Krajina: Kanada
Jazyk: angličtina
Zdroj: Health Canada
DILTIAZEM HYDROCHLORIDE
TEVA CANADA LIMITED
C08DB01
DILTIAZEM
240MG
CAPSULE (EXTENDED RELEASE)
DILTIAZEM HYDROCHLORIDE 240MG
ORAL
100/500
Prescription
MISCELLANEOUS CALCIUM-CHANNEL BLOCKING AGENTS
Active ingredient group (AIG) number: 0115863006; AHFS:
APPROVED
2000-10-04
1 PRODUCT MONOGRAPH PR TEVA-DILTIAZEM CD diltiazem hydrochloride Controlled Delivery Capsules Teva Standard 120 mg, 180 mg, 240 mg and 300 mg Antihypertensive Agent Antianginal Agent Teva Canada Limited Date of Revision: 30 Novopharm Court May 06, 2016 Toronto, Ontario M1B 2K9 www.tevacanada.com Control # 194512 2 PR TEVA-DILTIAZEM CD diltiazem hydrochloride Controlled Delivery Capsules Teva Standard 120 MG, 180 MG, 240 MG AND 300 MG ANTIHYPERTENSIVE AGENT ANTIANGINAL AGENT ACTION AND CLINICAL PHARMACOLOGY TEVA-DILTIAZEM CD capsules are formulations of diltiazem hydrochloride, which is a calcium ion influx inhibitor (calcium entry blocker or calcium ion antagonist). MECHANISM OF ACTION The therapeutic effect of diltiazem is believed to be related to its specific cellular action of selectively inhibiting transmembrane influx of calcium ions into cardiac muscle and vascular smooth muscle. The contractile processes of these tissues are dependent upon the movement of extracellular calcium into the cells through specific ion channels. Diltiazem blocks transmembrane influx of calcium through the slow channel without affecting to any significant degree the transmembrane influx of sodium through the fast channel. This results in a reduction of free calcium ions available within cells of the above tissues. Diltiazem does not alter total serum calcium. ANGINA: The precise mechanism by which diltiazem relieves angina has not been fully determined but it is believed to be brought about largely by its vasodilator action. In angina due to coronary spasm, diltiazem increases myocardial oxygen delivery by dilating both large and small coronary arteries and by inhibiting coronary spasm at drug levels which cause little negative inotropic effect. The resultant increases in coronary blood flow are accompanied by dose dependent decreases in systemic blood pressure and decreases in peripheral resistance. In angina of effort, it appears that the action of diltiazem is related to the reduction of myocardial oxygen demand. This is proba Prečítajte si celý dokument