Šalis: Kanada
kalba: anglų
Šaltinis: Health Canada
OMEPRAZOLE (OMEPRAZOLE MAGNESIUM)
SANDOZ CANADA INCORPORATED
A02BC01
OMEPRAZOLE
20MG
TABLET (DELAYED-RELEASE)
OMEPRAZOLE (OMEPRAZOLE MAGNESIUM) 20MG
ORAL
30/100/500
Prescription
PROTON-PUMP INHIBITORS
Active ingredient group (AIG) number: 0121643001; AHFS:
CANCELLED PRE MARKET
2019-08-01
Sandoz Omeprazole Page 1 of 31 PRODUCT MONOGRAPH PR SANDOZ OMEPRAZOLE Omeprazole Magnesium 10 mg and 20 mg of Omeprazole (as Omeprazole Magnesium) Delayed-Release Tablets H + , K + -ATPase Inhibitor Sandoz Canada Inc. Date of Revision: 145 Jules-Léger April 19, 2018 Boucherville, QC J4B 7K8 Submission Control No: 214021 Sandoz Omeprazole Page 2 of 31 PRODUCT MONOGRAPH PR SANDOZ OMEPRAZOLE Omeprazole Magnesium 10 mg and 20 mg of Omeprazole (as Omeprazole Magnesium) Delayed-Release Tablets THERAPEUTIC CLASSIFICATION H + , K + -ATPase Inhibitor ACTIONS AND CLINICAL PHARMACOLOGY Omeprazole inhibits the gastric enzyme H + , K + -ATPase (the proton pump) which catalyzes the exchange of H + and K + . Omeprazole is effective in the inhibition of both basal acid secretion and stimulated acid secretion. The inhibition is dose-dependent. Daily oral doses of omeprazole 20 mg and higher showed a consistent and effective acid control. Information from clinical trials in patients with duodenal ulcers in remission indicate that omeprazole (omeprazole magnesium) 20 mg tablets demonstrate the same inhibition of stimulated acid secretion and similar effect on 24-hour intragastric pH as omeprazole 20 mg capsules. The mean decrease in peak acid output after pentagastrin stimulation was approximately 70%, after 5 days of dosing with omeprazole 20 mg tablet once daily. The 20 mg tablet and the 20 mg capsule are not bioequivalent in terms of plasma omeprazole AUC, C max and t max . Omeprazole 20 mg tablets demonstrate, after repeated dosing, increased plasma omeprazole AUC (18%) and maximum concentration (41%) in comparison to omeprazole 20 mg given as capsules. The omeprazole capsule (as a multiple unit formulation) is usually emptied gradually from the stomach into the intestine. In contrast to the capsule, the tablet (as a single unit formulation) will enter the intestine and dissolve as one unit. Consequently, the absorption and first pass metabolism of the tablet take place only during a very limited period. This may be one of the Perskaitykite visą dokumentą