Država: Kanada
Jezik: angleščina
Source: Health Canada
CARVEDILOL
NU-PHARM INC
C07AG02
CARVEDILOL
3.125MG
TABLET
CARVEDILOL 3.125MG
ORAL
100
Prescription
BETA-ADRENERGIC BLOCKING AGENTS
Active ingredient group (AIG) number: 0122683003; AHFS:
CANCELLED (UNRETURNED ANNUAL)
2018-03-28
PRODUCT MONOGRAPH NU-CARVEDILOL CARVEDILOL TABLETS 3.125 MG, 6.25, 12.5 MG AND 25 MG CONGESTIVE HEART FAILURE AGENT NU-PHARM INC. DATE OF PREPARATION: 50 MURAL STREET, UNITS 1 & 2 December 16, 2003 RICHMOND HILL, ONTARIO L4B 1E4 Control #: 088609 1 PRODUCT MONOGRAPH NU-CARVEDILOL Carvedilol Tablets 3.125 mg, 6.25 mg, 12.5 mg and 25 mg THERAPEUTIC CLASSIFICATION Congestive Heart Failure Agent A CTIONS AND CLINICAL PHARMACOLOGY Carvedilol is a cardiovascular agent for the treatment of congestive heart failure that combines beta-adrenoceptor blockade and vasodilation in a single racemic mixture. Nonselective beta- adrenoceptor blocking activity is present in the S(-) enantiomer and alpha 1 -adrenoceptor blocking activity is present at equal potency in both the R(+) and S(-) enantiomers. Carvedilol has no intrinsic sympathomimetic activity. Its action on beta-receptors is 10 times stronger than on alpha 1 -receptors. Carvedilol reduces peripheral vascular resistance by vasodilation, thereby causing a fall in systemic blood pressure after acute administration, predominantly mediated through selective alpha 1 -antagonism. Beta blockade prevents reflex tachycardia with the net result that heart rate is unchanged or decreased. Carvedilol reduces renin release through beta blockade. In two studies that compared the acute hemodynamic effects of carvedilol to baseline measurements in patients with congestive heart failure, there were significant reductions in systemic blood pressure, pulmonary artery pressure, pulmonary capillary wedge pressure, and heart rate. Initial effects on cardiac output, stroke volume index and systemic vascular resistance were small and variable. 2 In terms of chronic hemodynamic effects (12 to 14 weeks), carvedilol significantly reduced systemic blood pressure, pulmonary artery pressure, right atrial pressure, systemic vascular resistance and heart rate while stroke volume index was increased. The mechanism for the beneficial effects of carvedilol in congestive heart failure has not been establish Preberite celoten dokument