PMS-CLOZAPINE TABLET

Country: Canada

Language: English

Source: Health Canada

Active ingredient:

CLOZAPINE

Available from:

PHARMASCIENCE INC

ATC code:

N05AH02

INN (International Name):

CLOZAPINE

Dosage:

25MG

Pharmaceutical form:

TABLET

Composition:

CLOZAPINE 25MG

Administration route:

ORAL

Units in package:

100

Prescription type:

Prescription

Therapeutic area:

ATYPICAL ANTIPSYCHOTICS

Product summary:

Active ingredient group (AIG) number: 0122583001; AHFS:

Authorization status:

CANCELLED POST MARKET

Authorization date:

2011-01-20

Summary of Product characteristics

PRODUCT MONOGRAPH
PR
PMS-CLOZAPINE
(Clozapine Tablets)
25 mg and 100 mg
ANTIPSYCHOTIC AGENT
PHARMASCIENCE INC.
Date of Preparation:
6111 Royalmount Avenue, Suite #100,
1999.07.28
Montréal, Quebec
Date of Revision:
H4P 2T4
September 16, 2004
Control #93035
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PRODUCT MONOGRAPH
PR
PMS-CLOZAPINE
(Clozapine)
THERAPEUTIC CLASSIFICATION
Antipsychotic Agent
ACTION AND CLINICAL PHARMACOLOGY
pms-CLOZAPINE (clozapine), a dibenzodiazepine derivative, is an
atypical antipsychotic drug
because its profile of binding to dopamine receptors and its effects
on various dopamine-mediated
behaviours differ from those exhibited by conventional antipsychotics.
In contrast to conventional
antipsychotics, clozapine produces little or no prolactin elevation.
Clozapine exerts potent
anticholinergic, adrenolytic, antihistaminic and antiserotoninergic
activity.
Controlled clinical trials indicate that clozapine improves both
positive and negative symptoms.
Patients on rare occasions may report an intensification of dream
activity during clozapine therapy.
Rapid eye movement (REM) sleep was found to be increased to 85% of the
total sleep time. In these
patients, the onset of REM sleep occurred almost immediately after
falling asleep.
As is true of more typical antipsychotic drugs, clinical EEG studies
have shown that clozapine
increases delta and theta activity and slows dominant alpha
frequencies. Enhanced synchronization
occurs, and sharp wave activity and spike and wave complexes may also
develop.
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P
HARMACOKINETICS
The absorption of orally administered clozapine is 90 to 95%. Food
does not affect either the rate
or the extent of absorption. Clozapine is subject to first-pass
metabolism, resulting in an absolute
bioavailability of 50 to 60%.
Plasma concentrations show large inter-individual differences, with
peak concentrations occurring
approximately 2.5 hours (range: 1 to 6 hours) after dosing. In a dose
range of 37.5 mg bid to 150 mg
bid, the area under the curve (AUC) and the peak plasma concentration
(C
max
) increase linear