Land: Canada
Sprog: engelsk
Kilde: Health Canada
TRIMETHOPRIM; SULFAMETHOXAZOLE
PRO DOC LIMITEE
J01EE01
SULFAMETHOXAZOLE AND TRIMETHOPRIM
160MG; 800MG
TABLET
TRIMETHOPRIM 160MG; SULFAMETHOXAZOLE 800MG
ORAL
100/500
Prescription
URINARY ANTI-INFECTIVES
Active ingredient group (AIG) number: 0208901003; AHFS:
CANCELLED POST MARKET
2017-05-05
0 PRODUCT MONOGRAPH PROTRIN - DF SULFAMETHOXAZOLE AND TRIMETHOPRIM TABLETS USP 800/160 MG ANTIBACTERIAL AGENT PRO DOC LTÉE DATE OF REVISION: 2925, boul. Industriel. August 27, 2014 Laval, Québec H7L 3W9 CONTROL NO.: 176738 1 PRODUCT MONOGRAPH PROTRIN - DF, SULFAMETHOXAZOLE AND TRIMETHOPRIM TABLETS USP 800/160 MG ANTIBACTERIAL AGENT CLINICAL PHARMACOLOGY PROTRIN (sulfamethoxazole and trimethoprim) is an antibacterial agent with a wide spectrum of activity. It contains two active antibacterial components, sulfamethoxazole and trimethoprim, which act synergistically on many species of bacteria. FIGURE 1 Sulfamethoxazole and trimethoprim act sequentially in two successive steps in the biosynthesis of nucleic acids. Trimethoprim is an inhibitor of dihydrofolate reductase, the enzyme which reduces dihydrofolic acid to its tetrahydro form. This biochemical step is essential in the production of the folate coenzymes which are involved in the biosynthesis of thymine, purine, 2 serine and methionine. Sulfamethoxazole exerts its antibacterial activity by competing with para- aminobenzoic acid. Most pathogenic bacteria meet their need for dihydrofolic acid by synthesizing it from para- aminobenzoic acid, pteridine and glutamic acid. Animals, in contrast, depend on exogenous sources for their needs of folic acid and do not rely upon intracellular synthesis. Under usual circumstances, sulfamethoxazole or trimethoprim acting alone do not produce complete block in this biosynthesis of nucleic acids. Instead, they cause sufficient reduction in the synthesis of folate coenzymes to produce bacteriostasis. When the two agents act together, the superimposition of their effects produces a complete block in the synthesis, leading to death of the organism. Thus the effect of the dual action is to reduce the minimum inhibitory concentrations (MIC) of each agent (synergism) and to convert a bacteriostatic action to a bactericidal action. The activity of PROTRIN therefore depends upon the ability of both sulfamethoxazole and trimethoprim Læs hele dokumentet