Country: Canada
Language: English
Source: Health Canada
ESTRAMUSTINE PHOSPHATE SODIUM
PFIZER CANADA ULC
L01XX11
ESTRAMUSTINE
140MG
CAPSULE
ESTRAMUSTINE PHOSPHATE SODIUM 140MG
ORAL
100
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0113371001; AHFS:
CANCELLED POST MARKET
2020-04-30
1 PRODUCT MONOGRAPH PR EMCYT* (estramustine sodium phosphate capsules B.P.) 140 mg/capsule ANTINEOPLASTIC Pfizer Canada Inc Date of Revision: 17,300 Trans-Canada Highway 10 December 2015 Kirkland, Quebec H9J 2M5 Control No. 186447 * TM Pharmacia AB Pfizer Canada Inc, Licensee Pfizer Canada Inc 2015 2 PRODUCT MONOGRAPH NAME OF DRUG PR EMCYT Estramustine sodium phosphate capsules B.P. THERAPEUTIC CLASSIFICATION Antineoplastic CAUTION: EMCYT (ESTRAMUSTINE SODIUM PHOSPHATE) IS A POTENT DRUG AND SHOULD BE PRESCRIBED ONLY BY PHYSICIANS EXPERIENCED WITH CANCER CHEMOTHERAPEUTIC DRUGS (SEE WARNINGS & PRECAUTIONS). BLOOD COUNTS, AS WELL AS RENAL AND HEPATIC FUNCTION TESTS, SHOULD BE PERFORMED REGULARLY. DISCONTINUE THE DRUG IF ABNORMAL RENAL OR HEPATIC FUNCTION IS SEEN. CAPSULES SHOULD NOT BE OPENED. ACTION Emcyt (estramustine sodium phosphate) has a dual mode of action. The intact molecule acts as an anti-mitotic agent and after hydrolysis of the carbamate ester bridge the released estrogens exert an anti-gonadotrophic effect. The low level of clinically manifested side effects may be due to the fact that estramustine binds to a protein present in the tumor tissue, which results in an accumulation of the drug at the target site. 3 INDICATIONS The treatment of metastatic prostatic carcinoma (stage D) in patients whose disease is refractory to hormonal therapy. Emcyt (estramustine sodium phosphate) may produce either a stabilization or regression of the disease process and improvement in ability to function. CONTRAINDICATIONS Emcyt should not be used in patients with any of the following conditions: * known hypersensitivity to either estradiol or to nitrogen mustard * severe hepatic or cardiac disease * active thrombophlebitis or thromboembolic disorders WARNINGS Emcyt (estramustine sodium phosphate) should be used with caution in patients with a history of thrombophlebitis, thrombosis or thromboembolic disorders, especially if associated with estrogen therapy. Caution should also be used in patients with cerebral vascu Read the complete document