METHYLENE BLUE INJECTION SOLUTION

Country: Canada

Language: English

Source: Health Canada

Active ingredient:

METHYLENE BLUE

Available from:

PHEBRA PTY LTD

ATC code:

V03AB17

INN (International Name):

METHYLTHIONINIUM CHLORIDE

Dosage:

10MG

Pharmaceutical form:

SOLUTION

Composition:

METHYLENE BLUE 10MG

Administration route:

INTRAVENOUS

Units in package:

15G/50G

Prescription type:

Ethical

Therapeutic area:

ANTIDOTES

Product summary:

Active ingredient group (AIG) number: 0106816001; AHFS:

Authorization status:

APPROVED

Authorization date:

2019-04-30

Summary of Product characteristics

Methylene Blue Injection 1% w/v
Page 1 of 4
PRESCRIBING INFORMATION
METHYLENE BLUE INJECTION
1% W/V (10 MG/ML)
STERILE SOLUTION
_British Pharmacopoeia _(B.P.)_ _
Methemoglobinemia / Diagnostic Aid
Phebra Pty Ltd
19 Orion Road
Lane Cove West
Australia, 2066
Canadian Importer:
ICON Plc
4 Innovation Drive
Dundas, Ontario
L9H 7P3
Date of Preparation:
April 30, 2019
Submission Control No: 222283
Methylene Blue Injection 1% w/v
Page 2 of 4
PRESCRIBING INFORMATION
METHYLENE BLUE INJECTION
10 MG/ML
METHEMOGLOBINEMIA
DIAGNOSTIC AID
L.V.
PHARMACOLOGY
Methylene Blue activates a normally dormant reductase enzyme system
which reduces
the methylene blue to leucomethylene blue, which in turn is able to
reduce
methemoglobin to hemoglobin. Methylene Blue is absorbed from the
gastrointestinal
tract. It is believed to be reduced in the tissue to the Ieuco form
which is slowly excreted,
mainly in the urine together with some unchanged drug. Methylene Blue
imparts a blue
colour to urine and faeces. In large doses Methylene Blue can produce
methemoglobinemia.
INDICATIONS
Used in the treatment of methemoglobinemia. Also used as a
bacteriological stain, as a
dye in diagnostic procedures such as fistula detection, and for the
delineation of certain
body tissues during surgery.
CONTRAINDICATIONS
In patients with severe renal impairment or a known hypersensitivity
to the drug.
PRECAUTIONS
Methemoglobin concentration should be closely monitored during
treatment as
Methylene Blue can produce methemoglobinemia in large doses.
Methylene Blue should be used with caution in the treatment of toxic
methemoglobinemia; high doses can cause hemolytic anemia and patients
with glucose-
6-phosphate dehydrogenase (G6PD) deficiencies are particularly
susceptible.
A rapid disappearance of cyanosis in response to Methylene Blue would
be expected
within one hour but might not occur if the patient has erythrocyte
G6PD or NADPH-
diaphorase deficiency or if methemoglobinemia is due to the ingestion
of compounds
such as aniline or dapsone. A second dose has been