Land: Kanada
Språk: engelska
Källa: Health Canada
FUROSEMIDE
STERIMAX INC
C03CA01
FUROSEMIDE
250MG
SOLUTION
FUROSEMIDE 250MG
INTRAVENOUS
10X25ML
Prescription
LOOP DIURETICS
Active ingredient group (AIG) number: 0101944003; AHFS:
APPROVED
2017-08-02
PRODUCT MONOGRAPH PR FUROSEMIDE INJECTION USP (10 mg/mL) Sterile Diuretic SteriMax Inc. Date of Preparation: July 31, 2017 2770 Portland Drive Oakville ON L6H 6R4 Submission Control No: 199005 _Furosemide Injection USP _ _ _ _Page 2 of 14 _ _ _ FUROSEMIDE INJECTION USP 250 MG/25 ML 10 MG/ML DIURETIC - PRESERVATIVE FREE DIURETIC RESTRICTED FOR PATIENTS WITH SEVERELY IMPAIRED RENAL FUNCTION. FOR INTRAVENOUS INFUSION (IV INFUSION) ONLY. CLINICAL PHARMACOLOGY Furosemide is a potent, rapid-acting, nonthiazide, nonmercurial diuretic. Animal experiments utilizing micropuncture and stop flow techniques as well as various clearance studies in both humans and experimental animals have demonstrated that furosemide inhibits the reabsorption of electrolytes in the ascending limb of the loop of Henle. The drug also decreases reabsorption of sodium and chloride, and increases potassium excretion in the distal renal tubule and exerts a direct effect on electrolyte transport at the proximal tubule. Furosemide does not inhibit carbonic anhydrase and is not an aldosterone antagonist. Its diuretic action is independent of alterations in body acid-base balance. After IV administration of furosemide, diuresis occurs within 5 minutes, reaches a maximum within 20– 60 minutes and persists for approximately one to two hours; in patients with severely impaired renal function, the diuretic response may be prolonged by as much as eight hours. Patients exhibit large variability in diuretic response, with the half-lives ranging between 30-70 minutes (mean of 50 minutes). Furosemide binds to plasma proteins. The elimination half-life is more prolonged in patients with advanced renal failure or concomitant liver disease; in the case of the former, the half-life was extended to 9.7 hours when 1 g of furosemide was administered IV. Renal furosemide clearance averages 3.3 mL/minute in patients with advanced renal failure and is dependent upon the adequacy of renal function. Nonrenal furosemide clearance is increased to 35.7 mL/minute in the absen Läs hela dokumentet