Erythrocin 250mg Tablets

Product Information *

  • Company:

    ADVANZ Pharma
  • Status:

    No Recent Update
  • Active Ingredients :

    *Additional information is available upon request

  • Legal Category:

    Product subject to medical prescription which may not be renewed (A)

When a pharmaceutical company changes any document, 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.

Updated on 20 May 2020

File name

1.3.1 SPC-Ireland 250_1589979894.pdf

Reasons for updating

  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.8 - Undesirable effects

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

A National Type IAIN variation application under change code C.I.z to amend SmPC sections 4.3, 4.4, 4.5, 4.8 and corresponding sections of PIL, in line with PRAC recommendation.

Updated on 19 May 2020

File name

1.3.1 SPC-Ireland-English-clean (002)_1589896958.pdf

Reasons for updating

  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.8 - Undesirable effects

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Resubmission of National Type IB variation application under change code C.1.z to amend SmPC sections 4.4, 4.8 and consequentially sections of the PIL, in line with the recommendations of PRAC with Erythromycin containing products

Following information has been added to Section 4.4 "As with other macrolides, rare serious allergic reactions, including acute generalised exanthematous pustulosis (AGEP) have been reported. If an allergic reaction occurs, the drug should be discontinued and appropriate therapy should be instituted. Physicians should be aware that reappearance of the allergic symptoms may occur when symptomatic therapy is discontinued."

Following information has been updated in Section 4.8: Frequency of Adverse Events has been added. 

Updated on 19 May 2020

File name

1.3.1 PIL-QRD-Brand-Aesica-English-clean_1589896828.pdf

Reasons for updating

  • New PIL for new product

Free text change information supplied by the pharmaceutical company

Resubmission of National Type IB variation application under change code C.1.z to amend SmPC sections 4.4, 4.8 and consequentially sections of the PIL, in line with the recommendations of PRAC with Erythromycin containing products.

Updated on 04 August 2017

Reasons for updating

  • New SPC for new product

Legal category:Product subject to medical prescription which may not be renewed (A)

Updated on 04 August 2017

Reasons for updating

  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.8 - Undesirable effects
  • Change to Section 4.8 – Undesirable effects - how to report a side effect
  • Change to section 4.9 - Overdose
  • Change to section 5.1 - Pharmacodynamic properties
  • Change to section 6.4 - Special precautions for storage
  • Change to section 6.6 - Special precautions for disposal and other handling

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

4.2 added :

Hepatic impairment

Erythromycin should be used with caution in patients with impaired hepatic function (see sections 4.4 & 5.2).

 

4.3 added “domperidone”:

Erythromycin is contraindicated in patients taking astemizole, terfenadine, domperidone, cisapride or pimozide.

 

4.4 added:

Patients receiving erythromycin concurrently with drugs which can cause prolongation of the QT interval should be carefully monitored. The concomitant use of erythromycin with some of these drugs is contraindicated (see sections 4.3 & 4.5)

 

6.6 Added:

Any unused medicinal product or waste material should be disposed of in accordance with local requirements

Updated on 04 August 2017

Reasons for updating

  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.8 - Undesirable effects
  • Change to Section 4.8 – Undesirable effects - how to report a side effect
  • Change to section 4.9 - Overdose
  • Change to section 5.1 - Pharmacodynamic properties
  • Change to section 6.4 - Special precautions for storage
  • Change to section 6.6 - Special precautions for disposal and other handling

Free text change information supplied by the pharmaceutical company

4.2 added :

Hepatic impairment

Erythromycin should be used with caution in patients with impaired hepatic function (see sections 4.4 & 5.2).

 

4.3 added “domperidone”:

Erythromycin is contraindicated in patients taking astemizole, terfenadine, domperidone, cisapride or pimozide.

 

4.4 added:

Patients receiving erythromycin concurrently with drugs which can cause prolongation of the QT interval should be carefully monitored. The concomitant use of erythromycin with some of these drugs is contraindicated (see sections 4.3 & 4.5)

 

6.6 Added:

Any unused medicinal product or waste material should be disposed of in accordance with local requirements

Updated on 13 February 2015

Reasons for updating

  • Change to section 2 - Qualitative and quantitative composition
  • Change to section 3 - Pharmaceutical form
  • Change to section 4.1 - Therapeutic indications
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 4.7 - Effects on ability to drive and use machines
  • Change to section 4.8 - Undesirable effects
  • Change to Section 4.8 – Undesirable effects - how to report a side effect
  • Change to section 5.1 - Pharmacodynamic properties
  • Change to section 5.2 - Pharmacokinetic properties
  • Change to section 6.6 - Special precautions for disposal and other handling
  • Change to section 7 - Marketing authorisation holder
  • Change to section 9 - Date of renewal of authorisation
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

The section 2, 3, 4.1-4.8, 5.1-5.2, 6.6, 7, 9 & 10 of the SPC have been updated

Updated on 13 February 2015

Reasons for updating

  • Change to section 2 - Qualitative and quantitative composition
  • Change to section 3 - Pharmaceutical form
  • Change to section 4.1 - Therapeutic indications
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 4.7 - Effects on ability to drive and use machines
  • Change to section 4.8 - Undesirable effects
  • Change to Section 4.8 – Undesirable effects - how to report a side effect
  • Change to section 5.1 - Pharmacodynamic properties
  • Change to section 5.2 - Pharmacokinetic properties
  • Change to section 6.6 - Special precautions for disposal and other handling
  • Change to section 7 - Marketing authorisation holder
  • Change to section 9 - Date of renewal of authorisation
  • Change to section 10 - Date of revision of the text

Free text change information supplied by the pharmaceutical company

The section 2, 3, 4.1-4.8, 5.1-5.2, 6.6, 7, 9 & 10 of the SPC have been updated

Updated on 14 November 2012

Reasons for updating

  • Change to section 4.1 - Therapeutic indications
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 4.8 - Undesirable effects
  • Change to section 5.1 - Pharmacodynamic properties
  • Change to section 5.2 - Pharmacokinetic properties
  • Change to section 5.3 - Preclinical safety data
  • Change to section 10 - Date of revision of the text

Free text change information supplied by the pharmaceutical company

List of updates to previous SPC for Erythrocin Tablets 250mg – October 2012

 

 

Section 4.1 (Therapeutic indications):

-        Grammatical update to title case.

-        Updated indications to read: ‘For the treatment of infections caused by erythromycin-sensitive organisms’.

 

Section 4.2 (Posology and method of administration):

-        Updated dosing guidelines for adults and children over 8 years.

-        Note to say that for younger children the erythromycin ethylsuccinate suspensions are recommended.

 

Section 4.3 (Contraindications):

-        Updated hypersensitivity statement.

-        Removal of statement ‘Use in patients with serious impairment of liver function’ as this is documented in section 4.4.

 

Section 4.4 (Special warnings and precautions for use):

-        Expansion of statement regarding reports of patients with pseudomembranous colitis following antibiotic therapy.

-        Addition of warnings of reports of Clostridium difficile-associated diarrhoea (CDAD) with erythromycin use.

-        Addition of statement detailing infantile hypertrophic pyloric stenosis (IPHS) occurring in infants following erythromycin therapy.

-        Deletion of paragraph discussing use of erythromycin in patients taking drugs metabolised by the cytochrome P450 system as this is documented in section 4.5.

 

Section 4.5 (Interactions with other medicinal products and other forms of interaction):

-        Grammatical update to title.

-        Significant changes made to this section including:

o        details of drugs which may have an increased serum level following erythromycin therapy due to the metabolism by the cytochrome P450 system

o        details of drugs which may cause sub therapeutic levels of erythromycin

o        interactions with contraceptives, antihistamines, protease inhibitors and other antibacterials

 

 

Section 4.6 (Fertility, pregnancy and lactation):

-        Title of section changed from ‘Pregnancy and lactation’

-        Amended section to read:

 

There are no adequate and well-controlled studies in pregnant women. However, observational studies in humans have reported cardiovascular malformations after exposure to medicinal products containing erythromycin during early pregnancy.

 

Erythromycin has been reported to cross the placental barrier in humans, but foetal plasma levels are generally low.

 

Erythromycin is excreted in breast milk, therefore, caution should be exercised when erythromycin is administered to a nursing mother.

 

Section 4.8 (Undesirable effects):

-        Sorted into system order class (SOC).

 

Section 5.1 (Pharmacodynamic properties):

-        Addition of information which specifies the strains of bacteria sensitive to erythromycin.

-        Deletion of paragraph below in this section as moved to section 5.2:

 

Erythromycin ethylsuccinate is less susceptible than erythromycin to the adverse effect of gastric acid.  It is absorbed from the small intestine. It is widely distributed throughout body tissues. Little metabolism occurs and only about 5% is excreted in the urine. It is excreted principally by the liver.

 

Section 5.2 (Pharmacokinetic properties):

-        Updated to read:

Peak blood levels normally occur within one hour of dosing of erythromycin ethylsuccinate granules. The elimination half life is approximately two hours.  Doses may be administered two, three or four times a day.

.

Erythromycin ethylsuccinate is less susceptible than erythromycin to the adverse effect of gastric acid.  It is absorbed from the small intestine. It is widely distributed throughout body tissues. Little metabolism occurs and only about 5% is excreted in the urine. It is excreted principally by the liver.

 

Section 5.3 (Pre clinical safety data)

-        Updated with current data available.

 

Section 10 (Date of (partial) revision of the text):

-        Updated to read October 2012.

 

Updated on 14 November 2012

Reasons for updating

  • Change to section 4.1 - Therapeutic indications
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 4.8 - Undesirable effects
  • Change to section 5.1 - Pharmacodynamic properties
  • Change to section 5.2 - Pharmacokinetic properties
  • Change to section 5.3 - Preclinical safety data
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

List of updates to previous SPC for Erythrocin Tablets 250mg – October 2012

 

 

Section 4.1 (Therapeutic indications):

-        Grammatical update to title case.

-        Updated indications to read: ‘For the treatment of infections caused by erythromycin-sensitive organisms’.

 

Section 4.2 (Posology and method of administration):

-        Updated dosing guidelines for adults and children over 8 years.

-        Note to say that for younger children the erythromycin ethylsuccinate suspensions are recommended.

 

Section 4.3 (Contraindications):

-        Updated hypersensitivity statement.

-        Removal of statement ‘Use in patients with serious impairment of liver function’ as this is documented in section 4.4.

 

Section 4.4 (Special warnings and precautions for use):

-        Expansion of statement regarding reports of patients with pseudomembranous colitis following antibiotic therapy.

-        Addition of warnings of reports of Clostridium difficile-associated diarrhoea (CDAD) with erythromycin use.

-        Addition of statement detailing infantile hypertrophic pyloric stenosis (IPHS) occurring in infants following erythromycin therapy.

-        Deletion of paragraph discussing use of erythromycin in patients taking drugs metabolised by the cytochrome P450 system as this is documented in section 4.5.

 

Section 4.5 (Interactions with other medicinal products and other forms of interaction):

-        Grammatical update to title.

-        Significant changes made to this section including:

o        details of drugs which may have an increased serum level following erythromycin therapy due to the metabolism by the cytochrome P450 system

o        details of drugs which may cause sub therapeutic levels of erythromycin

o        interactions with contraceptives, antihistamines, protease inhibitors and other antibacterials

 

 

Section 4.6 (Fertility, pregnancy and lactation):

-        Title of section changed from ‘Pregnancy and lactation’

-        Amended section to read:

 

There are no adequate and well-controlled studies in pregnant women. However, observational studies in humans have reported cardiovascular malformations after exposure to medicinal products containing erythromycin during early pregnancy.

 

Erythromycin has been reported to cross the placental barrier in humans, but foetal plasma levels are generally low.

 

Erythromycin is excreted in breast milk, therefore, caution should be exercised when erythromycin is administered to a nursing mother.

 

Section 4.8 (Undesirable effects):

-        Sorted into system order class (SOC).

 

Section 5.1 (Pharmacodynamic properties):

-        Addition of information which specifies the strains of bacteria sensitive to erythromycin.

-        Deletion of paragraph below in this section as moved to section 5.2:

 

Erythromycin ethylsuccinate is less susceptible than erythromycin to the adverse effect of gastric acid.  It is absorbed from the small intestine. It is widely distributed throughout body tissues. Little metabolism occurs and only about 5% is excreted in the urine. It is excreted principally by the liver.

 

Section 5.2 (Pharmacokinetic properties):

-        Updated to read:

Peak blood levels normally occur within one hour of dosing of erythromycin ethylsuccinate granules. The elimination half life is approximately two hours.  Doses may be administered two, three or four times a day.

.

Erythromycin ethylsuccinate is less susceptible than erythromycin to the adverse effect of gastric acid.  It is absorbed from the small intestine. It is widely distributed throughout body tissues. Little metabolism occurs and only about 5% is excreted in the urine. It is excreted principally by the liver.

 

Section 5.3 (Pre clinical safety data)

-        Updated with current data available.

 

Section 10 (Date of (partial) revision of the text):

-        Updated to read October 2012.

 

Updated on 15 June 2012

Reasons for updating

  • Change to section 2 - Qualitative and quantitative composition
  • Change to section 6.1 - List of excipients
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

In section 2, the statement regarding excipients was updated to read 'For full list of excipients see section 6.1'.

In section 6.1 (Excipients) the list was updated to reflect excipients in the core and the coating.

In section 10 (Date of last revision) the date was updated to July 2007.

Updated on 15 June 2012

Reasons for updating

  • Change to section 2 - Qualitative and quantitative composition
  • Change to section 6.1 - List of excipients
  • Change to section 10 - Date of revision of the text

Free text change information supplied by the pharmaceutical company

In section 2, the statement regarding excipients was updated to read 'For full list of excipients see section 6.1'.

In section 6.1 (Excipients) the list was updated to reflect excipients in the core and the coating.

In section 10 (Date of last revision) the date was updated to July 2007.

Updated on 27 August 2008

Reasons for updating

  • Correction of spelling/typing errors

Legal category:Product subject to medical prescription which may not be renewed (A)

Updated on 27 August 2008

Reasons for updating

  • Correction of spelling/typing errors

Updated on 30 August 2007

Reasons for updating

  • New SPC for new product

Updated on 30 August 2007

Reasons for updating

  • New SPC for new product

Legal category:Product subject to medical prescription which may not be renewed (A)