Šalis: Kanada
kalba: anglų
Šaltinis: Health Canada
ADENOSINE
PHARMASCIENCE INC
C01EB10
ADENOSINE
3MG
SOLUTION
ADENOSINE 3MG
INTRAVENOUS
2 ML
Prescription
MISCELLANEOUS THERAPEUTIC AGENTS
Active ingredient group (AIG) number: 0113219001; AHFS:
APPROVED
2001-02-23
_ _ pms-ADENOSINE_ Product Monograph _ _Page 1 of 23_ PRODUCT MONOGRAPH PR PMS-ADENOSINE Adenosine Injection, USP 3 mg/mL (6 mg / 2 mL Vial) Antiarrhythmic PHARMASCIENCE INC. 6111 Royalmount Ave., Suite 100 Montreal, Quebec H4P 2T4 Date of Revision: December 11, 2013 WWW.PHARMASCIENCE.COM Submission Control No: 165189 _ _ pms-ADENOSINE_ Product Monograph _ _Page 2 of 23_ PRODUCT MONOGRAPH PR PMS-ADENOSINE Adenosine Injection, USP 3 mg/mL (6 mg / 2 mL Vial) THERAPEUTIC CLASSIFICATION Antiarrhythmic ACTION AND CLINICAL PHARMACOLOGY Adenosine is an endogenous nucleoside occurring in all cells of the body. When injected intravenously adenosine slows atrioventricular (A-V) nodal conduction, can interrupt the reentry pathways through the A-V node and can restore normal sinus rhythm in patients with paroxysmal supraventricular tachycardia (PSVT), including PSVT associated with Wolff-Parkinson-White syndrome. Adenosine is antagonized competitively by methylxanthines such as caffeine and theophylline and potentiated by blockers of nucleoside transport such as dipyridamole. Adenosine is not blocked by atropine. In controlled clinical trials, cumulative 60% and 92% of patients converted to normal sinus rhythm within one minute after 6 mg and 12 mg bolus doses of adenosine, respectively. In other controlled clinical trials with bolus doses of 3, 6, 9 and 12 mg some patients with paroxysmal supraventricular tachycardia converted to normal sinus rhythm on 3 mg of adenosine. Reports in the medical literature indicate success in treating PSVT in pediatric patients (including newborns) with adenosine in doses equivalent by weight to those used in adults. _ _ pms-ADENOSINE_ Product Monograph _ _Page 3 of 23_ Adenosine is not effective in converting rhythms other than PSVT, such as atrial flutter, atrial fibrillation, or ventricular tachycardia to normal sinus rhythm. Hemodynamics Adenosine is a potent vasodilator in most vascular beds, except in renal afferent arterioles and hepatic veins where it produces vasoconstriction. The in Perskaitykite visą dokumentą