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Paracetamol 10mg/ml Solution for Infusion

Read all of this leaflet carefully before you are given


this medicine.
Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor,
nurse or pharmacist.
This medicine has been prescribed for you. Do not
pass it on to others. It may harm them, even if their
symptoms are the same as yours.
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.

Take special care with Paracetamol 10mg/ml


Solution for Infusion

In this leaflet:
1 W
 hat Paracetamol 10mg/ml Solution for
Infusion is and what it is used for
2 Before you take
3 H
 ow to take
4 P
 ossible side effects
5 How to store
6 Further information

Please tell your doctor, nurse or pharmacist if you are taking or


have recently taken any other medicines, including medicines
obtained without a prescription or herbal medicines and
natural products.
Take particular care if you are taking the following medicines
while under treatment with Paracetamol 10mg/ml Solution
for Infusion:
other paracetamol-containing products, in order not to
exceed the recommended daily.
probenecid.
oral anticoagulants. More check-ups to look at the effect of
the anticoagulant might be needed.

U
 se a suitable oral pain killer as soon as possible.
If you suffer from a liver disease, severe kidney disease or
from alcohol abuse.
If you are taking other medicines containing
paracetamol.
In cases of nutrition problems (malnutrition) or
dehydration.
Inform your doctor before treatment if any of the above
mentioned conditions apply to you.

Taking other medicines

1 What Paracetamol 10mg/ml Solution for

Infusion is and what it is used for

Pregnancy and breastfeeding

Inform your doctor or nurse if you are pregnant, may be


pregnant or are breast feeding. Paracetamol 10mg/ml
Solution for Infusion may be used during pregnancy, however,
the doctor must evaluate if the treatment is advisable.
Ask your doctor, nurse or pharmacist for advice before taking
any medicine.

Paracetamol 10mg/ml Solution for Infusion is used as an


analgesic (relieves pain) and an antipyretic (lowers fever).
It is used for:
short-term treatment of moderate pain, especially following
surgery
short-term treatment of fever.

Important information about some of the


ingredients of Paracetamol 10mg/ml Solution for
Infusion

2 Before you use

Do not use Paracetamol 10mg/ml Solution for


Infusion if you:

a re allergic (hypersensitive) to paracetamol or any of the


other ingredients of Paracetamol 10mg/ml Solution for
Infusion. An allergic reaction may include a rash, itching,
difficulty breathing or swelling of the face, lips, throat or
tongue.
are allergic (hypersensitive) to propacetamol (another
analgesic similar to paracetamol).
suffer from severe liver disease.

This medicinal product contains less than 1mmol sodium


(23mg) per 100ml of Paracetamol 10mg/ml Solution for
Infusion i.e. is essentially sodium free.
3 How to use
For intravenous use (injection into a vein).

Dosage

Do not give anything else containing paracetamol while


using this medicine.

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AAAE5332

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

Paracetamol 10mg/ml Solution for Infusion


The use of the 100ml vial is restricted to adults, adolescents and childrenweighing more than 33kg.

Dosage

Dosing based on patient weight (please see table below):


Patient weight

Dose per
administration

Volume per
administration

Maximum volume of
Maximum Daily
Paracetamol (10mg/
Dose **
mL) per administration
based on upper weight
limits of group (mL)***
75mL
60mg/kg
not exceeding 3g

Children weighing
more than 33kg
(approximately 11 years
old), adolescents and
adults weighing up
to 50kg
>50kg with additional
risk factors for
hepatotoxicity
>50kg and no
additional risk factors
for hepatotoxicity

15mg/kg

1.5mL/kg

1g

100mL

100mL

3g

1g

100mL

100mL

4g

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AAAE5332

Paracetamol 10mg/ml solution for infusion PIL - UK


item no: AAAE5332

dimensions: 150 x 315

print proof no: 21

pharmacode:

origination date: 08-11-2012

min pt size: 8 pts

1. Black
2.
3.
4.
5.
6.

originated by: NM
approved for print/date

colours/plates:

revision date: 15.05.13

Technical Approval

revised by: SA

date sent: 13.03.13

supplier: Diaco

technically app. date: 19.03.13

Non Printing Colours


1.
2.
3.

The dose you will be given will decided by the doctor and will
depend on your weight, liver and kidney function.
Only for patients weighing more than 33kg.
Body Weight

Dosage

>33kg and < 50kg

15mg/kg up to 4 times a day

>50kg

1g up to 4 times a day

In patients weighing less than 50kg or with risk factors,


you will be given a maximum dose of 3g per day.
Talk to your doctor at once if you use too much of this
medicine even if you feel well. This is because too much
paracetamol can cause delayed, serious liver damage.
If you use more Paracetamol 10mg/ml Solution for
Infusion than you should
Contact to your doctor, nurse or pharmacist immediately
if you experience the following symptoms of an overdose
within the first 24 hours: feeling or being sick, weight loss, pale
skin (pallor) or abdominal pain. Immediate medical advice
should be sought in the event of overdosage, because of the
risk of irreversible liver damage.
If you forget to use Paracetamol 10mg/ml Solution for
Infusion
If you forget to use Paracetamol 10mg/ml Solution for
Infusion, pain or fever is likely to return. Do not take a double
dose to make up for forgotten individual doses.
If you have any further questions on the use of Paracetamol
10mg/ml Solution for Infusion, ask your doctor, nurse or
pharmacist.
4 Possible side effects
Like all medicines, Paracetamol 10mg/ml Solution for Infusion
can cause side effects, although not everybody gets them.
Contact your doctor or nurse and stop treatment
immediately if you experience an allergic reaction with
symptoms such as swelling of the face, lips, tongue and
throat, difficulty breathing or swallowing or a skin rash.
Tell your doctor or nurse if you experience the following
side effects:
Rare (occurs in less than 1 in 1,000 patients):
a general feeling of being unwell (malaise)
a drop in blood pressure
changes in liver enzymes found during blood checks.
Should this occur, inform your doctor as regular blood
checks may be required later.

Also you can help to make sure that medicines remain as safe
as possible by reporting any unwanted side effects via the
internet at www.mhra.gov.uk/yellowcard. Alternatively you
can call Freephone 0808 100 3352 (available from 10 a.m. to 2
p.m. Mondays to Fridays) or fill in a paper form available from
your local pharmacy.
5 How to store
Keep out of the sight and reach of children.
Do not use Paracetamol 10mg/ml Solution for Infusion after
the expiry date which is stated on the blister and carton after
EXP. The expiry date refers to the last day of that month.
Store below 30C. Protect from light. Store in the original
package. Do not refrigerate or freeze.
Medicines should not be disposed of via wastewater or
household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help to
protect the environment.
6  Further information

What Paracetamol 10mg/ml Solution for Infusion


contains

T he active substance is paracetamol.


One ml contains 10mg paracetamol, this vial contains
1000mg paracetamol in 100ml.
The other ingredients are: cysteine hydrochloride
monohydrate, disodium phosphate dihydrate, hydrochloric
acid (1M) (for pH-adjustment), sodium hydroxide (1M) (for
pH-adjustment), mannitol, water for injections.

What Paracetamol 10mg/ml Solution for Infusion


looks like and contents of the pack

Paracetamol 10mg/ml Solution for Infusion is a clear solution.


Paracetamol 10mg/ml Solution for Infusion vials are supplied
as 100ml glass vials in packs of 10 vials.
Marketing Authorisation Holder
Actavis Group PTC ehf.
Reykjavkurvegi 76-78
220 Hafnarfjrur
Iceland
Manufacturer
Neogen Developments N.V.
Square Marie Curie
50 Anderlecht
1070 Belgium
This leaflet was last revised in May 2013

Not Known (cannot be estimated from available data):


other changes in laboratory test results which may result in
regular blood checks: abnormally low levels of some types
of blood cells (platelets, white cells) can occur, possibly
leading to bleeding from the nose or gums.

If you would like a


leaflet with larger
text, please contact
01271 311257

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.

Actavis, Barnstaple, EX32 8NS, UK

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**Maximum daily dose: The maximum daily dose as presented


in the table above is for patients that are not receiving other
paracetamol containing products and should be adjusted
accordingly taking such products into account.
***Patients weighing less will require smaller volumes.
The minimum interval between each administration must be
at least 4 hours.
The minimum interval between each administration in patients
with severe renal insufficiency must be at least 6 hours.
No more than 4 doses to be given in 24 hours.
Do not exceed the stated dose.

Kidney disease:

It is recommended when giving paracetamol to patients with


severe renal impairment (creatinine clearance 30mL/min), to
increase the minimum interval between each administration to 6
hours.

Method of administration
RISK OF MEDICATION ERRORS
Take care to avoid dosing errors due to confusion between
milligram (mg) and millilitre (mL), which could result in
accidental overdose and death.
The paracetamol solution is administered as a 15-minute
intravenous infusion (injection into a vein).
As for all solutions for infusion presented in glass vials, it should be
remembered that close monitoring is needed notably at the end
of the infusion, regardless of administration route. This monitoring
at the end of the infusion applies particularly for central route
infusions, in order to avoid air embolism.
Do not use Paracetamol 10mg/ml Solution for Infusion if you
notice any particulate matter and discolouration.
For single use only. The product should be used immediately after
opening. Any unused solution should be discarded.
For the 100ml vials, a 0.8mm needle (21 gauge needle) has to be
used and the stopper vertically perforated at the spot specifically
indicated.
It can also be diluted in 0.9% sodium chloride or 5% glucose up to
one tenth (one volume paracetamol into nine volumes diluent).

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Actavis, Barnstaple, EX32 8NS, UK

AAAE5332

Paracetamol 10mg/ml solution for infusion PIL - UK


item no: AAAE5332

dimensions: 150 x 315

print proof no: 21

pharmacode:

origination date: 08-11-2012

min pt size: 8 pts

1. Black
2.
3.
4.
5.
6.

originated by: NM
approved for print/date

colours/plates:

revision date: 15.05.13

Technical Approval

revised by: SA

date sent: 13.03.13

supplier: Diaco

technically app. date: 19.03.13

Non Printing Colours


1.
2.
3.

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