Nchi: Kanada
Lugha: Kiingereza
Chanzo: Health Canada
RIMABOTULINUMTOXINB
SOLSTICE NEUROSCIENCES, LLC, A SUBSIDIARY OF MDD US OPERATIONS, LLC
M03AX01
BOTULINUM TOXIN
5000UNIT
SOLUTION
RIMABOTULINUMTOXINB 5000UNIT
INTRAMUSCULAR
100
Schedule D
OTHER MISCELLANEOUS THERAPEUTIC AGENTS
Active ingredient group (AIG) number: 0150061001; AHFS:
APPROVED
2004-08-19
PRODUCT MONOGRAPH MYOBLOC ® (BOTULINUM TOXIN TYPE B) 5000 UNITS/ML STERILE SOLUTION FOR INTRAMUSCULAR INJECTION NEUROMUSCULAR BLOCKING AGENT Solstice NeuroSciences, LLC 3830 Valley Centre Drive, Suite 705-5 San Diego, CA 92130 Date of Preparation: Control #: 093208 August 09, 2004 Solstice NeuroSciences, LLC This Product Monograph is the exclusive property of Solstice NeuroSciences, LLC It may not be copied in whole or in part without the expressed permission of Solstice NeuroSciences, LLC PRODUCT MONOGRAPH N AME OF D RUG MYOBLOC ® (Botulinum Toxin Type B) 5000 Units/mL; Sterile Solution for Intramuscular Injection T HERAPEUTIC C LASSIFICATION Neuromuscular Blocking Agent A CTION AND C LINICAL P HARMACOLOGY The mechanism of action of Botulinum Toxin Type B in blocking the release of acetylcholine (ACh) at the neuromuscular junction is believed to occur by a three step process: 1) extracellular binding of the toxin to specific acceptors on the motor nerve terminals; 2) internalization and release of the toxin into the cytosol of the nerve terminals; and 3) inhibition of ACh release from nerve terminals at the neuromuscular junction. There are eight antigenically distinct Botulinum serotypes: A, B, C 1 , C 2 , D, E, F, and G. All are neurotoxins except serotype C 2 . These neurotoxins are zinc-dependent endopeptidases that target and cleave different intracellular proteins (1). These targeted cellular proteins are part of the intracellular docking proteins responsible for the release of ACh from synaptic vesicles into the neuromuscular junction. Botulinum Toxin Solstice NeuroSciences, LLC 3 Product Monograph July 6, 2004 Type A cleaves (SNAP-25) whereas Type B cleaves Vesicle-Associated Membrane Protein (VAMP, also known as synaptobrevin), (1,2,3) resulting in an inhibition of ACh release and localized muscle weakness (paresis/paralysis) that gradually reverses over time. The precise mechanism by which Botulinum Toxin-induced muscle weakness is reversed is unknown. There are no known antibodies that cross-react w Soma hati kamili