When a pharmaceutical company changes an SPC or PIL, a new version is published on medicines.ie. For each version, we show the dates it was published on medicines.ie and the reasons for change.
4.4 Special warnings and precautions for use
Addition of laboratory tests regarding liver function tests and complete blood counts. 4.8 Undesirable effects Addition of tomour lysis syndrome and injection site necrosis.
Section 5.2 - An additional line has been added to the excretion section regarding accumulation after subcutaneous administration of azacitidine
Section 4.2 - Additional function test added to the Laboratory tests. Additional sentence added to the Method of administration. Section 4.3 - Replacement of a term (breastfeeding rather than lactation) Section 4.4 - Additional warning to patients has been added and removal of the term 'rarely' regarding hepatic and renal impairments. Section 4.6 - Sentences regarding contraception for women of child bearing potential and men moved from the end of the first paragraph to a separate initial paragraph. Replacement of a term (breastfeeding rather than lactation) Section 4.8 - Modifications to the third and fourth paragraphs regarding frequency of adverse events. - Additional adverse event added to the table and alterations made to another adverse event already listed. Rare fatalities have been indicated where appropriate. - Minor alterations to the infections sub-heading. - Two paragraphs added regarding renal and hepatic adverse reactions. Section 5.2 - Minor amendments to the excretion section. Section 6.6 - Two additional sentences added to point 4 of the reconstitution procedure. Section 7 - Address of the MA holder has been updated.
Section 5.2: In the second paragraph of the Metabolism section, the sentence beginning "In vitro studies" has been altered to "An in vitro study". Also in the same paragraph, the sentence beginning "In a study to assess inhibition of a series of P450 isoenzymes" has been altered to state "In studies to assess..." In this same sentence "CYP 2B6 and 2C8" have been added into the brackets after the word isoenzymes and the sentence that stated "The potential to inhibit CYP2B6 or 2C8 has not been studied" has been removed from the end of the metabolism section.