País: Canadá
Idioma: inglés
Fuente: Health Canada
MICONAZOLE NITRATE
TARO PHARMACEUTICALS INC
G01AF04
MICONAZOLE
2%
CREAM
MICONAZOLE NITRATE 2%
VAGINAL
45G
OTC
AZOLES
Active ingredient group (AIG) number: 0110272001; AHFS:
CANCELLED POST MARKET
2023-08-09
PRODUCT MONOGRAPH MICOZOLE (MICONAZOLE NITRATE USP) VAGINAL CREAM 2% ANTIFUNGAL AGENT Taro Pharmaceuticals Inc. Date of Revision: 130 East Drive August 11, 2015 Brampton, ON L6T 1C1 Control #: 185852 Page 2 of 26 NAME OF DRUG MICOZOLE (Miconazole Nitrate USP) Vaginal Cream 2% THERAPEUTIC CLASSIFICATION Antifungal Agent CLINICAL PHARMACOLOGY Depending upon concentration, miconazole nitrate exhibits broad-spectrum in vitro fungistatic or fungicidal activity against species of the genus Candida. Miconazole nitrate also inhibits several other genera of fungi, including dermatophytes and yeasts, as well as gram positive bacteria. Miconazole nitrate inhibits the biosynthesis of ergosterol or other sterols, damaging the fungal cell wall membrane and altering its permeability. In fungi, it also inhibits biosynthesis of triglycerides and phospholipids as well as oxidative and peroxidative enzymes. The latter action results in intracellular buildup of toxic concentrations of hydrogen peroxide, which may contribute to deterioration of subcellular organelles and cellular necrosis. Candida albicans cells have been observed to exhibit progressive cytoplasmic deterioration and prominent shape changes resulting in complete cell necrosis depending on the dose and duration of exposure to miconazole nitrate. The sequence of morphologic alterations induced by miconazole nitrate at fungistatic doses (10 -6 M) are lysis of cytoplasmic organelles, focal to complete loss of cell plasmalemma and irregular thickening of the cell wall containing multiple inclusions. Administration of fungicidal doses (10 -4 M) induces a completely necrotic cell interior with an unaltered cell wall. Page 3 of 26 In Candida albicans, miconazole nitrate inhibits the transformation of blastospores into invasive mycelial form. Not all species or strains of a particular organism may be susceptible to miconazole nitrate. To date, no wild strains or fungal mutants with substantial acquired resistance to miconazole have been reported; however, miconazole resistant Leer el documento completo