Kraj: Kanada
Język: angielski
Źródło: Health Canada
GLYBURIDE
AVANSTRA INC
A10BB01
GLIBENCLAMIDE
2.5MG
TABLET
GLYBURIDE 2.5MG
ORAL
100
Prescription
SULFONYLUREAS
Active ingredient group (AIG) number: 0108708002; AHFS:
CANCELLED POST MARKET
2014-08-21
0 0 PRODUCT MONOGRAPH AVA-GLYBURIDE GLYBURIDE TABLETS MANUFACTURER’S STANDARD 2.5 AND 5 MG ORAL HYPOGLYCEMIC AVANSTRA INC. DATE OF PREPARATION: 10761 – 25TH NE, SUITE 110, BUILDING “B” FEBRUARY 14, 2011 CALGARY, ALBERTA T2C 3C2 CONTROL # 144970 1 1 PRODUCT MONOGRAPH AVA-GLYBURIDE Glyburide Tablets Manufacturer’s Standard 2.5 and 5 mg THERAPEUTIC CLASSIFICATION Oral hypoglycemic agent ACTIONS AND CLINICAL PHARMACOLOGY The principal action of glyburide results in an increased insulin release from the beta cells of the pancreas. Other mechanisms leading to a reduction of blood glucose are also believed to be influenced by glyburide. The insertion of an alkylene chain on the benzene nucleus results in a product of very high potency. Schulz and Schmidt indicated that the presence of a sulfonamide (sulphaphenazoIe) decreased the distribution volume of glyburide without influence on the half-life of the oral hypoglycemic agent. As a result, insulin and serum concentrations of glyburide were higher and hypoglycemic attacks could he expected. Hirn and Konigstein have observed hypoglycemia when phenylbutazone and oxyphenbutazone were added to glyburide. Schulz and Schmidt confirmed that phenylbutazone has an enhancing effect on the blood-sugar-Iowering effect of glyburide and found higher insulin levels. The plasma haIf-life of glyburide did not change with phenylbutazone administration. However, a significant decrease in the renal excretion of the main metabolite of glyburide was observed, suggesting that the elimination in the bile may compensate for the amount not excreted in the urine. 2 2 Glyburide is highly bound to plasma proteins after absorption from the gastrointestinal tract. It is completely metabolized by hydroxylation of the cyclohexyl ring into 3 cis and 4 trans derivatives in the liver and the kidneys play only a minor role in their biotransformation and elimination from plasma. The metabolites have no essential hypoglycemic effect and they are not stored in the body, but they are eliminated via t Przeczytaj cały dokument