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NOZINAN Tablets (2017)

Αναφορές

Βιβλιογραφική αναφορά

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Περιεχόμενα

Name of the medicinal product

Nozinan 25mg Tablets.

Qualitative and quantitative composition

Levomepromazine maleate 25mg per tablet. For excipients, see 6.1.

Pharmaceutical form

Tablets. Circular, greyish-white cream, biconvex uncoated tablet. One face with Nozinan around a central 25 and a breakline on the reverse.

Therapeutic indications

Nozinan is a neuroleptic with indications in psychiatry and general medicine, particularly in terminal illness. Clinically it is more sedative and more potent than chlorpromazine in the management of psychotic ...

Posology and method of administration

Dosage varies with the condition under treatment and the individual response of the patient. Terminal illness Nozinan tablets 25mg may be substituted for the injection if oral therapy is more convenient, ...

Contraindications

Safety in pregnancy has not been established. There are no absolute contraindications to the use of Nozinan in terminal care.

Special warnings and precautions for use

The drug should be avoided, or used with caution, in patients with liver dysfunction or cardiac disease. The hypotensive effects of Nozinan should be taken into account when it is administered to patients ...

Interaction with other medicinal products and other forms of interaction

Combinations requiring precaution Cytochrome P450 2D6 Metabolism: Levomepromazine and its non-hydroxylated metabolites are reported to be potent inhibitors of cytochrome P450 2D6 (CYP2D6). Co-administration ...

Fertility, pregnancy and lactation

Pregnancy Safety in pregnancy has not been established. Neonates exposed to antipsychotics (including Nozinan) during the third trimester of pregnancy are at risk of adverse reactions including extrapyramidal ...

Effects on ability to drive and use machines

Nozinan can cause drowsiness, disorientation, confusion or excessive hypotension, which may affect the patients ability to drive or operate machinery.

Undesirable effects

Adverse effects have been ranked under headings of frequency using the following convention: very common (≥1/10); common (≥1/100; <1/10); uncommon (≥1/1,000;<1/100); rare (≥1/10,000;<1/1,000); very rare ...

Overdose

Symptoms of levomepromazine overdosage include drowsiness or loss of consciousness, hypotension, tachycardia, ECG changes, ventricular arrhythmias hypothermia and convulsions. Severe extrapyramidal dyskinesias ...

Pharmacodynamic properties

Pharmacotherapeutic group: Antipsychotics ATC Code: NO5AA02 Levomepromazine resembles chlorpromazine and promethazine in the pattern of its pharmacology. It possesses anti-emetic, antihistamine and anti-adrenaline ...

Pharmacokinetic properties

Maximum serum concentrations are achieved in 2 to 3 hours depending on the route of administration. Excretion is slow, with a half-life of about 30 hours. It is eliminated via urine and faeces.

Preclinical safety data

There are no pre-clinical safety data of relevance to the prescriber which are additional to those already included in other sections of the Summary of Product Characteristics.

List of excipients

Potato starch Calcium hydrogen phosphate Magnesium stearate Sodium lauryl sulfate

Incompatibilities

Not applicable.

Shelf life

Shelf life: 36 months for blister pack. 60 months for polyethylene or polypropylene containers. Not all pack sizes may be marketed.

Special precautions for storage

Store below 25°C. Store in original container and protect from light.

Nature and contents of container

PVC/PVdC/aluminium foil blister pack containing 84 tablets. OR High density polyethylene bottle with flip cap or polypropylene tablet container. Each pack contains 500 tablets. Not all pack sizes may be ...

Special precautions for disposal and other handling

None.

Marketing authorization holder

Aventis Pharma Limited, One Onslow StreetGuildford, Surrey, GU1 4YS, UK or trading as Sanofi-aventis or Sanofi, One Onslow Street, Guildford, Surrey, GU1 4YS, UK

Marketing authorization number(s)

PL 04425/0658

Date of first authorization / renewal of the authorization

19<sup>th</sup> June 2009

Date of revision of the text

06 January 2017

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