Country: Canada
Language: English
Source: Health Canada
FLUPHENAZINE DECANOATE
PHARMASCIENCE INC
N05AB02
FLUPHENAZINE
25MG
LIQUID
FLUPHENAZINE DECANOATE 25MG
INTRAMUSCULAR
5ML
Prescription
PHENOTHIAZINES
Active ingredient group (AIG) number: 0110769001; AHFS:
MARKETED
1994-12-31
_pms-FLUPHENAZINE DECANOATE Product Monograph _ _Page 1 of 31_ PRODUCT MONOGRAPH Pr PMS-FLUPHENAZINE DECANOATE Fluphenazine Decanoate Injection, BP 25 mg/mL and 100 mg/mL ANTIPSYCHOTIC PHARMASCIENCE INC. DATE OF REVISION: 6111 Royalmount Ave., Suite 100 November 14, 2013 Montréal, Québec H4P 2T4 www.pharmascience.com DATE OF REVISION: September 18, 2014 CONTROL NO.: 170565 _pms-FLUPHENAZINE DECANOATE Product Monograph _ _Page 2 of 31_ PRODUCT MONOGRAPH PMS-FLUPHENAZINE DECANOATE Fluphenazine Decanoate Injection, BP 25 mg/mL and 100 mg/mL THERAPEUTIC CLASSIFICATION Antipsychotic ACTION AND CLINICAL PHARMACOLOGY The effects of pms-FLUPHENAZINE DECANOATE (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 the 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 a Read the complete document