Држава: Канада
Језик: Енглески
Извор: Health Canada
HYDRALAZINE HYDROCHLORIDE
APOTEX INC
C02DB02
HYDRALAZINE
50MG
TABLET
HYDRALAZINE HYDROCHLORIDE 50MG
ORAL
100
Prescription
DIRECT VASODILATORS
Active ingredient group (AIG) number: 0107444001; AHFS:
APPROVED
2012-09-06
PRODUCT MONOGRAPH APO-HYDRALAZINE HYDRALAZINE HYDROCHLORIDE TABLETS USP 10, 25 AND 50 MG ANTIHYPERTENSIVE AGENT APOTEX INC. DATE OF PREPARATION: 150 SIGNET DRIVE DECEMBER 14, 2016 TORONTO, ONTARIO M9L 1T9 Control #: 199983 1 PRODUCT MONOGRAPH APO-HYDRALAZINE Hydralazine Hydrochloride Tablets USP 10, 25 and 50 mg THERAPEUTIC CLASSIFICATION Antihypertensive Agent ACTIONS AND CLINICAL PHARMACOLOGY Although the precise mechanism of action of hydralazine hydrochloride is not fully understood, the major effects are on the cardiovascular system. Hydralazine apparently lowers blood pressure by exerting a peripheral vasodilating effect through a direct relaxation of vascular smooth muscle. Hydralazine, by altering cellular calcium metabolism, interferes with the calcium movements within the vascular smooth muscle that are responsible for initiating or maintaining the contractile state. The peripheral vasodilating effect of hydralazine results in decreased arterial blood pressure (diastolic more than systolic); decreased peripheral vascular resistance; and an increased heart rate, stroke volume, and cardiac output. The vasodilating effect is much greater on arterioles than on veins, and vascular resistance decreases more in the coronary, cerebral, splanchnic and renal circulations than in skin and muscle. Hydralazine usually increases renin activity in plasma, presumably as a result of increased secretion of renin by the renal juxtaglomerular cells in response to reflex sympathetic discharge. This increase in renin activity leads to the production of angiotensin II, which then causes stimulation of aldosterone and consequent sodium reabsorption and fluid retention. 2 Sodium retention and excessive sympathetic stimulation of the heart caused by hydralazine may be precluded by co-administration of a thiazide diuretic and a beta-blocker. Beta-adrenergic blocking drugs and hydralazine are complementary in their pharmacologic effects, a beta-adrenergic blocking agent minimizes hydralazine-induced increases in cardiac rate and o Прочитајте комплетан документ