Valsts: Kanāda
Valoda: angļu
Klimata pārmaiņas: Health Canada
FLUOXETINE (FLUOXETINE HYDROCHLORIDE)
PRO DOC LIMITEE
N06AB03
FLUOXETINE
20MG
CAPSULE
FLUOXETINE (FLUOXETINE HYDROCHLORIDE) 20MG
ORAL
100/500
Prescription
SELECTIVE-SEROTONIN REUPTAKE INHIBITORS
Active ingredient group (AIG) number: 0116847001; AHFS:
CANCELLED POST MARKET
2010-07-13
PRODUCT MONOGRAPH FLUOXETINE-10 FLUOXETINE-20 FLUOXETINE HYDROCHLORIDE CAPSULES USP 10 mg and 20 mg Antidepressant/Antiobsessional/ Antibulimic Agent Pro Doc Ltée DATE OF PREPARATION: 2925 boul. Industriel June 11, 1996 Laval PQ DATE OF REVISION: H7L 3W9 September 23, 2005 Control# 096622 1 PRODUCT MONOGRAPH FLUOXETINE-10 and FLUOXETINE-20 Fluoxetine Hydrochloride Capsules USP 10 mg and 20 mg THERAPEUTIC CLASSIFICATION Antidepressant/Antiobsessional/Antibulimic Agent ACTIONS AND CLINICAL PHARMACOLOGY The antidepressant, antiobsessional and antibulimic actions of fluoxetine are presumed to be linked to its ability to selectively inhibit the neuronal reuptake of serotonin. At clinically relevant doses fluoxetine blocks the uptake of serotonin into human platelets. Antagonism of muscarinic, histaminergic and α 1 -adrenergic receptors has been hypothesized to be associated with various anticholinergic, sedative and cardiovascular effects of classical tricyclic antidepressant drugs. _In _ _vitro_ receptor binding studies have demonstrated that fluoxetine binds to these and other membrane receptors [opiate, serotonergic (5-HT 1 , 5-HT 2 ), adrenergic (α 1 , α 2 , β) and dopaminergic] much less potently than do the tricyclic drugs. Pharmacokinetics: Fluoxetine is well absorbed after oral administration. In man, following a single 40 mg dose, peak plasma concentrations of fluoxetine from 15 to 55 ng/mL are observed after 6 to 8 hours. Food does not appear to affect the systemic bioavailability of fluoxetine, although it may delay its absorption inconsequentially. Thus, fluoxetine may be administered with or without food. Fluoxetine is extensively metabolized in the liver to norfluoxetine, and other unidentified metabolites. The pharmacological activity of norfluoxetine, which is formed by demethylation of fluoxetine appears to be similar to that of the parent drug. Norfluoxetine contributes to the long 2 duration of action of fluoxetine. The primary route of elimination appears to be hepatic meta- bolism to inactive Izlasiet visu dokumentu