国: カナダ
言語: 英語
ソース: Health Canada
SELEGILINE HYDROCHLORIDE
TEVA CANADA LIMITED
N04BD01
SELEGILINE
5MG
TABLET
SELEGILINE HYDROCHLORIDE 5MG
ORAL
60/100/300/500/1000
Prescription
MONOAMINE OXIDASE B INHIBITORS
Active ingredient group (AIG) number: 0131374001; AHFS:
APPROVED
2014-05-15
PRODUCT MONOGRAPH TEVA-SELEGILINE (Selegiline Hydrochloride) 5 mg Tablets Teva Standard Antiparkinsonian Agent Teva Canada Limited Date of Revision: Toronto, Canada July 14, 2015 Control Number: 185193 2 PRODUCT MONOGRAPH TEVA-SELEGILINE (Selegiline Hydrochloride) 5 mg Tablets Teva Standard THERAPEUTIC CLASSIFICATION Antiparkinsonian Agent ACTION AND CLINICAL PHARMACOLOGY TEVA-SELEGILINE (selegiline hydrochloride) is an irreversible inhibitor of the enzyme monoamine oxidase (MAO). Because selegiline has greater affinity for type B than type A MAO, it can serve as a selective inhibitor of MAO-B if it is administered at the recommended dose. Selegiline may have pharmacological effects unrelated to MAO-B inhibition. There is some evidence that it may increase dopaminergic activity by interfering with dopamine re- uptake at the synapse. Effects resulting from selegiline administration may also be mediated through its metabolites. Two of its three principle metabolites, amphetamine and methamphetamine, have pharmacological actions of their own, they interfere with neuronal re-uptake and enhance the release of several neurotransmitters (e.g., norepinephrine, dopamine, serotonin). The extent to which these neurotransmitters contribute to selegiline's effects are unknown. Rationale for the use of selective MAO-B inhibitors in Parkinson's disease: Many of the prominent symptoms of Parkinson's Disease are due to deficiency of striatal dopamine that is the consequence of a progressive degeneration and loss of a population of dopaminergic 3 neurons which originate in the substantia nigra and project to the striatum. Early in the course of the disease, the deficit in the capacity of these neurons to synthesize dopamine can be overcome by the administration of exogenous levodopa. After several years of levodopa therapy, the response to a given dose of levodopa is often accompanied by side effects (dyskinesia, on-off phenomena, freezing). MAO-B inhibitors may be useful under these conditions because by blocking the catabolism o 完全なドキュメントを読む