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PJ Online homeThe Pharmaceutical Journal
Vol 272 No 7301 p667
29 May 2004

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Products

    Prescription Products SPC changes Discontinued products Supply issues Products miscellany

Recall Durogesic transdermal patches


Prescription Products

Dukoral
Composition: Each 3ml dose contains1x1011 killed whole Vibrio cholerae 01 bacteria (Inaba and Ogawa serotypes and of El Tor and classical biotypes, and the recombinant cholera toxin B subunit (rCTB), 1mg.
Presentation: 3ml vial of suspension and sachet of effervescent granules (sodium hydrogen carbonate) for oral suspension.
Class: Oral cholera vaccine.
Indications: Active immunisation against disease caused by V cholerae serogroup 01 in adults and children who will be visiting endemic or epidemic areas.
Dosage: Adults and children over six years: two doses administered at intervals of one to six weeks. Children aged two to six years should receive three doses. Immunisation should be completed at least a week prior to potential exposure to V cholerae 01. A single booster dose can be given after two years for adults and children over six, and after six months for children aged two to six years.
Major cautions: Administration should be postponed for subjects suffering from acute gastrointestinal illness or acute febrile illness. Food and drink should be avoided one hour before and one hour after vaccination. Caution should be taken in subjects hypersensitive to formaldehyde as trace amounts may be present in the product.
Side effects: uncommon,include abdominal discomfort, diarrhoea, headache.
Net price: 2 doses £23.42,
20 doses £234.20.
Contact details: Chiron Vaccines Evans, Gaskill Road, Speke, Liverpool L24 9GR. Tel 08457 451 500.

Paxene
Paxene (paclitaxel) 6mg/ml concentrate for solution for infusion is now available from Mayne Pharma; net price, 1 vial, 30mg £112.20, 100mg £374, 150mg £561, 300mg £1,122.

Tramacet tablets
Tramacet (tramadol hydrochloride 37.5mg and paracetamol 325mg) tablets have been launched by Janssen-Cilag; net price, 60 £10.60.

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SPC changes

OxyContin tablets
OxyContin (oxycodone) tablets are now licensed for the relief of severe pain requiring the use of a strong opioid (Napp Pharmaceuticals). The summary of product characteristics states that opioids are not first line therapy for chronic non-malignant pain, and they should be used as part of a comprehensive treatment programme involving other medications and treatments. Types of chronic pain which have been shown to be alleviated by strong opioids include chronic osteoarthritic pain and intervertebral disc disease. The need for continued treatment in non-malignant pain should be assessed at regular intervals. When a patient no longer requires therapy with oxycodone, it may be advisable to taper the dose gradually to prevent symptoms of withdrawal. The tablets should be used with particular care in patients with a history of alcohol and drug abuse. See SPC.

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Discontinued products

Benoral
Benoral (benorilate) tablets will be discontinued when current stocks are exhausted (Sanofi-Synthelabo). Benoral suspension will be discontinued from September.

Corgaretic tablets
Corgaretic (nadolol and bendroflumethiazide) tablets 40mg have been discontinued (Sanofi-Synthelabo).

Menorest patches
Menorest (estradiol) patches will be discontinued from 1 June (Novartis).

Monit tablets
Monit (isosorbide mononitrate) tablets 10mg will be discontinued from the end of September (Sanofi-Synthelabo). Monit SR tablets 40mg will be discontinued from July.

Negram suspension
Negram (nalidixic acid) suspension has been discontinued (Sanofi-Synthelabo). Negram tablets remain available.

Ossopan
Ossopan (hydroxyapatite) tablets and granules have been discontinued (Sanofi-Synthelabo).

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Supply issues

Diamox injection
Goldshield says that Diamox (acetazolamide) Sodium Parenteral injection 500mg is now available from local wholesalers or from UDG (tel 01773 510123).

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Products miscellany

Dicynene and Priadel
Dicynene (etamsylate) tablets 500mg and Priadel (lithium carbonate) tablets 200mg will be supplied in blister packs rather than bottles when current stock is exhausted (Sanofi-Synthelabo). The company expects this to be at the end of June.

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