Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
GRANISETRON HYDROCHLORIDE
PHARMANIAGA MANUFACTURING BERHAD
GRANISETRON HYDROCHLORIDE
10 Tablets; 10 Tablets
PHARMANIAGA MANUFACTURING BERHAD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ DESTRON TABLET Granisetron Hydrochloride 1mg _ _ 1 WHAT IS IN THIS LEAFLET 1. What Destron Tablet is used for 2. How Destron Tablet works 3. Before you use Destron Tablet 4. How to use Destron Tablet 5. While you are using Destron Tablet 6. Side effects 7. Storage and disposal of Destron Tablet 8. Product description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT DESTRON TABLET IS USED FOR Destron tablet _ _ is a tablet that contains 1 mg of granisetron hydrochloride as the active ingredient. Destron tablet is used to prevent and stop you feeling sick (nauseous) or being sick (vomiting). It is useful when you need to have medical treatment such as chemotherapy or radiotherapy that may cause you to feel or be sick. HOW DESTRONTABLET WORKS Granisetron belongs to a class of medications called 5-HT 3 blockers. It works by blocking one of the body's natural substances (serotonin) that can cause vomiting. BEFORE YOU USE DESTRON TABLET _ _ _-When you must not use it_ Do not take Destron tablet if you have an allergy to: • any medicine containing granisetron • any of the ingredients listed at the end of this leaflet. Do not take Destron Tablet after the expiry date provided on the pack or if the packaging is torn or show signs of tampering. _-Before you start to use it_ Before you take Destron Tablet, tell your doctor or pharmacist if: • you have signs of intestinal obstruction • you have a heart condition related to changes in its the rhythm or rate. • you are pregnant or plan to become pregnant or are breast- feeding. Your doctor can discuss with you the risks and benefits of taking Destron Tablet if you are pregnant or breast-feeding • you have rare hereditary problems of sugar intolerance such as galactose intolerance, lactase deficiency or glucose- galactose malabsorption. • you have used Destron Tablet before and you became unwell. You may need to be given another medication instead. If you are not sure if any of the above a Baca dokumen lengkap
DESTRON TABLET 1MG Granisetron 1mg COMPOSITION Each film-coated tablet contains granisetron hydrochloride 1.12 mg equivalent to 1 mg of granisetron. DESCRIPTION White to off white, triangular film-coated tablet with ‘G1’ on one side and plain on the other. PHARMACODYNAMICS Serotonin receptors of the 5-HT 3 type are located peripherally in vagal nerve terminals and centrally in the chemoreceptor trigger zone of the area postrema. During chemotherapy-induced vomiting, mucosal enterochromaffin cells releases serotonin, which stimulates 5-HT 3 receptors. This invokes vagal afferent discharge inducing vomiting. Destron is a potent anti-emetic and highly selective antagonist of 5-hydroxytryptamine (5-HT 3 ) receptors. Radioligand binding studies have demonstrated that Destron has negligible affinity for other receptor types including 5-HT and dopamine D 2 binding sites. PHARMACOKINETICS _Absorption_ Absorption of Destron is rapid and complete, though oral bioavailability is reduced to about 60% as a result of first pass metabolism. Oral bioavailability is generally not influenced by food. _Distribution_ Destron is extensively distributed, with a mean volume of distribution of approximately 31/kg. Plasma protein binding is approximately 65%. _Metabolism _ Biotransformation pathways include N-demethylation and aromatic ring oxidation followed by conjugation. In vitro liver microsomal studies show that granisetron major route of metabolism is inhibited by ketoconazole, suggestive of metabolism mediated by the cytochrome P-450 3A subfamily _Elimination_ Clearance is predominantly by hepatic metabolism. Urinary excretion of unchanged Destron averages 12% of dose while that of metabolites amount to about 47% of dose. The remainder is excreted in faeces as metabolites. Mean plasma half-life in patients by the oral route is apparently 9 hours with a wide inter-subject variability. The pharmacokinetics of oral Destron demonstrate no marked deviations from linear pharmacokinetics at oral doses up to 2.5-fold and intravenous Baca dokumen lengkap