国: カナダ
言語: 英語
ソース: Health Canada
PAMIDRONATE DISODIUM
SANDOZ CANADA INCORPORATED
M05BA03
PAMIDRONIC ACID
30MG
POWDER FOR SOLUTION
PAMIDRONATE DISODIUM 30MG
INTRAVENOUS
100
Prescription
BONE RESORPTION INHIBITORS
Active ingredient group (AIG) number: 0123608004; AHFS:
CANCELLED PRE MARKET
2017-05-26
Product Monograph Pr Pamidronate Disodium for Injection 30 mg, 90 mg For I.V. infusion only Bone Metabolism Regulator Sandoz Canada Inc. 145 Jules-Léger Boucherville (Québec) J4B 7K8 Date of Preparation: April 1, 2005 Control#: 097809 - 2 - Product Monograph Name of Drug Pr Pamidronate Disodium for Injection 30 mg, 90 mg For I.V. infusion only Therapeutic Classification Bone Metabolism Regulator Actions and Clinical Pharmacology Pamidronate disodium belongs to a class of bisphosphonates (previously termed diphosphonate), which inhibit bone resorption. The therapeutic activity of pamidronate disodium is attributable to its potent anti-osteoclastic activity on bone. In animal studies, at therapeutic doses, pamidronate disodium inhibits bone resorption apparently without inhibiting bone formation and mineralization. The predominant means by which pamidronate disodium reduces bone turnover both _in vitro_ and _in vivo_ appears to be through the local, direct antiresorptive effect of bone-bound bisphosphonate. Pamidronate disodium binds to calcium phosphate (hydroxyapatite) crystals and directly inhibits the formation and dissolution of this bone mineral component _in vitro_. _In vitro_ studies indicate that pamidronate disodium is a potent inhibitor of osteoclastic bone resorption. Pamidronate disodium also - 3 - suppresses the migration of osteoclast precursors onto the bone and their subsequent transformation into the mature resorbing osteoclast. Tumour-induced hypercalcemia In tumour-induced hypercalcemia, pamidronate disodium normalizes plasma calcium between 3 and 7 days following the initiation of treatment irrespective of the type of malignancy or presence of detectable metastases. This effect is dependent on initial calcium levels. Pamidronate disodium improves symptoms associated with hypercalcemia, e.g. anorexia, nausea, vomiting and diminished mental status. The kidneys play a prominent role in calcium homeostasis. In addition to skeletal osteolysis, renal dysfunction contributes to the pathogenesis of t 完全なドキュメントを読む