Država: Kanada
Jezik: angleščina
Source: Health Canada
KETAMINE (KETAMINE HYDROCHLORIDE)
SANDOZ CANADA INCORPORATED
N01AX03
KETAMINE
50MG
SOLUTION
KETAMINE (KETAMINE HYDROCHLORIDE) 50MG
INTRAMUSCULAR
100
Narcotic (CDSA I)
MISCELLANEOUS GENERAL ANESTHETICS
Active ingredient group (AIG) number: 0131360003; AHFS:
CANCELLED PRE MARKET
2017-08-21
_Ketamine Hydrochloride Injection USP &_ _Ketamine Hydrochloride Injection SDZ _ _Page 1 of 17 _ PRODUCT MONOGRAPH N KETAMINE HYDROCHLORIDE INJECTION USP (KETAMINE HYDROCHLORIDE) 10 MG/ML 50 MG/ML N KETAMINE HYDROCHLORIDE INJECTION SDZ 10 MG/ML KETAMINE (AS KETAMINE HYDROCHLORIDE) 50 MG/ML KETAMINE (AS KETAMINE HYDROCHLORIDE) MANUFACTURER’S STANDARD PARENTERAL GENERAL ANESTHETIC Sandoz Canada Inc. Date of revision: May 6, 2015 145 Jules-Léger Street QC, Canada J4B 7K8 Submission Control No.: 183296 _Ketamine Hydrochloride Injection USP &_ _Ketamine Hydrochloride Injection SDZ _ _Page 2 of 17 _ N KETAMINE HYDROCHLORIDE INJECTION USP Ketamine hydrochloride 10 mg/mL 50 mg/mL N KETAMINE HYDROCHLORIDE INJECTION SDZ 10 mg/mL ketamine (as ketamine hydrochloride) 50 mg/mL ketamine (as ketamine hydrochloride) THERAPEUTIC CLASSIFICATION Parenteral General Anesthetic ACTION AND CLINICAL PHARMACOLOGY Ketamine hydrochloride is a rapid-acting, nonbarbiturate general anesthetic. It produces an anesthetic state characterized by profound analgesia, normal pharyngeal-laryngeal reflexes and normal or slightly enhanced skeletal muscle tone. Mild cardiac stimulation and occasionally respiratory depression occur The anesthetic state produced by ketamine hydrochloride has been termed "dissociative anesthesia" in that it appears to selectively interrupt association pathways of the brain before producing somesthetic sensory blockage. Ketamine hydrochloride decreases the activity of the neocortex and subcortical structures (thalamus) and increases the activity in the limbic system and reticular substance. Following administration of recommended doses of ketamine hydrochloride, blood pressure and pulse rate are usually moderately and temporarily increased. In 12,283 procedures, the median systolic rise was 24% and the median diastolic rise was 22%. Respiration is usually unaffected. Mild stimulation occasionally occurs. However, transient respiratory depression (rate and tidal volume) may occur and is generally associated with rapid (le Preberite celoten dokument