البلد: إسرائيل
اللغة: الإنجليزية
المصدر: Ministry of Health
TRETINOIN
TZAMAL BIO-PHARMA LTD
L01XX14
CAPSULES
TRETINOIN 10 MG
PER OS
Required
CHEPLAPHARM ARZNEIMITTEL GMBH, GERMANY
TRETINOIN
Induction of remission in acute promyelocytic leukemia.
2021-05-31
Patient leaflet in accordance with the Pharmacists' Regulations (Preparations) – 1986 This medicine is dispensed with a doctor's prescription only Vesanoid ® Capsules Active ingredient and its quantity: Each capsule contains: tretinoin 10 mg Inactive ingredients and allergens: See section 6 ‘Additional information’ and section 2 ‘Important information about some of this medicine’s ingredients’. Read the entire leaflet carefully before you start using this medicine. This leaflet contains concise information about this medicine. If you have any further questions, consult your doctor or pharmacist. This medicine has been prescribed to treat your illness. Do not pass it on to others. It may harm them, even if it seems to you that their illness is similar to yours. Special warnings for women • Before starting to use Vesanoid, tell your doctor if you are pregnant, think you are pregnant or are planning to become pregnant. • You should not become pregnant during and within one month after stopping treatment with Vesanoid. If you do become pregnant while taking Vesanoid, it is very likely that your baby will be born seriously deformed. • Women of childbearing age should use effective birth control throughout treatment and for one month after treatment is stopped. Your doctor will advise you on what methods of contraception are the most appropriate for you. • If you are taking oral contraceptives with a low dose of progestogen (also called “mini- pill”), your doctor will tell you to stop using this contraceptive and will prescribe a different contraceptive for the time you are being treated with Vesanoid. • During the treatment period, women should take a pregnancy test every month. • Tell your doctor immediately if you become pregnant while taking this medicine. • Do not breastfeed during treatment with Vesanoid. Vesanoid enters the breast milk and could therefore harm your baby. 1. What is this medicine intended for? Vesanoid is intended for the treatment of patients with acute promyelocyt اقرأ الوثيقة كاملة
SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCT Vesanoid 2. QUALITATIVE AND QUANTITATIVE COMPOSITION _ _ Active substance: 1 capsule contains 10 mg of tretinoin ( all-_trans_ retinoic acid, ATRA ) Excipients with known effect: 1 capsule contains 107.92 mg of soya-bean oil. The capsule-shell contains between 1.93 – 2.94 mg of sorbitol. For the full list of excipients, see section 6.1 3. PHARMACEUTICAL FORM Capsule Bi-coloured, orange-yellow / reddish-brown capsules. 4. CLINICAL PARTICULARS 4.1 Therapeutic indications Vesanoid is indicated for induction of remission in acute promyelocytic leukaemia (APL). 4.2 Posology and method of administration Posology A total daily dose of 45 mg/m 2 body surface divided in two equal doses is recommended for oral administration to APL patients. This is approximately 8 capsules per adult dose. Paediatric population There is limited safety and efficacy information on the use of tretinoin in children. It is recommended that pediatric patients be treated with 45 mg/m 2 unless severe toxicity becomes apparent. Dose reduction should be particularly considered for children with intractable headache. Patients with hepatic and/or renal impairment Due to the lack of extensive information in case of renal and/or hepatic insufficiency, the dose will be decreased to 25 mg/m 2 as a precautionary measure. Method of administration Treatment should be continued until complete remission has been achieved or up to a maximum of 90 days. After completion of remission, a consolidation chemotherapy including anthracycline and cytosine arabinoside should be initiated immediately; for example, three courses in 5 to 6 week intervals. If there has been a remission with tretinoin alone, it is not necessary to modify doses of tretinoin if tretinoin is used with chemotherapy. Capsules should be swallowed whole together with water. Capsules should not be chewed. It is recommended that tretinoin be administered with a meal or shortly thereafter. 4.3 Contraindications Hypersensitivity to t اقرأ الوثيقة كاملة