Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
ROSUVASTATIN CALCIUM
HEALOL PHARMACEUTICALS SDN. BHD.
ROSUVASTATIN CALCIUM
30tablet Tablets
GRACURE PHARMACEUTICALS LTD.
_Consumer Medication Information Leaflet (RiMUP) _ VASTICURE-20 TABLETS Rosuvastatin Calcium (20mg) 1 WHAT IS IN THIS LEAFLET 1. What VASTICURE-20 is used for 2. How VASTICURE-20 works 3. Before you use VASTICURE-20 4. How to use VASTICURE-20 5. While you are using it 6. Side effects 7. Storage and Disposal of VASTICURE-20 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision 11. Serial number WHAT IS VASTICURE-20 USED FOR VASTICURE-20 belongs to a group of medicines called statins. You have been prescribed this medicine because: You have a high cholesterol level. This means you are at risk from a heart attack or stroke. You have been advised to take a statin because changing your diet and taking more exercise were not enough to correct your cholesterol levels. You should continue with your cholesterol-lowering diet and exercise while you are taking VASTICURE-20. You have other factors that increase your risk of having a heart attack, stroke or related health problems. Heart attack, stroke and other problems can be caused by a disease called atherosclerosis. Atherosclerosis is due to build-up of fatty deposits in your arteries. HOW VASTICURE-20 WORKS VASTICURE-20 works by inhibiting an enzyme in your liver. This enzyme is responsible for cholesterol formation. BEFORE YOU USE VASTICURE-20 -When you must not use it Do not take this medicine: If you have ever had an allergic reaction to rosuvastatin or similar medicines or to any of its ingredients. If you are pregnant, trying to become pregnant or are breast-feeding. If you become pregnant while taking VASTICURE-20, stop taking it immediately and tell your doctor. If you have liver disease. If you have severe kidney problems. If you have repeated or unexplained muscle aches or pains. If you take a drug called ciclosporin (commonly used after organ transplants) If any of the above applies to you (or you are in doubt), please go back and see your doctor. -Before you start to use it Take special car Baca dokumen lengkap
_ _ For the use only of a registered Medical Practitioner or a Hospital or a Laboratory VASTICURE-20 MG TABLETS (ROSUVASTATIN TABLETS 20 MG) COMPOSITION: Each film coated tablet contains: Rosuvastatin Calcium 20.8 mg Eq. to Rosuvastatin 20 mg DESCRIPTION: Pink coloured, round, biconvex and film coated tablets. PHARMACODYNAMICS / PHARMACOKINETICS: _Mechanism of action_ Rosuvastatin is a selective and competitive inhibitor of HMG-CoA reductase, the rate-limiting enzyme that converts 3-hydroxy-3-methylglutaryl coenzyme A to mevalonate, a precursor for cholesterol. The primary site of action of rosuvastatin is the liver, the target organ for cholesterol lowering. Rosuvastatin increases the number of hepatic LDL receptors on the cell-surface, enhancing uptake and catabolism of LDL and it inhibits the hepatic synthesis of VLDL, thereby reducing the total number of VLDL and LDL particles. _PHARMACODYNAMIC EFFECTS_ Rosuvastatin reduces elevated LDL-cholesterol, total cholesterol and triglycerides and increases HDL-cholesterol. It also lowers ApoB, nonHDL-C, VLDL-C, VLDL-TG and increases ApoA-I. Rosuvastatin also lowers the LDL-C/HDL-C, total C/HDL-C and nonHDL-C/HDL-C and the ApoB/ApoA-I ratios. ._PHARMACOKINETIC PROPERTIES:_ ABSORPTION: Maximum rosuvastatin plasma concentrations are achieved approximately 5 hours after oral administration. The absolute bioavailability is approximately 20%. DISTRIBUTION: Rosuvastatin is taken up extensively by the liver which is the primary site of cholesterol synthesis and LDL-C clearance. The volume of distribution of rosuvastatin is approximately 134 L. Approximately 90% of rosuvastatin is bound to plasma proteins, mainly to albumin. METABOLISM: Rosuvastatin undergoes limited metabolism (approximately 10%). _In vitro_ metabolism studies using human hepatocytes indicate that rosuvastatin is a poor substrate for cytochrome P450-based metabolism. CYP2C9 was the principal isoenzyme involved, with 2C19, 3A4 and 2D6 involved to a lesser extent. The main metabolites identified are the N-desm Baca dokumen lengkap