国家: 加拿大
语言: 英文
来源: Health Canada
ATOVAQUONE
GLENMARK PHARMACEUTICALS CANADA INC.
P01AX06
ATOVAQUONE
750MG
SUSPENSION
ATOVAQUONE 750MG
ORAL
15G/50G
Prescription
Active ingredient group (AIG) number: 0124073001; AHFS:
APPROVED
2022-06-29
_GLN-Atovaquone (Atovaquone Oral Suspension USP) _ _ _ _Page 1 of 34_ PRODUCT MONOGRAPH PR GLN-ATOVAQUONE Atovaquone Oral Suspension USP 750 mg / 5 mL ANTIPROTOZOAL AGENT Glenmark Pharmaceuticals Canada Inc. 1600 Steeles Ave. West, Suite 407 Concord, ON L4K 4M2 Date of Preparation: June 28, 2022 SUBMISSION CONTROL NO: 221273 _GLN-Atovaquone (Atovaquone Oral Suspension USP) _ _ _ _Page 2 of 34_ PRODUCT MONOGRAPH PR GLN-ATOVAQUONE Atovaquone Oral Suspension USP 750 mg / 5 mL ANTIPROTOZOAL AGENT CLINICAL PHARMACOLOGY Atovaquone is a hydroxy-1,4-naphthoquinone, an analog of ubiquinone, with anti- pneumocystis activity. The mechanism of action against _Pneumocystis carinii _has not been fully elucidated. The pharmacokinetics of atovaquone have been studied in healthy volunteers, HIV- infected adults with varying stages and manifestations of HIV infection and in immunocompromised children. The half-life of atovaquone is long (2 to 3 days) due to presumed enterohepatic cycling and eventual fecal elimination. There is no evidence that the drug is metabolized in man. Atovaquone is a highly lipophilic compound with a low aqueous solubility. It is extensively bound to plasma proteins (>99.9%). The bioavailability of atovaquone is highly dependent on formulation and diet. Atovaquone oral suspension, which has now replaced atovaquone tablets, has atovaquone particles significantly smaller than those in the tablet formulation, and provides an approximately two-fold increase in atovaquone bioavailability in the fasting or fed state compared to the tablet formulation studied under the same conditions. The bioavailability of atovaquone oral suspension can be increased greatly when administered with meals. In healthy volunteers, a standard meal (23 g fat; 610 kCal) increased the bioavailability two to three-fold following 750 mg single doses of atovaquone suspension. The mean area under the atovaquone plasma concentration-time curve (AUC) was increased 2.5 fold and the mean C max was increased 3.4. Fat has been shown to enhance ab 阅读完整的文件