VAQTA ADULT Suspension for injection Ref.[8207] Active ingredients: Hepatitis A, inactivated vaccine

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2021  Publisher: Merck Sharp & Dohme (UK) Limited, 120 Moorgate, London, EC2M 6UR, UK

Therapeutic indications

VAQTA Adult is indicated for active pre-exposure prophylaxis against disease caused by hepatitis A virus. VAQTA Adult is recommended for healthy adults 18 years of age and older who are at risk of contracting or spreading infection or who are at risk of life-threatening disease if infected (e.g., those with Human Immunodeficiency Virus [HIV] or hepatitis C with diagnosed liver disease).

The use of VAQTA Adult should be based on official recommendations.

For optimal antibody response, primary immunisation should be given at least 2, preferably 4, weeks prior to expected exposure to hepatitis A virus.

VAQTA Adult will not prevent hepatitis caused by infectious agents other than hepatitis A virus.

Posology and method of administration

Posology

The vaccination series consists of one primary dose and one booster dose given according to the following schedule:

Primary dose:

Adults 18 years of age and older should receive a single 1.0 mL (50U) dose of vaccine at an elected date.

Booster dose:

Adults 18 years of age and older who received a primary dose should receive a booster dose of 1.0 mL (50U) 6 to 18 months after the first dose.

Hepatitis A virus (HAV) antibodies persist for at least 6 years after the second dose (i.e. booster). Based on mathematic modeling duration of antibody persistence is predicted for at least 25 years (see section 5.1).

Interchangeability of the booster dose

A booster dose of VAQTA may be given at 6 to 12 months following the initial dose of other inactivated hepatitis A vaccines (See section 5.1).

Adults with HIV

HIV-infected adults should receive a single dose of 1.0mL (50U) of VAQTA Adult at an elected date followed by a booster dose of 1.0mL (50U) 6 months later.

Paediatric population

There is a paediatric formulation available for children and adolescents. For details please refer to the Summary of Product Characteristics for VAQTA Paediatric.

Method of Administration

VAQTA Adult should be injected INTRAMUSCULARLY in the deltoid region. The vaccine should not be administered intradermally since administration by this route may result in a less than optimal response.

For individuals with bleeding disorders who are at risk of haemorrhage following intramuscular injection (e.g. haemophiliacs), this vaccine may be administered subcutaneously (see section 5.1).

Precautions to be taken before handling or administering the medicinal product

For instructions on preparation of the medicinal product before administration, see section 6.6.

Overdose

There are no data with regard to overdose.

Shelf life

3 years.

Special precautions for storage

Store in a refrigerator (2°C-8°C).

DO NOT FREEZE since freezing destroys potency.

Nature and contents of container

1 mL suspension in a pre-filled syringe (type I glass) with plunger-stopper (chlorobutyl isoprene blend).

1 mL suspension in a pre-filled syringe (type I glass) with plunger-stopper (chlorobutyl isoprene blend), without needle, with a tip-cap (chlorobutyl isoprene blend), with 0, 1 or 2 separate needles.

1 mL suspension in a vial (type I glass), grey rubber stopper (chlorobutyl isoprene blend).

Pack sizes: Pack of 1 syringe or 1 vial.

Not all pack sizes or presentations may be marketed.

Special precautions for disposal and other handling

The vaccine should be used as supplied; no reconstitution is necessary.

Parenteral drug products should be inspected visually for extraneous particulate matter and discoloration prior to administration. After thorough agitation, VAQTA Adult is a slightly opaque white suspension.

Shake well immediately before use. Thorough agitation is necessary to maintain suspension of the vaccine. For syringe without attached needle, hold the syringe barrel and attach the needle by twisting in clockwise direction until the needle fits securely on the syringe.

It is important to use a separate sterile syringe and needle for each individual to prevent transmission of infections from one person to another.

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

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