Maa: Kanada
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BLEOMYCIN SULFATE
BRISTOL LABS DIVISION OF BRISTOL-MYERS SQUIBB
L01DC01
BLEOMYCIN
15UNIT
POWDER FOR SOLUTION
BLEOMYCIN SULFATE 15UNIT
INTRAMUSCULAR
15 UNITS/VIAL
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0105871001; AHFS:
CANCELLED POST MARKET
2011-10-19
PRODUCT MONOGRAPH BLENOXANE | (bleomycin for injection) LYOPHILIZED POWDER, 15 UNITS/VIALS U.S.P. ANTINEOPLASTIC, ANTIBIOTIC Bristol Laboratories of Canada Division of Bristol-Myers Squibb Canada Inc. Date of Preparation: Montreal, Canada. March 20, 1981 | TM auth. user Bristol-Myers Squibb Canada Inc. Date of Revision: 3 December 2010 Control No.: 141156 1 PRODUCT MONOGRAPH NAME OF DRUG BLENOXANE (BLEOMYCIN for injection ) Lyophilized Powder, 15 units/vial U.S.P. THERAPEUTIC CLASSIFICATION Antineoplastic, Antibiotic BLENOXANE (BLEOMYCIN FOR INJECTION) SHOULD BE ADMINISTERED UNDER THE SUPERVISION OF A QUALIFIED PHYSICIAN EXPERIENCED IN THE USE OF CANCER CHEMOTHERAPEUTIC AGENTS. ADEQUATE DIAGNOSTIC AND TREATMENT FACILITIES SHOULD BE AVAILABLE TO ALLOW APPROPRIATE MANAGEMENT OF THERAPY AND POSSIBLE COMPLICATIONS. PATIENTS RECEIVING BLENOXANE MUST BE OBSERVED CAREFULLY AND FREQUENTLY DURING AND AFTER THERAPY. IT SHOULD BE USED WITH EXTREME CAUTION IN PATIENTS WITH SIGNIFICANT IMPAIRMENT OF RENAL FUNCTION OR COMPROMISED PULMONARY FUNCTION. ACTIONS AND CLINICAL PHARMACOLOGY Although the exact mechanism of action of bleomycin is unknown, available evidence indicates that the main mode of action is inhibition of DNA synthesis with some evidence of inhibition of RNA and protein synthesis. The major route of excretion of bleomycin is the kidney, with 60 to 70 percent of an administered dose recovered in the urine as active bleomycin. Renal dysfunction can significantly prolong excretion. 2 In patients with a creatinine clearance of >35 mL per minute, the serum or plasma terminal elimination half-life of bleomycin is approximately 115 minutes. In patients with a creatinine clearance of <35 mL per minute, the plasma or serum terminal elimination half-life increases exponentially as the creatinine clearance decreases. When administered intrapleurally in the treatment of malignant pleural effusion, bleomycin acts as a sclerosing agent. Following intrapleural administration, resultant bleomycin plasma concentrations suggest a Lue koko asiakirja