Kraj: Kanada
Język: angielski
Źródło: Health Canada
FLUMAZENIL
JAMP PHARMA CORPORATION
V03AB25
FLUMAZENIL
0.1MG
SOLUTION
FLUMAZENIL 0.1MG
INTRAVENOUS
5ML/10ML
Ethical
MISCELLANEOUS CENTRAL NERVOUS SYSTEM AGENTS
Active ingredient group (AIG) number: 0122202001; AHFS:
APPROVED
2014-10-31
_Page 1 of 28_ PRODUCT MONOGRAPH JAMP-FLUMAZENIL FLUMAZENIL INJECTION, USP (Flumazenil) 0.1 MG/ML THERAPEUTIC CLASSIFICATION BENZODIAZEPINE ANTAGONIST JAMP Pharma Corporation 1380-203 newton Boucherville, Québec J4B 5H2 Date of Preparation : October 9, 2014 Submission Control No: 178046 _Page 2 of 28_ JAMP-Flumazenil (flumazenil) 0.1 MG/ML THERAPEUTIC CLASSIFICATION Benzodiazepine Antagonist ACTION AND CLINICAL PHARMACOLOGY JAMP-Flumazenil, an imidazobenzodiazepine, is a benzodiazepine antagonist which blocks the central effects of agents that act via the benzodiazepine receptor, by competitive inhibition. The antagonism is specific, since in animal experiments the effects of compounds which have no affinity for the benzodiazepine receptor (e.g. barbiturates, meprobamate, ethanol, GABA- mimetics, and adenosine receptor agonists) were not affected by flumazenil. Flumazenil does not reverse the central effects of opioids. Following the intravenous administration of radiolabelled flumazenil to human volunteers, the distribution of radioactivity corresponded closely to the distribution of benzodiazepine receptors as determined by positron emission tomography. The hypnotic-sedative effects of benzodiazepines are rapidly reversed by flumazenil. However, the residual effects may reappear gradually within a few hours, depending on the dose and plasma concentration of flumazenil, the time elapsed since the benzodiazepine agonist was given, and the dose and elimination half-life of the previously administered benzodiazepine agonist. Flumazenil has shown some weak intrinsic agonistic (e.g. anticonvulsant) activity without therapeutic relevance. PHARMACOKINETICS In young male volunteers, the pharmacokinetics of intravenous flumazenil were linear over a dose range of 2-100 mg. Increasing doses of flumazenil were accompanied by a corresponding increase in the area under the plasma concentration-time curve (AUC: 37 ng/mL•hr at 2 mg and 1906 ng/mL•hr at 100 mg), and maximum plasma concentration (C max : 55 ng/mL at 2 mg and Przeczytaj cały dokument