Land: Canada
Språk: engelsk
Kilde: Health Canada
AMIKACIN (AMIKACIN SULFATE)
OMEGA LABORATORIES LIMITED
J01GB06
AMIKACIN
250MG
SOLUTION
AMIKACIN (AMIKACIN SULFATE) 250MG
INTRAMUSCULAR
15G/50G
Prescription
AMINOGLYCOSIDES
Active ingredient group (AIG) number: 0111922001; AHFS:
APPROVED
2019-03-15
_ _ _Page 1 of 23_ PRODUCT MONOGRAPH INCLUDING PATIENT MEDICATION INFORMATION PR AMIKACIN SULFATE INJECTION AMIKACIN (AS AMIKACIN SULFATE) 250 MG / ML (500 MG / 2ML) INTRAVENOUS (IV) OR INTRAMUSCULAR (IM) HOUSE STANDARD ANTIBIOTIC Omega Laboratories Limited Date of Preparation: March 15, 2019 11 177 rue Hamon Montreal, Quebec Canada, H3M 3E4 Control No: # 209397 _ _ _Page 2 of 23_ PR AMIKACIN SULFATE INJECTION AMIKACIN (AS AMIKACIN SULFATE) 250 MG / ML AMIKACIN THERAPEUTIC CLASSIFICATION Antibiotic ACTION AND CLINICAL PHARMACOLOGY Amikacin is a semi-synthetic aminoglycoside antibiotic which exhibits activity primarily against gram-negative organisms, including _Pseudomonas_. It is a bactericidal antibiotic affecting bacterial growth by specific inhibition of protein synthesis in susceptible bacteria. PHARMACOKINETICS Amikacin is readily available and rapidly absorbed via the IV and IM routes of administration. The mean serum half-life is 2.2 hours with a mean renal clearance rate of 1.24 mL/kg/min. No accumulation is associated with dosing at 12 hour intervals in individuals with a normal renal function. In 36 neonates, after IM or IV administration of 7.5 mg/kg every 12 hours, the mean serum half- life is 5.4 ± 2.0 hours and the mean peak serum level is 17.7 ± 5.4 mcg/mL. No accumulation has been observed for a dosing period of 10 to 14 days. After an IM dose of 7.5 mg/kg to 8 neonates, the mean peak serum level was reached at 32 minutes. Amikacin is not metabolized; small amounts (1 to 2% of the dose) are excreted in the bile, while the remainder 98 to 99% is excreted in the urine via glomerular filtration. The mean human serum protein binding is 11% over a concentration range of 5 to 50 mcg/mL of serum. The volume of distribution of amikacin is 25 to 30% of body weight. Amikacin pharmacokinetics remain linear over the entire dosage range studies (0.5 mcg/kg to 9 mg/kg). Tolerance studies in normal volunteers revealed amikacin to be well tolerated locally following repeated IM dosing. When given at maximally read_full_document