Šalis: Kanada
kalba: anglų
Šaltinis: Health Canada
VINBLASTINE SULFATE
SANDOZ CANADA INCORPORATED
L01CA01
VINBLASTINE
1MG
SOLUTION
VINBLASTINE SULFATE 1MG
INTRAVENOUS
10ML
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0103625001; AHFS:
CANCELLED PRE MARKET
2019-08-01
_Vinblastine Sulfate Injection _ _Page 1 of 10_ PRODUCT MONOGRAPH PR VINBLASTINE SULFATE INJECTION 1 mg/mL (10 mg/ 10 mL) Sterile Antineoplastic Agent Sandoz Canada Date of Preparation: 145, Jules-Léger May 15, 2013 Boucherville, QC J4B 7K8 Submission Control No.: 140855 _Vinblastine Sulfate Injection _ _Page 2 of 10_ PRODUCT MONOGRAPH PR VINBLASTINE SULFATE INJECTION 1 mg/mL (10 mg/ l0 mL) Sterile THERAPEUTIC CLASSIFICATION Antineoplastic Agent CAUTION VINBLASTINE SULFATE IS A POTENT DRUG AND SHOULD BE USED ONLY BY PHYSICIANS EXPERIENCED WITH CANCER CHEMOTHERAPEUTIC DRUGS. BLOOD COUNTS SHOULD BE TAKEN ONCE OR TWICE WEEKLY. DISCONTINUE OR REDUCE THE DOSAGE UPON EVIDENCE OF ABNORMAL DEPRESSION OF THE BONE MARROW. VINBLASTINE SULFATE SHOULD NOT BE GIVEN INTRATHECALLY. ACTIONS AND CLINICAL PHARMACOLOGY Tissue culture studies indicate that vinblastine is a selective mitotic inhibitor of certain malignant cells and as such appears to be different from other recognized antineoplastic drugs. There is evidence that vinblastine interferes with cell metabolism and the entrance of glutamic acid into the citric acid cycle and to urea. There is also evidence that the anti-tumor effect of vinblastine may possibly be due to its effect on cell energy mechanisms and a decreased adenosine diphosphate production resulting from retarded nucleotide production. It has been suggested that the therapeutic ratio may depend on the greater energy needs of cancer cells along with their decreased efficiency in generating energy because of their reliance on the glycolytic pathway. These energy related actions for vinblastine have been brought forward because although it has been demonstrated that vinblastine has a stathmokinetic effect and produces various atypical mitotic figures in treated cells it has been observed clinically and experimentally that these cytological changes may occur in the absence of oncolytic effects. It has also been demonstrated _in vitro_ that vinblastine can prevent the invasion of normal tissue by malignant cells, Perskaitykite visą dokumentą