Country: Canada
Language: English
Source: Health Canada
CITALOPRAM (CITALOPRAM HYDROBROMIDE)
SIGMACON LIFESCIENCES INC
N06AB04
CITALOPRAM
40MG
TABLET
CITALOPRAM (CITALOPRAM HYDROBROMIDE) 40MG
ORAL
30/100/1000
Prescription
SELECTIVE-SEROTONIN REUPTAKE INHIBITORS
Active ingredient group (AIG) number: 0136243002; AHFS:
CANCELLED PRE MARKET
2021-12-01
PRODUCT MONOGRAPH _SIG-_CITALOPRAM Citalopram Tablets 20 mg & 40 mg Citalopram as Citalopram Hydrobromide USP ANTIDEPRESSANT Sigmacon Lifesciences Inc. 436 Limestone Crescent North York, Ontario M3J 2S4 Date of Preparation: March 10, 2009 Submission Control Number: 128250 2 NAME OF DRUG _Sig-_ Citalopram Citalopram Tablets USP 20 mg & 40 mg citalopram as citalopram hydrobromide THERAPEUTIC CLASSIFICATION Antidepressant ACTION AND CLINICAL PHARMACOLOGY _Sig-_ CITALOPRAM (citalopram hydrobromide) is a highly selective and potent serotonin (5-hydroxytryptamine, 5-HT) reuptake inhibitor with minimal effects on the neuronal reuptake of norepinephrine (NE) and dopamine (DA). The ability of citalopram to potentiate serotonergic activity in the central nervous system _via_ inhibition of the neuronal reuptake of serotonin is thought to be responsible for its antidepressant action. Tolerance to the inhibition of serotonin reuptake is not induced by long-term (14 days) treatment of rats with citalopram. Citalopram has no or very low affinity for a series of receptors including serotonin 5-HT 1A , 5- HT 2 , dopamine D 1 and D 2 , α 1 -, α 2 -, β-adrenergic, histamine H 1 , muscarinic cholinergic, benzodiazepine, gamma aminobutyric acid (GABA) and opioid receptors. P HARMACOKINETICS ABSORPTION Following the administration of a single oral dose of citalopram (40 mg) to healthy male volunteers, peak blood levels occurred at about 4 hours (range 1 to 6 hours). The absolute bioavailability of citalopram was about 80% (range 52 to 93%) relative to an intravenous dose. Absorption was not affected by food. DISTRIBUTION After intravenous infusion in healthy male volunteers, the apparent volume of distribution (V d )β was about 12 L/kg (range 9-17 L/kg), indicating a pronounced tissue distribution; (V d )β oral was about 17 L/kg (range 14-21 L/kg). The binding of citalopram and its demethylated metabolites to human plasma proteins is about 80%. 3 STEADY-STATE The single- and multiple-dose pharmacokinetics of citalopram are linear Read the complete document