Држава: Канада
Језик: Енглески
Извор: Health Canada
SIMVASTATIN
DOMINION PHARMACAL
C10AA01
SIMVASTATIN
40MG
TABLET
SIMVASTATIN 40MG
ORAL
100
Prescription
HMG-COA REDUCTASE INHIBITORS
Active ingredient group (AIG) number: 0122415002; AHFS:
APPROVED
2004-05-18
PRODUCT MONOGRAPH Pr DOM-SIMVASTATIN (Simvastatin tablets USP) 5 mg, 10 mg, 20 mg, 40 mg and 80 mg Tablets Lipid Metabolism Regulator DOMINION PHARMACAL Date of Preparation: 6111 Royalmount Ave., Suite #100 May 18, 2004 Montreal, Quebec H4P 2T4 Control #: 091575 -2- PRODUCT MONOGRAPH Pr DOM-SIMVASTATIN (Simvastatin tablets USP) 5, 10, 20, 40 and 80 mg Tablets THERAPEUTIC CLASSIFICATION Lipid Metabolism Regulator ACTIONS AND CLINICAL PHARMACOLOGY Simvastatin is a lipid-lowering agent derived synthetically from a fermentation product _Aspergillus_ _terreus_ . After oral ingestion, simvastatin, which is an inactive lactone, is hydrolyzed to the corresponding $ -hydroxyacid form. This principal metabolite is a specific 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 reduces cholesterol production by the liver and induces some changes in cholesterol transport and disposition in the blood and tissues. The mechanism(s) of this effect is believed to involve both reduction of the synthesis of Low Density Lipoprotein (LDL), and an increase in LDL catabolism as a result of induction of the hepatic LDL receptors. Simvastatin has complex pharmacokinetic characteristics (see PHARMACOLOGY). Simvastatin is metabolized by the microsomal hepatic enzyme system (cytochrome P-450 isoform 3A4). The major active metabolites present in human plasma are the $ -hydroxyacid of simvastatin and four other active metabolites (see PHARMACOLOGY, Pharmacokinetics). BIOAVAILABILITY: -3- A comparative, single-dose, two-way crossover bioavailability study was performed under fasting conditions on two Simvastatin tablet products, DOM-SIMVASTATIN 80 mg Tablets and ZOCOR ® 80 mg Tablets, by Merck Frosst Canada & Co., Canada. The pharmacokinetic data calculated for the DOM-SIMVASTATIN 80 mg Tablets and Zocor ® 80 mg tablet formulation are tabulated below: SIMVASTATIN FROM MEASU Прочитајте комплетан документ