Страна: Канада
Язык: английский
Источник: Health Canada
MICONAZOLE NITRATE
INSIGHT PHARMACEUTICALS, LLC
G01AF04
MICONAZOLE
4%
CREAM
MICONAZOLE NITRATE 4%
VAGINAL
3X5GM
OTC
AZOLES
Active ingredient group (AIG) number: 0110272004; AHFS:
APPROVED
2011-11-03
PRODUCT MONOGRAPH MONISTAT* 3 VAGINAL CREAM MICONAZOLE NITRATE CREAM 4% (W/W) USP Antifungal Agent _ATC code: G01A F04_ Insight Pharmaceuticals Corp. Langhorne, PA, U.S.A. 19047-1749 Date of Preparation: November 24, 2011 _ _ Control#: 151101 _ _ *Trademark 2 PRODUCT MONOGRAPH MONISTAT* 3 VAGINAL CREAM MICONAZOLE NITRATE CREAM 4% (W/W) USP Therapeutic Classification Antifungal Agent CLINICAL PHARMACOLOGY Depending upon concentration, miconazole nitrate exhibits broad spectrum _in vitro_ fungistatic or fungicidal activity against species of the genus _Candida_. Miconazole nitrate also inhibits several other genera of fungi, including dermatophytes and yeasts, as well as gram positive bacteria. Miconazole nitrate inhibits the biosynthesis of ergosterol or other sterols, damaging the fungal cell wall membrane and altering its permeability. In fungi, it also inhibits biosynthesis of triglycerides and phospholipids as well as oxidative and peroxidative enzymes. The latter action results in intracellular buildup of toxic concentrations of hydrogen peroxide, which may contribute to deterioration of subcellular organelles and cellular necrosis. _Candida albicans_ cells have been observed to exhibit progressive cytoplasmic deterioration and prominent shape changes resulting in complete cell necrosis depending on the dose and duration of exposure to miconazole nitrate. 3 The sequence of morphologic alterations induced by miconazole nitrate at fungistatic doses (10 -6 M) are lysis of cytoplasmic organelles, focal to complete loss of cell plasmalemma and irregular thickening of the cell wall containing multiple inclusions. Administration of fungicidal doses (10 -4 M) induces a completely necrotic cell interior with an unaltered cell wall. In _Candida albicans_, miconazole nitrate inhibits the transformation of blastospores into invasive mycelial form. Not all species or strains of a particular organism may be susceptible to miconazole nitrate. To date, no wild strains or fungal mutants with substantial acquired resistance to Прочитать полный документ