Nimotop 30mg film-coated tablets
*Company:
Bayer LimitedStatus:
UpdatedLegal Category:
Product subject to medical prescription which may be renewed (B)Active Ingredient(s):
*Additional information is available within the SPC or upon request to the company
Updated on 05 April 2024
File name
20240327_SPC_IE_NIMT_BP24001_REC32348_CC.pdf
Reasons for updating
- Change to section 6.3 - Shelf life
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
Updated on 28 March 2024
File name
20240327_SPC_IE_NIMT_BP24001_REC32348_CC.pdf
Reasons for updating
- Change to section 6.3 - Shelf life
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
BP24001, REC32348
Note:
Text in blue = added text
Text in red strikethrough = deleted text
6.3 Shelf Life
5 years.Folding boxes containing PP/Aluminium foil blister packs: 5 years
Folding boxes containing PVC/PVDC/Aluminium foil blister packs: 4 years
10. DATE OF REVISION OF THE TEXT
September 2022March 2024
Updated on 05 October 2022
File name
20220826_PL_IE_NIMT_BP22036_REC30610_CC.pdf
Reasons for updating
- Change to section 6 - marketing authorisation number
- Change to section 6 - date of revision
Free text change information supplied by the pharmaceutical company
BP22036, REC30610
Note:
Text in blue = added text
Text in red with strikethrough = deleted text
6. Contents of the pack and other information
[…]
Marketing Authorisation Holder:
Bayer Limited, 1st Floor, The Grange Offices, The Grange, Brewery Road, Stillorgan, Co. Dublin, A94 H2K7, The Atrium, Blackthorn road, Dublin 18, Ireland
[…]
This leaflet was last revised in: August 2021September 2022
Updated on 05 October 2022
File name
20220802_SPC_IE_NIMT_BP22036_REC30610_CC.pdf
Reasons for updating
- Change to section 7 - Marketing authorisation holder
- Change to section 10 - Date of revision of the text
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BP22036, REC30610
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7. MARKETING AUTHORISATION HOLDER
Bayer Limited
1st Floor
The Grange Offices
The Grange
Brewery Road
Stillorgan
Co. Dublin
A94 H2K7
The Atrium
Blackthorn Road
Dublin 18
Ireland
10. DATE OF REVISION OF THE TEXT
November 2018September2022
Updated on 05 October 2022
File name
20220826_PL_IE_NIMT_BP22036_REC30610_CC.pdf
Reasons for updating
- Change to section 6 - marketing authorisation holder
- Change to section 6 - date of revision
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BP22036, REC30610
Note:
Text in blue = added text
Text in red with strikethrough = deleted text
6. Contents of the pack and other information
[…]
Marketing Authorisation Holder:
Bayer Limited, 1st Floor, The Grange Offices, The Grange, Brewery Road, Stillorgan, Co. Dublin, A94 H2K7, The Atrium, Blackthorn road, Dublin 18, Ireland
[…]
This leaflet was last revised in: January 2021September 2022
Updated on 05 October 2022
File name
20220802_SPC_IE_NIMT_BP22036_REC30610_CC.pdf
Reasons for updating
- Change to section 7 - Marketing authorisation holder
- Change to section 8 - Marketing authorisation number(s)
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
BP22036, REC30610 + REC19543 – PA number reformat Please note deletion of space between PA and 1410
Note:
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7. MARKETING AUTHORISATION HOLDER
Bayer Limited
1st Floor
The Grange Offices
The Grange
Brewery Road
Stillorgan
Co. Dublin
A94 H2K7
The Atrium
Blackthorn Road
Dublin 18
Ireland
8. MARKETING AUTHORISATION NUMBER
PA1410/030/001
10. DATE OF REVISION OF THE TEXT
January 2021September2022
Updated on 05 October 2022
File name
20200929_PL_CC_NIMI_SFI_BP20069.pdf
Reasons for updating
- Change to Section 1 - what the product is
- Change to section 1 - what the product is used for
- Change to section 2 - what you need to know - warnings and precautions
- Change to section 2 - interactions with other medicines, food or drink
- Change to section 2 - pregnancy, breast feeding and fertility
- Change to section 2 - driving and using machines
- Change to section 2 - excipient warnings
- Change to section 3 - dose and frequency
- Change to section 3 - how to take/use
- Change to section 3 - duration of treatment
- Change to section 3 - overdose, missed or forgotten doses
- Change to section 4 - possible side effects
- Change to section 5 - how to store or dispose
- Change to section 6 - what the product looks like and pack contents
- Change to section 6 - date of revision
Free text change information supplied by the pharmaceutical company
BP22069, BEC13137, 17119, 18310 - Excipient Guideline and QRD update
Updated on 05 October 2022
File name
20210104_SmPC_CC_NIMI_SFI_BP20069_Sadhbh_RFI_2_final.pdf
Reasons for updating
- Change to section 2 - Qualitative and quantitative composition
- 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 - 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 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
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BEC13137, 17119, 18310 - Excipient Guideline and QRD update
Updated on 26 August 2022
File name
18221_SPC_CC_NIMT_20281217_BEC19543.pdf
Reasons for updating
- Change to section 8 - Marketing authorisation number(s)
Legal category:Product subject to medical prescription which may be renewed (B)
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In the previous version, in Section 8 - Marketing Authorisation Holder, the Maltese MA number was included with the HPRA PA number in error.
The Maltese MA number has now been deleted. No other changes were made to the text.
Updated on 26 July 2022
File name
18221_SPC_CC_NIMT_20181217.pdf
Reasons for updating
- Change to section 7 - Marketing authorisation holder
- Change to section 8 - Marketing authorisation number(s)
Legal category:Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
In Section 7, "Ireland" has been added to the MAH address.
In Section 8, the HPRA PA number has been reformatted as follows: PA1410/030/001. A Maltese licence number is also added: AA639/02402.
Updated on 20 December 2018
File name
18221_SPC_CC_NIMT_20181217.pdf
Reasons for updating
- Change to section 6.5 - Nature and contents of container
Legal category:Product subject to medical prescription which may be renewed (B)
Updated on 11 May 2017
File name
PIL_13847_712.pdf
Reasons for updating
- New PIL for new product
Updated on 11 May 2017
Reasons for updating
- Change to section 6 - manufacturer
- Change to section 6 - date of revision
Updated on 29 July 2016
Reasons for updating
- New SPC for new product
Legal category:Product subject to medical prescription which may be renewed (B)
Updated on 29 July 2016
Reasons for updating
- Change to section 4.2 - Posology and method of administration
- Change to section 10 - Date of revision of the text
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Unless otherwise prescribed the following dosage is recommended:
The recommended procedure is administration of Nimotop solution for infusion for 5 to 14 days followed by a total daily dose of 360 mg by taking
Alternatively, prophylactic therapy may be initiated using Nimotop tablets. The recommended total daily dose is 360 mg by taking
In patients who develop adverse reactions the dose should be reduced as necessary or the treatment discontinued.
Updated on 18 November 2014
Reasons for updating
- Change to section 4.2 - Posology and method of administration
- Change to Section 4.8 – Undesirable effects - how to report a side effect
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
In section 4.2
· The subheading Special populations
· The following was inserted
“Paediatric population
Safety and efficacy of nimodipine in patients under 18 years of age have not been established.”
In section 4.8 information on Reporting of suspected adverse reactions was introduced.
The date of revision was updated
Updated on 18 November 2014
Reasons for updating
- Change of contraindications
- Change to date of revision
- Addition of information on reporting a side effect.
Updated on 07 June 2013
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 4.6 - Pregnancy and lactation
- Change to section 4.8 - Undesirable effects
- Change to section 4.9 - Overdose
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
(Inserted text; Deleted text)
Section 4.2: Posology and method of administration
Aneurysmal subarachnoid haemorrhage
Dosage: Posology:
…………….
Severely disturbed liver function, particularly liver cirrhosis, may result in an increased bioavailability of nimodipine due to a decreased first-pass capacity and a reduced metabolic clearance. The effects and side-effects, e.g. reduction in blood pressure, may be more pronounced in these patients.
In such cases the dose should be reduced (depending on the blood pressure) or, if necessary, discontinuation of the treatment should be considered.
Upon co-administration with cytochrome P450 3A4 inhibitors or inducers, a dose adaption may be necessary (see sections 4.4 and 4.5).
Administration: Method of administration:
…………….
Patients with hepatic impairment
Severely disturbed liver function, particularly liver cirrhosis, may result in an increased bioavailability of nimodipine due to a decreased first-pass capacity and a reduced metabolic clearance. The effects and side-effects, e.g. reduction in blood pressure, may be more pronounced in these patients.
In such cases the dose should be reduced (depending on the blood pressure) or, if necessary, discontinuation of the treatment should be considered.
Section 4.3 Contraindications
Known Nimodipine must not be used in case of hypersensitivity to Nimodipine the active
substance of or any of the excipients.
Nimodipine should not be administered to patients during or within one month of a myocardial infarction or an episode of unstable angina.
The use of nimodipine in combination with rifampicin is contraindicated as the efficacy of Nimotop tablets nimodipine could be significantly reduced when concomitantly administered. (See section 4.5 Interaction with other medicinal products and other forms of interaction).
The concomitant use of oral nimodipine and the antiepileptic drugs, phenobarbital, phenytoin or carbamazepine is contraindicated as the efficacy of Nimotop tablets nimodipine could be significantly reduced (see section 4.5 Interaction with other medicinal products and other forms of interaction).
Section 4.4: Special warnings and precautions for use
Nimotop tablets should be used with care when cerebral oedema or severely raised intracranial pressure are present. Although treatment with Nimotop nimodipine has not been shown to be associated with increases in intracranial pressure, close monitoring is recommended in these cases or when the water content of the brain tissue is elevated (generalised cerebral oedema).
Caution is required in patients with hypotension (systolic blood pressure lower than 100 mm Hg).
Decreased drug clearance may occur in cirrhotic patients receiving Nimotop and therefore close monitoring of blood pressure is recommended in these patients.
In patients with unstable angina or within the first 4 weeks after acute myocardial infarction, physicians should consider the potential risk (e.g. reduced coronary artery perfusion and myocardial ischemia) versus the benefit (e.g. improvement of brain perfusion).
Nimodipine is metabolised via the cytochrome P450 3A4 system. Drugs that are known to either inhibit or induce this enzyme system may, therefore, alter the first pass or the clearance of nimodipine (see section 4.5 Interaction with other medicinal products and other forms of interaction and Section 4.2 Posology and method of administration / Patients with hepatic impairment).
Drugs which are known inhibitors of the cytochrome P450 3A4 system and, therefore, may lead to increased plasma concentrations of nimodipine are, e.g.:
· macrolide antibiotics (e.g. erythromycin),
· anti-HIV protease inhibitors (e.g. ritonavir),
· azole antimycotics (e.g. ketoconazole),
· the antidepressants nefazodone and fluoxetine,
· quinupristin/dalfopristin, cimetidine and
· valproic acid.
Upon co-administration with these drugs, the blood pressure should be monitored and, if necessary, a reduction in the nimodipine dose should be considered.
Section 4.5: Interaction with other medicinal products and other forms of interaction
Nimotop tablets should not be administered concomitantly with Nimotop solution.
Drugs that affect nimodipine:
Nimodipine is metabolised via the cytochrome P450 3A4 system, located both in the intestinal mucosa and in the liver. Drugs that are known to either inhibit or induce this enzyme system may, therefore, alter the first pass or the clearance of nimodipine (see section 4.2 Posology and method of administration / Patients with hepatic impairment).
The extent as well as the duration of interactions should be taken into account when administering nimodipine together with the following drugs:
Rifampicin –
Ffrom experience with other calcium antagonists it has to be expected that rifampicin accelerates the metabolism of Nimotop tablets nimodipine due to enzyme induction. Thus efficacy of Nimotop tablets nimodipine could be significantly reduced when concomitantly administered with rifampicin. The use of nimodipine in combination with rifampicin is, therefore, contraindicated. (See section 4.3 contraindications).
Cytochrome P450 3A4 system-inducing antiepileptic drugs such as, phenobarbital, phenytoin or carbamazepine: –
Pprevious chronic administration of these drugs markedly reduces the bioavailability of orally administered nimodipine. Therefore, the concomitant use of oral nimodipine and these antiepileptic drugs is contraindicated. (See section 4.3 contraindications).
Upon co-administration with the following inhibitors of the cytochrome P450 3A4 system the blood pressure should be monitored and, if necessary, an adaption in the nimodipine dose should be considered (see section 4.2 Posology and method of administration):
Macrolide antibiotics (e.g. erythromycin) –
Nno interaction studies have been carried out between nimodipine and macrolide antibiotics. Certain macrolide antibiotics are known to inhibit the cytochrome P450 3A4 system and the potential for drug interaction cannot be ruled out at this stage. Therefore, macrolide antibiotics should not be used in combination with nimodipine (see section 4.4 Special warnings and precautions for use). Azithromycin, although structurally related to the class of macrolide antibiotics, is void of CYP3A4 inhibition.
Anti-HIV protease inhibitors (e.g. ritonavir) –
Nno formal studies have been performed to investigate the potential interaction between nimodipine and anti-HIV protease inhibitors. Drugs of this class have been reported to be potent inhibitors of the cytochrome P450 3A4 system. Therefore, the potential for a marked and clinically relevant increase in nimodipine plasma concentrations upon co-administration with these protease inhibitors cannot be excluded. (See section 4.4 Special warnings and precautions for use).
Azole anti-mycotics (e.g. ketoconazole) –
Aa formal interaction study investigating the potential interaction between nimodipine and ketoconazole has not been performed. Azole anti-mycotics are known to inhibit the cytochrome P450 3A4 system and various interactions have been reported for other dihydropyridine calcium antagonists. Therefore, when administered together with oral nimodipine, a substantial increase in systemic bioavailability of nimodipine due to a decreased first pass metabolism cannot be excluded. (See section 4.4 Special warnings and precautions for use).
Nefazodone –
Nno formal studies have been performed to investigate the potential interaction between nimodipine and nefazodone. This antidepressant drug has been reported to be a potent inhibitor of the cytochrome P450 3A4 system. Therefore, the potential for an increase in nimodipine plasma concentrations upon co-administration with nefazodone cannot be excluded. (See section 4.4 Special warnings and precautions for use).
Fluoxetine –
Cconcomitant administration of nimodipine with the antidepressant fluoxetine, once steady state has been achieved has led to approximately 50% higher plasma nimodipine levels. Fluoxetine plasma levels were exposure was markedly decreased, however the while its active metabolite, norfluoxetine was not affected (See section 4.4 Special warnings and precautions for use).
Quinupristin/dalfopristin
Based on experience with the calcium-antagonist, nifedipine, co-administration of quinupristin/dalfopristin may lead to increased plasma concentrations of nimodipine (See section 4.4 Special warnings and precautions for use).
The steady-state concomitant administration of nimodipine and nortriptyline led to a slight decrease in nimodipine plasma concentrations with unaffected nortriptyline plasma concentrations.
Cimetidine
The simultaneous administration of nimodipine with the anticonvulsant valproic acid or the H2-antagonist cimetidine can lead to an increase in the plasma nimodipine concentration of nimodipine (See section 4.4 Special warnings and precautions for use).
Valproic acid
The simultaneous administration of the anticonvulsant Valproic acid can lead to an increase in the plasma nimodipine concentration (See section 4.4 Special warnings and precautions for use).
Further drug interaction:
Nortriptyline
The steady-state concomitant administration of nimodipine and nortriptyline led to a slight decrease in nimodipine exposure with unaffected nortriptyline plasma concentrations.
Based on experience with the calcium-antagonist, nifedipine, co-administration of quinupristin/dalfopristin may lead to increased plasma concentrations of nimodipine.
Effects of nimodipine on other drugs
Blood pressure lowering drugs:
Nimodipine may increase the blood pressure lowering effect of concomitant antihypertensives, such as
· diuretics
· beta-blockers
· ACE inhibitors
· A1-antagonists
· other calcium antagonists
· alpha-adrenergic blocking agents
· PDE5 inhibitors
· alpha-methyldopa
However, iIf a combination of this type proves unavoidable particularly careful monitoring of the patient is necessary.
Zidovudine
In a monkey study simultaneous administration of anti-HIV drug zidovudine i.v. and nimodipine bolus i.v. resulted for zidovudine in significantly higher AUC, whereas the distribution volume and clearance were significantly reduced. Animal studies have shown that when nimodipine and zidovudine are administered concomitantly, the AUC for zidovudine was increased, and the volume of distribution and clearance rate decreased. The clinical relevance of this interaction is unknown, but since the side-effect profile of zidovudine is known to be dose-related, this interaction should be considered in patients receiving nimodipine and zidovudine concomitantly.
Drug-food interactions:
Grapefruit juice
Grapefruit juice inhibits the cytochrome P450 3A4 system. Administration of dyhydropyridine calcium antagonists together with grapefruit juice thus results in elevated plasma concentrations and prolonged action of nimodipine due to a decreased first pass metabolism or reduced clearance.
Other types of interaction
The intake of grapefruit juice is not recommended in combination with nimodipine as it can result in increased plasma nimodipine concentrations due to the inhibition of the oxidative metabolism of dihydropyridines. As a consequence, the blood pressure lowering effect may be increased. After intake of grapefruit juice this This effect may last for at least 4 days after the last ingestion of grapefruit juice.
Ingestion of grapefruit / grapefruit juice is therefore to be avoided while taking
nimodipine (see Section 4.2 Posology and method for administration).
Interactions shown not to exist
There is no evidence of a potential interaction between nimodipine and haloperidol.
Concomitant administration of oral nimodipine and diazepam, digoxin, glibenclamide, indometacin, ranitidine and warfarin did not reveal any potential for mutual interaction.
Section 4.6: Fertility, Pregnancy and lactation
Pregnancy:
There are no adequate and well controlled studies in pregnant women. The safety of this medicinal product for use in human pregnancy has not been established. An evaluation of experimental animal studies following oral administration does not indicate direct or indirect harmful effects with regard to reproduction, development of the embryo or foetus, the course of gestation, and peri- and post-natal development. If nimodipine is to be administered during pregnancy, the benefits and potential risks must be carefully weighed according to the severity of the clinical picture.
Lactation:
Nimodipine and its metabolites have been shown to appear in human milk at concentrations of the same order of magnitude as corresponding maternal plasma concentrations. Nursing mothers are advised not to breast-feed when taking this drug.
In-vitro fertilisation Fertility:
In single cases of in-vitro fertilisation calcium antagonists have been associated with reversible biochemical changes in the spermatozoa’s head section that may result in impaired sperm function. The relevance of this finding in short-term treatment is unknown
Section 4.8: Undesirable effects
The frequencies of ADRs reported with nimodipine summarized in the tables below are based on clinical trials with nimodipine in the indication aSAH sorted by CIOMS III categories of frequency (placebo-controlled studies: nimodipine N = 703; placebo N = 692; uncontrolled studies: nimodipine N = 2496; status: 31 Aug 2005. Within each frequency grouping, undesirable effects are presented in order of decreasing seriousness. Frequencies are defined as:
very common (≥ 1/10),
common (≥ 1/100 to < 1/10),
uncommon (≥ 1/1,000 to < 1/100),
rare (≥ 1/10,000 to < 1/1,000),
very rare (< 1/10,000).
Adverse drug reactions (ADRs) based on clinical trials with nimodipine in the indication aSAH sorted by CIOMS III categories of frequency (placebo-controlled studies nimodipine N = 703; placebo N = 692; uncontrolled studies: nimodipine N = 2496; status: 31 Aug 2005) are listed below:
Table 01: ADR table aSAH
System Organ Class |
Uncommon |
Rare |
Blood and the lymphatic system disorders |
Thrombocytopenia |
|
Immune system disorders |
Allergic reaction Rash |
|
Nervous system disorders |
Headache |
|
Cardiac disorders |
Tachycardia |
Bradycardia |
Vascular disorders |
Hypotension Vasodilatation |
|
Gastrointestinal disorders |
Nausea |
Ileus |
Hepatobiliary disorders |
|
Transient increase in liver enzymes |
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Section 4.9: Overdose
Symptoms of acute overdosage to be anticipated are marked lowering of the blood pressure, tachycardia, bradycardia and (after oral administration) gastro-intestinal complaints and nausea.
In the event of acute overdosage, treatment with Nimotop nimodipine must be discontinued immediately. Emergency measures should be governed by the symptoms. Gastric lavage with addition of charcoal should be considered as an emergency therapeutic measure. If there is a marked fall in blood pressure, dopamine or noradrenaline can be administered intravenously. As Since no specific antidote is known, subsequent treatment for other side effects should be aimed at governed by the most prominent symptoms.
Section 10: Date of revision of the text
June 2010 April 2013
Updated on 31 May 2013
Reasons for updating
- Change to warnings or special precautions for use
- Change to date of revision
Updated on 09 April 2013
Reasons for updating
- Change to date of revision
- Change to name of manufacturer
Updated on 22 February 2012
Reasons for updating
- Change due to user-testing of patient information
Updated on 29 June 2010
Reasons for updating
- Change to section 1 - Name of medicinal product
- Change to section 2 - Qualitative and quantitative composition
- Change to section 3 - Pharmaceutical form
- Change to section 6.1 - List of excipients
- Change to section 6.5 - Nature and contents of container
- 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 be renewed (B)
Free text change information supplied by the pharmaceutical company
Note: New text highlighted in red.
1. NAME OF THE MEDICINAL PRODUCT
Change from “Nimotop 30 mg Tablets” to “Nimotop 30 mg Film-coated Tablets.”
2. QUALITATIVE AND QUANTITATIVE COMPOSITION
Each tablet contains 30 mg nimodipine.
For a full list of excipients, see section 6.1.
3. PHARMACEUTICAL FORM
Film-coated tablet (Tablet).
Yellow, film-coated tablet, about 10 mm in diameter, marked with the Bayer cross on one face and with “SK” on the reverse.
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Change to formatting layout of this section.
6.5 Nature and contents of container
PP/aluminium blister packs, contained in cardboard outer, containing 100 x 30mg tablets.
Not all pack sizes or types may be marketed.
9. DATE OF FIRST AUTHORISATION / RENEWAL OF THE AUTHORISATION
Date of first authorisation:
Date of last renewal: 15 February 2009
10. DATE OF REVISION OF THE TEXT
June 2010
Updated on 25 June 2010
Reasons for updating
- Change to drug interactions
- Change to date of revision
- Change to improve clarity and readability
Updated on 18 August 2009
Reasons for updating
- Change of manufacturer
- Change to date of revision
Updated on 24 October 2008
Reasons for updating
- Change to section 7 - Marketing authorisation holder
- Change to section 8 - MA number
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
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Updated on 24 October 2008
Reasons for updating
- New PIL for medicines.ie
Updated on 19 March 2008
Reasons for updating
- Change to section 7 - Marketing authorisation holder
- Change to section 8 - MA number
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Updated on 07 August 2007
Reasons for updating
- Change to section 4.2 - Posology and method of administration
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
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Updated on 17 May 2007
Reasons for updating
- Change to section 4.2 - Posology and method of administration
- 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 6.6 - Special precautions for disposal and other handling
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
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Sections 4.2, 5.1, 5.2, 5.3 and 6.6 where updated following internal review.
Updated on 09 September 2005
Reasons for updating
- Change to section 4.6 - Pregnancy and lactation
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
Updated on 07 September 2005
Reasons for updating
- Change to section 6.5 - Nature and contents of container
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
Updated on 31 December 2004
Reasons for updating
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may be renewed (B)
Updated on 30 May 2003
Reasons for updating
- New SPC for medicines.ie
Legal category:Product subject to medical prescription which may be renewed (B)