Alustal American Dust Mite Extract

Main information

  • Trade name:
  • Alustal American Dust Mite Extract Solution for injection
  • Pharmaceutical form:
  • Solution for injection
  • Units in package:
  • Vial, glass, multi-dose, 11mL vail (5mL fill volume), 5 mL
  • Class:
  • Prescription
  • Prescription type:
  • Prescription
  • Medicine domain:
  • Humans
  • Medicine type:
  • Allopathic drug
  • Manufactured by:
  • Stallergenes

Documents

Localization

  • Available in:
  • Alustal American Dust Mite Extract Solution for injection
    New Zealand
  • Language:
  • English

Other information

Status

  • Source:
  • Medsafe - Medicines Safety Authority - New Zealand
  • Authorization number:
  • 10801
  • Authorization date:
  • 28-05-2002
  • Last update:
  • 27-09-2017

Patient Information leaflet: composition, indications, side effects, dosage, interactions, adverse reactions, pregnancy, lactation

CONSUMERMEDICINEINFORMATION

ALUSTAL ®

Pronounced(al-u-stal)

Contains the active

ingredients of different

allergens

Tableofcontents

Whatisintheleaflet.......p.1

WhatAlustalisusedforp.1

BeforeyouaregivenAlustal

........................................p.1

HowAlustalisgiven.......p.2

Whileyouarereceiving

Alustal............................p.3

Sideeffects.....................p.3

AfterusingAlustal.........p.4

Productdescription.......p.4

Presentation..................p.4

____________________

Whatisinthisleaflet

____________________

Thisleafletanswerssome

commonquestionsabout

Alustalallergenextracts.

Itdoesnotcontainallofthe

availableinformation.

Itdoesnottaketheplaceof

talkingtoyourdoctoror

pharmacist.

Allmedicineshaverisks

andbenefits.Yourdoctor

hasweighedtherisksof

givingyouAlustalallergen

extractsagainsttheexpected

benefitsitwillhaveforyou.

Ifyouhaveanyconcerns

aboutbeinggiventhis

medicine,askyour

doctororpharmacist.

____________________

WhatAlustalisusedfor

____________________

Alustalbelongstoagroup

ofmedicinescalledanti-

allergypreparationsandis

usedinthetreatmentof

seasonal or perennial

rhino-conjunctivitiswithor

withoutassociatedasthma.

Alustal is given asa

subcutaneoustreatmentand

thisisoftenreferredtoas

(Subcutaneous

ImmunotherapyTreatment)

Howitworks:

Alistofallergenavailable

Australia and New

Zeelandisprovidedatthe

endofthisleaflet..The

exacttypewilldependon

yourallergyandwhatyour

doctoridentifiesasthe

causeofyourallergy.The

treatment with

allergen extracts is to

preventthemoresevere

allergic reactions you

experience.

Alustalworksbyslowly

increasingyourtoleranceto

specific allergens and

decreasestheseverityof

yourallergicreactions.

Theinjectionisspecifically

designed according to

individualpatientneeds.

Alustalhelpstoincrease

yourtolerancetoallergens

decrease the

severityofyourallergic

reactions.

Askyourdoctorifyou

haveanyquestionswhy

Alustal has been

prescribedforyou.

Alustalisnotaddictive.This

medicineisavailableonly

withadoctor’sprescription

andadministeredundera

____________________

Before you are given

Alustal

____________________

Whenyoumustnotbe

givenAlustal

Do not start Alustal

treatmentif:

-Youhaveunstableasthma,

severeimmunodeficiency,

malignant disease, or

autoimmune disease.

Injection should be

avoided if you have

bleedingtendency.

-You are currently

receivingtreatmentwith

beta-blockers (often in

medicines for blood

pressure or heart

conditions),asyoumaybe

unresponsivetotheusual

dosesofadrenalineusedto

treat anaphylactic

reactions.

-Youhaveproblemswith

your kidneys - renal

insufficiency-asthismay

increase the risk of

accumulation of

aluminium from

aluminium hydroxide

preparations(asforany

aluminium hydroxide

vaccine) into tissues

(centralnervoussystem,

bones)

-Thepackageshowssigns

oftampering.

-Theexpirydate(EXP)

printedonthepackhas

passed.

Ifyoureceiveinjectionsof

this medicine after the

expirydatehaspassed,it

maynotworkaswell.

ItisnotadvisabletouseSIT

during pregnancy:

pregnancyisnotconsidered

CONSUMERMEDICINEINFORMATION

asacontraindicationtothe

continuation of

immunotherapy but

treatmentshouldnotbe

startedduringpregnancy.If

apatientbecomespregnant

duringinitialtreatment,stop

injections; if a patient

becomespregnantduring

maintenance therapy,

treatmentmaycontinueif

welltolerated.

Thereisnodataavailableon

theexcretionofallergen

extractsinhumanmilkor

anyeffectonbreast-fed

infants.

Ifyouarenotsureifyou

shouldbetakingAlustal,

talktoyourdoctor

Before you start your

treatmentwithAlustal:

Tellyourdoctorif:

-Youhaveanyotherhealth

problems,especiallythe

following:

-Asthma or other

respiratoryproblems.

-You have, or have

previouslyhad,aserious

immunologicaldisease.

-Youhave a bleeding

tendency.

-Youhaveanautoimmune

disease.Yourdoctorwill

decideiftheriskfrom

allergen exposure is

greaterthantheriskof

exacerbating the

autoimmunedisease.

-Youhaveacutefever,

uncontrolled allergic

symptoms and recent

exacerbationofasthma.

Yourdoctorcandecideto

delaytreatment.

Ifyouhavenottoldyour

above,tellhim/herbefore

youstarttreatmentwith

Alustal.

Takingothermedicines

Tellyourdoctorifyou

taking any other

medicines,includingany

thatyouhaveboughtfrom

apharmacy,supermarket

orhealthfoodshop.

Somemedicinesmay

interfere with Alustal.

Thesemedicinesinclude:

Beta-blockers (blood

pressure or heart

medications), including

topicallyadministeredbeta-

blockers, are known

interferewithtreatmentof

anaphylactic reactions.

Theymaymakeyouless

responsivetotheusual

doses of epinephrine

(adrenaline)usedtotreat

anaphylacticreactions.

Yourdoctorwilladvise

you.

Yourdoctororpharmacist

hasmoreinformationon

medicinestobecarefulwith

oravoidwhiletakinganyof

theAlustal.

your doctor or

pharmacistifyouarenot

sureifyourmedicineisone

oftheoneslistedabove.

______________________

HowAlustalisgiven

______________________

Howmuchisgiven

Yourtreatmentschedule

willinclude:

Initial treatment and

maintenancetreatment:

Yourdoctorwilltellyou

howmuchmedicinewillbe

Normally initial

treatmentwillbeweekly

injections lasting for

approximately14weeks.

Thiswillbeofthe

allergenthatyouare

allergictoinincreasing

concentrationsuptothe

highestdoseyoucan

tolerate.

Maintenance treatment

will be of monthly

injectionsofthehighest

concentrationthatyou

cantoleratecomfortably.

Where two different

coursesarebeinggiven

concurrently,thetwo

extractsmustneverbe

mixedwithinthesame

syringe.

Injectionsofthetwo

extractsmaybegivenat

thesamevisit,butin

separatearms.However

mixturesofallergensmay

havebeenprescribedfor

youbyyourDoctor,these

willalreadybemixedand

given in a single

injection.Butthedoctor

mayneedtogivemore

thanoneinjectionifyou

arebeingtreatedformore

thanoneallergy.

HowAlustalisgiven

Alustalisgivenasan

injectionundertheskin

(subcutaneously)Itisnot

injectedintoabloodvessel

orintramuscularly.

HowlongtohaveAlustal

for

Treatmentormaintenance

shouldcontinuefor3to5

yearsdependingonthe

CONSUMERMEDICINEINFORMATION

severityoftheallergyand

responsetotreatment.

Ifyoumissadose:

Ifyoumissadose,talkto

yourdoctorandarrange

anothervisitassoonas

possible.

Ifyouaregiventoomuch

(overdose)

Overdose is unlikely

becauseyourdoctorwill

giveyouthismedicineby

injection.Ifyouthinkthat

youmayhavebeengiven

much Alustal,

immediatelytellyourdoctor

orgotoAccidentand

Emergencyatyournearest

hospital. Symptomssuch

ogeneralizedrash,

oitching,

oswellingoflips,face,

tongueorotherpartsof

thebody,

oshortness of breath,

respiratoryorcardiac

distress (including

asthma),

oseizures,

mayoccur.Ifyouhaveany

concerns,askyourdoctor.

______________________

Whileyouare receiving

Alustal

______________________

Thingsyoumustdo

Tellalldoctors,dentists

andpharmacistswhoare

treatingyou,thatyouare

receivingAlustal.

Tellyourdoctorifyoufeel

the treatment is not

Keep all of your

appointments with your

doctorsothatyourprogress

canbechecked.Itis

importanttohaveyour

follow-updosesofAlustal

attheappropriatetimesto

make sure the

immunotherapyhasthebest

chanceofworking.

Thingsyoumustnotdo

Itisrecommendedtoavoid

activity that may

increasebloodflowthrough

theinjectionsitesuchas

strenuous exercise, hot

baths,sauna,applicationof

localheatorrubbing,forthe

remainderoftheday.

Thingstobecarefulof

must avoid

strenuousactivityfor

theremainderofthe

Youmustwaitinthe

doctor’swaitingroom

foratleast30minutes

followingyourAlustal

injection.Themajority

ofseriousreactionswill

begin within 30

minutes after an

injection. Patients

shouldbeinstructedto

seekmedicaladvice

immediately if

symptoms develop

afterleavingtheclinic.

more rapidly

symptomsbegin,the

moreseveretheyare

likelytobeandthe

morerapidlytreatment

measuresshouldbegin.

Alustalispresumedto

beunlikelytoproduce

aneffectontheability

drive or use

______________________

Sideeffects

______________________

Alustal allergen extracts

helpsmostpeoplewith

allergiesbuttheymayhave

unwantedsideeffectsina

fewpeople.

Allmedicinescanhaveside

effects.Sometimestheyare

serious,mostofthetime

theyarenot.Youmayneed

medicaltreatmentifyouget

someofthesesideeffects.

Contactyourdoctoror

nurse immediately if

symptomsofanallergic

reactionoccur.

Tell your doctor or

pharmacistassoonas

possibleifyoudonotfeel

well while you are

receivingAlustal.

Tell your doctor

immediatelyifyounotice

anyofthefollowingand

theyworryyou:

CommonSideEffects

Itchingandrednessat

theinjectionsite.

Shortnessofbreath,

Asthma,

Rhinitis,

Laryngealswelling,

Swellingoflips,face,

tongueorotherpartsof

thebody,

Itching,

UncommonSideEffects

Anaphylacticshock

Conjunctivitis

VeryRareSideeffects

Pre-existing atopic

eczemaoutbreaks

Myalgiawithinserum

sicknesslikesyndrome

Headache, weakness,

lackofstrength

CONSUMERMEDICINEINFORMATION

Ofthese,themoreserious

effectscaninclude

ogeneralizedrash,

oitching,

oswellingoflips,face,

tongueorotherpartsof

thebody,

oshortnessofbreathor

tightness (including

asthma)

oseizures

Tell your doctor

immediately or go to

AccidentandEmergency

atyournearesthospitalif

younoticeanyofthe

above:

Serioussideeffectsarerare.

Thisisnotacompletelistof

allpossiblesideeffects.

Othersmayoccurinsome

peopleandtheremaybe

somesideeffectsnotyet

known.

Tellyourdoctorifyou

noticeanythingelsethatis

makingyoufeelunwell,

evenifitisnotonthislist.

your doctor or

pharmacisttoanswerany

questionsyoumayhaveand

toexplainanythingyoudo

notunderstandonthislist.

Donotbealarmedbythis

listofpossiblesideeffects.

Youmaynotexperienceany

ofthem.

______________________

After using Alustal

______________________

Storage

Alustalisusuallystoredin

doctor’s surgery.

However,ifyouneedto

oKeepitwherechildren

cannotreachit

oKeepitintheoriginal

pack

oKeep it in the

refrigerator(between2°

to8°C).Donotfreeze.

Disposal

Yourdoctorwilldisposeof

anyunfinishedmedicineif

thevialshavepassedtheir

expirydate.

______________________

Productdescription

______________________

WhatAlustallookslike

Each5mLvialcontains

specificallergenextract(s)

suspension and are

available in various

concentrations for many

differentallergens.Your

Doctorwillchoosethe

correctallergentotreatyour

allergy.Otheringredientsin

allergen suspensions

include aluminium

hydroxide,sodiumchloride,

phenol,manitolandwater

forinjections.

ALUSTALpresentation

Initialtreatmentset:3vials,

eachvialcontainingeither

0.1,1.0and10.0IR/mLor

IC/mL.

Maintenanceset:asingle

vialcontaining10.0IR/mL

orIC/mL.

AvailableConcentrations:

Vialcontaining5mLof

suspension.

Yellowcap: 0.1IR/mL

or0.1IC/mL

Greencap: 1.0IR/mL

Bluecap: 10.0IR/mL

or10.0IC/mL

(IR/mListheIndexof

ReactivitypermL)

(IC/mListheIndexof

ConcentrationpermL)

Ingredients

Alustal products contain

eitherasingleallergen

extractoracombinationof

allergenextractswithinthe

miteorpollengroupof

allergens.

ALUSTALispreparedfrom

freeze-dried allergen

extracts adsorbed onto

aluminiumhydroxidegel.

Thefreeze-driedallergen

extractsarepreparedby

ammonium bicarbonate

extractionoftheallergen

sourcematerialse.g.pollen,

mites.Specificallergen(s)

areselectedbythephysician

forSpecificImmunotherapy

Treatment(SIT)forthe

individualpatient.

____________________

Sponsor

______________________

DistributedinAustralia

forHelex-APtyLtdby:

LinkMedicalProductsPty

5ApolloStreet

WarriewoodNSW2102

AUSTRALIA

Ph:1800824166

Fax:1800824199

Distributed and

RegisteredinNewZealand

by:

EBOSGroupLtd

324CashelStreet

CHRISTCHURCH

NEWZEALAND

Ph:6494153267

Fax:0800262262

CONSUMERMEDICINEINFORMATION

ALUSTALALLERGENEXTRACTAVAILABILITYINAUSTRALIAANDNEWZEALAND

REGISTRATION

NAME ACTIVEINGREDIENT AUSTRALIA

AUSTR NEW

ZEALAND

Mites

ALUSTALHouseDust

MitesExtract DermatophagoidespteronyssinusandDermatophagoides

farinaebodyextracts AUSTR132680

AUSTR132725(I) 

ALUSTALEuropeanDust

MiteExtract Dermatophagoidespteronyssinusbodyextract AUSTR132678

AUSTR132723(I) TT50-6900a(I)

TT50-6900b(M)

ALUSTALAmericanDust

MiteExtract Dermatophagoidesfarinaebodyextract) AUSTR132679

AUSTR132724(I) TT50-6900/1a(I)

TT50-6900/1b(M)

Animals

ALUSTALCatEpithelia

Extract Felineepitheliumextract  TT50-6901a(I)

TT50-6901b(M)

ALUSTALDogEpithelia

Extract Canineepitheliumextract  TT50-6901/1a(I)

TT50-6901/1b(M)

ALUSTALHorseEpithelia

Extract Equineepitheliumextract  TT50-6901/2a(I)

TT50-6901/2b(M)

ALUSTALFeathersMix

Extract Chickenfeather/Duckfeather/Goosefeatherextract  TT50-6901/3a(I)

TT50-6901/3b(M)

Pollens

ALUSTALBirchPollen

Extract Betulaalbapollenextract  TT50-6902a(I)

TT50-6902b(M)

ALUSTAL Oleaceae

PollenMixExtract Fraxinusexcelsior/Oleaeuropaea/

Ligustrumvulgarepollenextracts  TT50-6902/1a(I)

TT50-6902/1b(M)

ALUSTALPlantainPollen

Extract Plantagolanceolataextract AUSTR132838(M)

AUSTR132839(I) TT50-6902/3a(I)

TT50-6902/3b(M)

ALUSTALFatHenPollen

Extract Chenopodiumalbumextract  TT50-6902/4a(I)

TT50-6902/4b(M)

ALUSTALSorrelPollen

Extract Rumexacetosapollenextract  TT50-6902/5a(I)

TT50-6902/5b(M)

ALUSTALWheatPollen

Extract Triticumaestivumpollenextract AUSTR132836(M)

AUSTR132837(I) 

ALUSTALBermudaGrass

Extract Cynodondactylonpollenextract AUSTR132834(M)

AUSTR132835(I) 

ALUSTAL Rye Grass

Extract Loliumperennepollenextract AUSTR132843(M)

AUSTR132844(I) 

ALUSTAL Olive Tree

Extract Oleaeuropeapollenextract AUSTR132840(M)

AUSTR132841(I) 

ALUSTAL Extract of

ThreeGrasses Dactylisglomerata/Loliumperenne/Phleumpratense

pollenextracts AUSTR132845(M)

AUSTR132846(I) 

ALUSTALExtractofFive

Grasses Dactylisglomerata/Poapratensis/Loliumperenne/

Anthoxanthumodoratum/Phleumpratensepollenextracts AUSTR132847(M)

AUSTR132848(I) TT50-6902/6a(I)

TT50-6902/6b(M)

ALUSTAL Extract of

TwelveGrasses Agrostistenuis/Cynodondactylon/Bromusinermis/

Dactylisglomerata/Festucaelatior/Poapratensis/

Arrhenatherumelatius/Loliumperenne/Anthoxantum

odoratum/Phleumpratense / Avenafatua/Holcuslatanus

pollenextracts AUSTR132849(M)

AUSTR132850(I) 

X=NotAvailable;I=Initialtreatment;M=Maintenancetreatment

CONSUMERMEDICINEINFORMATION

PatientVerification

Thefollowingtablehasbeenprovidedtoallowthepatientandphysiciantoverifythatthe

vialspecificallyforthepatientisbeingusedattimeoftreatment.

Injection Date Vial

(concentration) Physician’s

Initial Patient’s

Initial

1

0.1IR/mLor

0.1IC/mL

(Yellowcap) 2

3

4

5

1IR/mLor

1IC/mL

(Greencap) 6

7

8

9

10IR/mLor

10IC/mL

(Bluecap) 10

11

12

13

14

15

10IR/mLor

10IC/mL

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

CONSUMERMEDICINEINFORMATION

Injection Date Vial

(concentration) Physician’s

Initial Patient’s

Initial

33

34

35

36

10IR/mLor

10IC/mL

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

CMIVer.9.0

DateofPreparation:10January2012

22-11-2018

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