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PJ Online homeThe Pharmaceutical Journal
Vol 280 No 7499 p502
26 April 2008

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Products

Accessing SPCs
The summaries of product characteristics and patient information leaflets for medicines licensed in the UK are available online

    Prescription Products SPC changes Discontinued products

Prescription Products

Binocrit
Binocrit (epoetin alfa) solution for injection is now available in pre-filled syringes from Sandoz.

Net price:
6 x 1,000iu/0.5ml syringes, £30.55
6 x 2,000iu/1ml syringes, £61.09
6 x 3,000iu/0.3ml syringes, £91.64
6 x 4,000iu/0.4ml syringes, £122.18
6 x 5,000iu/0.5ml syringes, £152.73
6 x 6,000iu/0.6ml syringes, £183.27
6 x 8,000iu/0.8ml syringes, £244.36
6 x 10,000iu/1ml syringes, £305.45

Legal category: POM

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SPC changes

Accessing SPCs
The summaries of product characteristics and patient information leaflets for medicines licensed in the UK are available online

Alimta
An indication for first-line treatment of patients with locally advanced or metastatic non-small cell lung cancer other than with predominantly squamous cell histology has been added to the summary of product characteristics for Alimta (pemetrexed; Lilly).

Depo-Medrone
Warnings about potential psychiatric side effects reported with corticosteroids and systemic steroids have been added to the summaries of product characteristics for Depo-Medrone (methylprednisolone; Pharmacia) and Depo-Medrone with Lidocaine (methlyprednisolone with lidocaine hydrochloride; Pharmacia).

Forsteo
The 18-month course of Forsteo (teriparatide; Lilly) should not be repeated over a patient’s lifetime, the summary of product characteristics now warns. In addition, increased alkaline phosphatase has been added as an uncommon adverse effect.

Fucidin
The contraindications, excipients and storage conditions have been updated in the summary of product characteristics for Fucidin (sodium fusidate; LEO Pharma) tablets. The SPC now states that patients with rare hereditary problems of galactose intolerance, the Lapp lactose deficiency or glucose-galactose malabsorption should not take Fucidin.

Gelatin and polyvinylpyrrolidone have been removed from the list of exicipients and all-rac-alpha-tocopherol has been added. The SPC also now states that Fucidin does not require any special storage conditions.

Humatrope
Information about use in elderly patients and patients requiring glucocorticoid therapy has been updated in the summary of product characteristics for Humatrope (somatropin; Lilly). The SPC now says that patients aged 65 years or over are more sensitive to the action of Humatrope and may be more prone to develop adverse events, and that experience in patients over 80 years of age is limited.

It also now says that if glucocorticoid therapy is required, glucocorticoid dosage and compliance should be monitored carefully to avoid either adrenal insufficiency or inhibition of growth promoting effects and that, in patients treated with somatropin, previously undiagnosed secondary hypoadrenalism may be unmasked, requiring glucocorticoid replacement therapy.

Levitra
Sudden deafness has been added to the list of undesirable effects in the summary of product characteristics for Levitra (vardenafil; Bayer). The SPC also now says that sudden decrease or loss of hearing has been reported in a small number of post-marketing and clinical trial cases with use of PDE5 inhibitors.

Neoral
Additional warnings have been added to the summaries of product characteristics for Neoral (ciclosporin; Novartis) soft gelatin capsules and oral solution. These include additional information about treatment of psoriasis and atopic dermatitis in elderly patients, children and adolescents and treatment of atopic dermatitis in patients with benign lymphadenopathy.

The interactions sections of the SPCs have also been updated.

Nimotop
Information about dosing for aneurysmal subarachnoid haemorrhage has been updated in the summaries of product characteristics for Nimotop (nimodipine; Bayer) tablets and solution for infusion. Information has been added about cytochrome P450, and the special warnings, interactions, pregnancy and lactation, undesirable effects and overdose sections have also been updated.

Prevenar
Information about immunisation schedules has been updated in the summary of product characteristics for Prevenar (adsorbed pneumococcal polysaccharide conjugate vaccine; Wyeth).

Additional information is also now included in the pharmacodynamic properties section.

Somatuline Autogel
Information on self-injection has been added to the summary of product characteristics for Somatuline Autogel (lanreotide; Ipsen). The SPC now states that, for patients considered by their healthcare professional to be stabilised on their treatment, the injection may be given by an appropriately trained friend or relative of the patient, and that patients may self-administer the product after appropriate training.

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Discontinued products

Mexitil
Boehringer Ingelheim will discontinue Mexitil (mexiletine) injection and capsules at the end of June. Further information on 01344 741282.

Paraplatin
Bristol-Myers Squibb has discontinued Paraplatin (carboplatin) injection 150mg/15ml and 450mg/45ml. Medical information on 0800 731 1736.

Reyataz 100mg
Bristol-Myers Squibb has discontinued Reyataz (atazanavir) capsules 100mg. Medical information on 0800 731 1736.

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