Country: Malta
Language: English
Source: Medicines Authority
L, ASPARAGINASE
medac Gesellschaft Fur klinische Spezialpräparate mbH Theaterstr. 6 22880 Wedel, Germany
L01XX02
L-ASPARAGINASE 10000 IU
POWDER FOR SOLUTION FOR INJECTION
L-ASPARAGINASE 10000 IU
POM
ANTINEOPLASTIC AGENTS
Withdrawn
2005-06-14
Page 1 of 11 PACKAGE LEAFLET: INFORMATION FOR THE USER ASPARAGINASE 10000 U MEDAC POWDER FOR SOLUTION FOR INJECTION L-Asparaginase READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START USING THIS MEDICINE. - Keep this leaflet. You may need to read it again. - If you have any further questions, ask your doctor or pharmacist. - This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. - If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. IN THIS LEAFLET: 1. What Asparaginase 10000 U medac is and what it is used for 2. Before you use Asparaginase 10000 U medac 3. How to use Asparaginase 10000 U medac 4. Possible side effects 5. How to store Asparaginase 10000 U medac 6. Further information 1. WHAT ASPARAGINASE 10000 U MEDAC IS AND WHAT IT IS USED FOR Asparaginase 10000 U medac is a medicinal product (cytostatic agent) which lowers the L- asparagine level in the tumour cells so that the protein synthesis in these cells is inhibited. Asparaginase 10000 U medac is used as part of an antineoplastic combination therapy of acute lymphatic leukaemia (ALL) in children and adults as well as in non-Hodgkin's lymphomas in children. 2. BEFORE YOU USE ASPARAGINASE 10000 U MEDAC DO NOT USE ASPARAGINASE 10000 U MEDAC: - if you are hypersensitive (allergic) to L-asparaginase - if you have a pancreatitis or a history of pancreatitis at the time of treatment, as acute haemorrhagic pancreatitis has been observed following asparaginase application. TAKE SPECIAL CARE WITH ASPARAGINASE 10000 U MEDAC: Patients of reproductive age should use contraception or abstain from sexual intercourse during and for up to 3 months after the completion of chemotherapy. Page 2 of 11 USING OTHER MEDICINES Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. 1. How other drugs may influence the Read the complete document
Page 1 of 14 SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCT Asparaginase 5000 U medac Asparaginase 10000 U medac Powder for solution for injection Active substance: L-Asparaginase 2. QUALITATIVE AND QUANTITATIVE COMPOSITION 1 vial of Asparaginase 5000 (10000) U medac with 21.6 - 24.5 (43.2 – 49.0) mg of powder for solution for injection contains: L-Asparaginase (E. C. 3.5.1.1) 83 (167) µkat, corresponding to 5000 (10000) U. (1 U L-asparaginase releases 1 µmol ammonia from L-asparagine in 1 Minute at 37° C.) 3. PHARMACEUTICAL FORM Powder for solution for injection 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Asparaginase 5000 (10000) U medac is indicated as a component of an anti-neoplastic combination therapy of acute lymphatic leukaemia (ALL) in children and adults as well as in cases of non-Hodgkin’s lymphomas in childhood. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION To reduce the risk of a possible IgE-mediated hypersensitivity reaction, a prick test (place 1 drop of the ready-to-use solution on the volar side of the forearm using a tube-like instrument and inject into the epidermis through the drop using a sterile syringe. Avoid bleeding. Wipe away the drop of the preparation after 3 minutes. After a further 20 minutes, observe the reaction: if redness and weals develop, refrain from L-asparaginase treatment) or an intra- cutaneous injection (increasing concentrations in an appropriate dilution) should be carried out before treatment is started or resumed. Page 2 of 14 Since not just IgE-mediated allergic reactions that are detectable by skin testing but also IgG and IgM-mediated sensitisation has been described in the literature, the use of an intravenous test dose before intravenous administration is recommended (1000 U i.v. as a short infusion 1 hour before the beginning of treatment). Unless otherwise prescribed, the mean intravenous daily dose in children and adults in the monotherapy is 200 U per kg body weight (BW) or 6000 U per m² body surface area (BSA). It can be in Read the complete document