Riik: Kanada
keel: inglise
Allikas: Health Canada
VERAPAMIL HYDROCHLORIDE
NU-PHARM INC
C08DA01
VERAPAMIL
240MG
TABLET (EXTENDED-RELEASE)
VERAPAMIL HYDROCHLORIDE 240MG
ORAL
100
Prescription
MISCELLANEOUS CALCIUM-CHANNEL BLOCKING AGENTS
Active ingredient group (AIG) number: 0113846003; AHFS:
CANCELLED POST MARKET
2012-09-04
PRODUCT MONOGRAPH NU-VERAP SR VERAMAPIL HYDROCHLORIDE SUSTAINED RELEASE TABLETS NU-PHARM STANDARD 120 MG, 180 MG AND 240 MG ANTIHYPERTENSIVE AGENT NU-PHARM INC. DATE OF REVISION: 50 MURAL STREET, UNITS 1 & 2 OCTOBER 20, 2009 RICHMOND HILL, ONTARIO L4B 1E4 _ _ CONTROL#: 133484 1 PRODUCT MONOGRAPH NU-VERAP SR Verapamil Hydrochloride Sustained Release Tablets Apotex Standard 120 mg, 180 mg and 240 mg THERAPEUTIC CLASSIFICATION Antihypertensive Agent ACTION AND CLINICAL PHARMACOLOGY Verapamil hydrochloride is a calcium ion influx inhibitor (calcium entry blocker or calcium ion antagonist) that exerts its pharmacological effects by modulating the influx of ionic calcium across the cell membrane of the arterial smooth muscle as well as in conducting and contractile myocardial cells. Verapamil exerts antihypertensive effects by inducing vasodilation and reducing peripheral vascular resistance usually without reflex tachycardia. Verapamil does not blunt hemodynamic response to isometric or dynamic exercise. Verapamil depresses A-V nodal conduction and prolongs functional refractory periods. Verapamil does not alter the normal atrial action potential or intraventricular conduction time, but depresses amplitude, velocity of depolarization and conduction in depressed atrial fibres. Verapamil may shorten the antegrade effective refractory period of the accessory bypass tract. Acceleration of ventricular rate and/or ventricular fibrillation has been reported in patients with atrial flutter or atrial fibrillation and a coexisting accessory A–V pathway following administration 2 of verapamil (see WARNINGS - Conduction Disturbance). Verapamil has a local anaesthetic action that is 1.6 times that of procaine on an equimolar basis. Verapamil is a potent smooth muscle relaxant with vasodilatory properties, as well as a depressant of myocardial contractility, and these effects are largely independent of autonomic influences. Compared to baseline, verapamil administration did not affect electrolytes, glucose, and creatinine. The hy Lugege kogu dokumenti