Zinnat 250mg/5ml Granules for Oral Suspension.
- Name:
Zinnat 250mg/5ml Granules for Oral Suspension.
- Company:
GlaxoSmithKline (Ireland) Ltd
- Active Ingredients:
- Legal Category:
Product subject to medical prescription which may not be renewed (A)
Patient Information Leaflet Patient Information Leaflet last updated on medicines.ie: 20/03/19
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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 March 2019 PIL
Reasons for updating
- Change to section 2 - excipient warnings
- Change to section 5 - how to store or dispose
- Change to section 6 - what the product contains
- Change to section 6 - manufacturer
- Change to section 6 - date of revision
- Improved presentation of PIL
Updated on 20 March 2019 SmPC
Reasons for updating
- Change to section 2 - Qualitative and quantitative composition
- Change to section 3 - Pharmaceutical form
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 6.1 - List of excipients
- Change to section 6.2 - Incompatibilities
- Change to section 6.3 - Shelf life
- Change to section 6.4 - Special precautions for storage
- 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 not be renewed (A)
Free text change information supplied by the pharmaceutical company
2. Qualitative and Quantitative Composition: Addition of excipients with known effects
3. Pharmaceutical Form: Amended wording removed description of granules
4.4 Special warnings and precautions for use: Addition of information about excipients
6.1 List of excipients: Amendment to the list of excipients and addition of corresponding E numbers
6.2 Incompatibilities: Addition of positive Coombs' test
6.3 Shelf Life: Formatting change to include reconstituted and unconstituted storage conditions
6.4 Special precautions for storage: formatting change to only mention a sentence stating the storage temperature
6.5 Nature and contents of container: Updated pack size
Updated on 8 February 2018 SmPC
Reasons for updating
- New SmPC for new product
Legal category: Product subject to medical prescription which may not be renewed (A)
Updated on 8 February 2018 SmPC
Reasons for updating
- Change to section 4.2 - Posology and method of administration
- Change to section 5.1 - Pharmacodynamic properties
- 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
Section 5.1: Spelling correction
Section 10: Update of date of revision of the text
Updated on 22 December 2017 SmPC
Reasons for updating
- Change to section 10 - Date of revision of the text
- 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
Section 10 - Update of Date of Revision of the Text
Updated on 21 December 2017 PIL
Reasons for updating
- New PIL for new product
Updated on 21 December 2017 PIL
Reasons for updating
- Change to section 3 - how to take/use
- Change to section 6 - manufacturer
- Change to section 6 - date of revision
- Improved presentation of PIL
Updated on 19 January 2016 SmPC
Reasons for updating
- Change to section 4.2 - Posology and method of administration
- 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 6.5 - Nature and contents of container
- Change to section 7 - Marketing authorisation holder
- 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
SPC:
Section 4.2 – updated dosing recommendation wording for clarity, minor typographical amendments
Section 4.8 – addition cross-reference to Section 4.4 (500mg tablet only)
Section 5.1 – updated Staphylococcus spp. resistance category
Section 5.2 – minor typographical amendments, alignment with QRD template
Section 5.3 – minor typographical amendments,
Section 6.5 - minor typographical amendments
Section 7 – IE MAH address change
Updated on 18 January 2016 PIL
Reasons for updating
- Change to date of revision
- Change to MA holder contact details
- Change to improve clarity and readability
Updated on 16 July 2015 SmPC
Reasons for updating
- Change to section 7 - Marketing authorisation holder
- 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
Updated on 15 July 2015 PIL
Reasons for updating
- Change to date of revision
- Change to MA holder contact details
Updated on 13 March 2015 SmPC
Reasons for updating
- 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 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
Section 5.1 update to the Microbiological susceptibility table
Updated on 12 March 2015 PIL
Reasons for updating
- Change of trade or active ingredient name
- Change to side-effects
- Change to further information section
- Change to date of revision
- Addition of information on reporting a side effect.
Updated on 28 January 2014 SmPC
Reasons for updating
- Change due to harmonisation of SPC
Legal category: Product subject to medical prescription which may not be renewed (A)
Free text change information supplied by the pharmaceutical company
Change due to harmonisation or user testing of the patient leaflet
Updated on 27 January 2014 PIL
Reasons for updating
- Change due to harmonisation of PIL
- Change due to user-testing of patient information
Updated on 8 September 2011 PIL
Reasons for updating
- Change due to user-testing of patient information
Updated on 12 January 2010 PIL
Reasons for updating
- Change of trade or active ingredient name
- Change to storage instructions
Updated on 8 January 2010 SmPC
Reasons for updating
- Change to section 1 - Name of medicinal product
- Change to section 2 - Qualitative and quantitative composition
- Change to section 6.1 - List of excipients
- Change to section 6.2 - Incompatibilities
- Change to section 6.4 - Special precautions for storage
- Change to section 6.5 - Nature and contents of container
- 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
250mg Granules for Oral Suspension
1. TRADE NAME OF THE MEDICINAL PRODUCT
Zinnat suspension 250mg/5ml Granules for Oral Suspension.
2. QUALITATIVE AND QUANTITATIVE COMPOSITION
Each 5ml of reconstituted suspension contains 250mg cefuroxime (as cefuroxime axetil).
Excipients: Contains approximately 2.289 g of sucrose and 45 mg of aspartame (E951) per 5ml dose.
For a full list of excipients, see section 6.1.
6.1 List of excipients
Stearic acid
Sucrose
Tutti Frutti flavour
Povidone K30
Acesulfame potassium
Aspartame
Xantham gum
Sucrose quantity (g per dose): 250mg/5ml suspension 2.289g
6.2 Incompatibilities
The reconstituted suspension or granules should not be mixed with hot liquids.
6.4 Special precautions for storage
Unconstituted granules: Do not store above 30°C.
Reconstituted suspension: Must be refrigerated between 2 and 8°C. Store in a refrigerator at 2oC to 8oC.
6.5 Nature and contents of container
Type III amber glass bottles with an induction heat seal membrane containing granules for 70ml of suspension for the 250mg/5ml suspension.
6.6 Instructions for use/handling
Constitution/Administration Instructions:-
The reconstituted suspension or granules should not be mixed with hot liquids.
Directions for reconstituting suspension in bottles:
1. Shake the bottle to loosen the granules and remove the cap.
2. Add the total amount of water to the bottle as is stated on its label. Replace the cap.
3. Invert the bottle and rock vigorously (for about 15 seconds) as shown below.
4. Turn the bottle into an upright position and shake vigorously.
5. Refrigerate immediately at between 2 and 8C.
The reconstituted suspension when refrigerated between 2 and 8°C can be kept for up to 10 days.
Further diluted suspension from bottles in cold fruit juices, or milk drinks should be taken immediately.
Patients Instructions
Shake the bottle vigorously before use
If desired, the dose of the reconstituted suspension may be added to cold fruit juices or milk, and should be taken immediately.
Updated on 14 November 2007 SmPC
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
4.4 Special Warnings and Precautions for Use
[…]
As with other antibiotics, prolonged use of cefuroxime may result in the overgrowth of Candida. Prolonged use may also result in the overgrowth of non-susceptible organisms (e.g. Candida, Enterococci and Clostridium difficile), which may require interruption of treatment.
[…]
4.8 Undesirable Effects
[…]
Infections and infestations
Common: Candida overgrowth from prolonged use.
[…]
Updated on 3 November 2006 SmPC
Reasons for updating
- 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
4.5 Interaction with Other Medicaments and Other Forms of Interaction
Drugs which reduce gastric acidity may result in a lower bioavailability of cefuroxime axetil compared with that of the fasting state and tend to cancel the effect of enhanced absorption after food.
In common with other antibiotics, cefuroxime axetil may affect the gut flora, leading to lower oestrogen reabsorption and reduced efficacy of combined oral contraceptives.
As a false negative result may occur in the ferricyanide test, it is recommended that either the glucose oxidase or hexokinase methods are used to determine blood/plasma glucose levels in patients receiving cefuroxime axetil. This antibiotic does not interfere in the alkaline picrate assay for creatinine.
4.8
........Infections and infestations
Candida overgrowth from prolonged use...............
Updated on 3 November 2006 PIL
Reasons for updating
- Change to warnings or special precautions for use
Updated on 23 May 2006 PIL
Reasons for updating
- Improved electronic presentation
Updated on 28 March 2006 PIL
Reasons for updating
- Improved electronic presentation
Updated on 28 March 2006 SmPC
Reasons for updating
- Change to section 2 - Qualitative and quantitative composition
- Change to section 3 - Pharmaceutical form
- Change to section 4.7 - Effects on ability to drive and use machines
- Change to section 4.8 - Undesirable effects
- Change to section 5.1 - Pharmacodynamic properties
Legal category: Product subject to medical prescription which may not be renewed (A)
Updated on 4 August 2005 PIL
Reasons for updating
- Improved electronic presentation
Updated on 17 August 2004 PIL
Reasons for updating
- New PIL for medicines.ie
Updated on 16 June 2004 SmPC
Reasons for updating
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 6.1 - List of excipients
- Change to section 6.3 - Shelf life
- 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)
Updated on 3 July 2003 SmPC
Reasons for updating
- New SPC for medicines.ie
Legal category: Product subject to medical prescription which may not be renewed (A)