País: Canadá
Língua: inglês
Origem: Health Canada
SUCRALFATE
TEVA CANADA LIMITED
A02BX02
SUCRALFATE
1G
TABLET
SUCRALFATE 1G
ORAL
100/500
Prescription
PROTECTANTS
Active ingredient group (AIG) number: 0114237002; AHFS:
APPROVED
2011-06-06
PRODUCT MONOGRAPH PR TEVA-SUCRALFATE (Sucralfate Tablets, USP) 1g GASTRO-DUODENAL CYTOPROTECTIVE AGENT Teva Canada Limited DATE OF PREPARATION: 30 Novopharm Court June 9, 2011 Toronto, Ontario Canada M1B 2K9 www.tevacanada.com Submission Control #: 147748 2 PRODUCT MONOGRAPH PR TEVA-SUCRALFATE (Sucralfate Tablets, USP) 1g THERAPEUTIC CLASSIFICATION Gastro-Duodenal Cytoprotective Agent ACTIONS AND CLINICAL PHARMACOLOGY TEVA-SUCRALFATE (sucralfate) enhances the natural mucosal defense mechanisms, thereby producing a generalized gastric cytoprotective effect. The ability of sucralfate to protect the gastric mucosa against various irritants, such as alcohol, ASA, hydrochloric acid, sodium hydroxide or sodium taurocholate, has been demonstrated in animal studies and in clinical trials in humans. It has also been shown that sucralfate has a greater affinity for ulcerated gastric or duodenal mucosa than for non-ulcerated mucosa. An adherent cytoprotective barrier is produced by sucralfate at the site of the ulcer, thereby protecting it from the potential ulcerogenic properties of acid, pepsin and bile. Acid diffusion across the sucralfate-protein barrier is blocked by sucralfate. Evidence suggests that sucralfate also complexes directly with pepsin and bile. The mode of action of sucralfate is non-systemic; only minimal amounts of the drug are absorbed from the gastrointestinal tract following oral administration. The minute amounts of sucralfate which are absorbed are eliminated primarily in the urine. Each gram of sucralfate contains approximately 200 mg of aluminum. At low pH the aluminum moiety can dissociate and aluminum release can be expected; however, aluminum is poorly absorbed from the intact gastrointestinal tract. In patients with normal renal function, administration of 1g of sucralfate four times a day resulted in approximately 0.001% to 0.017% of the aluminum content of sucralfate to be absorbed and excreted in the urine. This is equivalent to an aluminum load of between 0.008 mg and 0.136 mg following a Leia o documento completo