Thursday, October 27, 2016

Hysomide




Hysomide may be available in the countries listed below.


Ingredient matches for Hysomide



Scopolamine

Scopolamine is reported as an ingredient of Hysomide in the following countries:


  • Bangladesh

International Drug Name Search


Rodinac




Rodinac may be available in the countries listed below.


Ingredient matches for Rodinac



Diclofenac

Diclofenac potassium salt (a derivative of Diclofenac) is reported as an ingredient of Rodinac in the following countries:


  • Argentina

International Drug Name Search


Thioridazin-neuraxpharm




Thioridazin-neuraxpharm may be available in the countries listed below.


Ingredient matches for Thioridazin-neuraxpharm



Thioridazine

Thioridazine hydrochloride (a derivative of Thioridazine) is reported as an ingredient of Thioridazin-neuraxpharm in the following countries:


  • Germany

International Drug Name Search


Wednesday, October 26, 2016

Gentamicina IDI




Gentamicina IDI may be available in the countries listed below.


Ingredient matches for Gentamicina IDI



Gentamicin

Gentamicin sulfate (a derivative of Gentamicin) is reported as an ingredient of Gentamicina IDI in the following countries:


  • Italy

International Drug Name Search


Tuesday, October 25, 2016

Anplag




Anplag may be available in the countries listed below.


Ingredient matches for Anplag



Sarpogrelate

Sarpogrelate hydrochloride (a derivative of Sarpogrelate) is reported as an ingredient of Anplag in the following countries:


  • China

  • Japan

International Drug Name Search


Monday, October 24, 2016

Koortslip SDG




Koortslip SDG may be available in the countries listed below.


Ingredient matches for Koortslip SDG



Acyclovir

Aciclovir is reported as an ingredient of Koortslip SDG in the following countries:


  • Netherlands

International Drug Name Search


Monoethanolamine Oleate




In some countries, this medicine may only be approved for veterinary use.

Scheme

Rec.INN

ATC (Anatomical Therapeutic Chemical Classification)

C05BB01

CAS registry number (Chemical Abstracts Service)

0002272-11-9

Chemical Formula

C20-H41-N-O3

Molecular Weight

343

Therapeutic Categories

Sclerosing agent

Agent for local antivaricose therapy

Chemical Name

9-Octadecenoic acid (Z)-, compd. with 2-aminoethanol (1:1)

Foreign Names

  • Monoethanolamini Oleas (Latin)
  • Monoethanol aminoleat (German)
  • Oléate de Monoéthanolamine (French)
  • Oleato de monoetanolamina (Spanish)

Generic Name

  • Ethanolamine Oleate (OS: USAN)

Brand Names

  • Cophos B (Monoethanolamine Oleate and Cyanocobalamin (veterinary use))
    Nature Vet, Australia


  • Ethamolin
    Great Wealth, Taiwan; QOL, United States


  • Ethanolamine Oleate
    Evans, Israel; IFET, Greece; UCB Pharma, United Kingdom


  • Oldamin
    Fuji Yakuhin, Japan

International Drug Name Search

Glossary

OSOfficial Synonym
Rec.INNRecommended International Nonproprietary Name (World Health Organization)
USANUnited States Adopted Name

Click for further information on drug naming conventions and International Nonproprietary Names.

Clindamycin Proel




Clindamycin Proel may be available in the countries listed below.


Ingredient matches for Clindamycin Proel



Clindamycin

Clindamycin dihydrogen phosphate (a derivative of Clindamycin) is reported as an ingredient of Clindamycin Proel in the following countries:


  • Greece

International Drug Name Search


Roxiratio




Roxiratio may be available in the countries listed below.


Ingredient matches for Roxiratio



Roxithromycin

Roxithromycin is reported as an ingredient of Roxiratio in the following countries:


  • Poland

International Drug Name Search


Sunday, October 23, 2016

Clonea




Clonea may be available in the countries listed below.


Ingredient matches for Clonea



Clotrimazole

Clotrimazole is reported as an ingredient of Clonea in the following countries:


  • Australia

International Drug Name Search


Clomipramin-neuraxpharm




Clomipramin-neuraxpharm may be available in the countries listed below.


Ingredient matches for Clomipramin-neuraxpharm



Clomipramine

Clomipramine hydrochloride (a derivative of Clomipramine) is reported as an ingredient of Clomipramin-neuraxpharm in the following countries:


  • Germany

International Drug Name Search


Ibuprofeno Genfar




Ibuprofeno Genfar may be available in the countries listed below.


Ingredient matches for Ibuprofeno Genfar



Ibuprofen

Ibuprofen is reported as an ingredient of Ibuprofeno Genfar in the following countries:


  • Chile

  • Colombia

  • Ecuador

  • Peru

International Drug Name Search


Saturday, October 22, 2016

Regurin 20mg tablets (Speciality European Pharma)





1. Name Of The Medicinal Product



Regurin 20mg tablets


2. Qualitative And Quantitative Composition



The active ingredient is trospium chloride. Each coated tablet contains 20 mg trospium chloride.



Excipients:



For excipients, see 6.1.



3. Pharmaceutical Form



Coated tablet



Brownish-yellow, glossy coated, biconvex tablets



4. Clinical Particulars



4.1 Therapeutic Indications



Symptomatic treatment of urge incontinence and/or increased urinary frequency and urgency as may occur in patients with overactive bladder (e.g. idiopathic or neurologic detrusor overactivity).



4.2 Posology And Method Of Administration



One coated tablet twice daily (equivalent to 40 mg of trospium chloride per day).



In patients with severe renal impairment (creatinine clearance between 10 and 30 ml/min.1.73 m2) the recommended dosage is one coated tablet per day or every second day (equivalent to 20mg of trospium chloride per day or every second day).



The coated table should be swallowe whole with a glass of water before meals on an empty stomach.



The need for continued treatment should be reassessed at regular intervals of 3-6 months.



Since no data are available, use in children under 12 years of age is contra-indicated.



4.3 Contraindications



Trospium chloride is contraindicated in patients with urinary retention, severe gastro-intestinal condition (including toxic megacolon), myasthenia gravis, narrow-angle glaucoma, and tachyarrhythmia.



Trospium chloride is also contraindicated in patients who have demonstrated hypersensitivity to the active substance or to any of the excipients.



4.4 Special Warnings And Precautions For Use



Trospium chloride should be used with caution by patients:



- with obstructive conditions of the gastrointestinal tract such as pyloric stenosis



- with obstruction of the urinary flow with the risk of formation of urinary retention



- with autonomic neuropathy



- with hiatus hernia associated with reflux oesophagitis



- in whom fast heart rates are undesirable e.g. those with hyperthyroidism, coronary artery disease and congestive heart failure.



As there are no data in patients with severe hepatic impairment, treatment of these patients with trospium chloride is not recommended. In patients with mild to moderate liver impairment caution should be exercised.



Trospium chloride is mainly eliminated by renal excretion. Marked elevations in the plasma levels have been observed in patients with severe renal impairment.



Therefore, in this population but also in patients with mild to moderate renal impairment caution should be exercised (see 4.2).



Before commencing therapy organic causes of urinary frequency, urgency, and urge incontinence, such as heart diseases, diseases of the kidneys, polydipsia, or infections, or tumours of urinary organs should be excluded.



Regurin contains lactose monohydrate, sucrose and wheat starch. Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.



Patients with rare hereditary problems of fructose intolerance or sucrose-isomaltase insufficiency should not take this medicine.



Patients with wheat allergy (different from coeliac disease) should not take this medicine. Apart from that, trospium chloride is suitable for people with coeliac disease.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



Pharmacodynamic interactions:



The following potential pharmacodynamic interactions may occur: Potentiation of the effect of drugs with anticholinergic action (such as amantadine, tricyclic antidepressants), enhancement of the tachycardic action of ß-sympathomimetics; decrease in efficacy of pro-kinetic agents (e.g. metoclopramide).



Since trospium chloride may influence gastro-intestinal motility and secretion, the possibility cannot be excluded that the absorption of other concurrently administered medicinal products may be altered.



Pharmacokinetic interactions:



An inhibition of the absorption of trospium chloride with drugs like guar, cholestyramine and colestipol cannot be excluded. Therefore the simultaneous administration of these drugs with trospium chloride is not recommended.



Metabolic interactions of trospium chloride have been investigated in vitro on cytochrome P450 enzymes involved in active substance metabolism (P450 1A2, 2A6, 2C9, 2C19, 2D6, 2E1, 3A4). No influence on their metabolic activities were observed. Since trospium chloride is metabolised only to a low extent and since ester hydrolysis is the only relevant metabolic pathway, no metabolic interactions are expected.



4.6 Pregnancy And Lactation



Animal studies do not indicate direct or indirect harmful effects with respect to pregnancy, embryonal/foetal development, parturition or postnatal development (see section 5.3). In rats, placental transfer and passage into the maternal milk of trospium chloride occurs.



For Regurin 20mg no clinical data on exposed pregnancies are available.



Caution should be exercised when prescribing to pregnant or breastfeeding women.



4.7 Effects On Ability To Drive And Use Machines



Principally, disorders of accommodation can lower the ability to actively participate in road traffic and to use machines.



However, examinations of parameters characterising the ability to participate in road traffic (visual orientation, general ability to react, reaction under stress, concentration and motor coordination) have not revealed any effects of trospium chloride.



4.8 Undesirable Effects



Anticholinergic effects such as dry mouth, dyspepsia and constipation may occur during treatment with trospium chloride.



Very common (>10%)



gastrointestinal system: dry mouth



Common (>1%)



gastrointestinal system: dyspepsia, constipation, abdominal pain, nausea



Uncommon (<1%)



gastrointestinal system: flatulence



Rare (<0.1%)



urinary system: micturition disorders (e.g. formation of residual urine)



cardiovascular system: tachycardia



vision disorders: disorders of accommodation (this applies in particular to patients who are hypometropic and whose vision has not been adequately corrected)



gastro-intestinal system: diarrhoea



respiratory system: dyspnoea



skin: rash



body as a whole: asthenia, chest pain



Very Rare (<0.01%)



urinary system: urinary retention



cardiovascular system: tachyarrhythmia



musculoskeletal system: myalgia, arthralgia



skin: angio-oedema



liver and biliary system: mild to moderate increase in serum transaminase levels



body as a whole: anaphylaxis



central nervous system: headache, dizziness



4.9 Overdose



After administration of a maximum single dose of 360 mg trospium chloride to healthy volunteers, dryness of the mouth, tachycardia and disorders of micturition were observed to an increased extent. No manifestations of severe overdose or intoxication in humans have been reported to date. Increased anticholinergic symptoms are to be expected as signs of intoxication.



In the case of intoxication the following measures should be taken:



- gastric lavage and reduction of absorption (e.g. activated charcoal)



- local administration of pilocarpine to glaucoma patients



- catheterisation in patients with urinary retention



- treatment with a parasympathomimetic agent (e.g. neostigmine) in the case of severe symptoms



- administration of beta blockers in the case of insufficient response, pronounced tachycardia and/or circulatory instability (e.g. initially 1 mg propranolol intravenously along with monitoring of ECG and blood pressure).



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



Pharmacotherapeutic group: Urinary Antispasmodic, ATC code: G04BD15



Trospium chloride is a quaternary derivative of nortropane and therefore belongs to the class of parasympatholytic or anticholinergic active drugs, as it competes concentration-dependently with acetylcholine, the body's endogenous transmitter at postsynaptic, parasympathic binding sites.



Trospium chloride binds with high affinity to muscarinic receptors of the so called M1-, M2- and M3- subtypes and demonstrates negligible affinity to nicotinic receptors.



Consequently, the anticholinercic effect of trospium chloride exerts a relaxing action on smooth muscle tissue and organ functions mediated by muscarinic receptors. Both in preclinical as well as in clinical experiments, trospium chloride diminishes the contractile tone of smooth muscle in the gastrointestinal and genito-urinary tract.



Furthermore, it can inhibit the secretion of bronchial mucus, saliva, sweat and the occular accommodation. No effects on the central nervous system have so far been observed.



In two specific safety studies in healthy volunteers trospium chloride has been proven not to affect cardiac repolarisation, but has been shown to have consistent and dose dependent heart rate accelerating effect.



A long term clinical trial with trospium chloride 20mg bid found an increase of QT> 60 ms in 1.5% (3/197) of included patients. The clinical relevance of these findings has not been established. Routine safety monitoring in two other placebo-controlled clinical trials of three months duration do not support such an influence of trospium chloride: In the first study an increase of QTcF>= 60 msec was seen in 4/258 (1.6%) in trospium-treated patients vs. 9/256 (3.5%)in placebo-treated patients. Corresponding figures in the second trial were 8/325 (2.5%) in trospium-treated patients vs. 8/325 (2.5%) in placebo-treated patients.



An increase in ECG heart rate of about 6 bpm was observed during two pivotal phase-III studies (IP631-018, IP631-022) in patients given the prolonged release formulation of trospium chloride (total number of patients exposed to drug substance N= 948, duration of trials = 9 months). No other significant ECG abnormality was found.



5.2 Pharmacokinetic Properties



After oral administration of trospium chloride maximum plasma levels are reached at 4-6 hours. Following a single dose of 20mg the maximum plasma level is about 4ng/ml. Within the tested interval, 20 to 60mg as a single dose, the plasma levels are proportional to the administered dose. The absolute bioavailability of a single oral dose of 20 mg of trospium chloride (1 coated tablet Regurin 20mg) is 9.6 ± 4.5% (mean value ± standard deviation). At steady state the intraindividual variability is 16%, the interindividual variability is 36%.



Simultaneous intake of food, especially high fat diets, reduces the bioavailability of trospium chloride. After a high fat meal mean Cmax and AUC are reduced to 15-20% of the values in the fasted state.



Trospium chloride exhibits diurnal variability in exposure with a decrease of both Cmax and AUC for evening relative to morning doses.



Most of the systemically available trospium chloride is excreted unchanged by the kidneys, though a small portion (10% of the renal excretion) appears in the urine as the spiroalcohol, a metabolite formed by ester hydrolysis. The terminal elimination half life is in the range of 10-20 hours. No accumulation occurs. The plasma protein binding is 50-80%.



Pharmacokinetic data in elderly patients suggests no major differences. There are also no gender differences.



In a study in patients with severe renal impairment (creatinine clearance 8-32 ml/min) mean AUC was 4-fold higher, Cmax was 2-fold higher and the mean half-life was prolonged 2-fold compared with healthy subjects.



Pharmacokinetic results of a study with mildly and moderately hepatically impaired patients do not suggest a need for dose adjustment in patients with hepatic impairment, and are consistent with the limited role of hepatic metabolism in the elimination of trospium chloride.



5.3 Preclinical Safety Data



Preclinical data reveal no special hazard to humans based on conventional studies of safety pharmacology, repeated dose toxicity, genotoxicity, carcinogenicity, and toxicity to reproduction.



Placental transfer and passage of trospium chloride into the maternal milk occurs in rats.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Tablet core: Wheat starch



Microcrystalline cellulose



Lactose monohydrate



Povidone



Croscarmellose sodium



Stearic acid



Silica colloidal anhydrous



Talc



Tablet Coat: Sucrose



Carmellose sodium



Talc



Silica colloidal anhydrous



Calcium carbonate E170



Macrogol 8000



Titanium dioxide (E171)



Iron oxide hydrate yellow (E172)



Beeswax white



Carnauba wax



Note for diabetics: 1 coated tablet corresponds to 0.06g of carbohydrate (equivalent to 0.005 bread units).



6.2 Incompatibilities



Not applicable.



6.3 Shelf Life



5 years



6.4 Special Precautions For Storage



This medicinal product does not require any special storage conditions.



6.5 Nature And Contents Of Container



PVC foiled aluminium blister.



Pack sizes approved: 2, 20, 28, 30, 40, 50, 56, 60, 90, 100, 120, 150, 200, 500, 600, 1000, 1200, 2000.



Not all pack sizes may be marketed.



6.6 Special Precautions For Disposal And Other Handling



No special requirements.



7. Marketing Authorisation Holder



MADAUS GmbH



51101 Cologne



Germany



Tel.: 0221/8998-0



Fax: 0221 / 8998-711



e-mail: info@madaus.de



8. Marketing Authorisation Number(S)



PL 25843/0002



9. Date Of First Authorisation/Renewal Of The Authorisation



24 July 2007



10. Date Of Revision Of The Text



10 June 2009





Ivermectina




Ivermectina may be available in the countries listed below.


Ingredient matches for Ivermectina



Ivermectin

Ivermectin is reported as an ingredient of Ivermectina in the following countries:


  • Colombia

  • Peru

International Drug Name Search


Belcopan




Belcopan may be available in the countries listed below.


Ingredient matches for Belcopan



Scopolamine

Scopolamine is reported as an ingredient of Belcopan in the following countries:


  • Bangladesh

International Drug Name Search


Gliben-CT




Gliben-CT may be available in the countries listed below.


Ingredient matches for Gliben-CT



Glibenclamide

Glibenclamide is reported as an ingredient of Gliben-CT in the following countries:


  • Germany

International Drug Name Search


Epirubicine Panpharma




Epirubicine Panpharma may be available in the countries listed below.


Ingredient matches for Epirubicine Panpharma



Epirubicin

Epirubicin hydrochloride (a derivative of Epirubicin) is reported as an ingredient of Epirubicine Panpharma in the following countries:


  • France

International Drug Name Search


Friday, October 21, 2016

Enat




Enat may be available in the countries listed below.


Ingredient matches for Enat



Tocopherol, α-

Tocopherol, α- acetate (a derivative of Tocopherol, α-) is reported as an ingredient of Enat in the following countries:


  • Philippines

International Drug Name Search


Alphadopa




Alphadopa may be available in the countries listed below.


Ingredient matches for Alphadopa



Methyldopa

Methyldopa is reported as an ingredient of Alphadopa in the following countries:


  • India

International Drug Name Search


Fosipril




Fosipril may be available in the countries listed below.


Ingredient matches for Fosipril



Fosinopril

Fosinopril sodium salt (a derivative of Fosinopril) is reported as an ingredient of Fosipril in the following countries:


  • Australia

International Drug Name Search


Aristocal




Aristocal may be available in the countries listed below.


Ingredient matches for Aristocal



Calcium Carbonate

Calcium Carbonate is reported as an ingredient of Aristocal in the following countries:


  • Bangladesh

International Drug Name Search


Tarivid




Tarivid may be available in the countries listed below.


UK matches:

  • Tarivid IV Infusion Solution
  • Tarivid 200mg & 400mg Tablets (SPC)
  • Tarivid IV Infusion Solution (SPC)

Ingredient matches for Tarivid



Ofloxacin

Ofloxacin is reported as an ingredient of Tarivid in the following countries:


  • Austria

  • Belgium

  • China

  • Denmark

  • Estonia

  • Finland

  • Georgia

  • Germany

  • Hong Kong

  • India

  • Indonesia

  • Ireland

  • Israel

  • Japan

  • Luxembourg

  • Malaysia

  • Netherlands

  • Norway

  • Poland

  • Portugal

  • Russian Federation

  • Singapore

  • South Africa

  • Sri Lanka

  • Sweden

  • Switzerland

  • Taiwan

  • Thailand

  • Turkey

  • United Kingdom

Ofloxacin hydrochloride (a derivative of Ofloxacin) is reported as an ingredient of Tarivid in the following countries:


  • Austria

  • Belgium

  • Germany

  • Hungary

  • Iceland

  • India

  • Ireland

  • Netherlands

  • Norway

  • Oman

  • Slovakia

  • United Kingdom

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Glossary

SPC Summary of Product Characteristics (UK)

Click for further information on drug naming conventions and International Nonproprietary Names.

Bisoprolol Apotex




Bisoprolol Apotex may be available in the countries listed below.


Ingredient matches for Bisoprolol Apotex



Bisoprolol

Bisoprolol fumarate (a derivative of Bisoprolol) is reported as an ingredient of Bisoprolol Apotex in the following countries:


  • Belgium

International Drug Name Search


Adriblastina PFS




Adriblastina PFS may be available in the countries listed below.


Ingredient matches for Adriblastina PFS



Doxorubicin

Doxorubicin hydrochloride (a derivative of Doxorubicin) is reported as an ingredient of Adriblastina PFS in the following countries:


  • Croatia (Hrvatska)

  • Israel

  • Poland

  • Romania

  • Slovakia

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A. F.S. Tylan




A.F.S. Tylan may be available in the countries listed below.


In some countries, this medicine may only be approved for veterinary use.

Ingredient matches for A.F.S. Tylan



Tylosin

Tylosin tartrate (a derivative of Tylosin) is reported as an ingredient of A.F.S. Tylan in the following countries:


  • Australia

International Drug Name Search


Thursday, October 20, 2016

Aciclovir-1A Pharma




Aciclovir-1A Pharma may be available in the countries listed below.


Ingredient matches for Aciclovir-1A Pharma



Acyclovir

Aciclovir is reported as an ingredient of Aciclovir-1A Pharma in the following countries:


  • Austria

  • Germany

International Drug Name Search


Benzirin




Benzirin may be available in the countries listed below.


Ingredient matches for Benzirin



Benzydamine

Benzydamine hydrochloride (a derivative of Benzydamine) is reported as an ingredient of Benzirin in the following countries:


  • Colombia

International Drug Name Search


Wednesday, October 19, 2016

EAC




EAC may be available in the countries listed below.


Ingredient matches for EAC



Aspirin

Acetylsalicylic Acid is reported as an ingredient of EAC in the following countries:


  • Japan

Ascorbic Acid

Ascorbic Acid is reported as an ingredient of EAC in the following countries:


  • Japan

International Drug Name Search


Amlodipino Gelkern




Amlodipino Gelkern may be available in the countries listed below.


Ingredient matches for Amlodipino Gelkern



Amlodipine

Amlodipine besilate (a derivative of Amlodipine) is reported as an ingredient of Amlodipino Gelkern in the following countries:


  • Spain

International Drug Name Search


Eglonyl




Eglonyl may be available in the countries listed below.


Ingredient matches for Eglonyl



Sulpiride

Sulpiride is reported as an ingredient of Eglonyl in the following countries:


  • Bosnia & Herzegowina

  • Croatia (Hrvatska)

  • Georgia

  • Lithuania

  • Romania

  • Serbia

  • Slovenia

International Drug Name Search


R &amp; C




In the US, R & C (piperonyl butoxide/pyrethrins topical) is a member of the drug class topical anti-infectives and is used to treat Head Lice.

US matches:

  • R & C Lice Treatment Kit

Ingredient matches for R & C



Piperonyl Butoxide

Piperonyl Butoxide is reported as an ingredient of R & C in the following countries:


  • Canada

Pyrethrin I

Pyrethrin I is reported as an ingredient of R & C in the following countries:


  • Canada

International Drug Name Search


Tuesday, October 18, 2016

Tegaserod MK




Tegaserod MK may be available in the countries listed below.


Ingredient matches for Tegaserod MK



Tegaserod

Tegaserod maleate (a derivative of Tegaserod) is reported as an ingredient of Tegaserod MK in the following countries:


  • Colombia

International Drug Name Search


Abaglin




Abaglin may be available in the countries listed below.


Ingredient matches for Abaglin



Gabapentin

Gabapentin is reported as an ingredient of Abaglin in the following countries:


  • Argentina

International Drug Name Search


Monday, October 17, 2016

Tramadol Asta Medica




Tramadol Asta Medica may be available in the countries listed below.


Ingredient matches for Tramadol Asta Medica



Tramadol

Tramadol hydrochloride (a derivative of Tramadol) is reported as an ingredient of Tramadol Asta Medica in the following countries:


  • Spain

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Flugofenac




Flugofenac may be available in the countries listed below.


Ingredient matches for Flugofenac



Diclofenac

Diclofenac sodium salt (a derivative of Diclofenac) is reported as an ingredient of Flugofenac in the following countries:


  • Ethiopia

International Drug Name Search


Monkasta




Monkasta may be available in the countries listed below.


Ingredient matches for Monkasta



Montelukast

Montelukast is reported as an ingredient of Monkasta in the following countries:


  • Croatia (Hrvatska)

  • Slovenia

International Drug Name Search


Fusid




Fusid may be available in the countries listed below.


Ingredient matches for Fusid



Furosemide

Furosemide is reported as an ingredient of Fusid in the following countries:


  • Bangladesh

  • Germany

  • Israel

Furosemide sodium (a derivative of Furosemide) is reported as an ingredient of Fusid in the following countries:


  • Israel

International Drug Name Search


Trilostane




In some countries, this medicine may only be approved for veterinary use.

Scheme

Prop.INN

ATC (Anatomical Therapeutic Chemical Classification)

H02CA01

CAS registry number (Chemical Abstracts Service)

0013647-35-3

Chemical Formula

C20-H27-N-O3

Molecular Weight

329

Therapeutic Categories

Inhibitor of 3β-hydroxysteroid dehydrogenase

Inhibitor of the adrenocortical corticosteroid synthesis

Chemical Name

Androst-2-ene-2-carbonitrile, 4,5-epoxy-3,17-dihydroxy-, (4α,5α,17ß)-

Foreign Names

  • Trilostanum (Latin)
  • Trilostan (German)
  • Trilostane (French)
  • Trilostano (Spanish)

Generic Names

  • Trilostane (OS: DCF, USAN, BAN)
  • Win 24540 (IS: Winthrop)

Brand Names

  • Desopan
    Mochida, Japan


  • Modrenal
    Bioenvision, United Kingdom


  • Vetoryl (veterinary use)
    Arnolds, Austria; Arnolds, United Kingdom; Arnolds, Netherlands; Arnolds Veterinary Products, Norway; Intervet, Italy; Janssen Animal Health, Belgium; Janssen Animal Health, Germany; Janssen Santé Animale, France; Orion, Finland; Orion, Sweden; Veterinaria, Switzerland

International Drug Name Search

Glossary

BANBritish Approved Name
DCFDénomination Commune Française
ISInofficial Synonym
OSOfficial Synonym
Prop.INNProposed International Nonproprietary Name (World Health Organization)
USANUnited States Adopted Name

Click for further information on drug naming conventions and International Nonproprietary Names.

Fluzole




Fluzole may be available in the countries listed below.


Ingredient matches for Fluzole



Fluconazole

Fluconazole is reported as an ingredient of Fluzole in the following countries:


  • Australia

  • Bangladesh

  • Japan

  • Turkey

International Drug Name Search


Fensipros




Fensipros may be available in the countries listed below.


Ingredient matches for Fensipros



Clomifene

Clomifene citrate (a derivative of Clomifene) is reported as an ingredient of Fensipros in the following countries:


  • Indonesia

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Sunday, October 16, 2016

Carboplatinum




Carboplatinum may be available in the countries listed below.


Ingredient matches for Carboplatinum



Carboplatin

Carboplatin is reported as an ingredient of Carboplatinum in the following countries:


  • Belgium

International Drug Name Search


Terizin




Terizin may be available in the countries listed below.


Ingredient matches for Terizin



Cetirizine

Cetirizine dihydrochloride (a derivative of Cetirizine) is reported as an ingredient of Terizin in the following countries:


  • Singapore

International Drug Name Search


Calcio Carbonato EG




Calcio Carbonato EG may be available in the countries listed below.


Ingredient matches for Calcio Carbonato EG



Calcium Carbonate

Calcium Carbonate is reported as an ingredient of Calcio Carbonato EG in the following countries:


  • Italy

International Drug Name Search


Saturday, October 15, 2016

Hy-Spa




Hy-Spa may be available in the countries listed below.


Ingredient matches for Hy-Spa



Scopolamine

Scopolamine butylbromide (a derivative of Scopolamine) is reported as an ingredient of Hy-Spa in the following countries:


  • Thailand

International Drug Name Search


Conbriza




Conbriza may be available in the countries listed below.


Ingredient matches for Conbriza



Bazedoxifene

Bazedoxifene acetate (a derivative of Bazedoxifene) is reported as an ingredient of Conbriza in the following countries:


  • Portugal

  • Switzerland

International Drug Name Search


Analfin




Analfin may be available in the countries listed below.


Ingredient matches for Analfin



Morphine

Morphine sulphate pentahydrate (a derivative of Morphine) is reported as an ingredient of Analfin in the following countries:


  • Mexico

International Drug Name Search


Micotar




Micotar may be available in the countries listed below.


Ingredient matches for Micotar



Miconazole

Miconazole is reported as an ingredient of Micotar in the following countries:


  • Germany

Miconazole nitrate (a derivative of Miconazole) is reported as an ingredient of Micotar in the following countries:


  • Germany

International Drug Name Search


Lamotrigin Orion




Lamotrigin Orion may be available in the countries listed below.


Ingredient matches for Lamotrigin Orion



Lamotrigine

Lamotrigine is reported as an ingredient of Lamotrigin Orion in the following countries:


  • Hungary

  • Slovakia

International Drug Name Search


Friday, October 14, 2016

Exazen




Exazen may be available in the countries listed below.


Ingredient matches for Exazen



Azelaic Acid

Azelaic Acid is reported as an ingredient of Exazen in the following countries:


  • Greece

International Drug Name Search


Coldin




Coldin may be available in the countries listed below.


Ingredient matches for Coldin



Carbocisteine

Carbocisteine is reported as an ingredient of Coldin in the following countries:


  • Chile

International Drug Name Search


Cefociclin




Cefociclin may be available in the countries listed below.


Ingredient matches for Cefociclin



Cefoxitin

Cefoxitin sodium salt (a derivative of Cefoxitin) is reported as an ingredient of Cefociclin in the following countries:


  • Italy

International Drug Name Search


Ramilife




Ramilife may be available in the countries listed below.


Ingredient matches for Ramilife



Ramipril

Ramipril is reported as an ingredient of Ramilife in the following countries:


  • Czech Republic

International Drug Name Search


Thiamine Chloride




Thiamine Chloride may be available in the countries listed below.


Ingredient matches for Thiamine Chloride



Thiamine

Thiamine hydrochloride (a derivative of Thiamine) is reported as an ingredient of Thiamine Chloride in the following countries:


  • Georgia

International Drug Name Search


Predinga




Predinga may be available in the countries listed below.


Ingredient matches for Predinga



Prednisolone

Prednisolone is reported as an ingredient of Predinga in the following countries:


  • Sri Lanka

International Drug Name Search


Thursday, October 13, 2016

Acétylcystéine Biogaran




Acétylcystéine Biogaran may be available in the countries listed below.


Ingredient matches for Acétylcystéine Biogaran



Acetylcysteine

Acetylcysteine is reported as an ingredient of Acétylcystéine Biogaran in the following countries:


  • France

International Drug Name Search


Amikacine Aguettant




Amikacine Aguettant may be available in the countries listed below.


Ingredient matches for Amikacine Aguettant



Amikacin

Amikacin sulfate (a derivative of Amikacin) is reported as an ingredient of Amikacine Aguettant in the following countries:


  • France

International Drug Name Search


Paramidol




Paramidol may be available in the countries listed below.


Ingredient matches for Paramidol



Paracetamol

Paracetamol is reported as an ingredient of Paramidol in the following countries:


  • Peru

  • Romania

International Drug Name Search


Aténolol Qualimed




Aténolol Qualimed may be available in the countries listed below.


Ingredient matches for Aténolol Qualimed



Atenolol

Atenolol is reported as an ingredient of Aténolol Qualimed in the following countries:


  • France

International Drug Name Search


Wednesday, October 12, 2016

Barriere




Barriere may be available in the countries listed below.


Ingredient matches for Barriere



Dimeticone

Dimeticone is reported as an ingredient of Barriere in the following countries:


  • Canada

International Drug Name Search


Colospan




Colospan may be available in the countries listed below.


Ingredient matches for Colospan



Scopolamine

Scopolamine butylbromide (a derivative of Scopolamine) is reported as an ingredient of Colospan in the following countries:


  • Ethiopia

International Drug Name Search


Tuesday, October 11, 2016

Chloortetra




Chloortetra may be available in the countries listed below.


In some countries, this medicine may only be approved for veterinary use.

Ingredient matches for Chloortetra



Chlortetracycline

Chlortetracycline hydrochloride (a derivative of Chlortetracycline) is reported as an ingredient of Chloortetra in the following countries:


  • Netherlands

International Drug Name Search


Ascorbinezuur Ratiopharm




Ascorbinezuur Ratiopharm may be available in the countries listed below.


Ingredient matches for Ascorbinezuur Ratiopharm



Ascorbic Acid

Ascorbic Acid is reported as an ingredient of Ascorbinezuur Ratiopharm in the following countries:


  • Netherlands

International Drug Name Search


Taxol




In the US, Taxol (paclitaxel systemic) is a member of the drug class mitotic inhibitors and is used to treat Breast Cancer, Breast Cancer - Adjuvant, Breast Cancer - Metastatic, Kaposi's Sarcoma, Non-Small Cell Lung Cancer, Ovarian Cancer and Wilms' Tumor.

US matches:

  • Taxol

Ingredient matches for Taxol



Paclitaxel

Paclitaxel is reported as an ingredient of Taxol in the following countries:


  • Algeria

  • Argentina

  • Australia

  • Austria

  • Belgium

  • Bosnia & Herzegowina

  • Brazil

  • Bulgaria

  • Canada

  • Chad

  • China

  • Cote D'ivoire

  • Czech Republic

  • Estonia

  • Finland

  • France

  • Gabon

  • Georgia

  • Germany

  • Greece

  • Guinea

  • Hong Kong

  • Hungary

  • Iceland

  • Indonesia

  • Italy

  • Japan

  • Latvia

  • Lithuania

  • Luxembourg

  • Mali

  • Mauritius

  • New Zealand

  • Niger

  • Oman

  • Peru

  • Philippines

  • Poland

  • Romania

  • Russian Federation

  • Senegal

  • Serbia

  • Singapore

  • Slovakia

  • Slovenia

  • South Africa

  • Spain

  • Switzerland

  • Taiwan

  • Thailand

  • Togo

  • Tunisia

  • Turkey

  • United States

International Drug Name Search


Epirizole




Scheme

Prop.INN

CAS registry number (Chemical Abstracts Service)

0018694-40-1

Chemical Formula

C11-H14-N4-O2

Molecular Weight

234

Therapeutic Categories

Analgesic, antipyretic and anti-inflammatory agent

Non-steroidal anti-inflammatory drug, NSAID

Chemical Name

Pyrimidine, 4-methoxy-2-(5-methoxy-3-methyl-1H-pyrazol-1-yl)-6-methyl-

Foreign Names

  • Epirizolum (Latin)
  • Polihexanid (German)
  • Epirizole (French)
  • Epirizol (Spanish)

Generic Names

  • Epirizole (OS: USAN, JAN)
  • DA 398 (IS)
  • Knoll 533 (IS: Knoll)
  • Methopyrimazole (IS)
  • Epirizole (PH: JP XV)

Brand Names

  • Analock
    Pfizer, Japan


  • Karmarte
    Toho Droge, Japan


  • Mebron
    Daiichi, Taiwan; Daiichi Sankyo, Japan


  • Mecoton
    Shinlon, Taiwan


  • Meprokisal
    Choseido Pharmaceutical, Japan


  • Neuriton D
    Isei, Japan

International Drug Name Search

Glossary

ISInofficial Synonym
JANJapanese Accepted Name
OSOfficial Synonym
PHPharmacopoeia Name
Prop.INNProposed International Nonproprietary Name (World Health Organization)
USANUnited States Adopted Name

Click for further information on drug naming conventions and International Nonproprietary Names.

Monday, October 10, 2016

Captin




Captin may be available in the countries listed below.


Ingredient matches for Captin



Paracetamol

Paracetamol is reported as an ingredient of Captin in the following countries:


  • Germany

International Drug Name Search


Atenolan




Atenolan may be available in the countries listed below.


Ingredient matches for Atenolan



Atenolol

Atenolol is reported as an ingredient of Atenolan in the following countries:


  • Austria

International Drug Name Search


Acido Acetilsalicilico Afom




Acido Acetilsalicilico Afom may be available in the countries listed below.


Ingredient matches for Acido Acetilsalicilico Afom



Aspirin

Acetylsalicylic Acid is reported as an ingredient of Acido Acetilsalicilico Afom in the following countries:


  • Italy

International Drug Name Search


Ketoconazol Marfan




Ketoconazol Marfan may be available in the countries listed below.


Ingredient matches for Ketoconazol Marfan



Ketoconazole

Ketoconazole is reported as an ingredient of Ketoconazol Marfan in the following countries:


  • Peru

International Drug Name Search


Minegyl




Minegyl may be available in the countries listed below.


Ingredient matches for Minegyl



Metronidazole

Metronidazole benzoate (a derivative of Metronidazole) is reported as an ingredient of Minegyl in the following countries:


  • Brazil

International Drug Name Search


Fasoremin




Fasoremin may be available in the countries listed below.


Ingredient matches for Fasoremin



Sofalcone

Sofalcone is reported as an ingredient of Fasoremin in the following countries:


  • Japan

International Drug Name Search


Sunday, October 9, 2016

Metamizol-1A Pharma




Metamizol-1A Pharma may be available in the countries listed below.


Ingredient matches for Metamizol-1A Pharma



Metamizole

Metamizole sodium monohydrate (a derivative of Metamizole) is reported as an ingredient of Metamizol-1A Pharma in the following countries:


  • Germany

International Drug Name Search


Gabapentin Sandoz




Gabapentin Sandoz may be available in the countries listed below.


Ingredient matches for Gabapentin Sandoz



Gabapentin

Gabapentin is reported as an ingredient of Gabapentin Sandoz in the following countries:


  • Czech Republic

  • Denmark

  • Germany

  • Italy

  • Sweden

  • Switzerland

International Drug Name Search


Roumis




Roumis may be available in the countries listed below.


Ingredient matches for Roumis



Mecobalamin

Mecobalamin is reported as an ingredient of Roumis in the following countries:


  • Japan

International Drug Name Search


Alzim




Alzim may be available in the countries listed below.


Ingredient matches for Alzim



Donepezil

Donepezil hydrochloride (a derivative of Donepezil) is reported as an ingredient of Alzim in the following countries:


  • Indonesia

International Drug Name Search


Saturday, October 8, 2016

Mikozal




Mikozal may be available in the countries listed below.


Ingredient matches for Mikozal



Miconazole

Miconazole nitrate (a derivative of Miconazole) is reported as an ingredient of Mikozal in the following countries:


  • Oman

International Drug Name Search


Friday, October 7, 2016

Lotemax




In the US, Lotemax (loteprednol ophthalmic) is a member of the drug class ophthalmic steroids and is used to treat Conjunctivitis, Cyclitis, Iritis, Keratitis, Postoperative Ocular Inflammation, Rosacea and Seasonal Allergic Conjunctivitis.

US matches:

  • Lotemax Drops

  • Lotemax

UK matches:

  • Lotemax 0.5% Eye Drops, Suspension (SPC)

Ingredient matches for Lotemax



Loteprednol

Loteprednol etabonate (a derivative of Loteprednol) is reported as an ingredient of Lotemax in the following countries:


  • Argentina

  • Austria

  • Estonia

  • Greece

  • Hong Kong

  • Italy

  • Latvia

  • Lithuania

  • Singapore

  • Slovenia

  • United Kingdom

  • United States

International Drug Name Search

Glossary

SPC Summary of Product Characteristics (UK)

Click for further information on drug naming conventions and International Nonproprietary Names.

Ursofalk Suspension (Dr. Falk Pharma UK Ltd)





1. Name Of The Medicinal Product



Ursofalk 250mg/5ml Suspension


2. Qualitative And Quantitative Composition



5ml (= 1 measuring spoon) of Ursofalk Suspension contains 250mg of ursodeoxycholic acid as the active ingredient.



3. Pharmaceutical Form



Suspension for oral administration.



4. Clinical Particulars



4.1 Therapeutic Indications



Ursofalk 250mg/5ml Suspension is indicated in the treatment of primary biliary cirrhosis (PBC) and for the dissolution of radiolucent gallstones in patients with a functioning gall bladder



4.2 Posology And Method Of Administration



There are no age restrictions on the use of Ursofalk 250mg/5ml suspension. The following daily dose is recommended for the various indications:



For the treatment of primary biliary cirrhosis (PBC)



The daily dose depends on body weight, and is approximately 14 ± 2 mg ursodeoxycholic acid per kg of body weight.



For the first 3 months of treatment, Ursofalk 250mg/5ml suspension should be taken divided over the day. When the liver function parameters improve, the daily dose can be administered once a day in the evening.




































































































Body weight (kg)




Daily dose (mg/kg BW)




Measuring spoons* of Ursofalk suspension


   


first 3 months




subsequently


    


morning




midday




evening




evening



(1 x daily)


  


8 – 11




12 – 16




-




¼ 




¼ 




½ 




12 – 15




12 – 16




¼ 




¼ 




¼ 




¾ 




16 – 19




13 – 16




½ 




-




½ 




1




20 – 23




13 – 15




¼ 




½ 




½ 




1 ¼




24 – 27




13 – 16




½ 




½ 




½ 




1 ½




28 – 31




14 – 16




¼ 




½ 




1




1 ¾




32 – 39




12 – 16




½ 




½ 




1




2




40 – 47




13 – 16




½ 




1




1




2 ½




48 – 62




12 – 16




1




1




1




3




63 – 80




12 – 16




1




1




2




4




81 – 95




13 – 16




1




2




2




5




96 – 115




13 – 16




2




2




2




6




Over 1152



 


2




2




3




7



*1 measuring spoonful (5ml oral suspension) contains 250mg of ursodeoxycholic acid.



Ursofalk 250mg/5ml suspension should be taken in accordance with the dosage regimen given above. The oral suspension must be taken regularly.



The use of Ursofalk 250mg/5ml suspension in primary biliary cirrhosis may be continued indefinitely.



In patients with primary biliary cirrhosis, in rare cases the clinical symptoms may worsen at the beginning of treatment, e.g. the itching may increase. Should this occur, therapy should first be continued with a reduced daily dose of Ursofalk suspension, and the dose then gradually increased (increase of the daily dose weekly) until the dose indicated in the respective dosage regimen is reached again.



Dissolution of Gallstones:



Adults: 8-12mg ursodeoxycholic acid (UDCA) per kg per day in two divided doses. The following dosage regime is recommended:
















Body Weight (kg)




Spoonfuls (5ml) (in 2 divided doses)




mg (UDCA)/ kg/day




50-62




2




8.1-10.0




63-85




3




8.8-11.9




86-120




4




8.3-11.6



If doses are unequal the larger dose should be taken in late evening to counteract the rise in biliary cholesterol saturation which occurs in the early morning. The late evening dose may usefully be taken with food to help maintain bile flow overnight.



The time required for dissolution of gallstones is likely to range from 6 to 24 months depending on stone size and composition.



Follow-up cholecystograms or ultrasound investigation may be useful at 6 month intervals until the gallstones have disappeared.



Treatment should be continued until 2 successive cholecystograms and/or ultrasound investigations 4-12 weeks apart have failed to demonstrate gallstones. This is because these techniques do not permit reliable visualisation of stones less than 2mm in diameter. The likelihood of recurrence of gallstones after dissolution by bile acid treatment has been estimated as up to 50% at 5 years. The efficiency of Ursofalk in treating radio-opaque or partially radio-opaque gallstones has not been tested but these are generally thought to be less soluble than radiolucent stones. Non-cholesterol stones account for 10-15% of radiolucent stones and may not be dissolved by bile acids.



Elderly: There is no evidence to suggest that any alteration in the adult dose is needed but the relevant precautions should be taken into account.



Children: Cholesterol rich gallstones are rare in children but when they occur, dosage should be related to bodyweight.



4.3 Contraindications



Ursofalk 250mg/5ml Suspension should not be used in patients with:



- acute inflammation of the gall bladder or biliary tract



- occlusion of the biliary tract (occlusion of the common bile duct or cystic duct)



- frequent episodes of biliary colic



- radio-opaque calcified gallstones



- impaired contractility of the gall bladder



- hypersensitivity to bile acids or any excipient of the formulation



4.4 Special Warnings And Precautions For Use



Ursofalk 250mg/5ml suspension should be taken under medical supervision.



During the first 3 months of treatment, liver function parameters AST (SGOT), ALT (SGPT) and γ-GT should be monitored by the physician every 4 weeks, thereafter every 3 months. Apart from allowing for identification of responders and non-responders in patients being treated for primary biliary cirrhosis, this monitoring would also enable early detection of potential hepatic deterioration, particularly in patients with advance stage primary biliary cirrhosis.



When used for dissolution of cholesterol gallstones:



In order to assess therapeutic progress and for timely detection of any calcification of the gallstones, depending on stone size, the gall bladder should be visualised (oral cholecystography) with overview and occlusion views in standing and supine positions (ultrasound control) 6 – 10 months after the beginning of treatment.



If the gall bladder cannot be visualised on X-ray images, or in cases of calcified gallstones, impaired contractility of the gall bladder or frequent episodes of biliary colic, Ursofalk suspension should not be used.



When used for treatment of advanced stage of primary biliary cirrhosis:



In very rare cases decompensation of hepatic cirrhosis has been observed, which partially regressed after the treatment was discontinued.



If diarrhoea occurs, the dose must be reduced and in cases of persistent diarrhoea, the therapy should be discontinued.



One measuring spoonful (5 ml) Ursofalk suspension contains 0.50 mmol (11.39mg) sodium. To be taken into consideration by patients on a controlled sodium diet.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



Ursofalk 250mg/5ml suspension should not be administered concomitantly with colestyramine, colestipol or antacids containing aluminium hydroxide and/or smectite (aluminium oxide), because these preparations bind ursodeoxycholic acid in the intestine and thereby inhibit its absorption and efficacy. Should the use of a preparation containing one of these substances be necessary, it must be taken at least 2 hours before or after Ursofalk 250mg/5ml suspension.



Ursofalk suspension can increase the absorption of ciclosporin from the intestine. In patients receiving ciclosporin treatment, blood concentrations of this substance should therefore be checked by the physician and the ciclosporin dose adjusted if necessary.



In isolated cases, Ursofalk suspension can reduce the absorption of ciprofloxacin.



Ursodeoxycholic acid has been shown to reduce the plasma peak concentrations (Cmax) and area under the curve (AUC) of the calcium antagonist nitrendipine. An interaction with a reduction of the therapeutic effect of dapsone was also reported.



These observations together with in vitro findings could indicate a potential for ursodeoxycholic acid to induce cytochrome P450 3A enzymes. Controlled clinical trials have shown, however, that ursodeoxycholic acid does not have a relevant inductive effect on cytochrome P450 3A enzymes.



Oestrogenic hormones and blood cholesterol lowering agents such as clofibrate may increase biliary lithiasis, which is a counter-effect to ursodeoxycholic acid used for dissolution of gallstones.



4.6 Pregnancy And Lactation



There are no adequate data from the use of ursodeoxycholic acid, particularly in the first trimester of pregnancy. Animal studies have provided evidence of a teratogenic effect during the early phase of gestation (see section 5.3, Toxicity to reproduction). Ursofalk suspension must not be used during pregnancy unless clearly necessary. Women of childbearing potential should be treated only if they use reliable contraception: non-hormonal or low-oestrogen oral contraceptive measures are recommended. However, in patients taking Ursofalk for dissolution of gallstones, effective non-hormonal contraception should be used, since hormonal oral contraceptives may increase biliary lithiasis.



The possibility of a pregnancy must be excluded before beginning treatment.



It is not known whether ursodeoxycholic acid passes into breast milk. Therefore, Ursofalk suspension should not be taken during lactation. If treatment with Ursofalk suspension is necessary, the infant should be weaned.



4.7 Effects On Ability To Drive And Use Machines



No effects on the ability to drive and use machines have been observed.



4.8 Undesirable Effects



Very common (



Common (



Uncommon (



Rare (



Very rare/Not known (< 1/10,000/cannot be estimated from available data)



Gastrointestinal disorders:



In clinical trials, reports of pasty stools or diarrhoea during ursodeoxycholic acid therapy were common.



Very rarely, severe right upper abdominal pain has occurred during the treatment of primary biliary cirrhosis.



Hepatobiliary disorders:



During treatment with ursodeoxycholic acid, calcification of gallstones can occur in very rare cases.



During therapy of the advanced stages of primary biliary cirrhosis, in very rare cases decompensation of hepatic cirrhosis has been observed, which partially regressed after the treatment was discontinued.



Skin and subcutaneous disorders:



Very rarely, urticaria can occur.



4.9 Overdose



Diarrhoea may occur in cases of overdose. In general, other symptoms of overdose are unlikely, because the absorption of ursodeoxycholic acid decreases with increasing dose and therefore more is excreted with the faeces.



No specific counter-measures are necessary and the consequences of diarrhoea should be treated symptomatically with restoration of fluid and electrolyte balance.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



UDCA is a bile acid which effects a reduction in cholesterol in biliary fluid primarily by dispersing the cholesterol and forming a liquid-crystal phase. UDCA affects the enterohepatic circulation of bile salts by reducing the ileal reabsorption of endogenous more hydrophobic and potentially toxic salts such as cholic and chenodeoxycholic acids.



In-vitro studies show that UDCA has a direct hepatoprotective effect and reduces the hepatotoxicity of hydrophobic bile salts. Immunological effects have also been demonstrated with a reduction in abnormal expression of HLS Class I antigens on hepatocytes as well as suppression of cytokine and interleukin production.



5.2 Pharmacokinetic Properties



Ursodeoxycholic acid occurs naturally in the body. When given orally it is rapidly and completely absorbed. It is 96-98% bound to plasma proteins and efficiently extracted by the liver and excreted in the bile as glycine and taurine conjugates. In the intestine some of the conjugates are deconjugated and reabsorbed. The conjugates may also be dehydroxylated to lithocholic acid, part of which is absorbed, sulphated by the liver and excreted via the biliary tract.



5.3 Preclinical Safety Data



a) Acute toxicity



Acute toxicity studies in animals have not revealed any toxic damage.



b) Chronic toxicity



Subchronic toxicity studies in monkeys showed hepatotoxic effects in the groups given high doses, including functional changes (e.g. liver enzyme changes) and morphological changes such as bile duct proliferation, portal inflammatory foci and hepatocellular necrosis. These toxic effects are most likely attributable to lithocholic acid, a metabolite of ursodeoxycholic acid, which in monkeys – unlike humans – is not detoxified. Clinical experience confirms that the described hepatotoxic effects are of no apparent relevance in humans.



c) Carcinogenic and mutagenic potential



Long-term studies in mice and rats revealed no evidence of ursodeoxycholic acid having carcinogenic potential.



In vitro and in vivo genetic toxicology tests with ursodeoxycholic acid were negative.



The tests with ursodeoxycholic acid revealed no relevant evidence of a mutagenic effect.



d) Toxicity to reproduction



In studies in rats, tail malformations occurred after a dose of 2000mg of ursodeoxycholic acid per kg of body weight. In rabbits, no teratogenic effects were found, although there were embryotoxic effects (from a dose of 100 mgper kg of body weight). Ursodeoxycholic acid had no effect on fertility in rats and did not affect peri-/post-natal development of the offspring.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Ursofalk 250mg/5ml Suspension contains the following excipients:



Benzoic acid (E210), microcrystalline cellulose and carboxymethyl-cellulose sodium, sodium chloride, sodium citrate, citric acid anhydrous, glycerol, propylene glycol, xylitol, sodium cyclamate, lemon flavouring (Givaudan 87017) and purified water.



6.2 Incompatibilities



None known other than the interactions identified in Section 4.5.



6.3 Shelf Life



48 months.



6.4 Special Precautions For Storage



Do not refrigerate or freeze.



6.5 Nature And Contents Of Container



Amber glass bottle closed with a plastic screw cap, containing 250ml of suspension.



6.6 Special Precautions For Disposal And Other Handling



Shake well before use. After opening the bottle, do not use after 4 months.



7. Marketing Authorisation Holder



Dr Falk Pharma UK Ltd



Unit K, Bourne End Business Park



Cores End Road, Bourne End



Buckinghamshire, SL8 5AS



8. Marketing Authorisation Number(S)



PL 10341/0007



9. Date Of First Authorisation/Renewal Of The Authorisation



31 December 2004



10. Date Of Revision Of The Text



September 2011