Country: Israel
Language: English
Source: Ministry of Health
CONCENTRATE OF PROTEOLYTIC ENZYMES ENRICHED IN BROMELAIN
MEDIWOUND LTD.
B06AA11
POWDER AND GEL
CONCENTRATE OF PROTEOLYTIC ENZYMES ENRICHED IN BROMELAIN 5 G
TOPICAL
Required
MEDIWOUND LTD, ISRAEL
BROMELAINS
NexoBrid is indicated for removal of eschar in adults with deep partial- andfull-thickness thermal burns.
2019-06-30
MediWound Ltd. 42 Yarkon St.,Northern Industrial Area 81227 Yavne, Israel Tel: 972-77-9714100 Web: www.mediwound.com Fax: 972-77-9714111 יראת ך : 05/06/2019 יאופרה תווצל העדוה :ןודנה ל"נה םירישכתה לש אפורל ןולעל ופסונש תורמחה : םש ה רישכת רפסמו םושירה : NEXOBRID 2 G POWDER AND 20 G GEL דירבוסקנ 2 ו הקבא 'רג 20 ל'ג 'רג 152-30-33685-00 NEXOBRID 5 G POWDER AND 50 G GEL דירבוסקנ 5 ו הקבא 'רג 50 ל'ג 'רג 152-31-33686-00 :היוותה NexoBrid is indicated for removal of eschar in adults with deep partial- and full-thickness thermal burns. :בכרה Concentrate of proteolytic enzymes enriched in Bromelain. םש לעב םושירה : MEDIWOUND LTD, ISRAEL – דנווידמ מ"עב לארשי MediWound Ltd. 42 Yarkon St.,Northern Industrial Area 81227 Yavne, Israel Tel: 972-77-9714100 Web: www.mediwound.com Fax: 972-77-9714111 :םייונישה טוריפו תוהמ קרפ ןולעב טסקט יחכונ טסקט שדח POSOLOGY, DOSAGE & ADMINISTRATION _Renal impairment _ There is no information on the use of NexoBrid in patients with renal impairment _ _ _ _ _Hepatic impairment _ There is no information on the use of NexoBrid in patients with hepatic impairment. _Preparation of patient and wound area_ To prevent possible irritation of abraded skin by inadvertent contact with NexoBrid, such areas can be protected by a layer of a sterile fatty ointment. _Renal impairment _ There is no information on the use of NexoBrid in patients with renal impairment. THESE PATIENTS SHOULD BE CAREFULLY MONITORED. _Hepatic impairment _ There is no information on the use of NexoBrid in patients with hepatic impairment. THESE PATIENTS SHOULD BE CAREFULLY MONITORED. _Preparation of patient and wound area_ To prevent possible irritation of abraded skin BY INADVERTENT CONTACT WITH NEXOBRID AND POSSIBLE BLEEDING FROM THE WOUND BED, ACUTE WOUND AREAS SUCH AS L ACERATIONS OR ESCHAROTOMY INCISIONS SHOULD BE PROTECTED BY A LAYER OF Read the complete document
1. NAME OF THE MEDICINAL PRODUCT NexoBrid 2 g powder and gel for gel/ NexoBrid 5 g powder and gel for gel 2. QUALITATIVE AND QUANTITATIVE COMPOSITION One vial contains 2 g of concentrate of proteolytic enzymes enriched in bromelain, corresponding to 0.09 g/g concentrate of proteolytic enzymes enriched in bromelain after mixing (or 2 g/22 g gel). One vial contains 5 g of concentrate of proteolytic enzymes enriched in bromelain, corresponding to 0.09 g/g concentrate of proteolytic enzymes enriched in bromelain after mixing (or 5 g/55 g gel). The proteolytic enzymes are a mixture of enzymes from the stem of Ananas comosus (pineapple plant). For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Powder and gel for gel. The powder is off-white to light tan. The gel is clear and colourless. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS NexoBrid is indicated for removal of eschar in adults with deep partial- and full-thickness thermal burns. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION This medicinal product should only be applied by trained healthcare professionals in specialist burn centres. POSOLOGY 2g powder in 20 g gel is applied to a burn wound area of 1 % Total Body Surface Area (TBSA) of an adult, with a gel layer thickness of 1.5 to 3 mm. 5g powder in 50 g gel is applied to a burn wound area of 2.5 % Total Body Surface Area (TBSA) of an adult, with a gel layer thickness of 1.5 to 3 mm. The gel should not be applied to more than 15% TBSA (see also section 4.4, Coagulopathy). It should be left in contact with the burn for a duration of 4 hours. There is very limited information on the use of this medicinal product on areas where eschar remained after the first application. A second and subsequent application is not recommended. SPECIAL POPULATIONS RENAL IMPAIRMENT There is no information on the use in patients with renal impairment. These patients should be carefully monitored. HEPATIC IMPAIRMENT There is no information on the use in patients with hepatic impairment. These patients should be Read the complete document