Riik: Kanada
keel: inglise
Allikas: Health Canada
WARFARIN SODIUM
NU-PHARM INC
B01AA03
WARFARIN
2.5MG
TABLET
WARFARIN SODIUM 2.5MG
ORAL
100
Prescription
COUMARIN DERIVATIVES
Active ingredient group (AIG) number: 0104597005; AHFS:
CANCELLED (UNRETURNED ANNUAL)
2018-03-28
PRODUCT MONOGRAPH NU-WARFARIN WARFARIN SODIUM TABLETS USP (CRYSTALLINE) 1, 2, 2.5, 3, 4, 5 AND 10 MG ANTICOAGULANT NU-PHARM INC. DATE OF PREPARATION: 50 MURAL ST., UNITS 1 & 2 October 7, 2009 RICHMOND HILL, ONTARIO L4B 1E4 CONTROL#: 133141 1 PRODUCT MONOGRAPH NU-WARFARIN Warfarin Sodium Tablets USP (crystalline) 1, 2, 2.5, 3, 4, 5 and 10 mg THERAPEUTIC CLASSIFICATION Anticoagulant ACTION AND CLINICAL PHARMACOLOGY Warfarin and other coumarin anticoagulants act by inhibiting the synthesis of Vitamin K dependent clotting factors, which include Factors II, VII, IX and X, and the anticoagulant proteins C and S. Half-lives of these clotting factors are as follows: Factor II: 60 hours, VII: 4 B 6 hours, IX: 24 hours, and X: 48 B 72 hours. The half-lives of proteins C and S are approximately 8 hours and 30 hours, respectively. The resultant _in vivo_ effect is a sequential depression of Factors VII, IX, X and II. Vitamin K is an essential cofactor for the post ribosomal synthesis of the vitamin K dependent clotting factors. The vitamin promotes the biosynthesis of g B carboxyglutamic acid residues in the proteins which are essential for biological activity. Warfarin is thought to interfere with clotting factor synthesis by inhibition of the regeneration of vitamin K 1 epoxide. The degree of depression is dependent upon the dosage administered. Therapeutic doses of warfarin decrease the total amount of the active form of each vitamin K dependent clotting factor made by the liver by approximately 30% to 50%. An anticoagulation effect generally occurs within 24 hours after drug administration. However, peak anticoagulant effect may be delayed 72 to 96 hours. The duration of action of a single dose of racemic warfarin is 2 to 5 days. The effects of warfarin may become more pronounced as effects of daily maintenance doses overlap. Anticoagulants have no direct effect on an 2 established thrombus, nor do they reverse ischemic tissue damage. However, once a thrombus has occurred, the goal of anticoagulant treatment is to preven Lugege kogu dokumenti