PACKAGE LEAFLET: INFORMATION FOR THE USER    D00485

Adrenaline (Epinephrine) Injection BP (1:10,000) 100 micrograms in 1ml

Because of your condition it may not be possible for you to read this leaflet before you are given Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml.

The leaflet will be kept for you as you may wish to read it later.

•    If you have further questions, please ask your doctor or nurse.

•    If any of the side effects become serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or nurse.

In this leaflet:

1.    What Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml is and what it is used for

2.    Before Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml is given

3.    How Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml is given

4.    Possible side effects

5.    Storing Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml

6.    Further information

1.    What Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml is and what it is used for

Adrenaline (Epinephrine) belongs to a group of medicines used to restart your heart if it has stopped.

2.    Before Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml is given

You should not be given Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml if you are:

•    allergic (hypersensitive) to any of the ingredients in this injection.

•    suffering from any form of heart disease.

•    in shock (other than that caused by a sudden life threatening reaction).

•    suffering from brain damage or hardening of the arteries in the brain.

•    suffering from glaucoma (increased pressure in the eye).

•    having or are about to have an operation under general anaesthetic.

•    in the second stage of labour.

Take special care with Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml if you are:

•    suffering from high blood pressure.

•    pregnant or breastfeeding.

•    diabetic.

If any of the above apply to you or your child please tell your doctor before you are given this medicine.

Taking other medicines

Please tell your doctor or nurse if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Medicines that may interact with Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml include:

•    antihistamines (drugs used to treat allergic reactions or allergies).

•    drugs to treat high blood pressure, heart conditions, depression or thyroid problems.

•    ergot alkaloids (drugs used to treat migraine).

•    insulin or oral hypoglycaemics (drugs used to treat diabetes).

•    oxytocin (used in childbirth to stimulate contractions of the uterus).

•    doxapram (given as an injection in hospitals to help severe breathing problems).

•    entacapone (for the treatment of Parkinson's disease).

•    antipsychotics (for the treatment of serious mental disorders).

Important information about some of the ingredients in this medication.

The product also contains Sodium Metabisulphite which may cause allergic type reactions in some people, which can lead to breathing difficulties or collapse. People with a history of asthma or allergies are most likely to experience these problems.

3.    How Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml is given

Your doctor, nurse or paramedic will give Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml to you into a vein (intravenous), into a bone (intraosseous), or through a special tube into your lung. Your doctor will decide the correct amount for you and when and how this should be given.

Adults, the elderly and children over 12 years

Not recommended

Children under 12 years

The first injection of Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml will have been made into a vein or bone using 10 micrograms/kg body weight (0.1ml/kg of Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml), or into a tube inserted into your child's windpipe using 100 micrograms/kg body weight (1ml/kg of Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml).

If more Adrenaline (Epinephrine) is required a dose of 0.1mg/kg (0.1ml/kg of Adrenaline (Epinephrine) Injection BP 1:1000) will be used either by injection into a vein or a bone or by the windpipe route.

If you are given more Adrenaline (Epinephrine) Injection BP 100 micrograms in 1 ml than you should

As this medicine will be given to you whilst you are in hospital, it is unlikely that you will be given too little or too much, however, tell your doctor or nurse if you have any concerns.

Con tin ued o verleaf

4.    Possible side effects

Like all medicines Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml can cause side effects, although not everybody gets them.

Adrenaline (Epinephrine) solutions may be associated with some unwanted effects although these are normally related to higher strengths of the drug. The unwanted effects include:

•    anxiety

•    difficulty in breathing

•    high blood sugar levels

•    high blood pressure

•    restlessness

•    palpitations (irregular or faster heart beat)

•    tremors (shaking)

•    weakness

•    dizziness

•    headache

•    coldness of the fingers and toes

•    feeling sick (nausea)

•    being sick (vomiting)

•    sweating

•    subarachnoid haemorrhage (bleeding in the brain which can cause very severe headaches, stiff neck, fits and loss of consciousness)

•    hemiplegia (paralysis of one side of the body)

In patients with Parkinson's disease Adrenaline (Epinephrine) may increase rigidity (stiffness) and tremors (shaking).

After being given this product, you may experience slight pain, minor bruising/bleeding or some left over liquid where you have been injected.

Repeated injection may cause tissue damage in the place where you have been injected. Tissue damage may also occur in the extremities (fingers and toes), kidneys and liver.

If any of the side effects become serious or you notice any other effects not mentioned in this leaflet please tell your doctor or nurse.

5.    Storing Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml

Keep out of the reach and sight of children.

Your doctor, nurse or paramedic will check that the expiry date on the label has not been passed before administering Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml to you. The expiry date refers to the last day of the month.

Adrenaline (Epinephrine) is sensitive to light; therefore the Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml must always be kept in the original outer carton.

Do not store above 25°C and do not freeze.

You should not be given Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml if it has been used or shows signs of visible damage.

6.    Further Information

What Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml contains

The active ingredient is Adrenaline (Epinephrine)(as acid tartrate) 1mg per 10ml.

The other ingredients are Sodium Chloride, Citric Acid Monohydrate, Sodium Citrate Dihydrate, Sodium Metabisulphite and Water for Injections. Dilute Hydrochloric acid may be added to adjust the acidity.

What Adrenaline (Epinephrine) Injection BP 100 micrograms in 1ml looks like and contents of the pack

The Adrenaline (Epinephrine) Injection BP 100 micrograms in 1 ml is a clear, colourless solution supplied in a pre-filled syringe. Each prefilled syringe contains 1ml of the solution.

Marketing Authorisation Holder:

Aurum Pharmaceuticals Ltd.

Bampton Road, Romford,

RM3 8UG, United Kingdom

Manufacturer:

Martindale Pharmaceuticals Ltd.

Bampton Road, Romford,

RM3 8UG, United Kingdom

This leaflet was last approved in: 07/2008 Product License Number: PL 12064/0041

Bampton Road, Harold Hill, Romford RM3 8UG, United Kingdom

Au R U M