Land: Canada
Taal: Engels
Bron: Health Canada
DOBUTAMINE (DOBUTAMINE HYDROCHLORIDE)
PHARMACEUTICAL PARTNERS OF CANADA INC
C01CA07
DOBUTAMINE
12.5MG
SOLUTION
DOBUTAMINE (DOBUTAMINE HYDROCHLORIDE) 12.5MG
INTRAVENOUS
20ML
Prescription
SELECTIVE BETA 1-ADRENERGIC AGONISTS
Active ingredient group (AIG) number: 0112000001; AHFS:
CANCELLED POST MARKET
2008-02-13
Dobutamine, USP – Product Monograph Page 1 of 13 PRODUCT MONOGRAPH PR DOBUTREX ® (DOBUTAMINE, USP) SOLUTION FOR INJECTION SYMPATHOMIMETIC Pharmaceutical Partners of Canada Inc. Date of Preparation: 45 Vogell Road, Suite 200 January 14, 2008 Richmond Hill, ON L4B 3P6 Control No.: 119232 Dobutamine, USP – Product Monograph Page 2 of 13 PRODUCT MONOGRAPH DOBUTREX ® SOLUTION (DOBUTAMINE INJECTION, USP) SYMPATHOMIMETIC ACTION AND CLINICAL PHARMACOLOGY DOBUTREX SOLUTION (dobutamine) is a direct-acting inotropic agent whose primary activity results from stimulation of the β-receptors of the heart while producing less marked chronotropic, hypertensive, arrhythmogenic or vasodilatory effects. It does not cause the release of endogenous norepinephrine as does dopamine. No specific effect on the renal vasculature was observed. In both animal and human studies dobutamine produces less increase in heart rate and less decrease in peripheral vascular resistance for a given inotropic effect than does isoproterenol. The onset of action is within one to two minutes, the peak effect of a particular infusion may not be reached for ten minutes. The plasma half-life in humans is two minutes. INDICATIONS AND CLINICAL USE DOBUTREX SOLUTION (dobutamine) is indicated in the treatment of adults with cardiac decompensation due to depressed contractility resulting from organic heart disease or following cardiac surgical procedures in which parenteral therapy is necessary for inotropic support. Most clinical experience with DOBUTREX SOLUTION is short-term – up to several hours in duration. In the limited number of patients who were studied for 24, 48, and 72 hours, a persistent increase in cardiac output occurred in some, whereas the output of others returned toward base-line values. CONTRAINDICATIONS DOBUTREX SOLUTION (dobutamine) is contraindicated in patients with pheochromocytoma, in patients with idiopathic hypertrophic subaortic stenosis, and in those patients with hypersensitivity to dobutamine. WARNINGS DOBUTREX SOLUTION (dob Lees het volledige document