Страна: Канада
Язык: английский
Источник: Health Canada
FLUOROURACIL
GENERIC MEDICAL PARTNERS INC
L01BC02
FLUOROURACIL
5000MG
SOLUTION
FLUOROURACIL 5000MG
INTRAVENOUS
100ML
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0107505001; AHFS:
APPROVED
2018-05-31
PRODUCT MONOGRAPH PR FLUOROURACIL INJECTION 50 MG/ML (250 mg/5 mL, 500 mg/10 mL, 1 g/20 mL, 5 g/100 mL) Sterile Solution Manufacturer’s Standard Antineoplastic Agent Generic Medical Partners Inc. 1500 Don Mills Road, Suite 406 Toronto, Ontario M3B 3K4 Date of Preparation: March 12, 2020 Control No.: 236632 Page 2 of 22 PRODUCT MONOGRAPH PR FLUOROURACIL INJECTION 50 MG/ML (250 mg/5 mL, 500 mg/10 mL, 1 g/20 mL, 5 g/100 mL) Sterile Solution Antineoplastic agent CAUTION FLUOROURACIL IS A POTENT DRUG AND SHOULD BE ADMINISTERED BY, OR UNDER SUPERVISION OF A PHYSICIAN, WHO IS EXPERIENCED IN CANCER CHEMOTHERAPY. ACTIONS AND CLINICAL PHARMACOLOGY There appears to be two mechanisms of action of fluorouracil which result in cytotoxic effects. One is the competitive inhibition of thymidylate synthetase, the enzyme catalyzing the methylation of deoxyuridylic acid to thymidylic acid. The consequent thymidine deficiency results in inhibition of deoxyribonucleic acid (DNA) synthesis, thus inducing cell death. A second mechanism of action is evidenced by the moderate inhibition of ribonucleic acid (RNA) and incorporation of fluorouracil into RNA. The predominant mechanism of antitumour action appears to be dependent, at least in part, on individual tumour intracellular metabolism. The effects of DNA and RNA deprivation are most significant on those cells which are most rapidly proliferating. Following intravenous injection, fluorouracil is cleared rapidly from the plasma (half-life about 10 to 20 minutes), and distributed throughout body tissues including the cerebrospinal fluid and malignant effusions, exhibiting a volume of distribution equivalent to the total body water. Plasma concentrations fall below measurable levels within 3 hours. Oral administration of fluorouracil has shown marked variability in its bioavailability, from 28% to 100%. Constant intravenous infusion for 96 hours showed constant plasma drug levels and significantly less drug (50- to 1000-fold) in the bone marrow. Fluorouracil is converted to active nucle Прочитать полный документ