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ONE-ALPHA Solution for injection (2017)

Αναφορές

Βιβλιογραφική αναφορά

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Περιεχόμενα

Name of the medicinal product

One-Alpha 2 microgram/ml injection.

Qualitative and quantitative composition

Alfacalcidol 2 micrograms/ml. Excipients with known effect: Ethanol, sodium citrate. For the full list of excipients, see section 6.1.

Pharmaceutical form

Solution for injection. Clear, colourless liquid in 1 ml one-point-cut amber glass ampoule.

Therapeutic indications

One-Alpha is indicated in all conditions where there is a disturbance of calcium metabolism due to impaired 1 α-hydroxylation such as when there is reduced renal function. The main indications are: Renal ...

Posology and method of administration

Posology The dosage of One-Alpha Injection is the same as for One-Alpha in its oral presentations. Initial dosage for all indications: Adults and children over 20 kg bodyweight: 1 microgram/day Elderly: ...

Contraindications

Hypersensitivity to the active substance or to any of the excipients listed in section 6.1. Hypercalcaemia, metastatic calcification.

Special warnings and precautions for use

During treatment with One-Alpha, serum calcium and serum phosphate levels should be monitored regularly especially in children, patients with renal impairment and patients receiving high doses. PTH, alkaline ...

Interaction with other medicinal products and other forms of interaction

Thiazide diuretics and calcium containing preparations Concurrent use of thiazide diuretics or calcium containing preparations may enhance the risk of hypercalcaemia. Calcium levels should be monitored. ...

Fertility, pregnancy and lactation

Pregnancy There is a limited amount of data from the use of alfacalcidol in pregnant women. Studies in animals have shown reproductive toxicity at high doses. Therefore, One-Alpha is not recommended during ...

Effects on ability to drive and use machines

Alfacalcidol has no or negligible direct influence on the ability to drive and use machines. However, the patient should be informed that dizziness may occur during treatment and take this into account ...

Undesirable effects

The estimation of the frequency of undesirable effects is based on a pooled analysis of data from clinical studies and spontaneous reporting. The most frequently reported undesirable effects are various ...

Overdose

Excessive intake of One-Alpha may lead to the development of hypercalcaemia, however, the effect is reversed rapidly on withdrawal. In severe cases of hypercalcaemia general supportive measures should ...

Pharmacodynamic properties

Pharmacotherapeutic group: Vitamin D and analogues ATC code: A11CC03 Alfacalcidol is converted rapidly in the liver to 1,25 dihydroxyvitamin D. This is the metabolite of vitamin D which acts as a regulator ...

Pharmacokinetic properties

In patients on regular haemodialysis administration of doses between 1-4 micrograms of intravenous 1 α-hydroxyvitamin D3 resulted in increased levels of 1,25 dihydroxyvitamin D. Formation of 1,25 dihydroxyvitamin ...

Preclinical safety data

The non-clinical toxicity of alfacalcidol is attributed to the known vitamin D-effect of calcitriol on calcium homeostasis, which is characterised by hypercalcaemia, hypercalciuria and eventually soft ...

List of excipients

Citric acid Ethanol Sodium citrate Propylene glycol Water for injection

Incompatibilities

None known.

Shelf life

Shelf life: 3 years.

Special precautions for storage

Store at 2 to 8°C. Keep the ampoule in the outer carton in order to protect it from light.

Nature and contents of container

10 0.5 ml amber glass ampoules. 10 1.0 ml amber glass ampoules. Not all pack sizes may be marketed.

Special precautions for disposal and other handling

None.

Marketing authorization holder

LEO Laboratories Limited, Horizon, Honey Lane, Hurley, Maidenhead, Berkshire, SL6 6RJ, UK

Marketing authorization number(s)

PL 00043/0183

Date of first authorization / renewal of the authorization

Date of first authorisation: 22 July 1991 Date of latest renewal: 11 November 2005

Date of revision of the text

March 2017

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