Země: Kanada
Jazyk: angličtina
Zdroj: Health Canada
FELODIPINE
APOTEX INC
C08CA02
FELODIPINE
2.5MG
TABLET (EXTENDED-RELEASE)
FELODIPINE 2.5MG
ORAL
100
Prescription
DIHYDROPYRIDINES
Active ingredient group (AIG) number: 0121733003; AHFS:
APPROVED
2016-02-24
Page 1 of 34 PRODUCT MONOGRAPH APO-FELODIPINE Felodipine Extended-Release Tablets Apotex Standard 2.5 mg, 5 mg and 10 mg Antihypertensive Agent APOTEX INC. 150 Signet Drive Toronto, Ontario M9L 1T9 Control Number: 179638 Date of Preparation: February 22, 2016 Page 2 of 34 PRODUCT MONOGRAPH APO-FELODIPINE Felodipine Extended-Release Tablets Apotex Standard 2.5 mg, 5 mg and 10 mg THERAPEUTIC CLASSIFICATION Antihypertensive Agent ACTIONS AND CLINICAL PHARMACOLOGY Felodipine is a calcium ion influx inhibitor (calcium channel blocker). Felodipine is a member of the dihydropyridine class of calcium channel blockers. MECHANISM OF ACTION The therapeutic effect of this group of drugs is believed to be related to their specific cellular action of selectively inhibiting transmembrane influx of calcium ions into cardiac muscle and vascular smooth muscle. The contractile processes of these tissues are dependent upon the movement of extracellular calcium into the cells through specific ion channels. Felodipine blocks transmembrane influx of calcium through the slow channel without affecting to any significant degree the transmembrane influx of sodium through the fast channel. This results in a reduction of free calcium ions available within cells of the above tissues. Felodipine does not alter total serum calcium. _In vitro _studies show that the effects of felodipine on contractile mechanisms are selective, with greater effects on vascular smooth muscle than on cardiac muscle. Negative inotropic effects can be detected _in vitro_, but such effects have not been seen in intact animals. The effect of felodipine on blood pressure in man is principally a consequence of a dose- related decrease in peripheral vascular resistance, with a modest reflex increase in heart rate (see ACTION AND CLINICAL PHARMACOLOGY - Pharmacodynamics). PHARMACOKINETICS Felodipine is completely absorbed from the gastrointestinal tract after oral administration. Due to rapid biotransformation of felodipine during its first pass through the portal circulat Přečtěte si celý dokument