Страна: Соединенные Штаты
Язык: английский
Источник: NLM (National Library of Medicine)
SIMVASTATIN (UNII: AGG2FN16EV) (SIMVASTATIN - UNII:AGG2FN16EV)
State of Florida DOH Central Pharmacy
SIMVASTATIN
SIMVASTATIN 20 mg
ORAL
PRESCRIPTION DRUG
Lipid-altering agents should be used in addition to a diet restricted in saturated fat and cholesterol (see National Cholesterol Education Program [NCEP] Treatment Guidelines, below). In patients with CHD or at high risk of CHD, simvastatin can be started simultaneously with diet. In patients at high risk of coronary events because of existing coronary heart disease, diabetes, peripheral vessel disease, history of stroke or other cerebrovascular disease, simvastatin is indicated to: - Reduce the risk of total mortality by reducing CHD deaths. - Reduce the risk of non-fatal myocardial infarction and stroke. - Reduce the need for coronary and non-coronary revascularization procedures. Simvastatin tablets are indicated to: - Reduce elevated total-C, LDL-C, Apo B, and TG, and to increase HDL-C in patients with primary hypercholesterolemia (heterozygous familial and nonfamilial) and mixed dyslipidemia (Fredrickson types IIa and IIb). - Treat patients with hypertriglyceridemia (Fredrickson type lV hyperlipidemia).
Simvastatin Tablets 5 mg are peach colored, round, film-coated tablets, debossed RX6 on one side and plain on the other side. Simvastatin Tablets 10 mg are peach colored, round, film-coated tablets, debossed RX790 on one side and plain on the other side. Simvastatin Tablets 20 mg are tan colored, round, film-coated tablets, debossed RX791 on one side and plain on the other side. Simvastatin Tablets 40 mg are brick red colored, round, film-coated tablets, debossed RX792 on one side and plain on the other side. Simvastatin Tablets 80 mg are brick red colored, round, film-coated tablets, debossed RX793 on one side and plain on the other side. They are supplied by State of Florida DOH Central Pharmacy as follows: Storage Store at 20 - 25° C (68 - 77° F). (See USP Controlled Room Temperature). Manufactured for: Ranbaxy Pharmaceuticals Inc. Jacksonville, FL 32257 USA This Product was Repackaged By: State of Florida DOH Central Pharmacy 104-2 Hamilton Park Drive Tallahassee, FL 32304 United States
Abbreviated New Drug Application
SIMVASTATIN - SIMVASTATIN TABLET, FILM COATED STATE OF FLORIDA DOH CENTRAL PHARMACY ---------- SIMVASTATIN TABLETS DESCRIPTION Simvastatin is a lipid-lowering agent that is derived synthetically from a fermentation product of _Aspergillus terreus_. After oral ingestion, simvastatin, which is an inactive lactone, is hydrolyzed to the corresponding β-hydroxyacid form. This is an inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase. This enzyme catalyzes the conversion of HMG-CoA to mevalonate, which is an early and rate-limiting step in the biosynthesis of cholesterol. Simvastatin is butanoic acid, 2,2-dimethyl-,1,2,3,7,8,8a-hexahydro-3,7-dimethyl-8-[2-(tetrahy-dro-4- hydroxy-6-oxo-2_H_-pyran-2-yl)-ethyl]-1-naphthalenyl ester, [1_S_-[1α,3α,7β,8β(2_S_*,4_S_*),-8aβ]]. The molecular formula of simvastatin is C H O and its molecular weight is 418.57. Its structural formula is: Simvastatin is a white to off-white, nonhygroscopic, crystalline powder that is practically insoluble in water, and freely soluble in chloroform, methanol and ethanol. Simvastatin tablets for oral administration contain either 5 mg, 10 mg, 20 mg, 40 mg and 80 mg of simvastatin and the following inactive ingredients: ascorbic acid, butylated hydroxyanisole, citric acid, croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxides, isopropyl alcohol, lactose monohydrate, magnesium stearate, microcrystalline cellulose, pregelatinized starch, talc and titanium dioxide. CLINICAL PHARMACOLOGY Epidemiological studies have demonstrated that elevated levels of total cholesterol (total-C), low- density lipoprotein cholesterol (LDL-C), as well as decreased levels of high-density lipoprotein cholesterol (HDL-C) are associated with the development of atherosclerosis and increased cardiovascular risk. Lowering LDL-C decreases this risk. However, the independent effect of raising HDL-C or lowering TG on the risk of coronary and cardiovascular morbidity and mortality has not been determined. 25 38 5 PHARMACOKINETICS Simvastat Прочитать полный документ