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PJ Online homeThe Pharmaceutical Journal
Vol 278 No 7452 p581
19 May 2007

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Products

    Prescription Products SPC changes Discontinued products Supply issues

Prescription Products

Cardioplen
Cardioplen XL (felodipine) tablets 2.5mg are now available from Trinity Chiesi. Net price: 28 tablets, £6.03. Legal category: POM.

Clexane
Clexane (enoxaparin) multidose vials 100mg/ml are now available from sanofi-aventis. Net price: 1 x 3ml vial, £22.20. Legal category: POM.

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SPC changes

Adcortyl
The summary of product characteristics for Adcortyl intra-articular/intradermal injection (triamcinolone acetonide; Bristol-Myers Squibb) now includes a contraindication for administration by intravenous, intrathecal and intraocular injection. The SPC now states that endophthalmitis, eye inflammation, increased intraocular pressure and visual disturbances, including vision loss, have been reported with intravitreal administration, and that several instances of blindness have been reported following injection of corticosteroid suspensions into the nasal turbinates and intralesional injection about the head. In addition, the SPC now warns that Adcortyl contains 15mg/ml benzyl alcohol and must not be given to premature babies or neonates. See SPC.

Deseril
The summary of product characteristics for Deseril (methysergide maleate; Alliance) now includes additional safety information. Temporal arteritis, hemiplegic or basilar migraine and pulmonary fibrosis have been added to the list of contraindictions, as has concomitant treatment with macrolide antibiotics, HIV-protease or reverse-transcriptase inhibitors, azole antifungals, vasoconstrictive agents, sumatriptan and other 5HT1-receptor agonists. The SPC now recommends prompt withdrawal of Deseril at the first signs of impaired peripheral circulation. General malaise, backache and myocardial infarction have been added to the list of undesirable effects. See SPC.

Herceptin
The summary of product characteristics for Herceptin (trastuzumab; Roche) has been updated to include an additional indication, in combination with an aromatase inhibitor, for the treatment of postmenopausal patients with hormone-receptor positive metastatic breast cancer, not previously treated with trastuzumab. See SPC.

Kineret
The summary of product characteristics for Kineret (anakinra; Amgen) now includes information on seropositivity for antibodies capable of neutralising the biologic effects of Kineret. See SPC.

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Discontinued products

Betaloc
AstraZeneca has discontinued Betaloc (metoprolol tartrate) tablets 50mg and 100mg. Betaloc SA tablets 200mg will continue to be available. Medicines information on 01582 836836. Customer services on 01582 837837.

Diprivan
AstraZeneca has discontinued Diprivan (propofol) vials 1 per cent 50ml, 1 per cent 100ml and 2 per cent 50ml. Diprivan pre-filled syringes will continue to be available. Medicines information on 01582 836836. Customer services on 01582 837837.

Nebuhaler
AstraZeneca has discontinued the Nebuhaler spacer device. The Nebuhaler with mask pack will continue to be available. Medicines information on 01582 836836. Customer services on 01582 837837.

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Supply issues

Sonata 10mg
Wyeth is currently experiencing difficulties supplying Sonata (zaleplon) capsules 10mg. Further information available at www.wyeth.co.uk

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