Země: Kanada
Jazyk: angličtina
Zdroj: Health Canada
IPRATROPIUM BROMIDE
BOEHRINGER INGELHEIM (CANADA) LTD LTEE
R03BB01
IPRATROPIUM BROMIDE
20MCG
AEROSOL
IPRATROPIUM BROMIDE 20MCG
INHALATION
200 DOSES
Prescription
ANTIMUSCARINICS ANTISPASMODICS
Active ingredient group (AIG) number: 0115643002; AHFS:
CANCELLED POST MARKET
1999-08-09
PRODUCT MONOGRAPH Pr Atrovent ® (Ipratropium Bromide) INHALATION AEROSOL BRONCHODILATOR BOEHRINGER INGELHEIM (CANADA) LTD. DATE OF PREPARATION: 5180 SOUTH SERVICE ROAD, September 28, 1994 BURLINGTON, ONTARIO DATE OF REVISION: L7L 5H4 CONTROL NO. 083050 PMG 03/07/10 BPI 0019-04 2 PRODUCT MONOGRAPH NAME OF DRUG Atrovent ® (Ipratropium bromide) INHALATION AEROSOL 20 mcg/metered dose THERAPEUTIC CLASSIFICATION BRONCHODILATOR ACTION AND CLINICAL PHARMACOLOGY ATROVENT (ipratropium bromide), a quaternary ammonium derivative of atropine is an anticholinergic drug having bronchodilator properties. On inhalation the onset of action is noted within 5 to 15 minutes with a peak response between 1 and 2 hours, lasting about 2 additional hours with subsequent decline. An inhaled dose of 40 mcg induces bronchodilator effect lasting for some 6 hours. Significant alterations on airway mucous secretion, mucociliary clearance of sputum, or gas exchange have not been observed. Systemic absorption of ATROVENT is poor and the blood levels reached are very low. Metabolic studies with ATROVENT in healthy volunteers show an average elimination half-life of 3.5 hours (range 1.5 - 4). The drug is transformed to some 8 metabolites with little or no anticholinergic activity. In controlled 90 day studies in patients with bronchospasm associated with chronic obstructive pulmonary disease (chronic bronchitis and emphysema) significant improvements in pulmonary function (FEV 1 and FEF 25-75% increases of 15% or more) occurred within 15 minutes, reached a PMG 03/07/10 BPI 0019-04 3 peak in 1-2 hours, and persisted for periods of 3 to 4 hours in the majority of patients and up to 6 hours in some patients. INDICATIONS AND CLINICAL USE ATROVENT (ipratropium bromide) is indicated as a bronchodilator for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease, including chronic bronchitis and emphysema. CONTRAINDICATIONS ATROVENT (ipratropium bromide) inhalation aerosol is contraindicated in patients with a history Přečtěte si celý dokument