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FULL PRESCRIBING INFORMATION

1 HIGHLIGHTS OF PRESCRIBING INFORMATIONT hese highlights do not include all the INFORMATION needed to use JYNARQUE safely and effectively. See full PRESCRIBING INFORMATION for (tolvaptan) tablets for oral useInitial Approval: 2009 WARNING: RISK OF SERIOUS LIVER INJURYSee full PRESCRIBING INFORMATION for complete boxed (tolvaptan) can cause serious and potentially fatal liver injury. Acute liver failure requiring liver transplantation has been reported ( )xMeasure transaminases and bilirubin before initiating treatment, at 2 weeks and 4 weeks after initiation, then continuing monthly for the first 18 months and every 3 months thereafter ( )xJYNARQUE is available only through a restricted distribution program called the JYNARQUE REMS Program ( )----------------------------INDICATIONS AND USAGE---------------------------JYNARQUE is a selective vasopressin V2-receptor antagonist indicated to slow kidney function decline in adults at risk of rapidly progressing autosomal dominant polycystic kidney disease (ADPKD) (1)----------------------DOSAGE AND ADMINISTRATION.

abdominal discomfort, vomiting, fever, rash, pruritus, icterus, dark urine or jaundice) can reduce the risk of severe hepatotoxicity. In a 3-year placebo-controlled trial and its open-label extension (in which patients’ liver tests were monitored

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