国家: 美国
语言: 英文
来源: NLM (National Library of Medicine)
METHYLERGONOVINE MALEATE (UNII: IR84JPZ1RK) (METHYLERGONOVINE - UNII:W53L6FE61V)
West-Ward Pharmaceuticals Corp
ORAL
PRESCRIPTION DRUG
Following delivery of placenta, for routine management of uterine atony, hemorrhage and subinvolution of the uterus. For control of uterine hemorrhage in the second stage of labor following delivery of the anterior shoulder. Hypertension; toxemia; pregnancy; and hypersensitivity. Methylergonovine maleate has not been associated with drug abuse or dependence of either a physical or psychological nature.
White, round, biconvex compressed tablets debossed with “G 786” on one side and plain on the other side. Available in bottles of 7, 12, 28 and 100 tablets. Bottles of 7 Tablets............................................... NDC 0054-0639-03 Bottles of 12 Tablets............................................. NDC 0054-0639-05 Bottles of 28 Tablets............................................. NDC 0054-0639-13 Bottles of 100 Tablets........................................... NDC 0054-0639-25 Store and Dispense Tablets: Store at 20° to 25°C (68° to 77°F). [see USP Controlled Room Temperature] Dispense in tight, light-resistant container. Manufactured by: Granules Pharmaceuticals, Inc . Chantilly VA 20151 Distr. by: West-Ward Pharmaceuticals Corp . Eatontown, NJ 07724 Revised July 2018
Abbreviated New Drug Application
METHYLERGONOVINE MALEATE- METHYLERGONOVINE MALEATE TABLET WEST-WARD PHARMACEUTICALS CORP ---------- METHYLERGONOVINE MALEATE TABLETS, USP RX ONLY DESCRIPTION Methylergonovine Maleate Tablets, USP is a semi-synthetic ergot alkaloid used for the prevention and control of postpartum hemorrhage. Methylergonovine Maleate Tablets, USP is available in tablets for oral ingestion containing 0.2 mg methylergonovine maleate. TABLETS _Active ingredient:_ Methylergonovine maleate, USP, 0.2 mg. _Inactive ingredients:_ acacia, corn starch, gelatin, lactose monohydrate, methylparaben, microcrystalline cellulose, povidone, propylparaben, stearic acid, and tartaric acid. Chemically, methylergonovine maleate is designated as ergoline-8-carboxamide, 9, 10- didehydro-N-[1-(hydroxymethyl) propyl]-6-methyl-, [8β(S)]-, (Z)-2-butenedioate (1:1) (salt). Its structural formula is: C H N O •C H O Mol Wt: 455.51 CLINICAL PHARMACOLOGY Methylergonovine maleate acts directly on the smooth muscle of the uterus and increases the tone, rate, and amplitude of rhythmic contractions. Thus, it induces a rapid and sustained tetanic uterotonic effect which shortens the third stage of labor and reduces blood loss. The onset of action after I.V. administration is immediate; after I.M. administration, 2 to 5 minutes, and after oral administration, 5 to 10 minutes. 20 25 3 2 4 4 4 Pharmacokinetic studies following an I.V. injection have shown that methylergonovine is rapidly distributed from plasma to peripheral tissues within 2 to 3 minutes or less. The bioavailability after oral administration was reported to be about 60% with no accumulation after repeated doses. During delivery, with intramuscular injection, bioavailability increased to 78 %. Ergot alkaloids are mostly eliminated by hepatic metabolism and excretion, and the decrease in bioavailability following oral administration is probably a result of first-pass metabolism in the liver. Bioavailability studies conducted in fasting healthy female volunteers have shown that oral absorption of a 0.2 阅读完整的文件