Pramipexole Accord

Primær information

  • Handelsnavn:
  • Pramipexole Accord
  • Brugt til:
  • Mennesker
  • Medicin typen:
  • Allopatiske stof

Dokumenter

Lokation

  • Fås i:
  • Pramipexole Accord
    Den Europæiske Union
  • Sprog:
  • dansk

Terapeutisk information

  • Terapeutisk gruppe:
  • Anti-Parkinson-lægemidler
  • Terapeutisk område:
  • Restless Legs Syndrome
  • Terapeutiske indikationer:
  • Pramipexol Accord er indiceret hos voksne til behandling af tegn og symptomer på idiopatisk Parkinsons sygdom, alene (uden levodopa) eller i kombination med levodopa, jeg. e. i løbet af sygdommen gennem sene stadier når virkningen af levodopa aftager eller bliver inkonsekvent og udsving i den terapeutiske effekt opstå (slutningen af dosis eller 'on-off' udsving).

Andre oplysninger

Status

  • Kilde:
  • EMA - European Medicines Agency
  • Autorisation status:
  • autoriseret
  • Autorisationsnummer:
  • EMEA/H/C/002291
  • Autorisation dato:
  • 30-09-2011
  • EMEA kode:
  • EMEA/H/C/002291
  • Sidste ændring:
  • 03-03-2018

Offentlige vurderingsrapport

© European Medicines Agency, 2016. Reproduction is authorised provided the source is acknowledged.

EMA/403892/2016

EMEA/H/C/002291

EPAR – sammendrag for offentligheden

Pramipexole Accord

pramipexol

Dette dokument er et sammendrag af den europæiske offentlige vurderingsrapport (EPAR) for

Pramipexole Accord. Det forklarer, hvordan Udvalget for Lægemidler til Mennesker (CHMP) vurderede

lægemidlet og nåede frem til sin udtalelse til fordel for udstedelse af en markedsføringstilladelse og til

sine anbefalinger om, hvordan Pramipexole Accord skal anvendes.

Hvad er Pramipexole Accord?

Pramipexole Accord er et lægemiddel, der indeholder det aktive stof pramipexol. Det fås som tabletter

(0,088, 0,18, 0,35, 0,7 og 1,1 mg).

Pramipexole Accord er et "generisk lægemiddel". Det betyder, at Pramipexole Accord er identisk med

et "referencelægemiddel", som allerede er godkendt i Den Europæiske Union (EU), og som hedder

Mirapexin. Der kan indhentes yderligere oplysninger om generiske lægemidler i dokumentet med

spørgsmål og svar her

Hvad anvendes Pramipexole Accord til?

Pramipexole Accord anvendes til behandling af symptomerne på Parkinsons sygdom, der er en

fremadskridende hjernesygdom, som forårsager rysten, langsomme bevægelser og muskelstivhed.

Pramipexole Accord kan enten anvendes alene eller i kombination med levodopa (et andet lægemiddel

til behandling af Parkinsons sygdom) på et hvilket som helst stadium af sygdommen, herunder de

senere stadier, når levodopa begynder at blive mindre effektivt.

Lægemidlet udleveres kun efter recept.

Hvordan anvendes Pramipexole Accord?

Startdosis en 0,088-mg-tablet tre gange dagligt. Dosis øges hver femte til syvende dag, indtil

symptomerne er under kontrol, uden at der forårsages bivirkninger, som ikke kan tolereres. Den

maksimale daglige dosis er tre 1,1 mg-tabletter. Pramipexole Accord skal gives mindre hyppigt til

Pramipexole Accord

EMA/403892/2016

Side 2/2

patienter, som har nyreproblemer. Hvis behandlingen af en eller anden årsag indstilles, skal dosis

nedtrappes gradvist.

Hvordan virker Pramipexole Accord?

Det aktive stof i Pramipexole Accord, pramipexol, er en dopaminagonist (et stof, som efterligner

virkningen af dopamin). Dopamin virker som signalstof i de dele af hjernen, der styrer bevægelser og

koordinering. Hos patienter med Parkinsons sygdom begynder de celler, der danner dopamin, at dø, og

mængden af dopamin i hjernen falder. Patienterne mister derved evnen til at styre deres bevægelser.

Pramipexol stimulerer hjernen på samme måde som dopamin, så patienten kan styre sine bevægelser

og har færre tegn og symptomer på Parkinsons sygdom som f.eks. rysten, stivhed og langsomme

bevægelser.

Hvordan blev Pramipexole Accord undersøgt?

Da Pramipexole Accord er et generisk lægemiddel, har patientundersøgelserne været begrænset til at

påvise, at det er bioækvivalent med referencelægemidlet Mirapexin. To lægemidler er bioækvivalente,

når de danner den samme mængde af det aktive stof i kroppen.

Hvilken fordel og risiko er der forbundet med Pramipexole Accord?

Da Pramipexole Accord er et generisk lægemiddel, som er bioækvivalent med referencelægemidlet,

anses benefit/risk-forholdet for at være det samme som for referencelægemidlet.

Hvorfor blev Pramipexole Accord godkendt?

CHMP konkluderede, at det i overensstemmelse med EU's krav er blevet påvist, at Pramipexole Accord

er af sammenlignelig kvalitet og er bioækvivalent med Mirapexin. Det var derfor CHMP's opfattelse, at

fordelene opvejer de identificerede risici som for Mirapexin. Udvalget anbefalede udstedelse af

markedsføringstilladelse for Pramipexole Accord.

Hvilke foranstaltninger træffes der for at sikre risikofri og effektiv

anvendelse af Pramipexole Accord?

I produktresuméet og indlægssedlen er der indføjet anbefalinger og forholdsregler, som

sundhedspersonale og patienter skal følge med henblik på sikker og effektiv anvendelse af Pramipexole

Accord.

Andre oplysninger om Pramipexole Accord

Europa-Kommissionen udstedte en markedsføringstilladelse med gyldighed i hele Den Europæiske

Union for Pramipexole Accord den 30. september 2011.

Den fuldstændige EPAR for Pramipexole Accord findes på agenturets websted under:

ema.europa.eu/Find medicine/Human medicines/European Public Assessment Reports. Hvis du ønsker

yderligere oplysninger om behandling med Pramipexole Accord, kan du læse indlægssedlen (også en

del af denne EPAR) eller kontakte din læge eller dit apotek.

Den fuldstændige EPAR for referencelægemidlet findes også på agenturets websted.

Dette sammendrag blev sidst ajourført i 06-2016.

Indlægsseddel

B. INDLÆGSSEDDEL

Indlægsseddel: Information til brugeren

Pramipexole Accord 0,088 mg tabletter

Pramipexole Accord 0,18 mg tabletter

Pramipexole Accord 0,35 mg tabletter

Pramipexole Accord 0,7 mg tabletter

Pramipexole Accord 1,1 mg tabletter

Pramipexol

Læs denne indlægsseddel grundigt, inden du begynder at tage dette lægemiddel, da den

indeholder vigtige oplysninger.

Gem indlægssedlen. Du kan få brug for at læse den igen.

Spørg lægen eller på apotekspersonalet, hvis der er mere, du vil vide.

Lægen har ordineret Pramipexole Accord til dig personligt. Lad derfor være med at give det til andre.

Det kan være skadeligt for andre, selvom de har de samme symptomer, som du har.

Tal med lægen eller apotekspersonalet, hvis en bivirkning bliver værre, eller du får bivirkninger, som

ikke er nævnt her. Se punkt 4.

Se den nyeste indlægsseddel på www.indlaegsseddel.dk

Oversigt over indlægssedlen:

Virkning og anvendelse

Det skal du vide, før du begynder at tage Pramipexole Accord

Sådan skal du tage Pramipexole Accord

Bivirkninger

Opbevaring

Pakniingsstørrelser og yderligere oplysninger

1.

Virkning og anvendelse

Pramipexole Accord indeholder det aktive stof pramipexol, der er en såkaldt dopaminagonist, som

stimulerer specielle receptorer i hjernen (dopaminreceptorerne). Pramipexole Accord påvirker

nerveimpulser i hjernen, som kontrollerer kroppens bevægelser, ved at stimulere dopaminreceptorerne.

Pramipexole Accord bruges til:

behandling af voksne patienter med symptomer på Parkinsons sygdom. Pramipexole Accord

kan tages alene eller i kombination med levodopa (medicin til behandling af Parkinsons sygdom)

2.

Det skal du vide, før du begynder at tage Pramipexole Accord

Tag ikke Pramipexole Accord

hvis du er allergisk over for pramipexol eller et af de øvrige indholdsstoffer (angivet i punkt

6.1).

Advarsler og forsigtighedsregler

Kontakt lægen, apoteket eller sundhedspersonalet før du tager Pramipexole Accord.

Fortæl det til din læge, hvis du har eller har haft nogen af nedenstående sygdomme eller tilstande:

Nyresygdomme

Hallucinationer (ser, hører eller føler ting, som ikke er der). De fleste hallucinationer er

syns-hallucinationer

Ufrivillige bevægelser af arme og ben (dyskinesi)

Hvis du har Parkinsons sygdom i fremskreden grad og samtidig behandles med levodopa, kan

der være risiko for udvikling af ufrivillige bevægelser (dyskinesi), når Pramipexole Accord-

dosis øges.

Dystoni

Manglende evne til at holde din krop og nakke lige og oprejst (aksial dystoni). Du kan især

opleve, at dit hoved og din nakke falder fremad (denne tilstand kaldes antecollis), at din lænd

bøjer fremad (denne tilstand kaldes camptocormia), eller at din ryg falder til siden (denne

tilstand kaldes pleurothotonus eller Pisa-syndrom). Hvis dette sker, kan det være, at lægen vil

ændre din medicin.

Søvnighed og episoder med pludseligt indsættende søvn

Psykoser (f.eks. som ved symptomer på skizofreni)

Synsnedsættelse. Så længe du er i behandling med Pramipexole Accord, anbefales det at få

øjnene undersøgt regelmæssigt.

Alvorlige hjerte- eller karsygdomme. I starten af behandlingen kan der opstå et blodtryksfald,

der kan opleves som svimmelhed, når du for eksempel rejser dig fra en stol. Du bør derfor få

blodtrykket målt regelmæssigt.

Hvis du oplever, at symptomerne begynder tidligere på dagen end sædvanligt, er mere

intense og omfatter flere legemesdele (dette kaldes augmentation).

Fortæl det til din læge, hvis du eller din familie/plejer bemærker, at du udvikler trang eller stærk lyst

til at gøre ting, som du normalt ikke gør, og at du ikke kan modstå impulsen, trangen eller fristelsen til

at udføre visse aktiviteter, der kan skade dig selv eller andre. Dette kaldes impulskontrolforstyrrelser

og kan omfatte adfærd såsom spilleafhængighed, overdreven spisning eller overdrevent pengeforbrug,

unormalt stor seksualdrift eller tiltagen i seksuelle tanker eller følelser. Måske skal din læge justere din

dosis eller stoppe behandlingen med Pramipexole Accord.

Fortæl din læge, hvis du eller din familie/pårørende bemærker, at du er ved at udvikle mani (føle sig

oprørt, opstemt eller ophidset) eller delirium (nedsat bevidsthed, forvirring eller manglende

realitetsopfattelse). Din læge skal muligvis justere din dosis eller afbryde behandlingen.

Fortæl din læge, hvis du oplever symptomer såsom depression, apati, angst, træthed, svedtendens eller

smerter, efter at du er stoppett med eller har nedsat dosis i din Pramipexole Accord-behandling. Hvis

problemet varer længere end et par uger, skal din læge muligvis justere din behandling.

Børn og unge

Børn og unge under 18 år bør ikke bruge Pramipexole Accord.

Brug af anden medicin sammen med Pramipexole Accord

Fortæl det altid til lægen eller på apoteket, hvis du bruger anden medicin eller har gjort det for nylig.

Dette gælder også medicin, som ikke er købt på recept, f.eks. naturlægemidler og vitaminer og

mineraler.

Medicin mod psykiske lidelser (antipsykotika) må ikke tages sammen med Pramipexole Accord.

Tal med din læge, hvis du tager følgende medicin:

Cimetidin (medicin mod meget mavesyre og mavesår)

Amantadin (medicin mod Parkinsons sygdom)

Mexitil (medicin mod uregelmæssig hjerterytme)

Zidovu

din (medicin mod aids (erhvervet immundefekt syndrom), en sygdom i immunsystemet)

Cisplatin (medicin mod forskellige typer kræft)

Quinin (medicin til forebyggelse af smertefulde natlige lægkramper og til behandling af en

malariatype kendt som falciparum malaria (ondartet malaria))

Procainamid (medicin mod uregelmæssig hjerterytme)

Levodopa (medicin mod Parkinsons sygdom). Dosis bør nedsættes, når du starter behandling

med Pramipexole Accord.

Hvis du tager beroligende medicin og drikker alkohol, kan Pramipexole Accord påvirke din evne til at

køre bil og håndtere maskiner.

Brug af Pramipexole Accord sammen med mad, drikke og alkohol

Ved behandling med Pramipexole Accord, skal du være forsigtig med indtagelse af alkohol, da din

reaktionsevne kan blive markant nedsat.

Pramipexole Accord kan enten tages sammen med mad eller alene. Tabletterne bør synkes med vand.

Graviditet og amning

Hvis du er gravid eller ammer, har mistanke om, at du er gravid, eller planlægger at blive gravid, skal

du spørge din læge eller apoteket til råds, før du tager Pramipexole Accord. Din læge vil tale med dig,

om du skal fortsætte med at tage Pramipexole Accord.

Man ved ikke, hvilken virkning Pramipexole Accord kan have på det ufødte barn. Derfor bør du ikke

tage Pramipexole Accord, hvis du er gravid, medmindre din læge anbefaler dig at gøre det.

Pramipexole Accord bør ikke bruges i ammeperioden. Pramipexole Accord kan nedsætte

mælkeproduktionen og kan også overføres til din baby via brystmælk. Hvis du ikke kan undvære

Pramipexole Accord, bør amningen stoppe.

Spørg din læge eller apotek til råds, før du tager nogen form for medicin.

Trafik- og arbejdssikkerhed

Pramipexole Accord kan give hallucinationer (du ser, hører eller føler ting, der ikke er der), og det kan

påvirke din evne til at køre bil og betjene maskiner.

Bivirkninger som søvnighed og pludselig indsættende søvn er set specielt for Parkinsonpatienter. Du

skal afstå fra at køre bil, motorcykel, eller cykel, og lade være med at arbejde med værktøj eller

maskiner, hvis du oplever disse bivirkninger.

3.

Sådan skal du tage

Pramipexole Accord

Tag altid dette lægemiddel nøjagtigt efter lægens anvisning. Er du i tvivl, så spørg lægen eller på

apoteket.

Pramipexole Accord-tabletter bør synkes med vand, og kan både tages sammen med mad og alene.

Parkinsons sygdom

Den daglige dosis skal deles i 3 lige store doser.

I den første uge er dosis oftest 1 tablet Pramipexole Accord à 0,088 mg tre gange dagligt (svarende til

0,264 mg om dagen):

1. uge

Antal tabletter

1 Pramipexole Accord-tablet à

0,088 mg

3 gange om dagen

Total daglig dosis (mg)

0,264

Lægen vil normalt anføre, at den daglige dosis øges hver 5.-7. dag indtil Parkinson-symptomerne er

under kontrol (op til vedligeholdelsesdosis):

2. uge

3. uge

Antal tabletter

1 tablet Pramipexole Accord

0,18 mg

3 gange om dagen

ELLER

2 tabletter Pramipexole Accord

0,088 mg

1 tablet Pramipexole Accord

0,35 mg

3 gange om dagen

ELLER

2 tabletter Pramipexole Accord

0,18 mg

3 gange om dagen

3 gange om dagen

Total daglig dosis (mg)

0,54

Den sædvanlige vedligeholdelsesdosis er 1,1 mg pr. dag. Det kan dog være nødvendigt at øge din

dosis. Om nødvendigt kan din læge øge din dosis op til 3,3 mg pramipexol pr. dag. En lavere

vedligeholdelsesdosis bestående af tre Pramipexole Accord 0,088 mg tabletter pr. dag er også mulig.

Laveste vedligeholdelsesdosis

Højeste vedligeholdelsesdosis

Antal tabletter

1 tablet Pramipexole Accord

0,088 mg

3 gange om dagen

1 tablet Pramipexole Accord 1,1

3 gange om dagen

Total daglig dosis (mg)

0,264

Patienter med nyresygdomme

Hvis du har en moderat til alvorlig nyresygdom, skal du have en lavere dosis. I så fald skal du kun

tage tabletter en eller to gange daglig.

Hvis din nyresygdom er moderat, er startdosis oftest 1 Pramipexole Accord-tablet à 0,088 mg 2 gange

daglig.

Hvis din nyresygdom er alvorlig, er startdosis oftest 1 Pramipexole Accord-tablet à 0,088 mg 1 gang

daglig.

Hvis du har taget for mange Pramipexole Accord-tabletter

Hvis du har taget for mange Pramipexole Accord-tabletter, så kontakt lægen eller skadestuen med det

samme.

Tegn på overdosering kan blandt andet være opkastning, rastløshed eller nogle af de andre

bivirkninger, der er anført under pkt. 4 (Bivirkninger).

Hvis du har glemt at tage Pramipexole Accord

Her er ingen grund til bekymring. Spring denne dosis over og tag næste dosis på det sædvanlige

tidspunkt. Tag aldrig dobbeltdosis.

Hvis du holder op med at tage Pramipexole Accord

Du må ikke ophøre behandlingen med Pramipexole Accord uden at spørge din læge til råds. Hvis det

er nødvendigt at stoppe behandlingen, nedsætter lægen gradvis din dosis. Dette mindsker risikoen for,

at symptomerne forværres.

Hvis du har Parkinsons sygdom, bør du ikke stoppe behandlingen med Pramipexole Accord pludseligt,

da det kan medføre en sygelig tilstand, der udgør en alvorlig helbredsrisiko (malignt neuroleptika

syndrom). Symptomerne er blandt andet:

nedsat evne til at bevæge sig, dvs. tab af muskelbevægelighed (akinesi)

muskelstivhed

feber

ustabilt blodtryk

øget hjerterytme (takykardi)

forvirring

påvirket bevidsthedstilstand, f.eks koma

Spørg lægen eller på apoteket, hvis der er noget, du er i tvivl om.

4.

Bivirkninger

Dette lægemiddel kan som al anden medicin give bivirkninger, men ikke alle får bivirkninger.

Bivirkningerne kan forekomme med en given hyppighed, som defineres på følgende måde:

Meget almindelig

Kan forekomme hos flere end 1 ud af 10 patienter

Almindelig

Kan forekomme hos mellem 1 og 10 ud af 100 patienter

Ikke almindelig

Kan forekomme hos mellem 1 og 10 ud af 1000 patienter

Sjælden

Kan forekomme hos mellem 1 og 10 ud af 10.000 patienter

Meget sjælden

Kan forekomme hos færre end 1 ud af 10.000 patienter

Ikke kendt

Hyppigheden kan ikke estimeres ud fra forhåndenværende data

Hvis du har Parkinsons sygdom, kan du få følgende bivirkninger:

Meget almindelige:

Unormale, ufrivillige bevægelser (dyskinesi)

Søvnighed

Svimmelhed

Kvalme

Almindelige:

Trang til unormal adfærd

Hallucinationer (du ser, hører eller føler ting, som ikke er der)

Forvirring

Træthed (udmattelse)

Søvnløshed (insomi)

Væskeophobning - hævede fødder, ankler og hænder (perifert ødem)

Hovedpine

Lavt blodtryk (hypotension)

Unormale drømme

Forstoppelse

Synsnedsættelse (dobbeltsyn)

Opkastning

Vægttab samt nedsat appetit

Ikke almindelige:

Paranoia (såsom overdreven frygt for sit helbred)

Vrangforestillinger

Udtalt træthed om dagen og episoder med pludselig indsættende søvn

Hukommelsestab (amnesi)

Ufrivillig øget bevægelser og ude af stand til at holde sig i ro (hyperkinesi)

Vægtforøgelse

Allergiske reaktioner (f.eks. udslæt, kløe, overfølsomhed)

Besvimelse

Hjertesvigt (hjerteproblemer, der kan forårsage åndenød eller hævede ankler)*

Uhensigtmæssig udskillelse af antidiuretisk hormon*

Rastløshed

Åndenød (dyspnø)

Hikke

Lungebetænd

else

Manglende evne til at modstå impulser, trangen eller fristelsen til at udføre aktiviteter, der kan

skade dig selv eller andre. Dette kan omfatte:

stærk trang til hasardspil, selv om det kan have alvorlige konsekvenser for dig eller din

familie.

ændret eller øget interesse for sex og seksual adfærd, der vækker bekymring hos dig selv

eller andre, f.eks. øget seksualdrift.

Ukontrollabel, overdreven trang til at købe ting eller bruge penge

Overdreven spisning (indtagelse af store mængder mad inden for et kort tidsrum) eller

tvangsspisning (at man spiser mere mad end normalt og mere end den mængde, der skal til

for at stille sulten)

Delirium (nedsat bevidsthed, forvirring, manglende realitetsopfattelse)

Sjælden:

Mani (føle sig oprørt, opstemt eller ophidset)

Ikke kendt:

Efter at du er stoppet med eller har nedsat dosis i din Pramipexole Accord-behandling:

Depression, apati, angst, træthed, svedtendens eller smerter kan forekomme (kaldet

dopaminagonist-abstinenssyndrom eller

dopamine agonist withdrawal syndrome - DAWS

Fortæl det til din læge, hvis du oplever denne adfærd. Lægen vil drøfte med dig, hvordan

symptomerne kan kontrolleres eller reduceres.

For de bivirkninger, der er markeret med *, er en præcis vurdering af hyppigheden ikke mulig, da

disse bivirkninger ikke blev set i kliniske studier med 2.762 patienter behandlet med pramipexol.

Hyppighedskategorien er formentlig ikke større end "ikke almindelig".

Hvis du får Pramipexole Accord til behandling af andre lidelser end Parkinsons sygdom, kan du få

følgende bivirkninger:

Meget almindelige:

Kvalme

Almindelige:

Forandring af søvnmønster, såsom søvnløshed (insomni) og søvnighed

Træthed (udmattelse)

Hovedpine

Unormale drømme

Forstoppelse

Svimmelhed

Opkastning

Ikke almindelige:

Trang til unormal adfærd*

Hjertesvigt (hjerteproblemer, der kan forårsage åndenød eller hævede ankler)*

Uhensigtmæssig udskillelse af antidiuretisk hormon*

Unormale, ufrivillige bevægelser (dyskinesi)

Øget muskelaktivitet med ufrivillige bevægelser (hyperkinesi)*

Paranoia (f.eks. overdreven frygt for ens eget helbred)*

Vrangforestillinger*

Hukommelsestab (amnesi)*

Hallucinationer (at se, høre eller føle ting, som ikke er der)

Forvirring

Udtalt træthed om

dagen og episoder med pludselig indsættende søvn

Tager på i vægt

Lavt blodtryk (hypotension)

Væskeophobning – hævede fødder, ankler og hænder (perifert ødem)

Allergiske reaktioner (f.eks. udslæt, kløe, overfølsomhed)

Besvimelse

Rastløshed

Synsnedsættelse (dobbeltsyn)

Vægttab samt nedsat appetit

Åndenød (dyspnø)

Hikke

Lungebetændelse*

Manglende evne til at modstå impulser, trangen eller fristelsen til at udføre aktiviteter, der kan

skade dig selv eller andre. Dette kan omfatte:

stærk trang til hasardspil, selv om det kan have alvorlige konsekvenser for dig eller din

familie.

ændret eller øget interesse for sex og seksual adfærd, der vækker bekymring hos dig selv

eller andre, f.eks. øget seksualdrift.

Ukontrollabel, overdreven trang til at købe ting eller bruge penge

Overdreven spisning (indtagelse af store mængder mad inden for et kort tidsrum) eller

tvangsspisning (at man spiser mere mad end normalt og mere end den mængde, der skal til

for at stille sulten)*

Mani (føle sig oprørt, opstemt eller ophidset)*

Delirium (nedsat bevidsthed, forvirring, manglende realitetsopfattelse)*

Ikke kendt:

Efter at du er stoppet med eller har nedsat dosis i din Pramipexole Accord-behandling:

Depression, apati, angst, træthed, svedtendens eller smerter kan forekomme (kaldet

dopaminagonist-abstinenssyndrom eller

dopamine agonist withdrawal syndrome - DAWS

Fortæl det til din læge, hvis du oplever denne adfærd. Lægen vil drøfte med dig, hvordan

symptomerne kan kontrolleres eller reduceres.

For de bivirkninger, der er markeret med *, er en præcis vurdering af hyppigheden ikke mulig, da

disse bivirkninger ikke blev set i kliniske studier med 1.395 patienter behandlet med pramipexol.

Hyppighedskategorien er formentlig ikke større end "ikke almindelig".

Indberetning af bivirkninger

Hvis du oplever bivirkninger, bør du tale med din læge, sygeplejerske eller apoteket. Dette gælder

også mulige bivirkninger, som ikke er medtaget i denne indlægsseddel. Du eller dine pårørende kan

også indberette bivirkninger direkte til Lægemiddelstyrelsen via det nationale rapporteringssystem

anført i Appendiks V. Ved at indrapportere bivirkninger kan du hjælpe med at fremskaffe mere

information om sikkerheden af dette lægemiddel.

5.

Opbevaring

Opbevar Pramipexole Accord utilgængeligt for børn.

Brug ikke Pramipexole Accord efter den udløbsdato, der står på pakningen efter EXP. Udløbsdatoen

er den sidste dag i den nævnte måned.

Må ikke opbevares ved temperaturer over 30º C.

Opbevares i den originale yderpakning for at beskytte mod lys.

Spørg på apoteket, hvordan du skal bortskaffe medicinrester. Af hensyn til miljøet må du ikke smide

medicinrester i afløbet, toilettet eller skraldespanden.

6.

Pakningsstørrelser og yderligere oplysninger

Pramipexole Accord indeholder:

Aktivt stof: Pramipexol.

Hver tablet indeholder 0,125 mg pramipexoldihydrochloridmonohydrat svarende til 0.088 mg

pramipexole.

Hver tablet indeholder 0,25 mg pramipexoldihydrochloridmonohydrat svarende til 0.18 mg

pramipexole.

Hver tablet indeholder 0,5 mg pramipexoldihydrochloridmonohydrat svarende til 0.35 mg

pramipexole.

Hver tablet indeholder 1,0 mg pramipexoldihydrochloridmonohydrat svarende til 0.7 mg pramipexole.

Hver tablet indeholder 1,5 mg pramipexoldihydrochloridmonohydrat svarende til 1.1 mg pramipexole.

Øvrige indholdsstoffer: Mannitol, mikrokrystallinsk cellulose, majsstivelse, vandfri kolloid silica,

povidon K 30 og magnesiumstearat.

Udseende og pakningsstørrelse

Pramipexole Accord 0,088 mg tabletter er hvide til offwhite, runde, flade, med facetslebne kanter og

inskriptionen ’I1’ på den ene side, jævne på den anden.

Pramipexole Accord 0,18 mg tabletter er hvide til offwhite, runde, flade, med facetslebne kanter og

inskriptionen ’I’ og ’2’ på hver side af delekærven på den ene side og med delekærv på den anden

side.

Pramipexole Accord 0,35 mg tabletter er hvide til offwhite, runde, flade, med facetslebne kanter og

inskriptionen ’I’ og ’3’ på hver side af delekærven på den ene side og med delekærv på den anden

side.

Pramipexole Accord 0,7 mg tabletter er hvide til off-white, runde, flade, med facetslebne kanter og

inskriptionen ’I’ og ’4’ på hver side af delekærven på den ene side og med delekærv på den anden

side.

Pramipexole Accord 1,1 mg tabletter er hvide til off-white, runde, flade, med facetslebne kanter og

inskriptionen ’I’ og ’5’ på hver side af delekærven på den ene side og med delekærv på den anden

side.

Alle Pramipexole Accord-tabletstyrker fås i aluminium/aluminium blisterkort med 10 tabletter pr. kort

i kartoner med 3 eller 10 blisterkort (30 eller 100 tabletter).

Ikke alle pakningsstørrelser er nødvendigvis markedsført.

Indehaveren af markedsføringstilladelsen og fremstiller

Accord Healthcare Limited,

Sage house, 319 Pinner road,

North Harrow

HA1 4HF, Middlesex,

Storbritannien

Denne indlægsseddel blev senest revideret <dato>

Yderligere information om dette lægemiddel er tilgængelig på Det Europæiske

Lægemiddelagenturs hjemmeside http://www.ema.europa.eu.

17-10-2018

Lumpy skin disease: scientific and technical assistance on control and surveillance activities

Lumpy skin disease: scientific and technical assistance on control and surveillance activities

Published on: Tue, 16 Oct 2018 00:00:00 +0200 The duration of the vaccination campaign sufficient to eliminate lumpy skin disease (LSD) mainly depends on the vaccination effectiveness and coverage achieved. By using a spread epidemiological model, assuming a vaccination effectiveness of 65%, with 50% and 90% coverage, 3 and 4 years campaigns, respectively, are needed to eliminate LSD. When vaccination effectiveness is 80% to 95%, 2 years of vaccination at coverage of 90% is sufficient to eliminate LSD vir...

Europe - EFSA - European Food Safety Authority Publications

16-10-2018

Modification of the existing maximum residue levels for mepiquat in cotton seeds and animal commodities

Modification of the existing maximum residue levels for mepiquat in cotton seeds and animal commodities

Published on: Mon, 15 Oct 2018 00:00:00 +0200 In accordance with Article 6 of Regulation (EC) No 396/2005, the applicant, BASF SE, submitted an application to the competent national authority in Greece to modify the existing maximum residue level (MRL) for the active substance mepiquat in cotton seeds. The data submitted in support of the application were found to be sufficient to derive a MRL proposal for cotton seeds and the previously derived MRL proposals for animal commodities were found to be stil...

Europe - EFSA - European Food Safety Authority Publications

6-10-2018

Modification of the existing maximum residue level for epoxiconazole in beetroots

Modification of the existing maximum residue level for epoxiconazole in beetroots

Published on: Fri, 05 Oct 2018 00:00:00 +0200 In accordance with Article 6 of Regulation (EC) No 396/2005, the applicant Agriculture & Horticulture Development Board submitted a request to the competent national authority in the United Kingdom to modify the existing maximum residue level (MRL) for the active substance epoxiconazole in beetroots. The data submitted in support of the request were found to be sufficient to derive a MRL proposal for beetroots. Adequate analytical methods for enforcement are...

Europe - EFSA - European Food Safety Authority Publications

2-10-2018

Review of the existing maximum residue levels for cyflufenamid according to Article 12 of Regulation (EC) No 396/2005

Review of the existing maximum residue levels for cyflufenamid according to Article 12 of Regulation (EC) No 396/2005

Published on: Mon, 01 Oct 2018 00:00:00 +0200 According to Article 12 of Regulation (EC) No 396/2005, EFSA has reviewed the maximum residue levels (MRLs) currently established at European level for the pesticide active substance cyflufenamid. To assess the occurrence of cyflufenamid residues in plants, processed commodities, rotational crops and livestock, EFSA considered the conclusions derived in the framework of Directive 91/414/EEC as well as the European authorisations reported by Member States (in...

Europe - EFSA - European Food Safety Authority Publications

28-9-2018

Avian influenza overview May – August 2018

Avian influenza overview May – August 2018

Published on: Thu, 27 Sep 2018 00:00:00 +0200 Between 16 May and 15 August 2018, three highly pathogenic avian influenza (HPAI) A(H5N8) outbreaks in poultry establishments and three HPAI A(H5N6) outbreaks in wild birds were reported in Europe. Three low pathogenic avian influenza (LPAI) outbreaks were reported in three Member States. Few HPAI and LPAI bird cases have been detected in this period of the year, in accordance with the seasonal expected pattern of LPAI and HPAI. There is no evidence to date ...

Europe - EFSA - European Food Safety Authority Publications

27-9-2018

Review of the existing maximum residue levels for tembotrione according to Article 12 of Regulation (EC) No 396/2005

Review of the existing maximum residue levels for tembotrione according to Article 12 of Regulation (EC) No 396/2005

Published on: Wed, 26 Sep 2018 00:00:00 +0200 According to Article 12 of Regulation (EC) No 396/2005, EFSA has reviewed the maximum residue levels (MRLs) currently established at European level for the pesticide active substance tembotrione. To assess the occurrence of tembotrione residues in plants, processed commodities, rotational crops and livestock, EFSA considered the conclusions derived in the framework of Commission Regulation (EU) No 188/2011 as well as the import tolerances and European author...

Europe - EFSA - European Food Safety Authority Publications

27-9-2018

Outcome of the consultation on confirmatory data used in risk assessment for the active substance  copper (I), copper (II) variants

Outcome of the consultation on confirmatory data used in risk assessment for the active substance copper (I), copper (II) variants

Published on: Wed, 26 Sep 2018 00:00:00 +0200 The European Food Safety Authority (EFSA) was asked by the European Commission to provide scientific assistance with respect to the risk assessment for an active substance in light of confirmatory data requested following the first approval in accordance with Article 6(1) of Directive 91/414/EEC and Article 6(f) of Regulation (EC) No 1107/2009. In this context EFSA's scientific views on the specific points raised during the commenting phase conducted with Me...

Europe - EFSA - European Food Safety Authority Publications

26-9-2018

Modification of the existing maximum residue level for flonicamid in various crops

Modification of the existing maximum residue level for flonicamid in various crops

Published on: Tue, 25 Sep 2018 00:00:00 +0200 In accordance with Article 6 of Regulation (EC) No 396/2005, the applicant Dienstleistungszentrum Ländlicher Raum submitted a request to the competent national authority in Germany to modify the existing maximum residue level (MRL) for the active substance flonicamid in radishes. Furthermore, in accordance with Article 6 of Regulation (EC) No 396/2005, the applicant ISK Biosciences Europe N.V. submitted a request to the competent national authority in the Ne...

Europe - EFSA - European Food Safety Authority Publications

25-9-2018

Daiso Holdings Ltd. recalls Daiso Brand Consumer Chemical Products

Daiso Holdings Ltd. recalls Daiso Brand Consumer Chemical Products

The recalled products have not been properly classified according to the Consumer Chemicals and Containers Regulations, 2001, in order to ensure appropriate hazard labelling. These regulations are empowered by the Canada Consumer Product Safety Act. Improper labelling could result in unintentional exposure to these products and lead to serious illness, injury or death.

Health Canada

21-9-2018

Outcome of the consultation with Member States, the applicant and EFSA on the pesticide risk assessment for sulfoxaflor in light of confirmatory data

Outcome of the consultation with Member States, the applicant and EFSA on the pesticide risk assessment for sulfoxaflor in light of confirmatory data

Published on: Thu, 20 Sep 2018 00:00:00 +0200 The European Food Safety Authority (EFSA) was asked by the European Commission to provide scientific assistance with respect to the risk assessment for an active substance in light of confirmatory data requested following approval in accordance with Article 6(1) of Directive 91/414/EEC and Article 6(f) of Regulation (EC) No 1107/2009. In this context EFSA's scientific views on the specific points raised during the commenting phase conducted with Member State...

Europe - EFSA - European Food Safety Authority Publications

21-9-2018

Modification of the existing maximum residue level for clothianidin in potatoes

Modification of the existing maximum residue level for clothianidin in potatoes

Published on: Thu, 20 Sep 2018 00:00:00 +0200 In accordance with Article 6 of Regulation (EC) No 396/2005, the applicant Bayer CropScience AG submitted a request to the competent national authority in Germany to modify the existing maximum residue level (MRL) for the active substance clothianidin to accommodate the use on potatoes imported from Canada. The data submitted in support of the request were found to be sufficient to derive a MRL proposal. Adequate analytical methods for enforcement are availa...

Europe - EFSA - European Food Safety Authority Publications

19-9-2018

Modification of the existing maximum residue levels for potassium phosphonates in certain berries and small fruits

Modification of the existing maximum residue levels for potassium phosphonates in certain berries and small fruits

Published on: Tue, 18 Sep 2018 00:00:00 +0200 In accordance with Article 6 of Regulation (EC) No 396/2005, the applicant LTZ Augustenberg submitted a request to the competent national authority in Germany to modify the existing maximum residue levels (MRLs) for the active substance potassium phosphonates in raspberries, blackberries, currants, blueberries, gooseberries and elderberries. The data submitted in support of the request were found to be sufficient to derive MRL proposals for all crops under c...

Europe - EFSA - European Food Safety Authority Publications

19-9-2018

Modification of the existing maximum residue levels for flonicamid in various root crops

Modification of the existing maximum residue levels for flonicamid in various root crops

Published on: Tue, 18 Sep 2018 00:00:00 +0200 In accordance with Article 6 of Regulation (EC) No 396/2005, the Agriculture and Horticulture Development Council submitted a request to the competent national authority in the United Kingdom to modify the existing maximum residue levels (MRL) for the active substance flonicamid in beetroots, carrots, celeriacs/turnip rooted celeries, horseradishes, Jerusalem artichokes, parsnips, parsley roots/Hamburg roots parsley, radishes, salsifies, swedes/rutabagas, tu...

Europe - EFSA - European Food Safety Authority Publications

13-9-2018

Review of the existing maximum residue levels for fluquinconazole according to Article 12 of Regulation (EC) No 396/2005

Review of the existing maximum residue levels for fluquinconazole according to Article 12 of Regulation (EC) No 396/2005

Published on: Wed, 12 Sep 2018 00:00:00 +0200 According to Article 12 of Regulation (EC) No 396/2005, EFSA has reviewed the maximum residue levels (MRLs) currently established at European level for the pesticide active substance fluquinconazole. Considering the information provided by Member States, neither EU uses nor import tolerances are currently authorised for fluquinconazole within the European Union. Furthermore, no MRLs are established by the Codex Alimentarius Commission (codex maximum residue ...

Europe - EFSA - European Food Safety Authority Publications

11-9-2018

Risk assessment of substances used in food supplements: the example of the botanical Gymnema sylvestre

Risk assessment of substances used in food supplements: the example of the botanical Gymnema sylvestre

Published on: Tue, 28 Aug 2018 00:00:00 +0200 Botanicals and preparations derived from these are among the substances frequently added to foods and food supplements, yet the safety of many botanicals has not been systematically assessed. In the context of the EU‐FORA fellowship programme, the fellow performed an assessment on the safety of the botanical Gymnema sylvestre, in accordance with EFSA's guidance on the assessment of safety of botanicals. Although preparations of G. sylvestre are marketed as f...

Europe - EFSA - European Food Safety Authority Publications

11-9-2018

Modelling of inactivation through heating for quantitative microbiological risk assessment (QMRA)

Modelling of inactivation through heating for quantitative microbiological risk assessment (QMRA)

Published on: Mon, 27 Aug 2018 00:00:00 +0200 EFSA regards the household as a stage in the food chain that is important for the final number of food‐borne infections. The fate of a pathogen in the private kitchen largely depends on consumer hygiene during preparation of food and on its proper cooking, especially in the case of meat. Unfortunately, detailed information on the microbiological survival in meat products after heating in the consumer kitchen is lacking. The aim of the study was to improve th...

Europe - EFSA - European Food Safety Authority Publications

11-9-2018

Assessment of occupational and dietary exposure to pesticide residues

Assessment of occupational and dietary exposure to pesticide residues

Published on: Mon, 27 Aug 2018 00:00:00 +0200 Plant protection products (PPPs) are pesticides containing at least one active substance that drives specific actions against pests (diseases). PPPs are regulated in the EU and cannot be placed on the market or used without prior authorisation. EFSA assesses the possible risks of the use of active substances to humans and environment. Member States decide whether or not to approve their use at EU level. Furthermore, Member States decide at national level on ...

Europe - EFSA - European Food Safety Authority Publications

4-9-2018

Outcome of the consultation with Member States and EFSA on the basic substance application for milk for use in plant protection as fungicide

Outcome of the consultation with Member States and EFSA on the basic substance application for milk for use in plant protection as fungicide

Published on: Mon, 03 Sep 2018 00:00:00 +0200 The European Food Safety Authority (EFSA) was asked by the European Commission to provide scientific assistance with respect to the evaluation of applications received by the European Commission concerning basic substances. In this context, EFSA's scientific views on the specific points raised during the commenting phase conducted with Member States and EFSA on the basic substance application for milk are presented. The context of the evaluation was that req...

Europe - EFSA - European Food Safety Authority Publications

1-9-2018

Multiple “Dr. King’s” homeopathic and “Natural Pet” veterinary products recalled due to potential microbial contamination

Multiple “Dr. King’s” homeopathic and “Natural Pet” veterinary products recalled due to potential microbial contamination

Health Canada is advising consumers and pet owners not to use homeopathic and veterinary products made by King Bio Inc. and labeled as "Dr. King's," "Dr King's Natural Pet" or "Natural Pet." These products may pose a health risk to people and pets, especially children, pregnant women and those with compromised immune systems, because of potential microbial contamination. According to the United States Food and Drug Administration, high levels of microbial contamination were identified at the manufacturin...

Health Canada

1-9-2018

Acknowledgement:EFSA  wishes  to  thank  the  rapporteur  Member  State  Denmark  for  thepreparatory work on this scientific output.Suggested citation:EFSA (European Food Safety Authority), Brancato A, Brocca D, Carrasco Cabrera L,De Lentdecker C, Erdos

Acknowledgement:EFSA wishes to thank the rapporteur Member State Denmark for thepreparatory work on this scientific output.Suggested citation:EFSA (European Food Safety Authority), Brancato A, Brocca D, Carrasco Cabrera L,De Lentdecker C, Erdos

Published on: Fri, 31 Aug 2018 00:00:00 +0200 According to Article 12 of Regulation (EC) No 396/2005, EFSA has reviewed the maximum residue levels (MRLs) currently established at European level for the pesticide active substance napropamide. To assess the occurrence of napropamide residues in plants, processed commodities, rotational crops and livestock, EFSA considered the conclusions derived in the framework of Directive 91/414/EEC as well as the European authorisations reported by Member States (incl...

Europe - EFSA - European Food Safety Authority Publications

1-9-2018

Review of the existing MRLs for fenbuconazole

Review of the existing MRLs for fenbuconazole

Published on: Fri, 31 Aug 2018 00:00:00 +0200 According to Article 12 of Regulation (EC) No 396/2005, EFSA has reviewed the maximum residue levels (MRLs) currently established at European level for the pesticide active substance fenbuconazole. To assess the occurrence of fenbuconazole residues in plants, processed commodities, rotational crops and livestock, EFSA considered the conclusions derived in the framework of Directive 91/414/EEC, the MRLs established by the Codex Alimentarius Commission as well...

Europe - EFSA - European Food Safety Authority Publications

30-8-2018

National summary reports on pesticide residue analysis performed in 2016

National summary reports on pesticide residue analysis performed in 2016

Published on: Tue, 07 Aug 2018 00:00:00 +0200 In accordance with Article 31 of Regulation (EC) No 396/2005, European Union (EU) Member States have to communicate to the European Food Safety Authority (EFSA) the results of their official controls on pesticide residues in food. In the framework of this communication, the EU Member States, Iceland and Norway provided a short summary report outlining the main findings of the control activities during the reference year. This technical report is the compilat...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Review of the existing maximum residue levels for sintofen according to Article 12 of Regulation (EC) No 396/2005

Review of the existing maximum residue levels for sintofen according to Article 12 of Regulation (EC) No 396/2005

Published on: Tue, 28 Aug 2018 00:00:00 +0200 According to Article 12 of Regulation (EC) No 396/2005, EFSA has reviewed the maximum residue levels (MRLs) currently established at European level for the pesticide active substance sintofen. To assess the occurrence of sintofen residues in plants, processed commodities, rotational crops and livestock, EFSA considered the conclusions derived in the framework of Commission Regulation (EC) No 33/2008, as well as the European authorisations reported by Member ...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Review of the existing maximum residue levels for prochloraz according to Article 12 of Regulation (EC) No 396/2005

Review of the existing maximum residue levels for prochloraz according to Article 12 of Regulation (EC) No 396/2005

Published on: Mon, 27 Aug 2018 00:00:00 +0200 According to Article 12 of Regulation (EC) No 396/2005, EFSA has reviewed the maximum residue levels (MRLs) currently established at European level for the pesticide active substance prochloraz. To assess the occurrence of prochloraz residues in plants, processed commodities, rotational crops and livestock, EFSA considered the conclusions derived in the framework of Directive 91/414/EEC, the MRLs established by the Codex Alimentarius Commission as well as th...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Modification of the existing maximum residue levels for prohexadione in various oilseeds

Modification of the existing maximum residue levels for prohexadione in various oilseeds

Published on: Mon, 27 Aug 2018 00:00:00 +0200 In accordance with Article 6 of Regulation (EC) No 396/2005, the applicant BASF SE submitted a request to the competent national authority in France to modify the existing maximum residue levels (MRL) for the active substance prohexadione in linseeds, poppy seeds, sunflower seeds, rape seeds, mustard seeds and gold of pleasure seeds. The data submitted in support of the request were found to be sufficient to derive MRL proposals for all oilseeds under consid...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Review of the existing maximum residue levels for napropamide according to Article 12 of Regulation (EC) No 396/2005

Review of the existing maximum residue levels for napropamide according to Article 12 of Regulation (EC) No 396/2005

Published on: Fri, 24 Aug 2018 00:00:00 +0200 According to Article 12 of Regulation (EC) No 396/2005, EFSA has reviewed the maximum residue levels (MRLs) currently established at European level for the pesticide active substance napropamide. To assess the occurrence of napropamide residues in plants, processed commodities, rotational crops and livestock, EFSA considered the conclusions derived in the framework of Directive 91/414/EEC as well as the European authorisations reported by Member States (incl...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Explanatory note on the determination of newly expressed protein levels in the context of genetically modified plant applications for EU market authorisation

Explanatory note on the determination of newly expressed protein levels in the context of genetically modified plant applications for EU market authorisation

Published on: Mon, 20 Aug 2018 00:00:00 +0200 Genetically modified organisms are subject to a risk assessment and regulatory approval before entering the European market. According to legislation (Directive 2001/18/EC, Regulation (EC) No 1829/2003 and Regulation (EU) No 503/2013) and the EFSA guidance documents on the risk assessment of food and feed from genetically modified (GM) plants and on the environmental risk assessment of GM plants, applicants need to perform a molecular characterisation of any...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Setting of import tolerances for mandestrobin in strawberries and table and wine grapes

Setting of import tolerances for mandestrobin in strawberries and table and wine grapes

Published on: Thu, 16 Aug 2018 00:00:00 +0200 In accordance with Article 6 of Regulation (EC) No 396/2005, the applicant Sumitomo Chemical Agro Europe SAS submitted a request to the competent national authority in Austria to set an import tolerance for the active substance mandestrobin in strawberries, table grapes and wine grapes. The data submitted in support of the request were found to be sufficient to derive maximum residue level (MRL) proposals for the crops under consideration. Adequate analytica...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Modification of the existing maximum residue levels for fluoxastrobin in oilseeds

Modification of the existing maximum residue levels for fluoxastrobin in oilseeds

Published on: Mon, 13 Aug 2018 00:00:00 +0200 In accordance with Article 6 of Regulation (EC) No 396/2005, the applicant Arysta LifeSciences SAS submitted a request to the competent national authority in the United Kingdom to modify the existing maximum residue levels (MRL) for the active substance fluoxastrobin in certain oilseeds. The data submitted in support of the request were found to be sufficient to derive MRL proposals for the oilseeds for which a modification was requested. Adequate analytical...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Review of the existing maximum residue levels for myclobutanil according to Article 12 of Regulation (EC) No 396/2005

Review of the existing maximum residue levels for myclobutanil according to Article 12 of Regulation (EC) No 396/2005

Published on: Mon, 13 Aug 2018 00:00:00 +0200 According to Article 12 of Regulation (EC) No 396/2005, EFSA has reviewed the maximum residue levels (MRLs) currently established at European level for the pesticide active substance myclobutanil. To assess the occurrence of myclobutanil residues in plants, processed commodities, rotational crops and livestock, EFSA considered the conclusions derived in the framework of Commission Regulation (EC) No 33/2008, the MRLs established by the Codex Alimentarius Com...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Evaluation of data concerning the necessity of bromoxynil as herbicide to control a serious danger to plant health which cannot be contained by other available means, including non‐chemical methods

Evaluation of data concerning the necessity of bromoxynil as herbicide to control a serious danger to plant health which cannot be contained by other available means, including non‐chemical methods

Published on: Mon, 13 Aug 2018 00:00:00 +0200 EFSA was requested by the European Commission to provide scientific assistance under Article 31 of Regulation (EC) No 178/2002 regarding the evaluation of data concerning the necessity of bromoxynil as a herbicide to control a serious danger to plant health which cannot be contained by other available means including non‐chemical methods, in accordance with Article 4(7) of Regulation (EC) No 1107/2009. In this context, EFSA organised a commenting phase with ...

Europe - EFSA - European Food Safety Authority Publications

29-8-2018

Grant agreement for piloting the Framework Partnership Agreement between the National data provider organisations in Slovakia and EFSA – Final report

Grant agreement for piloting the Framework Partnership Agreement between the National data provider organisations in Slovakia and EFSA – Final report

Published on: Tue, 07 Aug 2018 00:00:00 +0200 Presented document is the final report of the project GA/EFSA/DATA/2017/01: “Strategic Partnership with Slovakia on Data Quality (Pilot project)”. The report describes national processes and tools in order to implement internal validation and quality control of collected data according to EFSA requirements. A description of the data transmission processes from the National Databases to the EFSA databases, terminology, data mapping and data transformations fo...

Europe - EFSA - European Food Safety Authority Publications

28-8-2018

Accord Healthcare Inc. Issues Voluntary Nationwide Recall of Hydrochlorothiazide Tablets USP 12.5 Mg Due to Labeling Mix-up

Accord Healthcare Inc. Issues Voluntary Nationwide Recall of Hydrochlorothiazide Tablets USP 12.5 Mg Due to Labeling Mix-up

A 100 count bottle of Hydrochlorothiazide Tablets USP 12.5 mg has been found to contain 100 Spironolactone Tablets USP 25 mg. Since the individual lot, PW05264, of the product is involved in a potential mix-up of labeling, Accord is recalling this individual lot from the market.

FDA - U.S. Food and Drug Administration

2-7-2018

Blissful Remedies Issues Voluntary Nationwide Recall of Certain Kratom Powder Capsule

Blissful Remedies Issues Voluntary Nationwide Recall of Certain Kratom Powder Capsule

Blissful Remedies., is voluntarily recalling only Lot No.: 112710 with expiration 03/2019 found embedded on the top of package of kratom ( mitragyn a speciosa) powder products, it manufactured, processed, packed, and/or held, between “March 1, 2018” to “April 30, 2018” to the consumer level. The products have been found by the U.S. Food and Drug Administration (“FDA”) via sample testing to have salmonella contamination. Blissful Remedies has not received reports of adverse events related to this recall. ...

FDA - U.S. Food and Drug Administration

22-6-2018

Kratom (mitragyna speciosa) Powder Products by Gaia Ethnobotanical: Recall - Due to Potential Salmonella Contamination

Kratom (mitragyna speciosa) Powder Products by Gaia Ethnobotanical: Recall - Due to Potential Salmonella Contamination

The products have been found by the FDA via sample testing and finding to have salmonella contamination. In lieu of such FDA findings the company has implemented standard operating procedures and sterilization processes in accordance to FDA guidelines

FDA - U.S. Food and Drug Administration

21-6-2018

Gaia Ethnobotanical, LLC., Voluntarily Recalls Kratom Products Due to Potential Salmonella Contamination

Gaia Ethnobotanical, LLC., Voluntarily Recalls Kratom Products Due to Potential Salmonella Contamination

Gaia Ethnobotanical, LLC., is voluntarily recalling all kratom (mitragyna speciosa) powder products, with Lot No.: 0102031800 it manufactured, processed, packed, and/or held, between March 18, 2018 to March 30, 2018 to the consumer level. The products have been found by the U.S. Food and Drug Administration (“FDA”) via sample testing and finding to have salmonella contamination. In lieu of such FDA findings the company has implemented standard operating procedures and sterilization processes in accordanc...

FDA - U.S. Food and Drug Administration

6-4-2018

"Organic Traditions Shatavari Powder" sold at Choices Markets Yaletown in Vancouver, B.C., contaminated with Salmonella

"Organic Traditions Shatavari Powder" sold at Choices Markets Yaletown in Vancouver, B.C., contaminated with Salmonella

Health Canada is advising Canadians that one lot of “Organic Traditions Shatavari Powder” is being voluntarily recalled by Advantage Health Matters Inc. Company testing found Salmonella bacteria contamination, which may pose serious health risks. According to Advantage Health Matters Inc., 13 units from the affected lot were distributed. Of the 13 units, only 2 packages, sold at Choices Markets Yaletown (1202 Richards Street) in Vancouver, B.C., have not been recovered.

Health Canada

23-1-2018

Overview of changes requiring an inspection in the GMP area

Overview of changes requiring an inspection in the GMP area

Companies that manufacture medicines must be authorised to perform manufacturing activities by the Danish Medicines Agency according to section 39 of the Danish Medicines Act. They must comply with the rules on good manufacturing practice (GMP) and will be inspected regularly by our GMP inspectors.

Danish Medicines Agency

22-1-2018

Flawless Beauty, LLC Issues Voluntary Recall of Unapproved Drugs

Flawless Beauty, LLC Issues Voluntary Recall of Unapproved Drugs

Ocean Township, NJ. In accordance with a Consent Decree of Permanent Injunction ordered in the United States District Court for the District of New Jersey, Flawless Beauty, LLC is voluntarily recalling all lots of nineteen different products sold individually or as part of multi-unit kits alleged by the U.S. Food and Drug Administration ("FDA") to be misbranded or unapproved new drugs pursuant to the Federal Food, Drug, and Cosmetic Act. The FDA believes that these drugs present serious public health risks.

FDA - U.S. Food and Drug Administration

11-2-2015

MIA format updated according to EMA's community procedures

MIA format updated according to EMA's community procedures

We have updated our IT systems and are now able to transfer Manufacturing and Importation Authorisations (MIA) to EudraGMDP via EMA's latest XML form. This implies some changes to how we will issue MIAs in future.

Danish Medicines Agency

5-1-2015

Fees for medical devices in 2015

Fees for medical devices in 2015

The fees for medical devices have been adjusted in accordance with Danish Government regulations, including the fees for registration of manufacturers and devices, importers and distributors, assessment of applications for the authorisation for clinical investigation of medical devices, and amendments to investigations, as well as supervision and control of notified bodies in Denmark.

Danish Medicines Agency

3-7-2014

More clinical trials to Denmark

More clinical trials to Denmark

The number of clinical trial applications increased by 35 trials (14%) from 2012 to 2013, which is the highest level in seven years. The increase covers both companies and researchers according to the Danish Health and Medicines Authority's annual report 2013 on clinical trials of medicines in humans.

Danish Medicines Agency

25-9-2018

Pelgraz (Accord Healthcare Limited)

Pelgraz (Accord Healthcare Limited)

Pelgraz (Active substance: pegfilgrastim) - Centralised - Authorisation - Commission Decision (2018)6288 of Tue, 25 Sep 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/003961/0000

Europe -DG Health and Food Safety

24-9-2018

Lenalidomide Accord (Accord Healthcare Limited)

Lenalidomide Accord (Accord Healthcare Limited)

Lenalidomide Accord (Active substance: lenalidomide) - Centralised - Authorisation - Commission Decision (2018)6237 of Mon, 24 Sep 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/4857

Europe -DG Health and Food Safety

7-8-2018

Accofil (Accord Healthcare Limited)

Accofil (Accord Healthcare Limited)

Accofil (Active substance: Filgrastim) - Centralised - Yearly update - Commission Decision (2018)5428 of Tue, 07 Aug 2018

Europe -DG Health and Food Safety

7-8-2018

Memantine Accord (Accord Healthcare Limited)

Memantine Accord (Accord Healthcare Limited)

Memantine Accord (Active substance: memantine) - Centralised - Renewal - Commission Decision (2018)5421 of Tue, 07 Aug 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/2766/R/10

Europe -DG Health and Food Safety

6-8-2018

Zoledronic acid Accord (Accord Healthcare Limited)

Zoledronic acid Accord (Accord Healthcare Limited)

Zoledronic acid Accord (Active substance: zoledronic acid) - Centralised - Yearly update - Commission Decision (2018)5386 of Mon, 06 Aug 2018

Europe -DG Health and Food Safety

18-7-2018

#ICYMI - According to @PAPATIENTSAFETY June 2018 report, the number of reported surgical fires has decreased since 2011.  Read more about preventing surgical fires here:  https://go.usa.gov/xU5zs  #FDA #MedicalDevice

#ICYMI - According to @PAPATIENTSAFETY June 2018 report, the number of reported surgical fires has decreased since 2011. Read more about preventing surgical fires here: https://go.usa.gov/xU5zs  #FDA #MedicalDevice

#ICYMI - According to @PAPATIENTSAFETY June 2018 report, the number of reported surgical fires has decreased since 2011. Read more about preventing surgical fires here: https://go.usa.gov/xU5zs  #FDA #MedicalDevice

FDA - U.S. Food and Drug Administration

4-7-2018

Docetaxel Accord (Accord Healthcare Limited)

Docetaxel Accord (Accord Healthcare Limited)

Docetaxel Accord (Active substance: Docetaxel) - Centralised - Yearly update - Commission Decision (2018)4341 of Wed, 04 Jul 2018

Europe -DG Health and Food Safety

3-7-2018

Temozolomide Accord (Accord Healthcare Limited)

Temozolomide Accord (Accord Healthcare Limited)

Temozolomide Accord (Active substance: temozolomide) - Centralised - Yearly update - Commission Decision (2018) 4240 of Tue, 03 Jul 2018

Europe -DG Health and Food Safety

11-6-2018

Pemetrexed Accord (Accord Healthcare Limited)

Pemetrexed Accord (Accord Healthcare Limited)

Pemetrexed Accord (Active substance: pemetrexed) - Centralised - Yearly update - Commission Decision (2018)3761 of Mon, 11 Jun 2018

Europe -DG Health and Food Safety

30-5-2018

Bortezomib Accord (Accord Healthcare Limited)

Bortezomib Accord (Accord Healthcare Limited)

Bortezomib Accord (Active substance: bortezomib) - Centralised - Variation - Commission Decision (2018)3460 of Wed, 30 May 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/3984/X/8

Europe -DG Health and Food Safety

23-5-2018

Scientific guideline:  Draft guideline on the responsibilities of the sponsor with regard to handling and shipping of investigational medicinal products for human use in accordance with good clinical practice and good manufacturing practice, draft: consul

Scientific guideline: Draft guideline on the responsibilities of the sponsor with regard to handling and shipping of investigational medicinal products for human use in accordance with good clinical practice and good manufacturing practice, draft: consul

The guideline lays down the principles for the two-step release and shipping of the investigational medicinal products by the qualified person and the sponsor. The guideline also describes the areas of interface between the manufacturer and the sponsor and the required contractual agreements.

Europe - EMA - European Medicines Agency

15-5-2018

Pramipexole Accord (Accord Healthcare Limited)

Pramipexole Accord (Accord Healthcare Limited)

Pramipexole Accord (Active substance: pramipexole) - Centralised - Yearly update - Commission Decision (2018)2995 of Tue, 15 May 2018

Europe -DG Health and Food Safety

3-5-2018

Pramipexole Teva (Teva B.V.)

Pramipexole Teva (Teva B.V.)

Pramipexole Teva (Active substance: pramipexole) - Centralised - Yearly update - Commission Decision (2018)2775 of Thu, 03 May 2018

Europe -DG Health and Food Safety