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0000842

B&xter

PACKAGE LEAFLET: INFORMATION FOR THE USER

Flexbumin 200 g/l solution for infusion

Human albumin

In this leaflet:

1.    What Flexbumin 200 g/l is and what it is used for

2.    Before you use Flexbumin 200 g/l

3.    How to use Flexbumin 200 g/l

4.    Possible side effects

5.    How to store Flexbumin 200 g/l

6.    Further information

1.    WHAT FLEXBUMIN 200 g/l IS AND WHAT IT IS USED FOR

This medicine is a solution of plasma protein and belongs to the pharmacotherapeutic group of plasma substitutes and plasma protein fractions. Plasma is the fluid in which blood cells are suspended.

The medicine is used for restoration and maintenance of circulating blood volume when there is not enough blood volume.

2.    BEFORE YOU USE FLEXBUMIN 200 g/l Do not use Flexbumin 200 g/l

-    if you are allergic (hypersensitive) to human albumin or any of the other ingredients of Flexbumin 200g/l.

Take special care with Flexbumin 200 g/l

-    If you get headache, difficulties in breathing or feeling faint during the treatment please tell your doctor or nurse. It can be an allergic reaction.

-    If you have:

-    decompensated heart failure

-    high blood pressure

-    oesophageal varices (swelled veins in the oesophagus)

-    pulmonary oedema (fluid in the lungs)

-    a tendency to spontaneous bleeding

-    severe anemia (lack of red blood cells)

-    decreased urine formation

inform your doctor so that he/she can take appropriate precautions.

When medicines are made from human blood or plasma, certain measures are put in place to prevent infections being passed on to patients. These include careful selection of blood and plasma donors to make sure those at risk of carrying infections are excluded, and the testing of each donation and pools of plasma for signs of virus/infections. Manufacturers of these products also include steps in the processing of the blood or plasma that can inactivate or remove viruses. Despite these measures, when medicines prepared from human blood or plasma are administered, the possibility of passing on infection cannot be totally excluded. This also applies to any unknown or emerging viruses or other types of infections.

There are no reports of virus infections with albumin manufactured to European Pharmacopoeia specifications by established processes.

It is strongly recommended that every time you receive a dose of Flexbumin 200 g/l the name and batch number of the product are recorded in order to maintain a record of the batches used.

Using other medicines

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

Pregnancy and breast-feeding

Ask your doctor or pharmacist for advice before taking any medicine. Your doctor will decide if you can use Flexbumin 200 g/l during pregnancy or breast-feeding.

Driving and using machines

No effect on the ability to drive or use machines has been observed.

Important information about some of the ingredients of Flexbumin 200 g/l

Flexbumin contains 130 - 160 mmol/l sodium. To be taken into consideration by patients on a controlled sodium diet.

3.    HOW TO USE FLEXBUMIN 200 g/l

Flexbumin 200 g/l is a medicine for hospital use. It will therefore be administered to you in a hospital by appropriate health care personnel. Your doctor will determine the amount of product to be administered, the frequency of dosing and the duration of treatment based on your specific condition.

If you use more Flexbumin 200 g/l than you should

It is highly unlikely that you will get an overdose since you receive the injection in a hospital by trained personnel.

4. POSSIBLE SIDE EFFECTS

Like all medicines, Flexbumin 200 g/l can cause side effects, although not everybody gets them.

Very common	in more than 1 in 10 patients treated
Common	in less than 1 in 10, but more than 1 in 100 patients treated
Uncommon	in less than 1 in 100, but more than 1 in 1000 patients treated
Rare	in less than 1 in 1000, but more than 1 in 10 000 patients treated
Very rare	in less than 1 in 10 000 patients treated, including isolated cases

	Very common	Common	Uncommon	Rare	Very rare
Immune system disorders					anaphylactic shock
Gastrointestinal disorders				nausea (feeling sick)
Skin and subcutaneous tissue disorders				flushing, skin rash
General disorders and administration site conditions				fever

•    The rare side effects disappear quickly when the infusion rate is decreased or stopped.

•    If anaphylactic shock (severe allergic reactions) occurs, the infusion should be stopped immediately and appropriate treatment initiated.

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

Other side effects observed after placing Human Albumin on the market are: Hypersensitivity/Allergic reactions, Headache, Rapid heart beat, Abnormally low blood pressure, Breathlessness or breathing discomfort, Vomiting, Altered sense of taste, Hives, Itchiness, Chills, Heart attack, Irregular heart beat, Accumulation of fluid in the lung

5.    HOW TO STORE FLEXBUMIN 200 g/l

Keep out of the reach and sight of children.

Do not use Flexbumin 200 g/l after the expiry date which is stated on the bag and the carton. The expiry date refers to the last day of that month.

Do not store above 25°C.

Do not freeze.

Keep the bag in the outer carton in order to protect from light.

Once the package has been opened, the contents must be used immediately.

Do not use Flexbumin 200 g/l if you notice that the solution is cloudy or has deposits.

6.    FURTHER INFORMATION

What Flexbumin 200 g/l contains

-    The active substance is human albumin.

1 liter of solution contains 200 g of total protein, of which at least 95% is human albumin.

-    The other ingredients are sodium chloride, sodium caprylate, sodium acetyltryptophanate and water for injections.

Total amount of sodium ions: 130 -160 mmol/l

What Flexbumin 200 g/l looks like and contents of the pack Flexbumin 200 g/l is presented as a solution for infusion in a bag. Pack sizes are 12 x 100 ml (2 boxes of 6 or 12 single units), 24 x 50 ml (2 boxes of 12 or 24 single units), 1 x 100 ml (single unit) and 1 x 50 ml (single unit).

The solution is clear and slightly viscous, almost colourless, yellow, amber or green. Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Baxter Healthcare Ltd

Caxton Way

Thetford

Norfolk

IP24 3SE

United Kingdom

Tel No.: 01635 206345

Fax No.: 01635 206071

Email: surecall@baxter.com

Manufacturer

Baxter AG IndustriestraBe 67 A-1221 Vienna, Austria

This leaflet was last approved in 05/2013

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

Before and during administration of Flexbumin 200 g/l

•    Albumin solutions must not be diluted with water for injections as this may cause haemolysis in recipients.

•    If large volumes are administered, the product should be warmed to room or body temperature before use.

•    For safety reasons the name and batch number of Flexbumin 200 g/l should be recorded when administered to a patient.

•    Hypervolaemia may occur if the dosage and rate of infusion are not adjusted to the patient's circulatory situation. At the first clinical signs of cardiovascular overload (headache, dyspnoea, jugular vein congestion), or increased blood pressure, raised venous pressure and pulmonary oedema, the infusion is to be stopped immediately.

Preparation

Flexbumin 200 g/l can be directly administered by the intravenous route or it can also be diluted in an isotonic solution (e.g. 5 % glucose or 0.9% sodium chloride).

Administration of Flexbumin 200 g/l

-    Do not use solutions which are cloudy or have deposits. This may indicate that the protein is unstable or that the solution has become contaminated.

-    Infusion is performed by the intravenous route using a disposable sterile and pyrogen-free infusion set. Before inserting the infusion set in the cap, this should be disinfected with an appropriate antiseptic. Once the infusion set is attached to the bag, the contents should be perfused immediately.

-    The infusion rate should be adjusted according to the individual circumstances and the indication. In plasma exchange the infusion rate should be adjusted to the rate of removal.

Shelf life

Once the container has been opened, the contents should be used immediately. Any unused product should be disposed of in accordance with local requirements.

Incompatibilities

Human albumin must not be mixed with other medicinal products, whole blood and packed red cells (except an isotonic solution e.g. 5% glucose or 0.9% sodium chloride). Further human albumin should not be mixed with protein hydrolysates (e.g. parenteral nutrition) or solutions containing alcohol since these combinations may cause the proteins to precipitate. Use only if the seal is intact. Discard in case of leak.