HEMABATE Solution for injection Ref.[27723] Active ingredients: Carboprost

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2021  Publisher: Pfizer Limited, Ramsgate Road, Sandwich, Kent CT13 9NJ, UK

4.1. Therapeutic indications

Treatment of post-partum haemorrhage due to uterine atony and refractory to conventional methods of treatment with oxytocic agents and ergometrine used either alone or in combination.

Conventional therapy should usually consist of 0.5-1 mg ergometrine with up to 50 units of oxytocin infused intravenously over periods of time from 20 minutes to 12 hours. The dosage and duration of administration should reflect the seriousness of the clinical situation.

4.2. Posology and method of administration

Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit.

An initial dose of 250 micrograms (1.0 ml) of Hemabate should be administered as a deep intramuscular injection.

If necessary, further doses of 250 micrograms may be administered at intervals of approximately 1.5 hours. In severe cases the interval between doses may be reduced at the discretion of the attending physician, but it should not be less than 15 minutes. The total dose of Hemabate should not exceed 2 mg (8 doses).

Elderly

Not applicable.

Paediatric population

Not applicable.

4.9. Overdose

Treatment of overdosage must be symptomatic and supportive as clinical studies with prostaglandin antagonists have not progressed to the point where recommendations may be made.

If evidence of excessive side-effects appears, the frequency of administration should be decreased or administration discontinued.

6.3. Shelf life

Ampoules: 4 years.

Vial: 2 years.

6.4. Special precautions for storage

The ampoules must be stored in a refrigerator at 2-8°C.

The vial must be stored in a refrigerator at 0-6°C.

6.5. Nature and contents of container

Ampoule: Type 1 glass ampoule containing 1 ml solution, packed in cartons of two or ten ampoules.

Vial: Type 1 glass with butyl rubber closure, containing 10 ml solution, packed individually in a carton.

Not all pack sizes may be marketed.

6.6. Special precautions for disposal and other handling

Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit.

Any unused product or waste material should be disposed of in accordance with local requirements.

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