Country: Ísrael
Tungumál: enska
Heimild: Ministry of Health
5-AMINOLEVULINIC ACID AS HYDROCHLORIDE
TZAMAL BIO-PHARMA LTD
L01XD04
POWDER FOR SOLUTION
5-AMINOLEVULINIC ACID AS HYDROCHLORIDE 1.5 G
PER OS
Required
MEDAC GESELLSCHAFT FUR KLINISCHE SPES. GmbH
AMINOLEVULINIC ACID
AMINOLEVULINIC ACID
Gliolan® is indicated in adult patients for visualisation of malignant tissue during surgery for malignant glioma (WHO grade III and IV).
2018-09-30
• you are hypersensitive (allergic) to the active ingredient (5-aminolevulinic acid hydrochloride), or to porphyrin. • in case of porphyria or suspected acute or chronic porphyria (acquired or inherited disorder of certain enzymes in the synthesis pathway of the red blood pigment). • you are pregnant or suspect you are pregnant. DO NOT USE THE MEDICINE IF: PATIENT PACKAGE INSERT IN ACCORDANCE WITH THE PHARMACISTS' REGULATIONS (PREPARATIONS) - 1986 This medicine can be sold with a doctorיs prescription only GLIOLAN POWDER FOR ORAL SOLUTION Active ingredient and its quantity in a dosage unit: Each vial contains: 5-aminolevulinic acid hydrochloride 1.5gr READ THIS ENTIRE LEAFLET CAREFULLY BEFORE YOU START USING THIS MEDICINE. This leaflet contains concise information about the medicine. If you have any further questions, ask the doctor or pharmacist. This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if you think that their medical condition is similar. 1. WHAT IS THE MEDICINE INTENDED FOR? • visualization of certain brain tumors (called malignant glioma) during brain surgery. THERAPEUTIC GROUP: Imaging agents 2. BEFORE YOU TAKE THE MEDICINE: SPECIAL WARNINGS REGARDING THE USE OF THIS MEDICINE: BEFORE TREATMENT WITH GLIOLAN TELL THE DOCTOR IF: You have a heart disease or had heart disease in the past. • The eyes and skin should be protected from exposure to strong light (such as: direct sunlight or bright lighting) for a period of 24 hours after taking the medicine. • If you have a heart disease or had heart disease in the past – you should tell your doctor. Use with caution since blood pressure may drop. • No studies have been performed in patients with impaired liver or renal function - use this medicine with caution in these patients. Children and adolescents This drug is not intended for children and adolescents under the age of 18, as there is no experience with Gliolan in this age group. TELL THE DOCTOR OR PHARMACIST IF YOU ARE TAKING OR HAVE RECENTL Lestu allt skjalið
1 GLIOLAN ® PRESCRIBING INFORMATION 1. NAME OF THE MEDICINAL PRODUCT Gliolan 2. QUALITATIVE AND QUANTITATIVE COMPOSITION _ _ One vial contains 1.17 g of 5-aminolevulinic acid (5-ALA), corresponding to 1.5 g 5-aminolevulinic acid hydrochloride (5-ALA HCl). One ml of reconstituted solution contains 23.4 mg of 5-ALA, corresponding to 30 mg 5-ALA HCl. 3. PHARMACEUTICAL FORM Powder for oral solution. The powder is a white to off-white cake. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Gliolan is indicated in adult patients for visualisation of malignant tissue during surgery for malignant glioma (WHO grade III and IV). 4.2 POSOLOGY AND METHOD OF ADMINISTRATION This medicinal product should only be used by experienced neurosurgeons conversant with surgery of malignant gliomas and in-depth knowledge of functional brain anatomy who have completed a training course in fluorescence-guided surgery. Posology The recommended dose is 20 mg 5-ALA HCl per kilogram body weight. _Patients with renal or hepatic impairment _ No trials have been performed in patients with clinically relevant hepatic or renal impairment. Therefore, this medicinal product should be used with caution in such patients. _Elderly patients _ There are no special instructions for use in elderly patients with regular organ function. _Paediatric population _ The safety and efficacy of Gliolan in children and adolescents aged 0 to 18 years have not yet been established. No data are available. Method of administration The solution should be administered orally three hours (range 2-4 hours) before anaesthesia. Use of 5-ALA under conditions other than the ones used in the clinical trials entail an undetermined risk. _Precautions to be taken before handling or administering the medicinal product _ For instructions on reconstitution of the medicinal product before administration, see section 6.6. 2 4.3 CONTRAINDICATIONS • Hypersensitivity to the active substance or porphyrins. • Acute or chronic types of porphyria. • Pregnancy (see sections 4.6 and 5.3 Lestu allt skjalið