Country: Israel
Language: English
Source: Ministry of Health
VERNAKALANT HYDROCHLORIDE
TZAMAL BIO-PHARMA LTD
C01BG11
CONCENTRATE FOR SOLUTION FOR INFUSION
VERNAKALANT HYDROCHLORIDE 20 MG/ML
I.V
Required
CORREVIO INTERNATIONAL SARL, SWITZERLAND
VERNAKALANT
VERNAKALANT
Rapid conversion of recent onset atrial fibrillation to sinus rhythm in adults who are hemodynamically stable.- For non-surgery patients: atrial fibrillation ≤ 7 days duration- For post-cardiac surgery patients: atrial fibrillation ≤ 3 days duration
2017-05-31
דומע 1 ךותמ 1 BPS-Safety update form SPC-01 ךיראת : 2.11.17 1 םש םושירה רפסמו תילגנאב רישכתה BRINAVESS 20 MG/ML 148 28 33391 00 םושירה לעב םש ויב ל"מצ - מ"עב המראפ !דבלב תורמחהה טורפל דעוימ הז ספוט תושקובמה תורמחהה ןולעב קרפ יחכונ טסקט טסקט שדח SPECIAL WARNINGS AND PRECAUTIONS FOR USE Atrial flutter … Atrial flutter … In post-marketing experience very rare cases of atrial flutter with 1:1 atrioventricular conduction are observed. INTERACTIOS WITH OTHER MEDICAMENTS AND OTHER FORMS OF INTERACTION No formal interaction… Within the clinical development… … No formal interaction ….._ _ BRINAVESS must not be administered in patients who received intravenous AADs (class I and III) within 4 hours prior to vernakalant (see section 4.3). Within the clinical development… EFFECTS ON ABILITY TO DRIVE AND USE MACHINES BRINAVESS has a minor to moderate influence on the ability to drive and use machines. ADVERSE EVENTS Atrial Flutter … BRINAVESS did not develop 1:1 atrioventricular conduction. _Atrial Flutter_ _ _ … However, in post-marketing experience very rare cases of atrial flutter with 1:1 atrioventricular conduction are observed. Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Any suspected adverse events should be reported to the Ministry of Health according to the National Regulation by using an online form http://forms.gov.il/globaldata/getsequence/ getsequence .aspx?formType=AdversEffectMedic@mo h.gov.il In addition, you may report by sending an e-mail message to safety@tzamal- medical.co.il or by visiting the "Contact Us" webpage at: http://www.tzamal-medical.co.il/69601.html or by phone: +972-73-7151107 Read the complete document
1 BRINAVESS ® 20 MG/ML Prescribing information 1. NAME OF THE MEDICINAL PRODUCT BRINAVESS ® 20 mg/ml, concentrate for solution for infusion_ _ _ _ 2. QUALITATIVE AND QUANTITATIVE COMPOSITION _ _ Each ml of concentrate contains 20 mg of vernakalant hydrochloride which is equivalent to 18.1 mg of vernakalant. Each 10 ml vial contains 200 mg of vernakalant hydrochloride is equivalent to 181 mg of vernakalant. Each 25 ml vial contains 500 mg of vernakalant hydrochloride is equivalent to 452.5 mg of vernakalant. After dilution the concentration of the solution is 4 mg/ml vernakalant hydrochloride. Excipient with known effect: Each vial of 200 mg contains approximately 1.4 mmol (32 mg) sodium. Each vial of 500 mg contains approximately 3.5 mmol (80 mg) of sodium. Each ml of the diluted solution contains approximately 3.5 mg of sodium (sodium chloride 9 mg/ml (0.9%) solution for injection), 0.64 mg sodium (5% glucose solution for injection) or 3.2 mg sodium (Lactated Ringers solution for injection). For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Concentrate for solution for infusion (sterile concentrate). Clear and colourless to pale yellow solution with a pH of approximately 5.5. The osmolality of the medicinal product is controlled between the following range: 270-320 mOsmol/kg 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS _ _ Rapid conversion of recent onset atrial fibrillation to sinus rhythm in adults who are hemodynamically stable -For non-surgery patients: atrial fibrillation ≤ 7 days duration -For post-cardiac surgery patients: atrial fibrillation ≤ 3 days duration _ _ 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Vernakalant should be administered by intravenous infusion, in a monitored clinical setting appropriate for cardioversion. Only a well-qualified healthcare professional should administer BRINAVESS and should frequently monitor the patient for the duration of the infusion and for 2 at least 15 minutes after the completion of the infusion for signs and symptoms of a sudd Read the complete document