Nchi: Nyuzilandi
Lugha: Kiingereza
Chanzo: Medsafe (Medicines Safety Authority)
Gemcitabine hydrochloride 1140mg equivalent to 1000 mg gemcitabine; ;
Novartis New Zealand Ltd
Gemcitabine hydrochloride 1140 mg (equivalent to 1000 mg gemcitabine)
1000 mg
Powder for injection
Active: Gemcitabine hydrochloride 1140mg equivalent to 1000 mg gemcitabine Excipient: Mannitol Nitrogen Sodium acetate as sodium acetate trihydrate Sodium hydroxide
Vial, glass, Ph Eur type I glass vial, halobutyl rubber stopper, 1 x 50 mL, 1 dose unit
Prescription
Prescription
Dr Reddy's Laboratories Limited
Non-Small Cell Lung Cancer: Gemcitabine Ebewe, alone or in combination with cisplatin, is indicated for the first line treatment of patients with locally advanced or metastatic non-small cell lung cancer.
Package - Contents - Shelf Life: Vial, glass, Ph Eur type I glass vial, halobutyl rubber stopper, 1 x 50 mL - 1 dose units - 24 months from date of manufacture stored at or below 25°C
2008-06-16
Page 1 of 14 DATA SHEET GEMCITABINE EBEWE _GEMCITABINE (AS HYDROCHLORIDE) 200MG/20ML, 500MG/50ML AND _ _1000MG/100ML INJECTION VIALS_ NAME OF THE MEDICINE Gemcitabine hydrochloride DESCRIPTION Gemcitabine hydrochloride is 2'-deoxy-2',2'-difluorocytidine monohydrochloride (β-isomer). The empirical formula for gemcitabine hydrochloride is C 9 H 11 F 2 N 3 0 4 ·HCl. It has a molecular weight of 299.66. Gemcitabine is a white to off-white solid. Gemcitabine is an acidic compound. The free base is soluble in water, slightly soluble in methanol, and practically insoluble in ethanol and polar organic solvents. Gemcitabine Ebewe is a sterile, clear, colourless, solution containing 10mg/mL gemcitabine hydrochloride in vial containing 200mg, 500mg or 1000mg of gemcitabine for intravenous use. In addition to the active ingredient gemcitabine hydrochloride, Gemcitabine Ebewe also contains sodium acetate, sodium hydroxide (for pH adjustment), and water for injections. PHARMACOLOGY _PHARMACODYNAMICS _ Gemcitabine Ebewe is a nucleoside analogue that exhibits antitumour activity. Gemcitabine (dFdC) is metabolised intracellularly by nucleoside kinases to the active diphosphate (dFdCDP) and triphosphate (dFdCTP) nucleosides. The cytotoxic action of gemcitabine appears to be due to inhibition of DNA synthesis by two actions of dFdCDP and dFdCTP. First, dFdCDP inhibits ribonucleotide reductase which is uniquely responsible for catalysing the reactions that generate the deoxynucleoside triphosphates for DNA synthesis. Inhibition of this enzyme by dFdCDP causes a reduction in the concentrations of deoxynucleosides in general, and especially in that of dCTP. Secondly, dFdCTP competes with dCTP for incorporation into DNA. Likewise, a small amount of gemcitabine may also be incorporated into RNA. Thus, the reduction in the intracellular concentration of dCTP potentiates the incorporation of dFdCTP into DNA (self-potentiation). DNA polymerase epsilon is essentially unable to remove gemcitabine and repair the growing DNA strands. After g Soma hati kamili