Negara: Kanada
Bahasa: Inggris
Sumber: Health Canada
MEMANTINE HYDROCHLORIDE
JAMP PHARMA CORPORATION
N06DX01
MEMANTINE
5MG
TABLET
MEMANTINE HYDROCHLORIDE 5MG
ORAL
100
Prescription
MISCELLANEOUS CENTRAL NERVOUS SYSTEM AGENTS
Active ingredient group (AIG) number: 0150423002; AHFS:
APPROVED
2021-12-07
_ Pr_ _JAMP-Memantine-Product Monograph_ Page 1 of 33 PRODUCT MONOGRAPH Pr JAMP-Memantine Memantine Hydrochloride Tablets 5 mg and 10 mg N-methyl-D-aspartate (NMDA) receptor antagonist CONTROL NO. 258466 JAMP Pharma Corporation 1310 rue Nobel Boucherville, Quebec J4B 5H3, Canada Date of Revision: December 6, 2021 _ Pr_ _JAMP-Memantine-Product Monograph_ Page 2 of 33 NAME OF DRUG PR JAMP-Memantine Memantine Hydrochloride Tablets 5 mg and 10 mg THERAPEUTIC CLASSIFICATION N-methyl-D-aspartate (NMDA) receptor antagonist ACTION AND CLINICAL PHARMACOLOGY Persistent activation of the central nervous system N-methyl-D-aspartate (NMDA) receptors by the excitatory amino acid glutamate has been hypothesized to contribute to the symptomatology of Alzheimer’s disease. Memantine is postulated to exert its therapeutic effect through its action as a low to moderate affinity uncompetitive (open channel) NMDA receptor antagonist, which binds preferentially to the NMDA receptor-operated cation channels. It blocks the effects of pathologically elevated sustained levels of glutamate that may lead to neuronal dysfunction. There is no clinical evidence that memantine prevents or slows neurodegeneration or alters the course of the underlying dementing process in patients with Alzheimer’s disease. Memantine exhibits low to negligible affinity for other receptors (GABA, benzodiazepine, dopamine, adrenergic, noradrenergic, histamine and glycine) or voltagemax-dependent Ca 2+ , Na + or K + channels. In addition, it does not directly affect the acetylcholine receptor or cholinergic transmission, which have been implicated in the cholinomimetic side effects (e.g., increased gastric acid secretion, nausea and vomiting) seen with acetylcholinesterase inhibitors. Memantine showed antagonist effects at the 5HT 3 receptor with a potency similar to that for the NMDA receptor. _In vitro_ studies have shown that memantine does not affect the reversible inhibition of acetylcholinesterase by donepezil or galantamine. PHARMACOKINETICS ABSORPTION Ora Baca dokumen lengkapnya