Ország: Kanada
Nyelv: angol
Forrás: Health Canada
TENIPOSIDE
BRISTOL-MYERS SQUIBB CANADA
L01CB02
TENIPOSIDE
10MG
LIQUID
TENIPOSIDE 10MG
INTRAVENOUS
5ML
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0115885001; AHFS:
CANCELLED POST MARKET
2018-05-31
PRODUCT MONOGRAPH VUMON* (TENIPOSIDE) INJECTION, 10 MG ANTINEOPLASTIC AGENT Bristol-Myers Squibb Canada DATE OF REVISION : Montreal, Canada May 27, 2011 * TM of Bristol-Myers Squibb Company used under licence by Bristol-Myers Squibb Canada CONTROL NO.: 145466 1 PRODUCT MONOGRAPH NAME OF DRUG VUMON* (TENIPOSIDE) Injection, 10 mg THERAPEUTIC CLASSIFICATION Antineoplastic Agent CAUTION: VUMON (TENIPOSIDE) IS A POTENT DRUG AND SHOULD BE USED ONLY BY PHYSICIANS EXPERIENCED WITH CANCER CHEMOTHERAPEUTIC DRUGS (SEE WARNINGS AND PRECAUTIONS). BLOOD COUNTS AS WELL AS RENAL AND HEPATIC FUNCTION TESTS MUST BE DONE REGULARLY. DISCONTINUE THE DRUG IF ABNORMAL DEPRESSION OF BONE MARROW OR ABNORMAL RENAL OR HEPATIC FUNCTION IS SEEN. ACTION AND CLINICAL PHARMACOLOGY VUMON (teniposide) is a semi-synthetic derivative of podophyllotoxin used in the treatment of neoplastic diseases. VUMON is a phase-specific cytotoxic drug, acting in the late S 2 or G 2 phase of the cell cycle preventing cells from entering mitosis. VUMON also produces single and double-strand breaks in DNA. The mechanism of action appears to be due to inhibition of type II topoisomerases. Teniposide produces a dose dependent inhibition of thymidine uptake after 2.5 hours. This however is not accompanied by a comparable reduction in DNA synthesis. PHARMACOKINETICS The pharmacokinetics of teniposide appear to be linear over a range of doses. Drug accumulation does not occur after daily administration for 3 days. No major differences in the disposition of the drug in 2 adults and children have been identified. Following intravenous infusion, initial clearance from the central compartment is rapid with a distribution half-life of approximately 1 hour. Teniposide is highly protein bound, >99%. Levels of teniposide in CSF are low relative to simultaneously measured plasma levels. Mean terminal half-life has ranged from approximately 6 to 20 hours with renal clearance accounting for only about 10% of total clearance. While metabolic pathways for teniposide have not been ch Olvassa el a teljes dokumentumot