Χώρα: Καναδάς
Γλώσσα: Αγγλικά
Πηγή: Health Canada
AZATHIOPRINE
NU-PHARM INC
L04AX01
AZATHIOPRINE
50MG
TABLET
AZATHIOPRINE 50MG
ORAL
100
Prescription
IMMUNOSUPPRESSIVE AGENTS
Active ingredient group (AIG) number: 0101830001; AHFS:
CANCELLED (UNRETURNED ANNUAL)
2018-03-28
1 PRODUCT MONOGRAPH NU-AZATHIOPRINE AZATHIOPRINE TABLETS USP 50 MG IMMUNOSUPPRESSIVE AGENT NU-PHARM INC. DATE OF PREPARATION: 50 MURAL STREET UNITS 1 & 2 January 12, 2004 RICHMOND HILL, ONTARIO L4B 1E4 _Control #: 089003_ 2 PRODUCT MONOGRAPH NU-AZATHIOPRINE Azathioprine Tablets USP 50 mg THERAPEUTIC CLASSIFICATION Immunosuppressive Agent ACTIONS AND CLINICAL PHARMACOLOGY METABOLISM Azathioprine is well absorbed following oral administration. Maximum serum radioactivity occurs at one to two hours after oral 35 S-azathioprine and decays with a half-life of five hours. This is not an estimate of the half-life of azathioprine itself but is the decay rate for all 35 S- containing metabolites of the drug. Because of extensive metabolism, only a fraction of the radioactivity is present as azathioprine. Usual doses produce blood levels of azathioprine, and of mercaptopurine derived from it, which are low (<1 : g/mL). Blood levels are of little predictive value for therapy since the magnitude and duration of clinical effects correlate with thiopurine nucleotide levels in tissues rather than with plasma drug levels. Azathioprine and mercaptopurine are moderately bound to serum proteins (30%) and are partially dialyzable. Azathioprine is cleaved _in vivo_ to mercaptopurine. Both compounds are rapidly eliminated from blood and are oxidized or methylated in erythrocytes and liver; no azathioprine or mercaptopurine is detectable in urine after eight hours. Conversion to inactive 6-thiouric acid by xanthine oxidase is an important degradative pathway, and the inhibition of this pathway in patients receiving Zyloprim® (allopurinol) is the basis for the azathioprine dosage reduction required in these patients (see Drug Interactions under PRECAUTIONS). Proportions of metabolites are different in individual patients, and this presumably accounts for variable magnitude and duration of drug effects. Renal clearance is probably not important in predicting biological effectiveness or toxicities, although dose reduction is practised in Διαβάστε το πλήρες έγγραφο