רופא בעלון ללרופא בטיחות) בעלון )מידע בטיחות החמרה (( מידע על החמרה הודעה על הודעה _January 24, 2013______________________ תאריך RECOMBINATE Powder and Solvent שם תכשיר באנגלית for Solution for Injection 250IU/10ml: 143 82 31871 00, 500IU/10ml: 143 83 31872 00; _מספר רישום _1000IU/10ml: 143 84 31873 00 Teva Medical (Marketing) Ltd., Haorgim St 8, Ashdod 77100 שם בעל הרישום ים/ים המבוקש/פרטים על השינוי טקסט חדש טקסט נוכחי פרק בעלון Special Warnings and Special Precautions for Use Contraindications Paediatric population The warnings and precautions for use in paediatric patients do not differ from those for adult patients. MedDRA System Organ Class Infections and infestations Blood and lymphatic system disorders Immune system disorders Nervous system disorders Frequency MedDRA Preferred Term uncommon Ear infection common not known uncommon not known Cardiac disorders Vascular disorders Respiratory, thoracic and mediastinal disorders not known uncommon uncommon not known Factor VIII inhibition1 Anaphylactic reaction shock Hypersensitivity2 Dizziness Tremor Loss of consciousness Syncope Headache Paraesthesia Cyanosis Tachycardia Epistaxis Flushing Haematoma Hypotension Pallor Peripheral coldness Pharyngolaryngeal pain Dyspnea MedDRA System Organ Class Infections and infestations Blood and lymphatic system disorders Immune system disorders Nervous system disorders Frequency MedDRA Preferred Term uncommon Ear infection common Factor VIII inhibition1 not known Anaphylactic shock Hypersensitivity2 Dizziness Tremor uncommon not known Cardiac disorders Vascular disorders not known Respiratory, thoracic and mediastinal disorders uncommon uncommon not known Gastrointestinal disorders uncommon Syncope Headache Cyanosis Tachycardia Epistaxis Flushing Haematoma Hypotension Pallor Peripheral coldness Pharyngolaryngeal pain Dyspnea Cough Chest discomfort Wheezing Nausea Adverse events Cough Chest discomfort Wheezing Gastrointestinal disorders Skin and subcutaneous tissue disorders uncommon Nausea not known Vomiting Abdominal pain discomfort Hyperhydrosis Pruritus Rash Rash maculopapular angiooedema Urticaria Skin exfoliation Erythema Pain in extremity uncommon not known Musculoskeletal and connective tissue disorders General disorders and administration site conditions uncommon common Chills uncommon Fatigue Pyrexia Malaise Injection site reactions Chest pain Chest discomfort Acoustic stimulation tests abnormal not known Investigations uncommon Skin and subcutaneous tissue disorders not known Vomiting Abdominal discomfort uncommon Hyperhydrosis Pruritus Rash Rash maculopapular Urticaria Skin exfoliation not known Musculoskeletal and connective tissue disorders General disorders and administration site conditions Investigations uncommon Pain in extremity common Chills uncommon Fatigue Pyrexia Acoustic stimulation tests abnormal uncommon Paediatric population Other than the development of inhibitors in previously untreated paediatric patients (PUPs), no age-specific differences in ADRs were noted in the clinical studies. Drug Interactions Recombinate is appropriate for the use in children of all ages, including the newborn (safety and efficacy studies have been performed in both previously treated and previously untreated children; see section 5.1). Recombinate is appropriate for the use in children of all ages, including the newborn (safety and efficacy studies have been performed in both previously treated and previously untreated children; see section 5.1). For long term prophylaxis against bleeding in patients with severe haemophilia A, the usual doses are 20 to 40 IU of factor VIII per kg body weight at intervals of 2 to 3 days. In some cases, especially in younger patients, shorter dosage intervals or higher doses may be necessary. For long term prophylaxis against bleeding in patients with severe haemophilia A, the usual doses are 20 to 40 IU of factor VIII per kg body weight at intervals of 2 to 3 days. In some cases, especially in younger patients, shorter dosage intervals or higher doses may be necessary. Paediatric population: Recombinate is appropriate for the use in children of all ages, including the newborn (Safety and efficacy Posology and Method of Administration studies have been performed in both previously treated and previously untreated children; see section 5.1). For on-demand treatment, dosing in paediatric patients does not differ from adult patients. For long term prophylaxis against bleeding in patients with severe haemophilia A, in some cases shorter dosage intervals or higher doses may be necessary than the usual doses of 20 to 40 IU of factor VIII per kg body weight at intervals of 2 to 3 days. For instructions on reconstitution of the medicinal product before administration, see section 6.6. Pregnancy Lactation Other and