Country: Malta
Language: English
Source: Medicines Authority
Zenthique Limited Level 2 The Fort, Hardrocks Business Park, Burmarrad Road, Naxxar, NXR 6345, , Malta
V03AB35
SUGAMMADEX 100 mg/ml
SOLUTION FOR INJECTION
SUGAMMADEX 100 mg/ml
POM
ALL OTHER THERAPEUTIC PRODUCTS
Authorised
2023-12-21
Page 1 of 5 PACKAGE LEAFLET Page 2 of 5 PACKAGE LEAFLET: INFORMATION FOR THE USER ZENAGAM 100 MG/ML SOLUTION FOR INJECTION _sugammadex sodium _ READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU ARE GIVEN THIS MEDICINE BECAUSE IT CONTAINS IMPORTANT INFORMATION FOR YOU. - Keep this leaflet. You may need to read it again. - If you have any further questions, ask your anaesthetist or doctor. - If you get any side effects, talk to your anaesthetist or doctor. This includes any possible side effects not listed in this leaflet. See section 4. - Zenagam 100 mg/ml solution for injection is refered as Zenagam WHAT IS IN THIS LEAFLET 1. What Zenagam is and what it is used for 2. What you need to know before Zenagam is given 3. How Zenagam is given 4. Possible side effects 5. How to store Zenagam 6. Contents of the pack and other information 1. WHAT ZENAGAM IS AND WHAT IT IS USED FOR WHAT ZENAGAM IS Zenagam contains the active substance sugammadex. Sugammadex is considered to be a Selective Relaxant Binding Agent since it only works with specific muscle relaxants, rocuronium bromide or vecuronium bromide. WHAT ZENAGAM IS USED FOR When you have some types of operations, your muscles must be completely relaxed. This makes it easier for the surgeon to do the operation. For this, the general anaesthetic you are given includes medicines to make your muscles relax. These are called muscle relaxants, and examples include rocuronium bromide and vecuronium bromide. Because these medicines also make your breathing muscles relax, you need help to breathe (artificial ventilation) during and after your operation until you can breathe on your own again. Zenagam is used to speed up the recovery of your muscles after an operation to allow you to breathe on your own again earlier. It does this by combining with the rocuronium bromide or vecuronium bromide in your body. It can be used in adults whenever rocuronium bromide or vecuronium bromide is used and in children and adolescents (aged 2 to 17 years) when rocuronium bromide is used for a moder Read the complete document
Page 1 of 19 SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCT Zenagam 100 mg/ml solution for injection 2. QUALITATIVE AND QUANTITATIVE COMPOSITION 1 ml contains 100 mg sugammadex (as sugammadex sodium). Each vial of 2 ml contains 200 mg sugammadex (as sugammadex sodium). Each vial of 5 ml contains 500 mg sugammadex (as sugammadex sodium). Excipient with known effect Each ml of solution contains up to 9.45 mg sodium. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Solution for injection (injection). A clear solution free from visible particles. pH of solution is between 7 and 8. Osmolality 300-500 mOsm/kg. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Reversal of neuromuscular blockade induced by rocuronium or vecuronium in adults. For the paediatric population: sugammadex is only recommended for routine reversal of rocuronium induced blockade in children and adolescents aged 2 to 17 years. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology Sugammadex should only be administered by, or under the supervision of an anaesthetist. The use of an appropriate neuromuscular monitoring technique is recommended to monitor the recovery of neuromuscular blockade (see section 4.4). The recommended dose of sugammadex depends on the level of neuromuscular blockade to be reversed. The recommended dose does not depend on the anaesthetic regimen. Page 2 of 19 Sugammadex can be used to reverse different levels of rocuronium or vecuronium induced neuromuscular blockade: _ _ _Adults _ Routine reversal: A dose of 4 mg/kg sugammadex is recommended if recovery has reached at least 1-2 post-tetanic counts (PTC) following rocuronium or vecuronium induced blockade. Median time to recovery of the T 4 /T 1 ratio to 0.9 is around 3 minutes (see section 5.1). A dose of 2 mg/kg sugammadex is recommended, if spontaneous recovery has occurred up to at least the reappearance of T 2 following rocuronium or vecuronium induced blockade. Median time to recovery of the T 4 /T 1 ratio to 0.9 is around 2 m Read the complete document