País: Estats Units
Idioma: anglès
Font: NLM (National Library of Medicine)
DISOPYRAMIDE PHOSPHATE (UNII: N6BOM1935W) (DISOPYRAMIDE - UNII:GFO928U8MQ)
AvKARE
DISOPYRAMIDE PHOSPHATE
DISOPYRAMIDE 100 mg
ORAL
PRESCRIPTION DRUG
Disopyramide Phosphate is indicated for the treatment of documented ventricular arrhythmias such as sustained ventricular tachycardia, that, in the judgment of the physician, are life-threatening. Because of the proarrhythmic effects of Disopyramide Phosphate, its use with lesser arrhythmias is generally not recommended. Treatment of patients with asymptomatic ventricular premature contractions should be avoided. Initiation of Disopyramide Phosphate treatment, as with other antiarrhythmic agents used to treat life-threatening arrhythmias, should be carried out in the hospital. Antiarrhythmic drugs have not been shown to enhance survival in patients with ventricular arrhythmias. Disopyramide Phosphate is contraindicated in the presence of cardiogenic shock, preexisting second- or third-degree AV block (if no pacemaker is present), congenital Q-T prolongation, or known hypersensitivity to the drug.
Disopyramide Phosphate is supplied as: 100 mg - hard gelatin capsule with a light-blue body imprinted "93-3127" and a scarlet cap imprinted "93-3127", containing 100 mg of disopyramide base present as the phosphate, in bottles of 100. 42291-234-01. 150 mg - hard gelatin capsule with a scarlet body imprinted "93-3129" and a buff cap imprinted "93-3129", containing 150 mg of disopyramide base present as the phosphate, in bottles of 100. 42291-235-01 Store at 20º to 25º (68º to77ºF) [ See USP Controlled Room Temperature]. Manufactured For: AvKARE, Inc. Pulaski, TN 38478 Mfg. Rev. I 07/12 AV 01/14 (P)
Abbreviated New Drug Application
DISOPYRAMIDE PHOSPHATE- DISOPYRAMIDE PHOSPHATE CAPSULE AVKARE ---------- DISOPYRAMIDE PHOSPHATE CAPSULES, USP DESCRIPTION Disopyramide Phosphate is an antiarrhythmic drug available for oral administration in capsules containing 100 mg or 150 mg of disopyramide base, present as the phosphate. The base content of the phosphate salt is 77.6%. The structural formula of Disopyramide Phosphate is: C H N O·H PO M.W. 437.47 α-[2-(diisopropylamino) ethyl]-α-phenyl-2-pyridineacetamide phosphate Disopyramide Phosphate is freely soluble in water, and the free base (pKa 10.4) has an aqueous solubility of 1 mg/mL. The chloroform:water partition coefficient of the base is 3.1 at pH 7.2. Disopyramide Phosphate is a racemic mixture of _d_- and _l_-isomers. This drug is not chemically related to other antiarrhythmic drugs. INACTIVE INGREDIENTS: _Capsules:_ Lactose Monohydrate, Magnesium Stearate and Sodium Starch Glycolate. _Capsule Print and Shell Constituents:_ Black Iron Oxide, D&C Red #28, D&C Red #33, D&C Yellow #10, D&C Yellow #10 Aluminum Lake, FD&C Blue #1, FD&C Blue #1 Aluminum Lake, FD&C Blue #2 Aluminum Lake, FD&C Red #40 Aluminum Lake, Gelatin, Propylene Glycol, Shellac, Sodium Lauryl Sulfate, Sorbitan Monolaurate and Titanium Dioxide. CLINICAL PHARMACOLOGY MECHANISMS OF ACTION Disopyramide Phosphate is a Type 1 antiarrhythmic drug (ie, similar to procainamide and quinidine). _In animal studies,_ Disopyramide Phosphate decreases the rate of diastolic depolarization (phase 4) in cells with augmented automaticity, decreases the upstroke velocity (phase 0) and increases the action potential duration of normal cardiac cells, decreases the disparity in refractoriness between infarcted and adjacent normally perfused myocardium, and has no effect on alpha- or beta-adrenergic receptors. 21 29 3 3 4 ELECTROPHYSIOLOGY In man, Disopyramide Phosphate at therapeutic plasma levels shortens the sinus node recovery time, lengthens the effective refractory period of the atrium, and has a minimal effect on the effective refractory pe Llegiu el document complet