البلد: إسرائيل
اللغة: الإنجليزية
المصدر: Ministry of Health
TOBRAMYCIN
KAMADA LTD, ISRAEL
S01AA12
SOLUTION FOR INHALATION
TOBRAMYCIN 300 MG / 4 ML
NEBULISATION
Required
CHIESI FARMACEUTICI S.P.A., ITALY
TOBRAMYCIN
TOBRAMYCIN
Management of chronic pulmonary infection due to Pseudomonas aeruginosa in patients with cystic fibrosis aged 6 years and older.
2015-07-31
PATIENT PACKAGE INSERT IN ACCORDANCE WITH THE PHARMACISTS’ REGULATIONS (PREPARATIONS) - 1986 The medicine is dispensed with a doctor’s prescription only. BRAMITOB Solution for Inhalation . Intended for inhalation with a nebuliser. See “ Instructions for Use ” section. COMPOSITION Each 4 ml ampoule contains the active ingredient: ∙ Tobramycin 300 mg Inactive ingredients: see section 6 in the leaflet. READ THIS LEAFLET CAREFULLY IN ITS ENTIRETY BEFORE USING THE MEDICINE. This leaflet contains concise information about the medicine. If you have further questions, refer to the doctor or pharmacist. This medicine has been prescribed for the treatment of your ailment. Do not pass it on to others. It may harm them, even if it seems to you that their ailment is similar. THE MEDICINE IS NOT INTENDED FOR CHILDREN BELOW THE AGE OF 6. Bramitob contains an aminoglycoside antibiotic called tobramycin, that acts against infections caused by the Pseudomonas aeruginosa bacterium. 1. WHAT IS THE MEDICINE INTENDED FOR? Bramitob is used to treat chronic lung infection caused by the Pseudomonas aeruginosa bacterium, in patients with cystic fibrosis above the age of 6. The medicine kills the bacteria and helps to improve breathing. Pseudomonas is a very common bacterium and infects the lungs of nearly all patients with cystic fibrosis at some time during their lives. Some people get the bacterium at a later stage in life, while others get it at a very young age. If the infection is not properly treated, it will continue to cause damage to the lungs as well as additional problems. As Bramitob is administered by inhalation, the tobramycin antibiotic directly reaches the lungs to act against the infecting bacteria. To achieve the best treatment results, please use the medicine in accordance with the recommended instructions. THERAPEUTIC GROUP: Aminoglycoside class antibiotic. 2. BEFORE USING THE MEDICINE DO NOT USE THE MEDICINE IF: ∙ you are sensitive )allergic( to the active ingredient tobramycin, to any of the other ingredi اقرأ الوثيقة كاملة
_1/11 _ SUMMARY OF PRODUCT CHARACTERISTICS _ _ 1. NAME OF THE MEDICINAL PRODUCT Bramitob 300 mg/4ml Nebuliser Solution. 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each 4 ml single-dose container contains tobramycin 300 mg. For a full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Nebuliser solution. Clear, yellowish solution. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Management of chronic pulmonary infection due to _Pseudomonas aeruginosa_ in patients with cystic fibrosis aged 6 years and older. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Bramitob is intended for inhalation only and not for parenteral use. Consideration should be given to official guidance on the appropriate use of antibacterial agents. Therapy should be initiated by a physician experienced in the management of cystic fibrosis. The recommended dose for adults and children above 6 years is one single-dose container (300mg) twice daily (morning and evening) for 28 days. The dose interval should be as close as possible to 12 hours. After 28 days of therapy with Bramitob, patients should stop treatment for the next 28 days. Alternate cycles of 28-days of active therapy followed by 28 days without treatment should be maintained (a cycle of 28 days with therapy and 28 days without treatment). Children under 6 years old The efficacy and safety of Bramitob have not been demonstrated in patients less than 6 years of age. Elderly patients Tobramycin should be used with caution in elderly patients who may have reduced renal function (see section 4.4). Patients with renal impairment Tobramycin should be used with caution in patients with known or suspected renal dysfunction. Bramitob should be discontinued in the case of nephrotoxicity until serum concentration of tobramycin falls below 2 µg/mL (see section 4.4). Patients with hepatic insufficiency No changes in Bramitob dose are required in hepatic insufficiency. _2/11 _ Dosage is not adjusted for body weight. All patients should be administered one single-dose container of Bramitob ( اقرأ الوثيقة كاملة