CESAMET CAPSULE

Země: Kanada

Jazyk: angličtina

Zdroj: Health Canada

Aktivní složka:

NABILONE

Dostupné s:

BAUSCH HEALTH, CANADA INC.

ATC kód:

A04AD11

INN (Mezinárodní Name):

NABILONE

Dávkování:

0.25MG

Léková forma:

CAPSULE

Složení:

NABILONE 0.25MG

Podání:

ORAL

Jednotky v balení:

15G/50G

Druh předpisu:

Narcotic (CDSA II)

Terapeutické oblasti:

MISCELLANEOUS ANTIEMETICS

Přehled produktů:

Active ingredient group (AIG) number: 0115009003; AHFS:

Stav Autorizace:

APPROVED

Datum autorizace:

2008-06-04

Charakteristika produktu

PRODUCT MONOGRAPH
N
CESAMET
®
Nabilone
Capsules; 1 mg, 0.5 mg, 0.25 mg
ANTIEMETIC
BAUSCH HEALTH, CANADA INC.
2150 St-Elzear West
Laval, Quebec
H7L 4A8
DATE OF REVISION:
May 24, 2019
Submission Control No.: 226983
_N_
_CESAMET_
_®_
_ Product Monograph _
_ Page 2 of 16_
NAME OF DRUG
N
CESAMET
®
capsules
(nabilone)
THERAPEUTIC CLASSIFICATION
Antiemetic Agent
ACTION
N
CESAMET
®
(nabilone) is a synthetic cannabinoid with antiemetic properties which
have been
found to be of value in the management of some patients with nausea
and vomiting associated
with cancer chemotherapy. It also has sedative and psychotropic
effects.
After oral administration, comparable peak plasma levels of nabilone
and of its carbinol
metabolite were attained within 2 hours. The combined plasma
concentrations of nabilone and of
its carbinol metabolite accounted for, at most, 10 to 20% of the total
radiocarbon concentration
in plasma. The plasma half-life of nabilone was approximately 2 hours,
while that of the total
radiocarbon was of the order of 35 hours.
Of the two major possible metabolic pathways, stereo-specific
enzymatic reduction and direct
enzymatic oxidation, the latter appears to be the more important in
man.
The drug and its metabolites are eliminated mainly in the feces
(approximately 65%) and to a
lesser extent in the urine (approximately 20%). The major excretory
pathway is the biliary
system.
INDICATIONS
ADULTS: > 18 YEARS
N
CESAMET
®
(nabilone) is indicated for the management of severe nausea and
vomiting
associated with cancer chemotherapy.
PEDIATRICS: < 18 YEARS
The safety and efficacy of
N
CESAMET
®
in the pediatric population have not been established
and its use is not recommended in this patient population.
GERIATRICS: > 65 YEARS
N
CESAMET
®
should be used with caution in the elderly (see PRECAUTIONS).
_N_
_CESAMET_
_®_
_ Product Monograph Page 3 of 16_
CONTRAINDICATIONS
N
CESAMET
®
(nabilone) is contraindicated in patients with known sensitivity to
marijuana or
other cannabinoid agents, and in those with a histor