Land: USA
Språk: engelsk
Kilde: NLM (National Library of Medicine)
CALCITRIOL (UNII: FXC9231JVH) (CALCITRIOL - UNII:FXC9231JVH)
West-ward Pharmaceutical Corp
CALCITRIOL
CALCITRIOL 1 ug 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 is supplied as follows: Store at 20 to 25ºC (68 to 77ºF) [See USP Controlled Room Temperature]. Protect from light.
Abbreviated New Drug Application
CALCITRIOL- CALCITRIOL INJECTION WEST-WARD PHARMACEUTICAL CORP ---------- CALCITRIOL INJECTION 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 Injection is available in 1 mL ampules. Each 1 mL contains calcitriol 1 mcg; polysorbate 20, 4 mg; edetate disodium dehydrate 1.1 mg; sodium phosphate dibasic 7.6 mg; sodium phosphate monobasic 1.8 mg; sodium chloride 1.5 mg; sodium ascorbate 10 mg. pH 6.6 (5.9 - 7.0). 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-1-(alpha),3 (beta),25-triol and has the following structural formula: Molecular Formula: C H O The other names frequently used for calcitriol are 1(alpha),25-dihydroxycholecalciferol, 1(alpha),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-(alpha)-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 27 44 3 3 2 3 3 3 3 3 3 3 2 3 3 most active known form of vitamin D in stimulating intestinal calcium transport. In acutely uremic rats, calcitri Les hele dokumentet