国家: 台湾
语言: 中文
来源: 衛生福利部食品藥物管理署 (Ministry of Health and Welfare, Food And Drug Administration)
APREPITANT
美商默沙東藥廠股份有限公司台灣分公司 台北市信義區信義路五段106號12樓 (86683720)
A04AD12
膠囊劑
APREPITANT (9200095800) MG
鋁箔盒裝
製 劑
須由醫師處方使用
ALKERMES PHARMA IRELAND LIMITED MONKSLAND ATHLONE CO. WESTMEATH, IRELAND IE
aprepitant
與其他止吐藥劑併用,可以防止由高致吐性及中致吐性癌症化療藥物在初次或重覆使用時所引起的急性或延遲性噁心與嘔吐。
有效日期: 2024/05/14; 英文品名: EMEND CAPSULES 80MG
2004-05-14
EMEND™ CAPSULES (APREPITANT) THERAPEUTIC CLASS EMEND * (aprepitant), is a substance P neurokinin 1 (NK 1 ) receptor antagonist. COMPOSITION Each capsule of EMEND for oral administration contains either 80 mg, or 125 mg of aprepitant. Each capsule of EMEND contains the following inactive ingredients: sucrose, microcrystalline cellulose, hydroxypropyl cellulose and sodium lauryl sulfate. The capsule shell excipients are gelatin and titanium dioxide, and may contain sodium lauryl sulfate and silicon dioxide. The 125- mg capsule shell also contains red ferric oxide and yellow ferric oxide. CLINICAL PHARMACOLOGY _MECHANISM OF ACTION_ Aprepitant has a unique mode of action; it is a selective high affinity antagonist at human substance P neurokinin 1 (NK 1 ) receptors. Counter-screening assays showed that aprepitant was at least 3,000-fold selective for the NK 1 receptor over other enzyme, transporter, ion channel and receptor sites including the dopamine and serotonin receptors that are targets for existing chemotherapy induced nausea and vomiting (CINV) therapies. NK 1 -receptor antagonists have been shown pre-clinically to inhibit emesis induced by cytotoxic chemotherapeutic agents, such as cisplatin, via central actions. Preclinical and human Positron Emission Tomography (PET) studies with aprepitant have shown that it is brain penetrant and occupies brain NK 1 receptors. Preclinical studies show that aprepitant has a long duration of central activity, inhibits both the acute and delayed phases of cisplatin-induced emesis, and augments the antiemetic activity of the 5-HT 3 -receptor antagonist ondansetron and the corticosteroid dexamethasone against cisplatin-induced emesis. _PHARMACOKINETICS _ _ABSORPTION_ The mean absolute oral bioavailability of aprepitant is approximately 60 to 65% and the mean peak plasma concentration (C max ) of aprepitant occurred at approximately 4 hours (T max ). Oral administration of the capsule with a standard breakfast had no clinically meaningful effect on the bioavailability of apr 阅读完整的文件