País: Estados Unidos
Língua: inglês
Origem: NLM (National Library of Medicine)
Granisetron Hydrochloride (UNII: 318F6L70J8) (Granisetron - UNII:WZG3J2MCOL)
Avera McKennan Hospital
Granisetron Hydrochloride
Granisetron 1 mg
PRESCRIPTION DRUG
Abbreviated New Drug Application
GRANISETRON HYDROCHLORIDE- GRANISETRON HYDROCHLORIDE TABLET, FILM COATED AVERA MCKENNAN HOSPITAL ---------- GRANIS ETRON HYDROCHLORIDE TABLETS USP, 1 MG RX ONLY DESCRIPTION Granisetron Hydrochloride Tablets USP contain granisetron hydrochloride USP, an antinauseant and antiemetic agent. Chemically it is _endo_-N-(9-methyl-9-azabicyclo [3.3.1] non-3-yl)-1-methyl-1H- indazole-3-carboxamide hydrochloride with a molecular weight of 348.9 (312.4 free base). Its empirical formula is C H N O•HCl, while its chemical structure is: Granisetron hydrochloride USP is a white to off-white solid that is readily soluble in water and normal saline at 20°C. Each round, white, film coated granisetron hydrochloride tablet USP contains 1.12 mg granisetron hydrochloride USP equivalent to granisetron, 1 mg. Inactive ingredients are: hypromellose 2910, lactose monohydrate, magnesium stearate, microcrystalline cellulose, opadry white YS-1-7003 (hypromellose, polyethylene glycol, polysorbate 80 and titanium dioxide) and sodium starch glycolate. CLINICAL PHARMACOLOGY Granisetron is a selective 5-hydroxytryptamine (5-HT ) receptor antagonist with little or no affinity for other serotonin receptors, including 5-HT ; 5-HT ; 5-HT ; 5-HT ; for alpha , alpha , or beta- adrenoreceptors; for dopamine-D ; or for histamine-H ; benzodiazepine; picrotoxin or opioid receptors. Serotonin receptors of the 5-HT type are located peripherally on vagal nerve terminals and centrally in the chemoreceptor trigger zone of the area postrema. During chemotherapy that induces vomiting, mucosal enterochromaffin cells release serotonin, which stimulates 5-HT receptors. This evokes vagal afferent discharge, inducing vomiting. Animal studies demonstrate that, in binding to 5-HT receptors, granisetron blocks serotonin stimulation and subsequent vomiting after emetogenic stimuli such as cisplatin. In the ferret animal model, a single granisetron injection prevented vomiting due to 18 24 4 3 3 1 1A 1B/C 2 1- 2- 2 1 3 3 3 high-dose cisplatin or arrested vomiting within Leia o documento completo