Land: Israel
Språk: engelsk
Kilde: Ministry of Health
APOMORPHINE HYDROCHLORIDE
TEVA ISRAEL LTD
N04BC07
SOLUTION FOR INJECTION
APOMORPHINE HYDROCHLORIDE 10 MG/ML
S.C
Required
BRITANNIA PHARMACEUTICALS LTD, UK
APOMORPHINE
APOMORPHINE
Treatment of motor fluctuations (“on-off” phenomena) in patients with Parkinson's disease which are not sufficiently controlled by oral anti-Parkinson medication.
2022-06-30
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APO-GO-Pen-SPC-Notification-3-2021-Clean 1 SUMMARY OF PRODUCT CHARACTERISTICS _ _ 1. NAME OF THE MEDICINAL PRODUCT APO-go PEN 10 mg/ml Solution for Injection * * _ ABBREVIATED TO APO-GO_ _®_ _ PEN IN THE TEXT _ _ _ 2. QUALITATIVE AND QUANTITATIVE COMPOSITION 1 ml contains 10 mg apomorphine hydrochloride. Each 3 ml PEN contains 30 mg apomorphine hydrochloride. Excipient(s) with known effect Sodium bisulphite 0.93 mg per ml. For a full list of excipients see section 6.1. 3. PHARMACEUTICAL FORM Solution for injection. The solution is clear, practically colourless, odourless and free from visible particles. pH = 2.5 to 4.0. 4. CLINICAL PARTICULARS 4.1. THERAPEUTIC INDICATIONS Treatment of motor fluctuations (“on-off” phenomena) in patients with Parkinson's disease which are not sufficiently controlled by oral anti-Parkinson medication. 4.2. POSOLOGY AND METHOD OF ADMINISTRATION Selection of patients suitable for APO-go injections: Patients selected for treatment with APO-go should be able to recognise the onset of their ‘off’ symptoms and be capable of injecting themselves or else have a responsible carer able to inject for them when required. Patients treated with apomorphine will usually need to start domperidone at least two days prior to initiation of therapy. The domperidone dose should be titrated to the lowest effective dose and discontinued as soon as possible. Before the decision to initiate domperidone and apomorphine treatment, risk factors for QT interval prolongation in the individual patient should be carefully assessed to ensure that the benefit outweighs the risk (see section 4.4). Refer to the domperidone prescribing information for recommended domperidone dosage information. Apomorphine should be initiated in the controlled environment of a specialist clinic. The patient should be supervised by a physician experienced in the treatment of Parkinson’s disease (e.g. neurologist). The patient’s treatment with levodopa, with or without dopamine agonists, should be optimised before starting A read_full_document