Țară: Canada
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Sursă: Health Canada
MEXILETINE HYDROCHLORIDE
MINT PHARMACEUTICALS INC
C01BB02
MEXILETINE
100MG
CAPSULE
MEXILETINE HYDROCHLORIDE 100MG
ORAL
100
Prescription
Active ingredient group (AIG) number: 0116151001; AHFS:
APPROVED
2023-03-31
- 1 - PRODUCT MONOGRAPH PR MINT-MEXILETINE Mexiletine Hydrochloride Capsules Capsules, 100 mg and 200 mg Mexiletine Hydrochloride, Oral USP Antiarrhythmic Agent Mint Pharmaceuticals Inc. 6575 Davand Drive Mississauga, Ontario, L5T 2M3 Date of Initial Authorization: March 30, 2023 Submission Control Number: 264506 - 2 - PRODUCT MONOGRAPH MINT-MEXILETINE (Mexiletine Hydrochloride) USP 100 mg and 200 mg Capsules THERAPEUTIC CLASSIFICATION Antiarrhythmic Agent ACTION AND CLINICAL PHARMACOLOGY MINT-MEXILETINE (mexiletine hydrochloride) is a class 1B antiarrhythmic agent, according to the Vaughan–Williams classification system, with local anesthetic properties, similar in structure and activity to lidocaine. Mexiletine blocks the fast sodium channel in cardiac tissues, especially the Purkinje network, without involvement of the autonomic system. Mexiletine reduces the rate of rise and amplitude of the action potential and decreases automatically (increases the threshold of excitability) in the Purkinje fibers. It shortens the action potential duration and, to a lesser extent, decreases the effective refractory period in the Purkinje fibers. It does not usually alter conduction velocity, although it may slow conduction in patients with pre- existing conduction abnormalities. In those with pre-existing sick sinus syndrome, mexiletine produces a more pronounced depression of the sinus rate and/or prolongation of sinus node recovery time. It does not significantly affect resting membrane potential or sinus node automaticity, left ventricular function, systolic arterial blood pressure, atrioventricular (AV) conduction velocity, QRS or QT intervals. Hemodynamic studies with oral mexiletine conducted in patients with normal or abnormal myocardial function have demonstrated that the drug usually has only minor effects on cardiac output, pulmonary capillary wedge pressure, left ventricular end–diastolic pressure, pulmonary diastolic pressure, blood pressure or heart rate. Small increases in vascular resistance without signi Citiți documentul complet