E-Z-Cat 4.9 % W/V Oral Suspension

Document: leaflet MAH BRAND_PL 12032-0018 change

E-Z-CAT PIL (UK) (Safety Variation) 07-16 CL89904 TX1216-7SV _Layout 7/18/16 r PM Page 1

E-Z-CAT PIL (UK) (Safety Variation) 07-16 CL89904 TX1216-7SV _Layout 7/18/16 r PM Page 1

1. What E-Z-CAT is and what it is used for

2. What you need to know before you use E-Z-CAT

Rev. 07/16



4.9 % w/v oral suspension barium sulfate

Read all of this leaflet carefully before you start using this

medicine because it contains important information for you.

•    Keep this leaflet. You may need to read it again.

•    If you have any further questions, ask your doctor, radiographer or nurse helping you with your examination which is usually called a CT or CAT scan.

•    This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

•    If you get any side effects, talk to your doctor, radiographer or nurse. This includes any possible side effects not listed in this leaflet. See section 4

In this leaflet:

1.    What E-Z-CAT is and what it is used for

2.    What you need to know before you use E-Z-CAT

3.    How to use E-Z-CAT

4.    Possible side effects

5.    How to store E-Z-CAT

6.    Contents of the pack and other information

E-Z-CAT belongs to a group of medicines called 'contrast media'. It is used when you have an examination called a CT or CAT scan where X-rays are used. It contains a chemical that helps the X-ray show up.

E-Z-CAT will be given to you as a drink.

This medicine is for diagnostic use only. It only helps to diagnose a problem. It cannot be used to treat any diseases.

Do not use E-Z-CAT if you:

are allergic to barium sulfate or any of the other ingredients of E-Z-CAT (listed in section 6)

know that you have a hole in your bowel or stomach (gastrointestinal perforation)

know that you have an abnormal passage connecting your stomach with your bowel (gastrointestinal fistula) suffer from bleeding in your bowel or stomach suffer from insufficient blood supply (ischaemia) of the bowel wall

have an enlarged bowel - a condition called megacolon or toxic megacolon

have an inflamed condition of the bowel called necrotising enterocolitis

suffer from poor movement of your bowel - a condition called severe ileus

are a baby and have problems swallowing have recently had bowel surgery, such as a procedure called 'hot' colonic biopsy or snare polypectomy have had radiotherapy (cancer treatment) to your large bowel (rectum) or prostate gland within the last 4 weeks have suffered recent injury to your bowel or stomach, including chemical burns.

If any of the above applies to you, you should not be given E-Z-CAT. You should talk to your doctor again.

Warnings and precautions

Talk to your doctor, radiographer or nurse before using E-Z-CAT if you:

•    or members of your family suffer from allergies, hay fever, eczema or asthma

•    are elderly

•    are feeling weak (debilitated)

•    are a baby or small child

•    suffer from narrowing of the bowel or stomach (stenosis)

•    suffer from a condition known as 'gastrointestinal fistulae'

•    suffer from cancer of any part of the bowel

•    suffer from inflammatory intestinal disease

•    suffer from a condition known as 'diverticulitis' or 'diverticulosis'

•    suffer from an infection known as 'amoebiasis'

•    suffer from a condition called Hirschsprung's Disease

•    have ever suffered from aspiration (where you might breathe in food or liquid into your lungs)

•    find swallowing difficult

•    have ever suffered from a stroke

•    have kidney problems

•    suffer from constipation

•    are dehydrated

•    suffer from heart disease.


The same warnings and precautions apply for children as for adults.

Other medicines and E-Z-CAT

Please tell your doctor, radiographer or nurse helping you with your X-ray examination if you are taking or have recently taken any other medicines

E-Z-CAT may interfere with the action of other medicines taken at the same time. Your doctor may separate the administration of barium sulfate from that of your other medicines or other digestive tract examinations.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. X-rays can harm unborn babies so you will only be given an X-ray if it is essential for you.

You can continue to breast feed if you take E-Z-CAT.

Driving and using machines

E-Z-CAT may cause you to feel dizzy. If this happens to you, do not drive or use machinery until this effect has worn off.

E-Z-CAT contains sorbitol

E-Z-CAT contains sorbitol which may have a mild laxative effect. The calorific value of sorbitol is 2.6 kcal/g. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

E-Z-CAT contains sodium

It also contains approximately 206 mg sodium per 225 mL dose. Please tell your doctor, radiographer or nurse if you are on a low sodium (salt) diet.

E-Z-CAT contains potassium

E-Z-CAT also contains approximately 50 mg potassium per 225 mL dose. Please tell your doctor, radiographer or nurse if you have kidney problems (reduced renal function) or are on a low potassium diet.

E-Z-CAT contains methyl parahydroxybenzoate

It also contains methyl parahydroxybenzoate (E21 8) that can cause allergic reactions, possibly delayed.

Ask your doctor if one of the above warnings is applicable to you, or has been in the past.




4.9 % w/v oral suspension

barium sulfate

The following information is intended for medical or healthcare professionals only:

It supplements the information provided in the package leaflet above.

Posology and method of administration


E-Z-CAT is for oral administration.

Method of Administration

Adults and the Elderly: 350 - 450 mL of diluted suspension 30 minutes prior to the scan and the same volume 5 minutes prior to the scan, or, as directed by the physician.

Children: The dosage will be dependent on the size, age, health state and anatomical region to be imaged of the child. Individual requirements should be determined, from experience, by the radiologist.

The suspension is diluted with water to obtain a desired    Special precautions for disposal and other handling

concentration. Recommended dilutions are shown below in

section 'Special precautions for disposal and other handling'.    Shake well before use. E-Z-CAT is intended for dilution prior to

administration. Pour the contents into a litre container. Add water to give a total volume of 900 mL. Shake well to yield 900 mL of

3. How to use E-Z-CAT

4. Possible side effects

Always use this medicine exactly as your doctor has told you. Check with your doctor if you are not sure.

The recommended dose is determined by your doctor.

E-Z-CAT will be given to you as a drink.

If you are dehydrated, prone to suffering from constipation or elderly you may be offered a laxative before you use E-Z-CAT.

After your examination, you may be given a drink, laxative or put on a saline drip.

Like all medicines, E-Z-CAT can cause side effects, although not everybody gets them.

Other possible side effects:

•    high blood sugar (hyperglycaemia) in diabetics

•    agitation, confusion or nervousness whilst the product is being administered

•    feeling dizzy

•    swollen eyes

•    tinnitus (ringing in the ears)

•    low blood pressure

•    problems passing urine

•    feeling unwell, pain including headache, fever

•    swelling, weakness, muscle or speech problems.

Reporting of side effects

If you get any side effects, talk to your doctor. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme - Website:

By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store E-Z-CAT

6. Contents of the pack and other information

Seek immediate medical help if you have any of the following symptoms:

   feeling faint or loss of consciousness

•    swelling of the face or throat

•    difficulty in breathing or wheezing, shortness of breath.

These are the signs of a severe and sometimes life threatening allergic reaction, such as shock.

The following side effects can also develop when you are given this type of medicine:

Skin problems:

•    itching

•    redness

•    rash

•    sweating

•    pale, clammy skin

•    skin turning a blue or purple colour due to poor circulation.

Stomach/bowel problems:

inflammation and injury of the small intestine constipation

blocked bowel (the blockage would have to be removed by a doctor) diarrhoea

feeling sick or being sick a bloated stomach excess wind (flatulence)

bowel inflammation, ulceration or perforation (a hole) swollen tongue

a damaged bowel wall lining which may lead to bacteria in the blood, an abscess or appendicitis. You may be given antibiotics to prevent this.

in rare cases an enema may damage the lining of the bowel wall. When this happens, it may result in an infection of the bowel or its lining (peritonitis), or a type of swelling called 'granuloma'

small amounts of barium sulfate may leak into the blood supply and end up in other parts of the body such as blood vessels or arteries. This occurs rarely, but the result can be very serious and may cause death. if you suffer from ulcerative colitis (inflammation of the bowel), E-Z-CAT may aggravate your condition.

E-Z-CAT should be kept out of the sight and reach of children.

Do not use E-Z-CAT after the expiry date which is stated on the packaging behind the word 'EXP'. The expiry date refers to the last day of that month.

Do not throw away any medicines via wastewater. Ask your doctor or nurse how to throw away medicines you no longer use. These measures will help protect the environment.

What E-Z-CAT contains

•    The active ingredient is barium sulfate 4.9 % w/v.

•    The other ingredients are sorbitol, liquid (crystallising) (E420), pectin (E440), xanthan gum (E415), simeticone emulsion, sodium citrate (E331), citric acid (E330), potassium sorbate (E202), methyl parahydroxybenzoate (E218), liquid orange flavour, saccharin sodium (E954), sodium carrageenan (E407), polyoxyyethylene glyceryl mono-oleate, purified water.

What E-Z-CAT looks like and contents of the pack

E-Z-CAT is a white, milky, viscous oral suspension. It is supplied in bottles containing 225 mL E-Z-CAT.

Marketing Authorisation Holder

Bracco Imaging spa

Via Egidio Folli 50, 20134 Milano, Italy

Manufacturer responsible for batch release

Bracco UK Limited,

Valley Business Centre Gordon Road - High Wycombe -Buckinghamshire HP13 6EQ, UK

If this leaflet is difficult to see or read, and you would like it in a different format, please contact Bracco UK Limited, Valley Business Centre Gordon Road - High Wycombe -Buckinghamshire HP13 6EQ, UK.

This leaflet was last approved in 06/2016.

Heart problems:

• changes in heart rhythm.

Respiratory problems:

When E-Z-CAT is taken as a drink, there is a small risk that you could breathe it in. This may lead to:

•    difficulty breathing

•    cough and sore throat

•    pneumonia which can result in death. This is very rare.


4.9 % w/v oral suspension

Barium sulfate

1.2 % w/v barium sulfate suspension. Alternatively, E-Z-CAT may    Special precautions for storage

be mixed to yield a different density:-

This medicinal product does not require any special storage Pour E-Z-CAT contents into mixing container:-    conditions.

-    Add    water to    700 mL.    Yield    a 1.6 % w/v    suspension.    Do not freeze.

-    Add    water to    600 mL.    Yield    a 1.8 % w/v    suspension.

-    Add    water to    500 mL.    Yield    a 2.2 % w/v    suspension.

Any unused, opened product or waste material should be disposed of in accordance with local requirements.

This pack is for single-dose use only. E-Z-CAT should be administered immediately following dilution and must not be stored.