Maa: Kanada
Kieli: englanti
Lähde: Health Canada
BLEOMYCIN (BLEOMYCIN SULFATE)
SANDOZ CANADA INCORPORATED
L01DC01
BLEOMYCIN
15UNIT
POWDER FOR SOLUTION
BLEOMYCIN (BLEOMYCIN SULFATE) 15UNIT
INTRAMUSCULAR
100
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0133328001; AHFS:
CANCELLED PRE MARKET
2019-08-01
_Bleomycin for Injection USP _ _Page 1 of 15_ PRODUCT MONOGRAPH PR BLEOMYCIN FOR INJECTION USP Lyophilized Powder 15 units of bleomycin/vial (supplied as bleomycin sulfate) Sterile Antineoplastic, Antibiotic Sandoz Canada Inc. Date of Preparation: April 21, 2011 145 Jules-Léger Boucherville, QC, Canada J4B 7K8 Submission Control No:130320 _Bleomycin for Injection USP _ _Page 2 of 15_ PRODUCT MONOGRAPH PR BLEOMYCIN FOR INJECTION USP Lyophilized Powder 15 units of bleomycin /vial (supplied as bleomycin sulfate) Sterile Antineoplastic, Antibiotic BLEOMYCIN FOR INJECTION (BLEOMYCIN SULFATE) 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 BLEOMYCIN FOR INJECTION MUST BE OBSERVED CAREFULLY AND FREQUENTLY DURING AND 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. 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 Lue koko asiakirja