Țară: Canada
Limbă: engleză
Sursă: Health Canada
PYRAZINAMIDE
PHARMASCIENCE INC
J04AK01
PYRAZINAMIDE
500MG
TABLET
PYRAZINAMIDE 500MG
ORAL
100
Prescription
ANTITUBERCULOSIS AGENTS
Active ingredient group (AIG) number: 0107627001; AHFS:
APPROVED
2021-09-21
PRESCRIBING INFORMATION INCLUDING PATIENT MEDICATION INFORMATION PR PMS-PYRAZINAMIDE PYRAZINAMIDE TABLETS, USP 500 MG ANTITUBERCULOSIS AGENT PHARMASCIENCE INC. 6111, Royalmount Ave, Suite 100 Montréal, Canada H4P 2T4 WWW.PHARMASCIENCE.COM CONTROL NO: 256065 DATE OF PREPARATION: September 21, 2021 _pms-PYRAZINAMIDE _ _–_ _ Prescribing Information _ _ Page 2 of 11 _ _ _ PRESCRIBING INFORMATION PR PMS-PYRAZINAMIDE Pyrazinamide Tablets, USP 500 mg MECHANISM OF ACTION Pyrazinamide may be bacteriostatic or bacteriocidal in action, depending on the concentration of the drug attained at the site of the infection and the susceptibility of the infecting organism. _In vitro _and _in _ _vivo_, the drug is active only at a slightly acidic pH. The exact mechanism of action of pyrazinamide has not been fully elucidated. The antimycobacterial activity of pyrazinamide appears to partly depend on conversion of the drug to pyrazinoic acid (POA). Susceptible strains of _Mycobacterium _ _tuberculosis _produce pyrazinamidase, an enzyme that deaminates pyrazinamide to POA, and the _in _ _vitro _susceptibility of a given strain of the organism appears to correspond to its pyrazinamidase activity. _In vitro _studies indicate that POA has specific antimycobacterial activity against _Mycobacterium tuberculosis_. In addition, the fact that POA lowers the pH of the environment below that which is necessary for growth of _M. tuberculosis _appears to contribute to the drug's antimycobacterial activity _in vitro. _ _ _ PHARMACOLOGY Pyrazinamide is a highly specific agent and is active only against _M. tuberculosis_. Results of _in vitro _ susceptibility testing with pyrazinamide are affected by the test media, inoculum size, and pH. _In _ _vitro_, in media with a pH of 5.5, the minimum inhibitory concentration (MIC) of pyrazinamide for _M. tuberculosis _is generally less than 20 mcg/mL. In one _in vitro _study in 7H12 liquid media, MICs of the drug reported for _M. tuberculosis _were 50 mcg/mL at pH 5.5 and 400 mcg/mL at pH 5.95. RESISTA Citiți documentul complet