국가: 캐나다
언어: 영어
출처: Health Canada
GEMFIBROZIL
TEVA CANADA LIMITED
C10AB04
GEMFIBROZIL
300MG
CAPSULE
GEMFIBROZIL 300MG
ORAL
100/250/500/1000
Prescription
FRIBIC ACID DERIVATIVES
Active ingredient group (AIG) number: 0116135001; AHFS:
CANCELLED POST MARKET
2022-10-27
PRODUCT MONOGRAPH TEVA-GEMFIBROZIL (Gemfibrozil) 300 mg Gemfibrozil Capsules U.S.P. 600 mg Gemfibrozil Tablets U.S.P. Antihyperlipidemic Agent Teva Canada Limited Date of Revision: 30 Novopharm Court June 29, 2015 Toronto, Canada M1B 2K9 Control # 184837 PRODUCT MONOGRAPH TEVA-GEMFIBROZIL (Gemfibrozil) 300 mg Gemfibrozil Capsules U.S.P. 600 mg Gemfibrozil Tablets U.S.P. THERAPEUTIC CLASSIFICATION Antihyperlipidemic Agent ACTION AND CLINICAL PHARMACOLOGY Gemfibrozil is a lipid regulating agent which decreases serum triglycerides and total cholesterol, and increases high density lipoprotein cholesterol. The lipid-lowering changes occur primarily in the very low density lipoprotein (VLDL) fraction (S f 20 - 400) rich in triglycerides and to a lesser extent in the low density lipoprotein (LDL) fraction (S f 0 - 20) rich in cholesterol. Gemfibrozil treatment of patients with elevated triglycerides due to Type IV hyperlipoproteinemia may cause a rise in LDL-cholesterol. In addition, gemfibrozil increases the high density lipoprotein (HDL) cholesterol subfractions, HDL 2 and HDL 3 , as well as apolipoproteins AI and AII. Epidemiological studies have shown that both low HDL-cholesterol and high LDL-cholesterol are independent risk factors for coronary heart disease. Depending on the type of hyperlipidemia, pharmacological intervention with gemfibrozil raises HDL-cholesterol and may lower LDL-cholesterol, and may be associated with reduced morbidity due to coronary heart disease as - 2 - reported in the Helsinki Heart Study, a 5 year primary prevention Phase IV clinical trial (N. Engl.J.Med. 317:1237-1245, 1987). The mechanism of action has not been definitely established. In man, gemfibrozil has been shown to inhibit peripheral lipolysis and to decrease the hepatic extraction of free fatty acids, thus reducing hepatic triglyceride production. Gemfibrozil also inhibits the synthesis and increases clearance of VLDL carrier apolipoprotein B, leading to a decrease in VLDL. Animal studies suggest that gemfibrozil may, in addi 전체 문서 읽기