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RANITIDINE (RANITIDINE HYDROCHLORIDE)
MYLAN PHARMACEUTICALS ULC
A02BA02
RANITIDINE
300MG
TABLET
RANITIDINE (RANITIDINE HYDROCHLORIDE) 300MG
ORAL
30/35/60/100/500
Prescription
HISTAMINE H2-ANTAGONISTS
Active ingredient group (AIG) number: 0115150001; AHFS:
CANCELLED POST MARKET
2017-05-08
_Page 1 of 35 _ PRODUCT MONOGRAPH PR MYLAN-RANITIDINE Ranitidine Tablets 150 mg and 300 mg Ranitidine (as Ranitidine Hydrochloride) USP Histamine H 2 -Receptor Antagonist Mylan Pharmaceuticals ULC 85 Advance Road Etobicoke, ON M8Z 2S6 Submission Control No.: 187977 Date of Revision: October 05, 2015 _Page 2 of 35 _ _ _ PRODUCT MONOGRAPH PR MYLAN-RANITIDINE Ranitidine Tablets 150 mg and 300 mg Ranitidine (as Ranitidine Hydrochloride) USP Histamine H 2 -Receptor Antagonist ACTIONS AND CLINICAL PHARMACOLOGY Ranitidine is an antagonist of histamine at gastric H 2 -receptor sites. Thus, ranitidine inhibits both basal gastric secretion and gastric acid secretion induced by histamine, pentagastrin and other secretagogues. On a weight basis ranitidine is between 4 and 9 times more potent than cimetidine. Inhibition of gastric acid secretion has been observed following intravenous, intraduodenal and oral administration of ranitidine. This response is dose-related, a maximum response being achieved at an oral dose of 300 mg/day. Pepsin secretion is also inhibited but secretion of gastric mucus is not affected. Ranitidine does not alter the secretion of bicarbonate or enzymes from the pancreas in response to secretin and pancreozymin. Ranitidine is rapidly absorbed after oral administration of 150 mg ranitidine, peak plasma concentrations (300 to 550 ng/mL) occurred after 1 to 3 hours. Two distinct peaks or a plateau in the absorption phase result from reabsorption of drug excreted into the intestine. These plasma concentrations are not significantly influenced by the presence of food in the stomach at the time of the oral administration nor by regular doses of antacids. Bioavailability of oral ranitidine is approximately 50% to 60%. Serum protein binding of ranitidine in man is in the range of 10 to 19%. The elimination half-life is approximately 2 to 3 _Page 3 of 35 _ _ _ hours. The principal route of excretion is the urine (40% recovery of free and metabolized drug in 24 hours). There is a significant linear correlation Aqra d-dokument sħiħ