Active substanceVaccine for the prevention of infections caused by Haemophilus influenzaeVaccine for the prevention of infections caused by Haemophilus influenzae
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  • Act-HIB
    lyophilizate w / m PC 
    Sanofi Pasteur S.A.     France
  • Hiberix®
    lyophilizate w / m PC 
  • Dosage form: & nbsp

    lyophilizate for the preparation of solution for intramuscular and subcutaneous administration complete with a sodium chloride solution 0.4%

    Composition:

    1 dose of vaccine contains:

    Active substance

    Polysaccharide Haemophilus influenzae a type b

    10 μg

    Conjugated tetanus protein

    18-30 mcg

    Excipients

    Sucrose

    42.5 mg

    Trometamol

    0.6 mg

    Solvent sodium chloride solution 0.4% (0.5 ml)

    Sodium chloride

    2.0 mg

    Water for injections

    Up to 0.5 ml

    The Act-Hib vaccine complies with the requirements of the European Pharmacopoeia and the World Health Organization relating to conjugated vaccines for the prevention of infection caused by Haemophilus influenzae a type b.
    Description:

    The vaccine is a white homogeneous lyophilizate.

    The solvent is a clear, colorless liquid.

    The reconstituted solution is a clear, colorless liquid.

    Pharmacotherapeutic group:MIBP vaccine
    ATX: & nbsp

    J.07.A.G.   Vaccine for the prevention of infections caused by Haemophilus influenza B

    J.07.A.G.01   Haemophilus influenzae B antigen purified conjugated

    Pharmacodynamics:

    Immunological properties

    Vaccine Act-Hib provides protection against invasive infections caused by Haemophilus influenzae a type B. The polysaccharide of the cell capsule (polyribosylribitol phosphate (PRP)) causes a person to-PRP serological response. However, the nature of the immune response to polysaccharide antigens is not timo-dependent and is characterized by the absence of the effect of revaccination after repeated injections and low immunogenicity in children. Covalent bond of the capsule polysaccharide Haemophilus influenzae a type B with tetanus protein allows the conjugate to act as a timo-dependent antigen and cause in children a specific anti--PRP serological response with the formation of specific immunoglobulins IgG and memory cells. Research of functional activity PRP-specific antibodies induced by a conjugated vaccine against infections caused by Haemophilus influenzae a type b in infants and older children, showed the presence of bactericidal and opsonizing activity.

    Immunogenicity studies involving children vaccinated, starting at the age of 2 months, showed that after the third dose, all children had a titer PRP antibodies ≥ 0.15 μg / ml, and about 90% titer ≥1 μg / ml. Infants up to 6 months old, vaccinated with three doses of vaccine against infections caused by Haemophilus influenzae a type b, Revaccination in 8-12 months caused a significant increase in the mean titer PRP-antibodies.

    Indications:

    Prevention of purulent-septic diseases (meningitis, sepsis, arthritis, epiglottitis, pneumonia, etc.) caused by Haemophilus influenzae a type b (Hib infection) in children from the age of three months.

    Contraindications:

    - Allergy to vaccine ingredients, especially tetanus toxoid and formaldehyde.

    - An allergic reaction to the previous administration of the vaccine to prevent infection caused by Haemophilus influenzae a type b (Hib infection).

    - The disease, accompanied by an increase in body temperature, acute infectious or chronic disease in the acute stage. Vaccination is carried out 2-4 weeks after recovery or during the period of convalescence or remission. With mild ARVI, acute intestinal diseases and other vaccinations are carried out immediately after the normalization of temperature.

    Pregnancy and lactation:

    Since the Act-Hib vaccine is used to vaccinate children, the data on the effect of the drug on pregnancy and lactation are very limited. It is not known whether the vaccine is excreted in breast milk.

    Dosing and Administration:

    Introduce the contents of the syringe with the solvent into the vial of the vaccine, shake the vial until the lyophilizate is completely dissolved. The resulting solution should be colorless and transparent.

    The vaccine is administered intramuscularly or deep subcutaneously in a single dose of 0.5 ml immediately after preparation. Before administering, make sure that the needle does not enter the blood vessel.

    Children under the age of 2: The introduction of the vaccine is carried out in the upper-upper surface of the middle part of the thigh.

    In children older than 2 years The introduction of the vaccine is carried out in the deltoid region of the muscle.

    Vaccination course

    At the onset of vaccination at the age of 6 months: 3 injections of 0.5 ml at intervals of 1-2 months. Revaccination is carried out once a year after the 3rd vaccination.

    At the onset of vaccination at the age of 6 to 12 months: 2 injections with an interval of 1 month. Revaccination is carried out once at the age of 18 months.

    At the beginning of vaccination at the age from 1 year to 5 years: single injection.

    In case of contact: if an unvaccinated or not fully vaccinated child is in contact with a patient with an invasive form of infection Haemophilus influenzae a type b, Vaccination should be initiated or completed in accordance with the age schedule in combination with recommended chemoprophylaxis.

    Side effects:

    In accordance with the recommendations of the National Immunization Schedule and the World Health Organization Act-HIB vaccine is used in combination with other vaccines administered simultaneously, e.g., DTP whole cell vaccine, or with acellular pertussis. In this regard, the safety profile of the drug Act-Hib corresponds to its combined use with other vaccines.

    The adverse events presented below are listed according to the system organ class and frequency of occurrence. The frequency of occurrence is determined based on the following criteria: very common (≥1 / 10), often (≥ 1/100 to <1/10), uncommon (≥ 1/1000 to <1/100), rarely (≥ 1/10000 to <1/1000), very rarely <1/10000), the frequency is unknown (can not be estimated from available data).

    Clinical Trials Data

    In clinical studies with the active monitoring of adverse events was attended by about 7,000 healthy infants and children under 2 years of age who were vaccinated with the vaccine Act-Hib combined with DTP vaccine with whole cell or acellular pertussis component.

    In controlled trials,when the Act-Hib vaccine was used concomitantly with the DPT vaccine, the frequency and type of subsequent systemic reactions did not differ from these values ​​after vaccination with the DPT vaccine alone.

    This section presents the undesirable phenomena possibly associated with the use of the Act-Hib vaccine, and more than 1% of participants observed after vaccination in clinical trials (that is, with frequency "often" and "very often"). All undesirable phenomena are grouped by frequency. Usually they appeared in the first 6-24 hours after vaccination and were transient and weak or of medium severity.

    In subsequent injections of the vaccine, the frequency and severity of these adverse events did not increase as a result of the course of primary immunization.

    The most frequent reactions after the introduction of the Act-Hib vaccine were reactions at the injection site, increased body temperature and irritability.

    From the side of the psyche

    Very often: irritability

    Often or infrequently: prolonged or abnormal crying

    From the gastrointestinal tract

    Very often: vomiting

    General disorders and disorders at the site of administration

    Often: fever (≥ 38 ° C)

    Infrequently: fever (≥ 39 ° C)

    Soreness, redness, swelling, and / or inflammation, sealing at the injection site - from often to very often.

    Post-registration data

    Since spontaneous reports of adverse events in the commercial use of the drug were very rare and from a population with an undetermined number of patients, their frequency was classified as "frequency unknown."

    Immune system disorders

    Hypersensitivity reactions

    Edema of the face, swelling of the larynx (suggesting a possible hypersensitivity reaction)

    From the nervous system

    Febrile or afconvulsions

    From the respiratory system

    Deeply preterm infants (born at 28 weeks or earlier) within 2-3 days after vaccination may experience cases of lengthening the time intervals between respiratory movements (see section "Special instructions").

    From the skin and subcutaneous tissues

    Hives, rash, itching

    General disorders and disorders at the site of administration

    Pronounced edema (≥ 5 cm) at the injection site, including swelling that spreads through one or both joints of one or both of the lower limbs (with a predominance of edema on the extremities to which the vaccine was administered).These reactions appeared 24-72 hours after the administration of the vaccine and could be accompanied by cyanosis, redness, increased skin temperature at the injection site, and severe crying. All the symptoms passed independently within 24 hours without any residual phenomena.

    Overdose:

    No data available.

    Interaction:

    The Act-Hib vaccine can be used concomitantly with other vaccines of the National Calendar of Prophylactic Vaccines and the Schedule of Preventive Vaccinations for epidemic indications, provided different syringes are used and injected into different parts of the body.

    With the exception of immunosuppressive therapy (see section "Special instructions"), there is no reliable data on the possible mutual influence when used with other medicinal products, including - with other vaccines.

    The reconstituted vaccine should not be mixed with other drugs and vaccines.

    The doctor should be informed of the recent or concurrent vaccination with the introduction of any other medication (including over-the-counter drugs) to the child.

    Special instructions:

    Vaccine Act-Hib does not form immunity against infection caused by other serotypes Haemophilus influenzae, as well as against meningitis of a different etiology. The tetanus toxoid contained in the vaccine can not be considered a substitute for tetanus vaccination.

    The physician should be informed of all cases of adverse reactions, including those not listed in this manual. Before each vaccination, to prevent possible allergic and other reactions, the doctor should clarify the state of health, the history of immunization, the history of the patient and the next of kin (in particular - allergic), the incidence of side effects on the previous introduction of vaccines. The physician should have the medicines and tools necessary for the development of a hypersensitivity reaction.

    The vaccinated should be observed within 30 minutes after vaccination. Immunosuppressive therapy or the state of immunodeficiency can cause a weak immune response to the administration of the vaccine. In these cases it is recommended to postpone the vaccination before the end of such therapy or remission of the disease. However, for people with chronic immunodeficiency (eg, HIV infection, asplenia or sickle cell disease), vaccination is recommended even if the immune response can be weakened.

    The potential risk of developing apnea and the need to monitor breathing for 48-72 hours should be considered when conducting a primary course of immunization in deeply premature babies born at 28 weeks or earlier, especially those with a history of immaturity of the respiratory system. Since the immunization benefits of this group of children are high, vaccination should not be postponed or considered contraindicated.

    Since the capsular polysaccharide antigen Haemophilus influenzae type b is excreted through the kidneys, a positive test can be recorded for a period of 1-2 weeks after vaccination. During this period, other tests are needed to confirm the diagnosis of the infection caused by Haemophilus influenzae a type b.

    Effect on the ability to drive transp. cf. and fur:

    Since the Act-Hib vaccine is used to vaccinate children, the effect of the drug on the ability to drive vehicles and engage in other potentially hazardous activities has not been studied.

    Form release / dosage:

    Lyophilizate for the preparation of solution for intramuscular and subcutaneous administration complete with a sodium chloride solution 0.4% 1 dose.

    Packaging:

    1 dose of vaccine in a vial and 0.5 ml of solvent in a syringe (with or without a fixed needle) into a closed cell package.

    If the syringe does not have a fixed needle, then 2 separate sterile needles are inserted into the package.

    1 closed cell pack with instructions for use in a cardboard box.

    Storage conditions:

    Store in the refrigerator (at a temperature of 2 to 8 ° C). Do not freeze.

    Keep out of the reach of children.

    Shelf life:

    Lyophilizate - 3 years.

    Solvent - 5 years.

    The expiration date of the freeze-dried product complete with the solvent is determined by the expiration date of the component from which it comes earlier.

    Terms of leave from pharmacies:On prescription
    Registration number:П N013850 / 01
    Date of registration:11.12.2008
    Expiration Date:Unlimited
    The owner of the registration certificate:Sanofi Pasteur S.A.Sanofi Pasteur S.A. France
    Manufacturer: & nbsp
    Representation: & nbspSanofi Aventis GroupSanofi Aventis Group
    Information update date: & nbsp04.07.2017
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