País: Malta
Idioma: anglès
Font: Medicines Authority
MISOPROSTOL
Ferring Pharmaceuticals Limited Drayton Hall, Church Road, West Drayton UB7 7PS, United Kingdom
G02AD06
MISOPROSTOL 200 µg
VAGINAL DELIVERY SYSTEM
MISOPROSTOL 200 µg
POM
OTHER GYNECOLOGICALS
Withdrawn
2016-07-08
1 PACKAGE LEAFLET: INFORMATION FOR THE USER MYSODELLE 200 MICROGRAMS VAGINAL DELIVERY SYSTEM MISOPROSTOL READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU ARE GIVEN THIS MEDICINE BECAUSE IT CONTAINS IMPORTANT INFORMATION FOR YOU. - Keep this leaflet. You may need to read it again. - If you have any further questions, ask your doctor or nurse. - If you get any side effects, talk to your doctor or nurse. This includes any possible side effects not listed in this leaflet. See section 4. WHAT IS IN THIS LEAFLET 1. What Mysodelle is and what it is used for 2. What you need to know before you are given Mysodelle 3. How you are given Mysodelle 4. Possible side effects 5. How to store Mysodelle 6. Contents of the pack and other information 1. WHAT MYSODELLE IS AND WHAT IT IS USED FOR Mysodelle contains the active substance misoprostol. Mysodelle is used to help start the birth process from 36 weeks of pregnancy. Misoprostol belongs to a group of medicines called prostaglandins. Prostaglandins have two actions during labour. One is to soften the mouth of the womb (cervix) so that the baby can more easily be born through the vagina. The second is to cause contractions to start, which will help push the baby out of the womb (uterus). There could be several reasons why you might need help to start this process. Ask your doctor if you want more information. 2. WHAT YOU NEED TO KNOW BEFORE YOU ARE GIVEN MYSODELLE DO NOT USE MYSODELLE: - if you are allergic to misoprostol or any of the other ingredients of this medicine (listed in section 6) - if labour has started - if your baby is not in good health and/ or is distressed - if oxytocic drugs (medicines used to facilitate birth) and/or other medicines to induce labour are being given (see “Warnings and precautions” and “Other medicines and Mysodelle” below) - if you have had previous cervical or womb surgery including a previous Caesarean birth for any earlier babies - if you have any womb abnormality such as “heart-shaped” uterus (bicornate uterus) - if your placenta i Llegiu el document complet
Page 1 of 10 SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCT Mysodelle 200 micrograms vaginal delivery system. 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Mysodelle contains 200 micrograms misoprostol. Misoprostol is released _in vivo_ at a mean rate of approximately 7 micrograms/hour over a period of 24 hours. Drug release continues as long as Mysodelle is in the vagina. Excipients with known effect: 0.13 mg butylated hydroxyanisole per dose (see Section 4.4). For the full list of excipients, see Section 6.1. 3. PHARMACEUTICAL FORM Vaginal delivery system. The polymer insert is contained within a retrieval system consisting of an inert woven polyester pouch and tail. The polymer insert is rectangular in shape with radiused corners, is buff coloured, semi-transparent, non-biodegradable and measures approximately 30 mm in length, 10 mm in width and 0.8 mm in thickness. Mysodelle swells in the presence of moisture. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Mysodelle is indicated for induction of labour in women with an unfavourable cervix, from 36 weeks gestation, in whom induction is clinically indicated. _ _ 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology Mysodelle 200 micrograms is a controlled release formulation that releases misoprostol at a rate of approximately 7 micrograms/hour over a period of 24 hours. The maximum recommended dose is one Mysodelle vaginal delivery system (200 micrograms).Remove Mysodelle: At the onset of labour: - When contractions are rhythmic (3 or more in 10 minutes), firm and of adequate quality and cause cervical change and/or at the latest when cervical dilation is 4 cm If excessive uterine contractions occur: - Tachysystole: more than 5 contractions in a 10-minute window, averaged over a 30 minute window - Prolonged contractions: single contractions lasting 2 minutes or more - Hypertonic contractions: contractions are too frequent and a high resting tone in the uterus. If there is a clinical concern for the mother and/or baby if 24 Llegiu el document complet