (15000 MPA.S)HYPROMELLOSE 2208 (15000 MPA.S)Z78RG6M2N2TABLET, FILM COATED, EXTENDED RELEASE / ORAL2640 mgExact identifier — unii candidate
6 equally ranked IID candidates
POVIDONEPOVIDONEFZ989GH94ETABLET, ORALLY DISINTEGRATING / ORAL15.03 mgExact identifier — unii candidate
30 equally ranked IID candidates
CELLULOSE, MICROCRYSTALLINEMICROCRYSTALLINE CELLULOSEOP1R32D61UTABLET, COATED / ORAL920 mgExact identifier — unii candidate
28 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30CAPSULE, COATED, EXTENDED RELEASE / ORALNAExact identifier — unii candidate
39 equally ranked IID candidates
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30INSERT / VAGINAL69 mgExact identifier — unii candidate
39 equally ranked IID candidates
CELLULOSE, MICROCRYSTALLINEMICROCRYSTALLINE CELLULOSEOP1R32D61UTABLET, ORALLY DISINTEGRATING / ORAL1800 mgExact identifier — unii candidate
28 equally ranked IID candidates

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 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
N203791-001SITAVIGACYCLOVIR50MGTABLET / BUCCALRLD2013-04-12

Orange Book patents#

Current patent rows page 1 of 1 · 3 matching rows.

Application-product, Patent, Expiration table
Application-productPatentExpirationUse codeCoverage / statusSubmission date
N203791-00187911272027-03-23U-1460Drug product2014-08-06
N203791-00187478962027-06-03U-1460Drug product2014-07-03
N203791-00185924342030-06-16U-1460Drug product2013-12-12

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 · 43 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-09-14 22:38:342026-08N203791-001SITAVIG50MGTABLET / BUCCALRLD2013-04-1284e616aacf4f…
2026-08-18 06:07:402026-07N203791-001SITAVIG50MGTABLET / BUCCALRLD2013-04-12caaa826d4ba7…
2026-02-19 14:30 UTC2026-02N203791-001SITAVIG50MGTABLET / BUCCALRLD2013-04-12011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N203791-001SITAVIG50MGTABLET / BUCCALRLD2013-04-1231067a03dcf5…
2025-08-23 18:47 UTC2025-08N203791-001SITAVIG50MGTABLET / BUCCALRLD2013-04-126a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-1203ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-122680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-125bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12d8e5a09893c0…
2024-10-29 15:01 UTC2024-10N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-1279d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-121e350fbaab3a…
2024-05-31 18:47 UTC2024-05N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-128072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-125c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-125d02ea3f76ae…
2022-04-04 05:41 UTC2022-04N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-124b0b4de00fa7…
2019-12-13 00:20 UTC2019-12N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-1274a2ff9319b5…
2022-03-09 01:35 UTC2022-03N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-1287673890dc5c…
2021-03-12 10:30 UTC2021-03N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-125aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-128869cabd3fbd…
2020-11-12 02:37 UTC2020-11N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12c0c555d07b60…
2019-12-14 00:12 UTC2019-12N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-123f01610625f2…
2019-09-15 20:21 UTC2019-09N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12b00525d2431f…
2019-07-19 19:46 UTC2019-07N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-126a51e52b5d6a…
2024-02-18 07:12 UTC2024-02N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-121c564ffb4f44…
2023-12-20 04:57 UTC2023-12N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-129b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-123f0d92c62455…
2023-05-13 08:27 UTC2023-05N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12053a50430f4f…
2023-01-26 05:58 UTC2023-01N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-123bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-123a93d1ddd44b…
2022-10-28 04:53 UTC2022-10N203791-001SITAVIG50MGTABLET / BUCCALRLD, RS2013-04-12f41ea6bd6efb…

Observed Orange Book patent history#

Patent history page 1 of 4 · 129 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productPatentExpirationUse codeCoverage / statusSubmission dateSource SHA-256
2026-09-14 22:38:342026-08N203791-00187911272027-03-23U-1460Drug product2014-08-0684e616aacf4f…
2026-09-14 22:38:342026-08N203791-00187478962027-06-03U-1460Drug product2014-07-0384e616aacf4f…
2026-09-14 22:38:342026-08N203791-00185924342030-06-16U-1460Drug product2013-12-1284e616aacf4f…
2026-08-18 06:07:402026-07N203791-00187911272027-03-23U-1460Drug product2014-08-06caaa826d4ba7…
2026-08-18 06:07:402026-07N203791-00187478962027-06-03U-1460Drug product2014-07-03caaa826d4ba7…
2026-08-18 06:07:402026-07N203791-00185924342030-06-16U-1460Drug product2013-12-12caaa826d4ba7…
2026-02-19 14:30 UTC2026-02N203791-00187911272027-03-23U-1460Drug product2014-08-06011fe1cb6892…
2026-02-19 14:30 UTC2026-02N203791-00187478962027-06-03U-1460Drug product2014-07-03011fe1cb6892…
2026-02-19 14:30 UTC2026-02N203791-00185924342030-06-16U-1460Drug product2013-12-12011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N203791-00187911272027-03-23U-1460Drug product2014-08-0631067a03dcf5…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N203791-00187478962027-06-03U-1460Drug product2014-07-0331067a03dcf5…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N203791-00185924342030-06-16U-1460Drug product2013-12-1231067a03dcf5…
2025-08-23 18:47 UTC2025-08N203791-00187911272027-03-23U-1460Drug product2014-08-066a471c1ec25d…
2025-08-23 18:47 UTC2025-08N203791-00187478962027-06-03U-1460Drug product2014-07-036a471c1ec25d…
2025-08-23 18:47 UTC2025-08N203791-00185924342030-06-16U-1460Drug product2013-12-126a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03N203791-00187911272027-03-23U-1460Drug product2014-08-06fd3edfee7708…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03N203791-00187478962027-06-03U-1460Drug product2014-07-03fd3edfee7708…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03N203791-00185924342030-06-16U-1460Drug product2013-12-12fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02N203791-00187911272027-03-23U-1460Drug product2014-08-06b8a1b40f171c…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02N203791-00187478962027-06-03U-1460Drug product2014-07-03b8a1b40f171c…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02N203791-00185924342030-06-16U-1460Drug product2013-12-12b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01N203791-00187911272027-03-23U-1460Drug product2014-08-0603ed91905a0d…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01N203791-00187478962027-06-03U-1460Drug product2014-07-0303ed91905a0d…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01N203791-00185924342030-06-16U-1460Drug product2013-12-1203ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12N203791-00187911272027-03-23U-1460Drug product2014-08-062680178bc6a6…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12N203791-00187478962027-06-03U-1460Drug product2014-07-032680178bc6a6…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12N203791-00185924342030-06-16U-1460Drug product2013-12-122680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09N203791-00187911272027-03-23U-1460Drug product2014-08-065bbf6a4d5a75…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09N203791-00187478962027-06-03U-1460Drug product2014-07-035bbf6a4d5a75…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09N203791-00185924342030-06-16U-1460Drug product2013-12-125bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11N203791-00187911272027-03-23U-1460Drug product2014-08-06d8e5a09893c0…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11N203791-00187478962027-06-03U-1460Drug product2014-07-03d8e5a09893c0…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11N203791-00185924342030-06-16U-1460Drug product2013-12-12d8e5a09893c0…
2024-10-29 15:01 UTC2024-10N203791-00187911272027-03-23U-1460Drug product2014-08-06d06236e962d9…
2024-10-29 15:01 UTC2024-10N203791-00187478962027-06-03U-1460Drug product2014-07-03d06236e962d9…
2024-10-29 15:01 UTC2024-10N203791-00185924342030-06-16U-1460Drug product2013-12-12d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08N203791-00187911272027-03-23U-1460Drug product2014-08-0679d66fd596c7…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08N203791-00187478962027-06-03U-1460Drug product2014-07-0379d66fd596c7…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08N203791-00185924342030-06-16U-1460Drug product2013-12-1279d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07N203791-00187911272027-03-23U-1460Drug product2014-08-06301d65b070ca…

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 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
4d76b99b-3aba-36b3-e054-00144ff88e8800f7425a-6236-47ff-a087-f28f8cdb1aec2017-04-18Adverse reactionsExact identifier
spl id: 4d76b99b-3aba-36b3-e054-00144ff88e88
spl set id: 00f7425a-6236-47ff-a087-f28f8cdb1aec

Reported adverse events (FAERS/openFDA)#

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