Country: Canada
Language: English
Source: Health Canada
FLUPHENAZINE DECANOATE
BRISTOL-MYERS SQUIBB CANADA
N05AB02
FLUPHENAZINE
100MG
LIQUID
FLUPHENAZINE DECANOATE 100MG
INTRAMUSCULAR
1ML
Prescription
PHENOTHIAZINES
Active ingredient group (AIG) number: 0110769002; AHFS:
CANCELLED POST MARKET
2018-12-30
PRODUCT MONOGRAPH Pr MODECATE ® CONCENTRATE Fluphenazine Decanoate Injection, B.P. 100 mg/ml Antipsychotic Date of Preparation: Bristol-Myers Squibb Canada July 22, 1980 Montréal, Canada Date of Revision: 8 AUGUST 2017 ® Registered trademark of Bristol-Myers Squibb Company used under license by Bristol-Myers Squibb Canada CONTROL NO.: 200123 PRODUCT MONOGRAPH MODECATE CONCENTRATE Fluphenazine Decanoate Injection, B.P. THERAPEUTIC CLASSIFICATION ANTIPSYCHOTIC ACTION AND CLINICAL PHARMACOLOGY The effects of MODECATE CONCENTRATE (fluphenazine decanoate) are the same as those of fluphenazine hydrochloride, however, the slow release of the decanoate derivative of fluphenazine from the site of injection results in a prolonged duration of action. Once released in the blood, fluphenazine decanoate is rapidly hydrolyzed by blood esterases with no attenuation of its antipsychotic action. The onset of action generally appears between 24 to 72 hours after injection, and the effects of the drug on psychotic symptoms become significant within 48 to 96 hours. Amelioration of symptoms then continues for 1-8 weeks with an average duration of 3-4 weeks. There is considerable variation in the individual response of patients to this depot fluphenazine and its use for maintenance therapy requires careful supervision. Like other phenothiazines, fluphenazine exerts activity at various levels of the central nervous system as well as on peripheral organ systems which accounts for its antipsychotic action and side effects common to this class of drugs. Indirect evidence indicates that the antipsychotic effects of phenothiazines are linked to their effect in blocking dopamine and other catecholamine receptor sites. Fluphenazine differs from some phenothiazine derivatives in several respects: it has less potentiating effect on central nervous system depressants and anesthetics than do some of the phenothiazines and appears to be less sedating. While hypotension may occur less frequently than with other phenothiazines, appropriate precaut Read the complete document