Country: Canada
Language: English
Source: Health Canada
DOMPERIDONE (DOMPERIDONE MALEATE)
NU-PHARM INC
A03FA03
DOMPERIDONE
10MG
TABLET
DOMPERIDONE (DOMPERIDONE MALEATE) 10MG
ORAL
100/500
Prescription
PROKINETIC AGENTS
Active ingredient group (AIG) number: 0116957001; AHFS:
CANCELLED POST MARKET
2012-09-04
Page 1 of 34 PRODUCT MONOGRAPH PR NU-DOMPERIDONE DOMPERIDONE MALEATE TABLETS DOMPERIDONE 10 MG MODIFIER OF UPPER GASTROINTESTINAL MOTILITY NU-PHARM INC. DATE OF REVISION: 1165 CREDITSTONE ROAD, UNIT 2 May 4, 2012 VAUGHAN, ONTARIO L4K 4N7 CONTROL NO.: 154537 Page 2 of 34 PRODUCT MONOGRAPH PR NU-DOMPERIDONE Domperidone Maleate Tablets Domperidone 10 mg THERAPEUTIC CLASSIFICATION Modifier of Upper Gastrointestinal Motility ACTIONS AND CLINICAL PHARMACOLOGY Domperidone is a peripheral dopamine antagonist structurally related to the butyrophenones with antiemetic and gastroprokinetic properties. Domperidone effectively increases oesophageal peristalsis and lower oesophageal sphincter pressure (LESP), increases gastric motility and peristalsis, enhances gastroduodenal coordination and consequently facilitates gastric emptying and decreases small bowel transit time. The mechanism of action of domperidone is related to its peripheral dopamine receptor blocking properties. Emesis induced by apomorphine, hydergine, morphine or levodopa through stimulation of the chemoreceptor trigger zone (situated outside the blood-brain barrier) can be blocked by domperidone. There is indirect evidence that emesis is also inhibited at the gastric level, since domperidone also inhibits emesis induced by oral levodopa, and local gastric wall concentrations following oral domperidone are much greater than those of the plasma and other organs. Page 3 of 34 Domperidone does not readily cross the blood-brain barrier and therefore is not expected to have central effects. Domperidone elevates serum prolactin levels but has no effect on circulating aldosterone levels. In man, peak plasma levels of domperidone occur within 10 to 30 minutes following intramuscular injection and 30 minutes after oral (fasted) administration. Plasma concentrations two hours after oral administration are lower than following intramuscular injection, and this is likely the result of hepatic first- pass and gut wall metabolism. Peak plasma concentrations are 40 ng/mL fo Read the complete document