labelling item intragam p au cmi 10 00 (supplied)

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  • 7/30/2019 Labelling Item Intragam P AU CMI 10 00 (Supplied)

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    Intragam P, Australia, CMI, 10.00 (supplied) Page 1 of 3

    Intragam

    PHuman normal immunoglobulin for intravenous infusion

    Consumer Medicine Information

    10 mL: AUST R 68635

    50 mL: AUST R 68632200 mL: AUST R 68633

    What is in this leaflet

    This leaflet answers somecommon questions about

    Intragam P. It does not containcomplete information aboutIntragam

    P. It does not take the

    place of talking to your doctor. Ifyou have any concerns aboutusing this product,ask yourdoctor. Follow your doctor'sadvice even if it is different fromwhat this leaflet says.

    Please read this leafletcarefully and keep it forfuture reference. However,the information in this leaflet issubject to change. Pleasecheck with your doctor whetherthere is any new informationabout this product that youshould know since you were

    last treated with this product.

    What IntragamP is usedfor

    Intragam

    P is manufacturedfrom human plasma (the liquidcomponent of blood) collectedby the Australian Red CrossBlood Service. Intragam

    P is

    used for patients who need

    replacement of antibodieswhich form part of our immunesystem and can provideprotection against someinfections. Intragam

    P is also

    used in diseases when theimmune system is overactive,these are called autoimmunedisorders.

    Ask your doctor if you have anyquestions about whyIntragam

    P has been

    prescribed for you. Your doctorwill have assessed the risksand benefits for you associatedwith the use of this product.

    Before your doctor givesyou IntragamP

    Intragam

    P must not beused if you have a history ofallergy to humanimmunoglobulin products.Tell your doctor if you haveallergies to any othermedicines, or if you haveever had an allergic reactionto an injection.

    Tell your doctor also if you: have previously been advised

    that you have ImmunoglobulinA (IgA) deficiency

    have previously been advisedthat you have kidney disease

    have a previous history ofclotting in blood vessels(thrombosis)

    have previously been treatedwith immunoglobulin products

    have previously been advisedthat you have diabetes

    are taking or using any othermedicines. These includemedicines bought frompharmacies, supermarketsand health food stores

    have any other medicalconditions

    are pregnant or breast-feeding

    become pregnant during yourtreatment

    have had any vaccination withinthe last two weeks or intend toreceive one in the next threemonths.

    If you want further information,consult your doctor.

    How to use IntragamP

    Your doctor will determine the

    dose(s) of Intragam P that youwill receive. Your doctor will give

    you Intragam P as an infusion,that is, an injection given slowlyinto the vein.

    Unwanted effects

    Along with their intended effects,blood products occasionallycause unwanted effects, some ofwhich are serious. Unwantedeffects are more common withthe first dose of Intragam

    P.

    Individuals may react differentlyto similar doses of the sameproduct. This applies toIntragam

    P. Most minor effects

    are related to the rate of infusionand disappear when the rate isslowed down.

    Effects Associated with

    IntragamP

    During a clinical trial withIntragam

    P in patients who

    needed replacement ofantibodies, some patients

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    Intragam P, Australia, CMI, 10.00 (supplied) Page 2 of 3

    experienced headache,migraine, nausea, dizziness orfaintness, and tiredness.Reduced red blood cells andiron stores and reduced whiteblood cells were also reported.

    During another clinical trial withIntragam

    P in patients with an

    overactive immune system,who received larger doses ofIntragam

    P, some patients

    experienced headache,nausea, vomiting, shivering,fever, drowsiness, hot flushes,muscle pain, abdominal pain,allergic reactions, reddening ofthe face or neck, a hot feelingor redness at the site of theinjection and increased bloodpressure. Reduced red andwhite blood cells were also

    reported.

    Effects Associated with

    Similar Produc ts

    Unwanted effects which mayoccur include stomach pain,headache, chest tightness,flushed or pale face, feeling hotor unwell, shortness of breathor breathing difficulty, skinrash, itching, general redness,swelling, faintness, dizziness,nausea or vomiting or a hotfeeling or redness at the site ofthe injection. Should any ofthese effects develop duringinfusion, the doctor will takeappropriate action.

    Some patients may developdelayed unwanted effects suchas nausea, vomiting, chestpain, chills or shivering,dizziness, aching legs or jointpain. These effects may occurafter the infusion has stopped

    but usually within 24 hours.

    A condition called asepticmeningitis syndrome has beenreported to occur infrequentlyin association with infusionssimilar to Intragam

    P. It

    usually begins within severalhours to two days followingtreatment. The signs includesevere headache, neckstiffness, drowsiness, fever,

    inability to stand bright light,painful eye movements, andnausea and vomiting. Thecondition reverses without illeffects when treatment isstopped.

    There have been reports thatthe kidneys, liver and blood

    vessels (thrombosis) may beaffected with infusions similarto Intragam

    P. These

    occurrences are extremelyrare.

    If you experience any of thementioned effects or any otherabnormal signs after treatment,contact your doctorimmediately.

    Contact your doctor

    immediately if you experienceany of these symptoms at anytime: fever, loss of appetite,extreme tiredness, stomachpain, jaundice (yellow skin andeyes), dark urine, joint painand skin rashes.

    Intragam

    P can interfere withsome live vaccines (e.g.measles and polio), even up tothree months later. Advise yourdoctor if you are to receive

    other vaccines within threemonths of receivingIntragam

    P.

    This product is made fromhuman plasma obtained fromvoluntary donors. Whenproducts are made fromhuman blood and injected intoyou, it is possible that virusesor other substances could bepresent in the product andcause an illness. These couldbe viruses such as hepatitis,HIV (human immunodeficiencyvirus), or parvovirus B19 andtheoretically the Creutzfeldt-Jakob Disease (CJD) agent.There could also be otherinfectious agents some ofwhich may not yet have beendiscovered.

    To reduce the risk of thishappening, extra steps are

    taken when manufacturing thisproduct. Strict controls areapplied when selecting blooddonors and donations. Theproduct is specially treated toremove and kill certain viruses.This special treatment isconsidered effective againstviruses known as enveloped

    viruses such as HIV andhepatitis B and C viruses, andthe non-enveloped virus,hepatitis A. These proceduresmay be of limited value againstthe non-enveloped virus,parvovirus B19. However, theproduct contains specificantibodies directed againstparvovirus B19. Parvovirus B19is a virus causing respiratoryirritation, commonly affectingchildren.

    Despite the measures taken, therisk of viral and other agentsinfectivity cannot be totallyeliminated.

    Vaccines are available againstsome of these viruses and yourdoctor will be able to help youdecide whether it is worthwhilehaving any of those vaccines.

    Please discuss the risks and

    benefits of this product with yourdoctor.

    Interference With GlucoseEstimations

    The maltose present inIntragam

    P may interfere with

    some blood glucosemeasurements, resulting in theoverestimation of blood glucose

    results. If this glucosemeasurement is used to guidetreatment, hypoglycaemia mayoccur. Only certain glucose testshave been implicated, so whenmonitoring glucose levels consultyour doctor to ensure that maltosedoes not interfere with the bloodglucose reading of the test you areusing. Infusion of Intragam

    P may

    also result in elevated levels of

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    Intragam P, Australia, CMI, 10.00 (supplied) Page 3 of 3

    glucose in the urine for a shortperiod of time.

    If you want further information, orif you are worried about any othersymptoms after the infusion,consult your doctor.

    Overdose

    Administering a larger thanrecommended dose may lead tothickening of the blood andexpansion of the blood volume,

    particularly in elderly patients andpatients with kidney problems.

    How to store Intragam

    P

    Store at 2C to 8C (Refrigerate.Do not freeze). Once removedfrom refrigeration, store below25C and use within 3 months.Protect from light.

    Do not use after the expiry date.

    Further Information

    Intragam

    P can only beobtained on a doctor'sprescription. This leaflet doesnot contain the completeinformation about Intragam P.If you require furtherinformation about Intragam

    P

    and your treatment generally,or if you have any questions orare not sure about somethingin this leaflet, consult yourdoctor.

    Product description

    What it looks l ike

    Intragam

    P is a clear, colourless,non-viscous (not thick) solution. Itis available in glass bottles.

    Ingredients

    In each vial of Intragam

    P is asterile solution containing 6%blood proteins of which at least

    98% is immunoglobulins. It alsocontains 10% maltose (a sugar).

    Manufacturer/Sponsor

    Intragam

    P is manufactured inAustralia by:CSL Limited ABN 99 051 588348

    189 - 209 Camp RoadBroadmeadows VIC 3047AUSTRALIA

    Distr ibuted b y

    Australian Red Cross BloodService

    This leaflet was updated in:January 2013

    Registered trademark of CSL

    Limited.