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SUPRECUR Solution for injection (2020)

Αναφορές

Βιβλιογραφική αναφορά

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Περιεχόμενα

1. Name of the medicinal product

Suprecur Injection.

2. Qualitative and quantitative composition

Suprecur Injection contains 1.00mg buserelin as buserelin acetate in 1ml aqueous solution. 1.00mg buserelin is equivalent to 1.05mg buserelin acetate. Suprecur Injection also contains 10mg benzyl alcohol ...

3. Pharmaceutical form

Solution for Injection.

4.1. Therapeutic indications

Pituitary desensitisation in preparation for ovulation induction regimens using gonadotrophins.

4.2. Posology and method of administration

The total daily dose is usually in the range 200-500 microgram (μg) given as a single injection by the subcutaneous route. Treatment should start in the early follicular phase (day 1) or, provided the ...

4.3. Contraindications

Buserelin should not be used if the tumour is found to be insensitive to hormone manipulation or in cases of undiagnosed vaginal bleeding. It is contraindicated in cases of known hypersensitivity to LHRH, ...

4.4. Special warnings and precautions for use

Suprecur injection is for subcutaneous administration ONLY. There is an increased risk of incident depression (which may be severe) in patients undergoing treatment with GnRH agonists, such as Buserelin. ...

4.5. Interaction with other medicinal products and other forms of interaction

During treatment with Suprecur, the effect of antidiabetic agents may be attenuated. In concomitant treatment with sexual hormones (add back), the dosage is to be selected so as to ensure that the overall ...

4.6. Pregnancy and lactation

Pregnancy must be excluded before starting buserelin and the medication should be stopped on the day of administration of hCG. Buserelin passes into breast milk in small amounts. Although negative effects ...

4.7. Effects on ability to drive and use machines

Certain adverse effects (e.g. dizziness) may impair the ability to concentrate and react, and therefore constitute a risk in situations where these abilities are of special importance (e.g. operating a ...

4.8. Undesirable effects

The following CIOMS frequency rating is used: Very common (≥1/10); common (≥1/100 to <1/10); uncommon (≥1/1000 to <1/100); rare (≥1/10 000 to <1/1000); very rare (<1/10 000), not known (cannot be estimated ...

4.9. Overdose

Overdose may lead to signs and symptoms such as asthenia, headache, nervousness, hot flushes, dizziness, nausea, abdominal pain, oedemas of the lower extremities, and mastodynia as well as to local reactions ...

5.1. Pharmacodynamic properties

Buserelin is a synthetic peptide. It is a superactive analogue of natural gonadotrophin releasing hormone (gonadorelin, LHRH or GNRH). After an initial stimulation of gonadotrophin release, it down-regulates ...

5.2. Pharmacokinetic properties

The bioavailability of buserelin after subcutaneous injection is 100%. C<sub>max</sub> occurs at about 1 hour post-injection. The half-life after injection is about 80 minutes. Buserelin accumulates preferentially ...

5.3. Preclinical safety data

No signs of toxicity or histopathological changes were detected in long-term pharmacology and toxicology studies with buserelin in rats, dogs, and monkeys; the endocrine effects observed were restricted ...

6.1. List of excipients

Sodium chloride Ph.Eur. Sodium dihydrogen phosphate BP. Sodium hydroxide BP. Benzyl alcohol BP. Water for Injections Ph. Eur.

6.2. Incompatibilities

Not applicable.

6.3. Shelf life

Unopened: 2 years (see section 6.6). Once opened use within 15 days.

6.4. Special precautions for storage

Do not store above 25°C. Do not freeze. Keep the vials in the outer carton in order to protect from light.

6.5. Nature and contents of container

Box of 2 5.5 ml multidose vials each containing 1.05 mg buserelin acetate per 1 ml, corresponding to 1.00 mg buserelin per 1 ml.

6.6. Special precautions for disposal and other handling

Each vial contains enough material for 10 doses. After finishing the course of treatment the vial should be disposed of and a new vial started for the next treatment. Do not use if the contents of the ...

7. Marketing authorization holder

Neon Healthcare Limited, Mill Studio Business Centre, Crane Mead, Ware, Hertfordshire, SG12 9PY, United Kingdom

8. Marketing authorization number(s)

PL 45043/0051

9. Date of first authorization / renewal of the authorization

23 April 2002

10. Date of revision of the text

01/12/2020

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