Land: Verenigde Staten
Taal: Engels
Bron: NLM (National Library of Medicine)
CALCITRIOL (UNII: FXC9231JVH) (CALCITRIOL - UNII:FXC9231JVH)
Physicians Total Care, Inc.
CALCITRIOL
CALCITRIOL 1 mg in 1 mL
INTRAVENOUS
PRESCRIPTION DRUG
Calcitriol Injection is indicated in the management of hypocalcemia in patients undergoing chronic renal dialysis. It has been shown to significantly reduce elevated parathyroid hormone levels. Reduction of PTH has been shown to result in an improvement in renal osteodystrophy. Calcitriol Injection should not be given to patients with hypercalcemia or evidence of vitamin D toxicity.
Calcitriol Injection NDC 54868-6265-0 1 mcg/mL 1 mL ampules Boxed in 25 IN0132 Rev. 11/07 MG #15726 AMERICAN REGENT, INC. SHIRLEY, NY 11967 Relabeling and Repackaging by: Physicians Total Care, Inc. Tulsa, OK 74146
Abbreviated New Drug Application
CALCITRIOL - CALCITRIOL INJECTION, SOLUTION PHYSICIANS TOTAL CARE, INC. ---------- RX ONLY DESCRIPTION Calcitriol Injection is synthetically manufactured calcitriol and is available as a sterile, isotonic, clear, colorless to yellow, aqueous solution for intravenous injection. Calcitriol is available in 1 mL ampules. Each 1 mL contains: Calcitriol 1 mcg; Polysorbate 20, 4 mg; Sodium Chloride 1.5 mg; Sodium Ascorbate 10 mg added; Dibasic Sodium Phosphate, Anhydrous 7.6 mg; Monobasic Sodium Phosphate, Monohydrate 1.8 mg; Edetate Disodium, Dihydrate 1.1 mg added; Water for Injection q.s. pH range 6.7- 7.7. Calcitriol is a crystalline compound which occurs naturally in humans. It is soluble in organic solvents but relatively insoluble in water. Calcitriol is chemically designated (5Z,7E)-9,10-secocholesta- 5,7,10(19)-triene-1α,3β,25-triol and has the following structural formula: Molecular Formula: C H O The other names frequently used for calcitriol are 1α,25-dihydroxycholecalciferol, 1α,25- dihydroxyvitamin D , 1,25-DHCC, 1,25(OH) D and 1,25-diOHC. CLINICAL PHARMACOLOGY Calcitriol is the active form of vitamin D (cholecalciferol). The natural or endogenous supply of vitamin D in man mainly depends on ultraviolet light for conversion of 7-dehydrocholesterol to vitamin D in the skin. Vitamin D must be metabolically activated in the liver and the kidney before it is fully active on its target tissues. The initial transformation is catalyzed by a vitamin D -25-hydroxylase enzyme present in the liver, and the product of this reaction is 25-(OH)D (calcifediol). The latter undergoes hydroxylation in the mitochondria of kidney tissue, and this reaction is activated by the renal 25-hydroxyvitamin D -1-α-hydroxylase to produce 1,25-(OH) D (calcitriol), the active form of vitamin D . The known sites of action of calcitriol are intestine, bone, kidney and parathyroid gland. Calcitriol is the most active known form of vitamin D in stimulating intestinal calcium transport. In acutely uremic rats, calcitriol has been shown t Lees het volledige document