Страна: Израел
Език: английски
Източник: Ministry of Health
TOBRAMYCIN
DEXCEL LTD, ISRAEL
J01GB01
SOLUTION FOR INHALATION
TOBRAMYCIN 300 MG / 5 ML
INHALATION WITH NEBULISER
Required
CATALENT PHARMA SOLUTIONS, USA
TOBRAMYCIN
TOBRAMYCIN
TOBI is indicated for the management of pulmonary Pseudomonas aeruginosa infection in cystic fibrosis (CF) patients age 6 years or older.
2020-12-31
PATIENT PACKAGE INSERT IN ACCORDANCE WITH THE PHARMACISTS' REGULATIONS (PREPARATIONS) - 1986 THE DISPENSING OF THIS MEDICINE REQUIRES A DOCTOR'S PRESCRIPTION READ THE PACKAGE INSERT CAREFULLY IN ITS ENTIRETY BEFORE USING THIS MEDICINE TOBI ® SOLUTION FOR INHALATION SOLUTION FOR INHALATION COMPOSITION: Each ampoule of 5 ml contains: Tobramycin 300 mg INACTIVE INGREDIENTS: Sodium chloride, water for injections, sodium hydroxide, sulfuric acid. THERAPEUTIC GROUP: Aminoglycoside antibiotics. Each ampoule (5 ml) contains 11.25 mg sodium THERAPEUTIC ACTIVITY: For the management of cystic fibrosis patients with Pseudomonas aeruginosa. TOBI SOLUTION FOR INHALATION contains antibiotic called tobramycin. TOBI SOLUTION FOR INHALATION is a solution to be inhaled with a specific nebulizer and a suitable compressor; the solution is contained in a ready- to-use ampoule. When TOBI SOLUTION FOR INHALATION is inhaled, the antibiotic can get directly to the lungs to fight against the bacteria causing the infection, and to improve your breathing. Pseudomonas aeruginosa is a very common bacterium that infects the lungs of nearly everyone with cystic fibrosis at some time during their lives. Some people do not get this infection until later on in their lives, while others get it very young. It is one of the most damaging bacteria for people with cystic fibrosis. If the infection is not properly fought, it continues to damage the lungs causing further breathing problems. WHEN SHOULD THE PREPARATION NOT BE USED? Do not use this medicine if you are breastfeeding. Do not use this medicine if you are allergic (hypersensitive) to tobramycin, to any of its ingredients or to any other aminoglycoside antibiotic. If you think you may be allergic, ask the doctor for advice. DO NOT TAKE THIS MEDICINE WITHOUT CONSULTING A DOCTOR BEFORE STARTING TREATMENT: Inform the doctor if you have or if you have ever had hearing problems (including noises in the ears and dizziness); kidney problems; unusual difficulty in breathing with wheezing or coughing, c Прочетете целия документ
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT TOBI Solution for Inhalation 2 QUALITATIVE AND QUANTITATIVE COMPOSITION One ampoule of 5ml contains tobramycin 300mg as a single dose. For the full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Solution for inhalation. Clear, slightly yellow solution. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS TOBI is indicated for the management of pulmonary Pseudomonas aeruginosa infection in cystic fibrosis (CF) patients age 6 years or older. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION TOBI is for oral inhalation only and must not be administered by any other route. The dose of TOBI is the same for all patients regardless of age or weight. The recommended dosage for adults and children 6 years of age and older is one single-use ampoule (300 mg/5 mL) administered twice daily (BID) for 28 days. TOBI is taken in alternating cycles of 28 days on drug followed by 28 days off drug. Each dose should be inhaled as close as possible to 12 hours apart and not less than six hours apart. Safety and efficacy have not been demonstrated in patients under the age of 6 years, patients with FEV 1 (Forced Expiratory Volume in 1 second) <25% or >75% predicted, or patients colonized with _Burkholderia cepacia_. SPECIAL POPULATIONS _ _ _Elderly patients (≥ 65 years) _ There are insufficient data in this population to support a recommendation for or against dose adjustment. Renal function in elderly patients should be taken into account while using TOBI (see nephrotoxicity information in section 4.4 and excretion information in section 5.2). _Patients with renal impairment _ Tobramycin is primarily excreted unchanged in the urine and renal function is expected to affect the exposure to tobramycin. Patients with serum creatinine 2 mg/dl or more or blood urea nitrogen (BUN) 40 mg/dl or more were not included in clinical studies and there are no data in this population to support a recommendation for or against dose adjustment with TOBI. Please also refer to nephrot Прочетете целия документ