País: Canadà
Idioma: anglès
Font: Health Canada
CICLOPIROX
BAUSCH HEALTH, CANADA INC.
D01AE14
CICLOPIROX
8%
SOLUTION
CICLOPIROX 8%
TOPICAL
12G
Prescription
HYDROXYPYRIDONES
Active ingredient group (AIG) number: 0150022001; AHFS:
APPROVED
2012-03-05
PRODUCT MONOGRAPH PR PENLAC ® Ciclopirox Topical Solution 8% w/w NAIL LACQUER TOPICAL ANTIFUNGAL AGENT BAUSCH HEALTH, CANADA INC. DATE OF REVISION: 2150 St-Elzear Blvd. West February 23, 2021 Laval, Quebec H7L 4A8 Control No.: 248363 _Pr_ _PENLAC_ _®_ _ Product Monograph Page 2 of 18_ PRODUCT MONOGRAPH PR PENLAC ® Ciclopirox Topical Solution 8% w/w ACTIONS AND CLINICAL PHARMACOLOGY Ciclopirox free acid is an antimycotic agent that inhibits the growth of a number of fungi _in vitro_ including _Trichophyton mentagrophytes_, _Trichophyton rubrum_, _Microsporum canis_, _Epidermophyton floccosum_, _Candida albicans_, _Candida tropicalis_ and _Candida _ _pseudotropicalis_. The mechanism of action of ciclopirox has been investigated using various _in vitro_ and _in vivo_ infection models. One _in vitro_ study suggested that ciclopirox acts by chelation of polyvalent cations (Fe +3 or Al +3 ) resulting in the inhibition of the metal-dependent enzymes that are responsible for the degradation of peroxides within the fungal cell. The clinical significance of this observation is not known. PHARMACOKINETICS As demonstrated in pharmacokinetic studies in animals and man, ciclopirox olamine is rapidly absorbed after oral administration and completely eliminated in all species via feces and urine. Most of the compound is excreted either unchanged or as glucuronide. After oral administration of 10 mg of radiolabelled drug ( 14 C-ciclopirox) to healthy volunteers, approximately 96% of the radioactivity was excreted renally within 12 hours of administration. Ninety-four percent of the renally excreted radioactivity was in the form of glucuronides. Thus, glucuronidation is the main metabolic pathway of this compound. Systemic absorption of ciclopirox was determined in 5 patients with dermatophytic onychomycoses after application of PENLAC (Ciclopirox Topical Solution, 8% w/w) nail lacquer, to all 20 digits and adjacent 5 mm of skin once daily for six months. Random serum concentrations and 24-hour urinary excretion of ciclopirox w Llegiu el document complet