البلد: كندا
اللغة: الإنجليزية
المصدر: Health Canada
BUSULFAN
OTSUKA PHARMACEUTICAL CO LTD
L01AB01
BUSULFAN
60MG
SOLUTION
BUSULFAN 60MG
INTRAVENOUS
8X10ML
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0103273002; AHFS:
CANCELLED POST MARKET
2020-09-01
PRODUCT MONOGRAPH PR BUSULFEX ® (BUSULFAN) 6 MG/ML INJECTION ANTINEOPLASTIC Otsuka Pharmaceutical Co., Ltd. DATE OF REVISION: Tokyo, 101-8535 Japan March 10, 2017 Distributed and Marketed by: CONTROL # 200963 Otsuka Canada Pharmaceutical Inc. Saint-Laurent, Quebec H4S 2C9 2 PRODUCT MONOGRAPH NAME OF DRUG Pr BUSULFEX (Busulfan) Injection 6 mg/mL BUSULFEX (BUSULFAN) INJECTION IS A POTENT CYTOTOXIC DRUG THAT RESULTS IN PROFOUND MYELOSUPPRESSION AT THE RECOMMENDED DOSAGE. IT SHOULD BE ADMINISTERED UNDER THE SUPERVISION OF A QUALIFIED PHYSICIAN WHO IS EXPERIENCED IN THE USE OF CANCER CHEMOTHERAPEUTIC AGENTS AND IN THE MANAGEMENT OF PATIENTS WITH SEVERE PANCYTOPENIA. APPROPRIATE MANAGEMENT OF THERAPY AND COMPLICATIONS IS ONLY POSSIBLE WHEN ADEQUATE DIAGNOSTIC AND TREATMENT FACILITIES ARE READILY AVAILABLE. ACTIONS AND CLINICAL PHARMACOL OGY Busulfan is a potent cytotoxic agent and a bifunctional alkylating agent. In aqueous media, release of the methanesulfonate group produces carbonium ions, which can alkylate DNA, thought to be an important biological mechanism for its cytotoxic effect. Current literature suggests that high AUC values (>1,500 μMol•min) may be associated with an increased risk of developing hepatic veno-occlusive disease and/or seizures. Mean C max , AUC, T 1/2 and plasma clearance are provided below for oral busulfan and IV BUSULFEX (busulfan) (See PHARMACOLOGY). PARAMETER ORAL BUSULFAN BUSULFEX IV C max (ng/mL) (range) (CV%) 870 (30%) 1,167 (12%) AUC (μMol•min) (CV%) 1,396 (24%) 1,156 (14%) T 1/2 (hr) (CV%) 3.55 (33%) 3.11 (10%) Plasma Clearance (mL/min) (CV%) 195 (27%) 182 (16%) 3 Intravenous BUSULFEX had a more consistent pharmacokinetic profile than oral busulfan among patients. Busulfan achieves concentrations in the cerebrospinal fluid approximately equal to those in plasma. Irreversible binding to plasma elements, primarily albumin, has been estimated to be 32.4 + 2.2%, which is consistent with the reactive electrophilic properties of this alkylator. Busulfan is predominately me اقرأ الوثيقة كاملة