Country: Canada
Language: English
Source: Health Canada
DOXAZOSIN (DOXAZOSIN MESYLATE)
DOMINION PHARMACAL
C02CA04
DOXAZOSIN
2MG
TABLET
DOXAZOSIN (DOXAZOSIN MESYLATE) 2MG
ORAL
100
Prescription
ALPHA-ADRENERGIC BLOCKING AGENTS
Active ingredient group (AIG) number: 0131431003; AHFS:
APPROVED
2002-07-30
PRODUCT MONOGRAPH PR DOM-DOXAZOSIN Doxazosin Mesylate Tablets, House Standard 1 mg, 2 mg and 4 mg ANTIHYPERTENSIVE AGENT SYMPTOMATIC TREATMENT OF BENIGN PROSTATIC HYPERPLASIA (BPH) DOMINION PHARMACAL 6111 Royalmount Ave., Suite 100 Montréal, Quebec H4P 2T4 Date of Revision: March 3, 2017 SUBMISSION CONTROL NO.: 202195 _ _ _Dom-DOXAZOSIN Product Monograph _ _Page 2 of 48_ PRODUCT MONOGRAPH PR DOM-DOXAZOSIN Doxazosin Mesylate Tablets, House Standard 1 mg, 2 mg and 4 mg THERAPEUTIC CLASSIFICATION Antihypertensive Agent Symptomatic Treatment of Benign Prostatic Hyperplasia (BPH) ACTIONS AND CLINICAL PHARMACOLOGY The mechanism of action of doxazosin mesylate is selective blockade of alpha 1 subtype of post-synaptic, post-junctional alpha-adrenergic receptors. PHARMACODYNAMICS Hypertension Administration of doxazosin mesylate results in a reduction in systemic vascular resistance. In patients with hypertension there is little change in cardiac output. Maximum reductions in blood pressure usually occur 2 to 6 hours after dosing and are associated with a small increase in standing heart rate. Doxazosin mesylate has a greater effect on blood pressure and heart rate in the standing position. Tolerance has not been observed in long-term therapy. Systolic and diastolic blood pressure is lowered in both the supine and standing positions. In clinical trials, blood pressure responses were measured at the end of the dosing interval (24 hours), with the usual supine response 6 to 11 mm Hg systolic and 5 to 9 mm Hg diastolic. The response in the standing position tended to be larger by 3 to 5 mm Hg. Peak blood pressure effects (1 to 6 hours) were larger by about 50 to 75% (i.e., trough values were about 55 to 70% _ _ _Dom-DOXAZOSIN Product Monograph _ _Page 3 of 48_ of peak effect), with the larger peak-trough differences seen in systolic pressures. There was no apparent difference in the blood pressure response of Caucasians and Blacks or of patients ≥ 65 years old and <65 years old. During controlled clinical studies, predomi Read the complete document