Nchi: Australia
Lugha: Kiingereza
Chanzo: Department of Health (Therapeutic Goods Administration)
entecavir
Apotex Pty Ltd
Entecavir
Registered
ENTECAVIR APOTEX _Contains the active ingredient entecavir monohydrate_ CONSUMER MEDICINE INFORMATION _FOR A COPY OF A LARGE PRINT LEAFLET, PH: 1800 195 055_ WHAT IS IN THIS LEAFLET READ THIS LEAFLET CAREFULLY BEFORE TAKING YOUR MEDICINE. This leaflet answers some common questions about entecavir. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. The information in this leaflet was last updated on the date listed on the last page. More recent information on this medicine may be available. ASK YOUR DOCTOR: • if there is anything you do not understand in this leaflet, • if you are worried about taking your medicine, or • to obtain the most up-to-date information. You can also download the most up to date leaflet from www.apotex.com.au. All medicines have risks and benefits. Your doctor has weighed the risks of you using this medicine against the benefits they expect it will have for you. Pharmaceutical companies cannot give you medical advice or an individual diagnosis. Keep this leaflet with your medicine. You may want to read it again. WHAT THIS MEDICINE IS USED FOR The name of your medicine is Entecavir APOTEX tablets. It contains the active ingredient entecavir and belongs to a group of medicines called antiviral medicines. It is used to treat chronic hepatitis B virus infection in adults 16 years or older. Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed this medicine for another reason. This medicine is available only with a doctor's prescription. _HOW IT WORKS_ Infection by the hepatitis B virus can lead to damage to the liver. Entecavir reduces the amount of virus in your body and has been shown to improve the condition of the liver. It is not known how safe entecavir is when taken for long periods. There is no evidence that this medicine is addictive. _USE IN CHILDREN_ This medicine should not be used in children under 16 years as safety and effectiveness Soma hati kamili
Product Information – Australia Entecavir APOTEX Tablets Page 1 ENTECAVIR APOTEX TABLETS NAME OF THE MEDICINE Entecavir monohydrate Chemical Name: 2-amino-1,9-dihydro-9-[(1S,3R,4S)-4-hydroxy-3-(hydroxymethyl)-2- methylenecyclopentyl]-6H-purin-6-one, monohydrate. Structural Formula: Molecular Formula: C 12 H 15 N 5 O 3 H 2 O, Molecular Weight: 295.3 CAS Registry Number: 209216-23-9 DESCRIPTION Entecavir monohydrate is a white to off-white powder. It is slightly soluble in water (2.4 mg/mL), and the pH of the saturated solution in water is 7.9 at 25 ± 0.5 C. Each tablet contains entecavir (as monohydrate) as the active ingredient. In addition, each tablet contains the following inactive ingredients: lactose, microcrystalline cellulose, copovidone, crospovidone, magnesium stearate, hypromellose, hydroxypropylcellulose, macrogol 8000, titanium dioxide and iron oxide red (1.0mg only). PHARMACOLOGY PHARMACOLOGICAL ACTIONS Mechanism of action Entecavir monohydrate is a guanosine nucleoside analogue with activity against HBV polymerase. It is phosphorylated to the active triphosphate (TP) form, which has an intracellular half-life of 15 hours. Intracellular TP levels are directly related to extracellular entecavir monohydrate concentrations, with no significant accumulation beyond initial plateau levels. By competing with the natural substrate deoxyguanosine-TP, entecavir monohydrate-TP inhibits all 3 functional activities of the viral polymerase: (1) priming of the HBV polymerase, (2) reverse transcription of the negative strand from the pregenomic messenger RNA, and (3) synthesis of the positive strand of HBV DNA. Entecavir monohydrate-TP K i value for inhibition of HBV DNA polymerase is 1.2 nM. Entecavir monohydrate-TP is a weak inhibitor of cellular DNA polymerases α, ß, and ε with K i values of 18 to 40 µM. It did not inhibit mitochondrial γ polymerase (K i >160μM) and did not affect the mitochondrial DNA content of human hepatoma cells _in _ _vitro_. Entecavir monohydrate inhibited HBV DNA Soma hati kamili