Ország: Kanada
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Forrás: Health Canada
METOCLOPRAMIDE DIHYDROCHLORIDE (METOCLOPRAMIDE HYDROCHLORIDE MONOHYDRATE)
JAMP PHARMA CORPORATION
A03FA01
METOCLOPRAMIDE
5MG
SOLUTION
METOCLOPRAMIDE DIHYDROCHLORIDE (METOCLOPRAMIDE HYDROCHLORIDE MONOHYDRATE) 5MG
INTRAMUSCULAR
15G/50G
Prescription
Active ingredient group (AIG) number: 0164581001; AHFS:
APPROVED
2023-04-21
Metoclopramide Hydrochloride Injection - Product Monograph Page 1 of 18 PRODUCT MONOGRAPH PR METOCLOPRAMIDE HYDROCHLORIDE INJECTION 5 mg / mL Metoclopramide Hydrochloride (as metoclopramide hydrochloride monohydrate) House Standard Sterile MODIFIER OF UPPER GASTROINTESTINAL TRACT MOTILITY– ANTIEMETIC JAMP Pharma Corporation 1310 rue Nobel Boucherville, Quebec J4B 5H3, Canada Date of Preparation: April 20, 2023 Control No: 265455 Metoclopramide Hydrochloride Injection - Product Monograph Page 2 of 18 PR METOCLOPRAMIDE HYDROCHLORIDE INJECTION 5 MG / ML HOUSE STANDARD THERAPEUTIC CLASSIFICATION Modifier of Upper Gastrointestinal Tract Motility– Antiemetic ACTION AND CLINICAL PHARMACOLOGY Metoclopramide is a benzamide derivative structurally related to procainamide and sulpiride. It has a dopamine antagonist activity with selective affinity for D2 (nonadenylate cyclase linked) receptors. The behavioural, motor and neuroendocrine effects of metoclopramide have been suggested to be due to its antidopaminergic activity. Metoclopramide has antiemetic properties which are believed to result from its action on the chemoreceptor trigger zone. A peripheral mechanism of action may also be involved. Metoclopramide raises resting pressure in the lower esophageal sphincter and the gastric fundus and gives rise to an increase in the amplitude of peristaltic movements in the esophagus, gastric antrum and small intestine. As a consequence, esophageal clearance is hastened, gastric emptying accelerated and transit time through the small bowel shortened. These effects are blocked by atropine and opioids but not by vagotomy. Metoclopramide elevates serum prolactin and causes transient increases in circulating aldosterone levels. These effects are thought to be due to blockade of dopamine receptors at the pituitary and adrenocortical cellular level. Following intravenous administration, peak plasma levels occur within minutes. The terminal half-life is approximately 3 hours but this is prolonged in patients with impaired renal func Olvassa el a teljes dokumentumot