Wednesday, 26 September 2012

Boots Pharmacy Anaesthetic Throat Spray





1. Name Of The Medicinal Product



Boots Anaesthetic Sore Throat Relief 2 % w/v Spray


2. Qualitative And Quantitative Composition










Active ingredient




%w/v




Lidocaine hydrochloride




2.0




(Lignocaine hydrochloride)




 



3. Pharmaceutical Form



Oromucosal spray



4. Clinical Particulars



4.1 Therapeutic Indications



For the symptomatic relief of severe sore throats.



4.2 Posology And Method Of Administration



Adults and children over 12 years: Three sprays.



Aim nozzle at back of throat and spray on to the affected area. Repeat the dose every three hours as needed up to a maximum of six times in 24 hours.



Children under 12 years: Should not be given to children less than 12 years of age.



Elderly: There is no need for dose reduction in the elderly.



4.3 Contraindications



Hypersensitivity to any of the ingredients. Patients suffering from asthma or bronchospasm. Children under 12 years.



4.4 Special Warnings And Precautions For Use



Do not use if you are sensitive to any of the ingredients.



Avoid contact with the eyes.



Children under 12 years of age should not be given this medicine.



Do not inhale whilst using the spray.



Do not exceed the stated dose.



Keep all medicines out of the reach of children.



Seek medical advice if symptoms persist or are accompanied by high fever, headache, nausea or vomiting.



Seek medical advice before using this product if you are pregnant, breastfeeding or receiving any medical treatment.



This product may cause numbness of the tongue and therefore care should be taken in eating and drinking hot foods.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



No clinically significant interactions are known.



4.6 Pregnancy And Lactation



The safety of this medicinal product for use in human pregnancy has not been established. Experimental animal studies are insufficient to assess the safety with respect to the development of the embryo or foetus, the course of gestation and peri- and post-natal development. The product is, therefore, not recommended during pregnancy and lactation except under medical supervision.



4.7 Effects On Ability To Drive And Use Machines



No adverse effects are known.



4.8 Undesirable Effects



Occasional hypersensitivity reactions.



4.9 Overdose



Symptoms of overdose include yawning, restlessness, excitement, nervousness, dizziness, nystagmus, tinnitus, blurred vision, nausea, vomiting, muscle twitching, tremors and convulsions. Excitation may be transient and followed by depression with drowsiness, respiratory failure and coma. There may be simultaneous effects on the cardiovascular system with myocardial depression and peripheral vasodilatation, resulting in hypotension, arrhythmias and cardiac arrest. May also cause methaemoglobinaemia.



Treatment consists essentially of maintaining the circulation and respiration and controlling convulsions. The circulation may be maintained with infusions of plasma or suitable electrolyte solutions. Convulsions may be controlled by the intravenous administration of diazepam. If necessary, suxamethonium together with endotracheal intubation and artificial respiration may be used if convulsions persist. Methaemoglobinaemia may be treated by intravenous administration of 1-4 mg/kg methylene blue injection.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



Lidocaine is a local anaesthetic of the amide type.



5.2 Pharmacokinetic Properties



Lidocaine is readily absorbed from mucous membranes. The plasma elimination half-life is about two hours.



Lidocaine undergoes significant first pass metabolism in the liver and is rapidly de-ethylated to the active metabolite monoethylglycinexylidide and then hydrolysed to various metabolites including glycinexylidide. Less than 10% is excreted unchanged by the kidneys. The metabolites are also excreted in the urine.



5.3 Preclinical Safety Data



There are no preclinical data of relevance to the prescriber which are additional to that already included.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Sorbitol solution 70% (non-crystallising)



Levomenthol



Peppermint Flavour



Aniseed Flavour



Sodium Citrate



Saccharin



Alcohol 96%



Anstead 12401 Blue



Quinoline Yellow E104



Water Purified



6.2 Incompatibilities



None stated.



6.3 Shelf Life



24 months.



6.4 Special Precautions For Storage



None.



6.5 Nature And Contents Of Container



A clear glass bottle fitted with metering valve spray pump with an extended polypropylene nozzle.



Pack size: 20, 30 millilitres.



6.6 Special Precautions For Disposal And Other Handling



On first use or after prolonged storage, spray 3 times away from the face into a sink.



Swing nozzle through 90° and spray on the back of the throat.



7. Marketing Authorisation Holder



The Boots Company PLC



1 Thane Road West



Nottingham NG2 3AA



Trading as: Boots Pharmacy



Trading as: BCM



8. Marketing Authorisation Number(S)



PL 00014/0430



9. Date Of First Authorisation/Renewal Of The Authorisation



Date of First Authorisation: 26 January 1996



Date of Last Renewal:



10. Date Of Revision Of The Text



October 2010




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