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.
Mundipharma Pharmaceuticals Limited
Millbank House
Arkle Road
Sandyford
Dublin 18 8. Marketing Authorisation numbers are now PA 1688/6/4-6
Section 4.4
‘acute’ has been removed before the word alcoholism.
‘Due to an increased perioperative risk of ileus and respiratory depression OxyNorm concentrate should be used with caution pre-operatively and within the first 24 hours post-operatively.’ Has been added
Section 4.5
Words in bold have been added
‘Concurrent administration of quinidine, an inhibitor of cytochrome P450-2D6, resulted in an increase in oxycodone Cmax by 11%, AUC by 13% and t½ elim by 14%; also an increase in the metabolite noroxycodone level was observed. The pharmacodynamic effects of oxycodone were not altered. This interaction may be observed for other potent inhibitors of the cytochrome P450-2D6 enzyme such as paroxetine and fluoxetine. Cimetidine and inhibitors or substrates of cytochrome P450-3A4 such as ketoconazole, voriconazole and erythromycin may inhibit the metabolism of oxycodone.
Section 4.8
(≥ 1/1,000 to <1/100) the word to has been added throughout the section.
Immune system disorders
Frequency unknown symptoms of anaphylactic or analphylatctoid reaction has been changed to read ‘ anaphylactic responses.
Psychiatric disorders:
Uncommon: emotional lability has been changed to read ‘affect lability. Mood altered has been removed.
Nervous system disorders
Common: ‘faintness’ has been removed.
Uncommon: ‘vertigo’ has been removed, dysgeusi, syncope has been added
Ear and labyrinth disorders
‘Vertigo’ has been added
Cardiac disorders
‘syncope’ has been deleted
Gastrointestinal disorders
Uncommon: ‘taste perversion’ has been removed.
Skin and subcutaneous tissue disorders
Common: sweating has been removed and ‘hyperhidrosis ‘ has been added
Reproductive system and breast disorders
Uncommon: ‘impotence’ has been removed and replaced with ‘ erectile dysfunction’
General disorders and administration site conditions
Common: asthenic has been replaced with ‘asthenic conditions’
Section 5.1
The therapeutic effect is mainly analgesic, anxiolytic, antitussive and sedative (antiussive has been added).