Nazione: Canada
Lingua: inglese
Fonte: Health Canada
FLUOROURACIL
PFIZER CANADA ULC
L01BC02
FLUOROURACIL
50MG
SOLUTION
FLUOROURACIL 50MG
INTRAVENOUS
100ML
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0107505001; AHFS:
CANCELLED POST MARKET
2020-11-27
PRODUCT MONOGRAPH PR FLUOROURACIL INJECTION USP 50 MG/ML (5 g/100 mL) Antineoplastic Agent Pfizer Canada ULC 17300 Trans-Canada Highway Kirkland, Québec H9J 2M5 Control #227813 Date of Revision: August 7, 2019 _Product Monograph - _ _Pr_ _Fluorouracil Injection USP _ _Page 2 of 21_ PRODUCT MONOGRAPH PR FLUOROURACIL INJECTION USP 50 MG/ML (5 g/100 mL) Antineoplastic agent CAUTION FLUOROURACIL IS A POTENT DRUG AND SHOULD BE ADMINISTERED BY, OR UNDER SUPERVISION OF A PHYSICIAN, WHO IS EXPERIENCED IN CANCER CHEMOTHERAPY. ACTIONS AND CLINICAL PHARMACOLOGY There appears to be two mechanisms of action of fluorouracil which result in cytotoxic effects. One is the competitive inhibition of thymidylate synthetase, the enzyme catalyzing the methylation of deoxyuridylic acid to thymidylic acid. The consequent thymidine deficiency results in inhibition of deoxyribonucleic acid (DNA) synthesis, thus inducing cell death. A second mechanism of action is evidenced by the moderate inhibition of ribonucleic acid (RNA) and incorporation of fluorouracil into RNA. The predominant mechanism of antitumour action appears to be dependent, at least in part, on individual tumour intracellular metabolism. The effects of DNA and RNA deprivation are most significant on those cells which are most rapidly proliferating. Following intravenous injection, fluorouracil is cleared rapidly from the plasma (half-life about 10 to 20 minutes), and distributed throughout body tissues including the cerebrospinal fluid and malignant effusions, exhibiting a volume of distribution equivalent to the total body water. Plasma concentrations fall below measurable levels within 3 hours. Oral administration of fluorouracil has shown marked variability in its bioavailability, from 28% to 100%. Constant intravenous infusion for 96 hours showed constant plasma drug levels and significantly less drug (50- to 1000-fold) in the bone marrow. Fluorouracil is converted to active nucleotide metabolites, 5-fluorouridine monophosphate and 5-fluorodeoxyuridylate within the tar Leggi il documento completo