Šalis: Didžioji Britanija
kalba: anglų
Šaltinis: MHRA (Medicines & Healthcare Products Regulatory Agency)
Nafarelin acetate
Pfizer Ltd
H01CA02
Nafarelin acetate
200microgram/1dose
Spray
Nasal
No Controlled Drug Status
Valid as a prescribable product
BNF: 06070200; GTIN: 5012882007836 5012882007829
Page 1 of 8 PACKAGE LEAFLET: INFORMATION FOR THE USER SYNAREL ® 2MG/ML NASAL SPRAY NAFARELIN ACETATE Important things that you SHOULD know about your medicine: SYNAREL is for the treatment of endometriosis or as part of a supervised fertility programme and is for use by women only. This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. You should take SYNAREL regularly as instructed by your doctor or nurse, in order for it to be effective. Most people do not have serious problems when taking SYNAREL but side effects can occur – see Section 4 for details. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. Taking other medicines may sometimes cause problems. Check with your doctor or pharmacist before taking this or any other medicines. Please read the rest of this leaflet. It includes other important information on the safe and effective use of this medicine that might be especially important to you. If you have any further questions, ask your doctor or pharmacist. This leaflet was last updated in 06/2016. WHAT IS IN THIS LEAFLET 1. What Synarel is and what it is used for 2. What you need to know before you take Synarel 3. How to take Synarel 4. Possible side effects 5. How to store Synarel 6. Contents of the pack and other information 1. WHAT SYNAREL IS AND WHAT IT IS USED FOR Synarel works by reducing the normal response of your body to a hormone called GnRH (gonadotrophin releasing hormone). As a result, your ovaries produce less of another hormone called oestrogen. You will notice the reduced amount of oestrogen usually by your periods either stopping or being reduced in amount after about one month of taking Synarel. Synarel has to get into your blood stream before it can work. This cannot happen if it is taken by mouth, because your stomach acid will break it down and it will be digested. Therefore, nasal inhalation Perskaitykite visą dokumentą
OBJECT 1 SYNAREL NASAL SPRAY Summary of Product Characteristics Updated 13-Dec-2016 | Pfizer Limited 1. Name of the medicinal product SYNAREL ® 2. Qualitative and quantitative composition Solution containing 2mg/ml of nafarelin (as acetate) supplied in bottles fitted with a metered spray pump that delivers 200 micrograms of nafarelin base per spray. For the full list of excipients, see section 6.1. 3. Pharmaceutical form Nasal spray, solution. Clear, colourless to slightly yellow, aqueous solution. 4. Clinical particulars 4.1 Therapeutic indications The hormonal management of endometriosis, including pain relief and reduction of endometriotic lesions. Use in controlled ovarian stimulation programmes prior to in-vitro fertilisation, under the supervision of an infertility specialist. 4.2 Posology and method of administration _Adult:_ Synarel is for administration by the intranasal route only. Experience with the treatment of endometriosis has been limited to women 18 years of age and older. _Endometriosis:_ In the use of Synarel in endometriosis, the aim is to induce chronic pituitary desensitisation, which gives a menopause-like state maintained over many months. The recommended daily dose of Synarel is 200 mcg taken twice daily as one spray (200 mcg of nafarelin) to one nostril in the morning and one spray into the other nostril in the evening (400 mcg/day). Treatment should be started between days 2 and 4 of the menstrual cycle. The recommended duration of therapy is six months; only one 6-month course is advised. In clinical studies the majority of women have only received up to six-months treatment with Synarel. _Controlled ovarian stimulation prior to in vitro fertilisation:_ In the use of Synarel associated with controlled ovarian stimulation prior to _in vitro_ fertilisation, the long protocol should be employed, whereby Synarel is continued through a period of transient gonadotrophin stimulation lasting 10-15 days (the 'flare effect') through to pituitary desensitisation (down-regulation). Down-regulatio Perskaitykite visą dokumentą