País: Austràlia
Idioma: anglès
Font: Department of Health (Therapeutic Goods Administration)
Simvastatin
Sun Pharma ANZ Pty Ltd
Simvastatin
RANSIM CMI V7 Mar 2013 Page 1 of 10 RANSIM _SIMVASTATIN TABLETS_ CONSUMER MEDICINE INFORMATION WHAT IS IN THIS LEAFLET This leaflet answers some common questions about RANSIM tablets (simvastatin). It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. This leaflet was last updated on the date at the end of this leaflet. More recent information may be available. The latest Consumer Medicine Information is available from https://www.ebs.tga.gov.au/ and may contain important information about the medicine and its use of which you should be aware. All medicines have risks and benefits. Your doctor has weighed the risks of you taking RANSIM against the benefits it is expected to have for you. IF YOU HAVE ANY CONCERNS ABOUT USING/TAKING THIS MEDICINE, ASK YOUR DOCTOR OR PHARMACIST. Keep this leaflet with this medicine. You may need to read it again. WHAT RANSIM TABLETS ARE USED FOR RANSIM tablets help to lower cholesterol and triglyceride levels. RANSIM tablets are used in people who have coronary heart disease (CHD) or who are at high risk of CHD (for example, if they have diabetes, a history of stroke, or other blood vessel disease). RANSIM tablets may be used in these people, regardless of their cholesterol level to: • Help prolong life by reducing the risk of a heart attack • Reduce the risk of stroke • Reduce the need for surgery to increase blood flow to the heart • Reduce the need for hospitalisation due to angina _CHOLESTEROL _ _ _ Everyone has cholesterol and triglycerides in their blood. They are types of blood fat needed by the body for many things, including building cell walls, making bile acids (which help to digest food) and certain hormones. However, too much cholesterol can be a problem. Your body makes cholesterol, but it also comes from food. RANSIM CMI V7 Mar 2013 Page 2 of 10 Normally the body balances the cholesterol it makes with the cholesterol it gets from food. This means if more cholesterol comes from food, less is made Llegiu el document complet
RANSIM PI V10 Mar 2013 Page 1 of 24 RANSIM SIMVASTATIN 10, 20, 40 & 80 MG TABLETS NAME OF THE MEDICINE Simvastatin Chemical structure: (1 _S_ , 3 _R_ , 7 _S_ , 8 _S_ , 8a _R_ )-8-[2-[(2 _R_ , 4 _R_ )-4-Hydroxy-6-oxotetrahydro- 2 _H_ -pyran-2-yl]ethyl]-3,7-dimethyl-1,2,3,7,8,8ahexahydronaphthalen-1-yl 2,2- dimethylbutanoate Chemical formula: C 25 H 38 O 5 Molecular weight: 418.6 Chemical structure: CAS Registry Number: 79902-63-9 DESCRIPTION Simvastatin is a white or almost white crystalline powder, practically insoluble in water and very soluble in methylene chloride, freely soluble in ethanol (96 per cent). Ransim (simvastatin) is a lipid-lowering agent derived synthetically from a fermentation product of _Aspergillus terreus_ . RANSIM film-coated tablets contains lactose monohydrate, pregelatinised maize starch, ascorbic acid, citric acid monohydrate, microcrystalline cellulose, butylhydroxyanisole, croscarmellose sodium, magnesium stearate, Opadry 20A54963 Pink - 10 mg (Proprietary Ingredient # 11689), Opadry 20A56532 Brown - 20 mg (Proprietary Ingredient #11701), Opadry 20A54964 Pink - 40 mg (Proprietary Ingredient # 11702), Opadry 20A54614 Pink - 80 mg (Proprietary Ingredient # 11703). PHARMACOLOGY The involvement of low-density lipoprotein-cholesterol (LDL-C) in atherogenesis has been well documented in clinical and pathological studies, as well as in many animal experiments. Epidemiological studies have established that high LDL-C and low high-density lipoprotein-cholesterol (HDL-C) are both risk factors for coronary heart disease (CHD). RANSIM PI V10 Mar 2013 Page 2 of 24 After oral ingestion, simvastatin, which is an inactive lactone, is hydrolysed to the corresponding β-hydroxyacid form. This is a principal metabolite and an inhibitor of 3-hydroxy-3- methylglutaryl-coenzyme A (HMG-CoA) reductase, an enzyme which catalyses an early and rate-limiting step in the biosynthesis of cholesterol. As a result, in clinical studies simvastatin reduced total plasma cholesterol (total-C), LDL-C and very low-density Llegiu el document complet