Država: Velika Britanija
Jezik: angleščina
Source: MHRA (Medicines & Healthcare Products Regulatory Agency)
Hydromorphone hydrochloride
Napp Pharmaceuticals Ltd
N02AA03
Hydromorphone hydrochloride
1.3mg
Oral capsule
Oral
Schedule 2 (CD)
Valid as a prescribable product
BNF: 04070200; GTIN: 5012854073555
THIS MEDICINE CONTAINS HYDROMORPHONE WHICH IS AN OPIOID, WHICH CAN CAUSE ADDICTION. YOU CAN GET WITHDRAWAL SYMPTOMS IF YOU STOP TAKING IT SUDDENLY. READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START TAKING 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 doctor or pharmacist. • This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4. IN THIS LEAFLET: 1. What _PALLADONE_ capsules are and what they are used for 2. What you need to know before you take _PALLADONE_ capsules 3. How to take _PALLADONE_ capsules 4. Possible side effects 5. How to store _PALLADONE_ capsules 6. Contents of the pack and other information 1. WHAT _PALLADONE_ CAPSULES ARE AND WHAT THEY ARE USED FOR This medicine has been prescribed for you for the relief of severe pain. It contains hydromorphone, which belongs to a class of medicines called opioids, which are ‘pain relievers’. The medicine has been prescribed for you and should not be given to anyone else. Opioids can cause addiction and you may get withdrawal symptoms if you stop taking it suddenly. Your doctor should have explained how long you will be taking it for and when it is appropriate to stop, how to do this safely. 2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE _PALLADONE_ CAPSULES DO NOT TAKE _PALLADONE_ CAPSULES IF YOU: • are allergic to hydromorphone or to any of the other ingredients of the capsules (listed in section 6); • have breathing problems, such as severe chronic obstructive airways disease, respiratory depression or severe asthma. Symptoms may include breathlessness, coughing or breathing more slowly and weakly than expected; • have a severe pain in your abdomen; • have liver problems; • have a condition whe Preberite celoten dokument
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Palladone 1.3mg Capsules 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each capsule contains hydromorphone hydrochloride 1.3 mg. Excipient with known effect: Each capsule contains 39.35 mg of lactose. For the full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Capsule, hard. Hard gelatin capsule with opaque orange, body and clear uncoloured cap, marked HNR 1.3. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS For the relief of severe pain in cancer. Palladone capsules are indicated in adults and children aged 12 years and above. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology Prior to starting treatment with opioids, a discussion should be held with patients to put in place a strategy for ending treatment with hydromorphone in order to minimise the risk of addiction and drug withdrawal syndrome (see section 4.4). Transferring patients between oral and parenteral hydromorphone The dose should be based on the following ratio: 3 mg of oral hydromorphone is equivalent to 1 mg of intravenously administered hydromorphone. It must be emphasised that this is a general guide to the dose required. Inter-patient variability requires that each patient is carefully titrated to the appropriate dose. Adults and children aged 12 years and above _PALLADONE_ capsules should be used at 4 hourly intervals. The dosage is dependent upon the severity of the pain and the patient’s previous history of analgesic requirements. 1.3 mg of hydromorphone has an efficacy approximately equivalent to 10 mg of morphine given orally. A patient presenting with severe pain should normally be started on a dosage of one _PALLADONE_ capsule 4 hourly. Increasing severity of pain may require increased dosage of hydromorphone to achieve the desired relief. Elderly and patients with renal impairment The elderly and patients with renal impairment should be dose titrated with _PALLADONE_ capsules in order to achieve adequate analgesia. It should be noted, however, that these pa Preberite celoten dokument