Land: Kanada
Sprache: Englisch
Quelle: Health Canada
PIPERACILLIN (PIPERACILLIN SODIUM)
FRESENIUS KABI CANADA LTD
J01CA12
PIPERACILLIN
2G
POWDER FOR SOLUTION
PIPERACILLIN (PIPERACILLIN SODIUM) 2G
INTRAMUSCULAR
100
Prescription
EXTENDED-SPECTRUM PENICILLINS
Active ingredient group (AIG) number: 0115403001; AHFS:
CANCELLED POST MARKET
2021-10-07
PRODUCT MONOGRAPH PR PIPERACILLIN FOR INJECTION USP 2 g, 3 g and 4 g Single-Use Vial 40 g Pharmacy Bulk Vial Antibiotic FRESENIUS KABI CANADA LTD. Date of Revision: 165 Galaxy Blvd, Suite 100 April 14, 2020 Toronto, ON M9W 0C8 Submission Control Number: 233968 Piperacillin for Injection - Product Monograph_ _Page 2 of 38 PRODUCT MONOGRAPH PR PIPERACILLIN FOR INJECTION 2 g, 3 g and 4 g Single-Use Vial 40 g Pharmacy Bulk Vial Antibiotic ACTIONS AND CLINICAL PHARMACOLOGY Piperacillin is a semi-synthetic beta-lactam antibiotic which is bactericidal and exerts its antibacterial action by inhibiting both septum and cell-wall synthesis in the bacterial cell. Piperacillin was shown to have a particularly high affinity for PBP-3 and also a high affinity for PBP-1A, -1B and -2 of _Escherichia coli_ and _pseudomonas_. These results indicate that the enzymes involved in septum (PBP-3) and cell-wall (PBP-1A, -1B) synthesis and in the maintenance of the shape (PBP-2) of the bacterium are the primary sites of action of piperacillin. Piperacillin is eliminated primarily (60 ‒ 80%) by glomerular filtration and tubular secretion as unchanged drug in the urine. The mean elimination half-life is 54 minutes after the administration of 2 grams and 63 minutes following 6 grams. The elimination half-life is increased two-fold in mild to moderate renal impairment and five- to six-fold in severe renal impairment. INDICATIONS AND CLINICAL USES Piperacillin for Injection is recommended for the treatment of systemic and local infections due to susceptible strains of gram-negative and gram-positive aerobic and anaerobic bacteria listed below. Because of its broad spectrum activity, Piperacillin for Injection is also suitable for the therapy of mixed infections, and the presumptive therapy of serious infections, when piperacillin-sensitive pathogens are suspected as the cause of disease. To reduce the development of drug-resistant bacteria and maintain the effectiveness of Piperacillin for Injection and other antibacterial drugs, Piperacilli Lesen Sie das vollständige Dokument