Active substanceVaccine for the prevention of meningococcal infectionsVaccine for the prevention of meningococcal infections
Dosage form: & nbsplyophilized white powder
Composition:

For 1 dose:

active components: oligosaccharide Neisseria meningitidis group C (strain C 11) 10 μg, protein CRM197 (from culture of a nontoxigenic modified strain Corynebacterium diphtheriae) 12.5-25.0 μg;

auxiliary components: sodium dihydrogen phosphate monohydrate 0.092 mg, sodium hydrogen phosphate heptahydrate 0.48 mg, mannitol 7.3 mg.

Solvent composition: aluminum hydroxide 1.2 mg, sodium chloride 4.2 mg, water for injection up to 0,6 ml.

Description:Lyophilized powder of white color.
Pharmacotherapeutic group:MIBP vaccine
ATX: & nbsp

J.07.A   Vaccines for the prevention of bacterial infections

J.07.A.H   Vaccine for the prevention of meningitis

Pharmacodynamics:

Standardized serological indicators correlating with the achievement of a protective immune response for conjugated meningococcal group C vaccines are not available.

Data from clinical trials on double vaccination of children in their first year of life when comparing the 2, 3 and 4 month schedule and the 2 and 4 month schedule for 241 children showed that 1 month after completion of primary vaccination, serum antibacterial antibodies in titre 1:8 and more were determined respectively in 100% and 98% of the vaccinated.

The immune response that develops after the introduction of Menugate vaccine in young children, children and adolescents is superior to that of polysaccharide meningococcal vaccines, and is comparable to the immune response in adults.

Unlike unconjugated meningococcal polysaccharide vaccines, Menugate induces the formation of immunological memory.

The duration of protective immunity is not established.

Indications:

Specific prevention of meningococcal infection of group C, caused by Neisseria meningitides in children from 2 months of age, adolescents and adults.

Contraindications:

- Hypersensitivity to any of the components of the vaccine, including diphtheria toxoid;

- hypersensitivity reactions to the previous introduction of Menugate.

- Immunization with Menugate vaccine should be postponed in patients with acute infectious and non-infectious diseases or exacerbation of chronic diseases until complete recovery.

Pregnancy and lactation:

Pregnancy

Data on the use of Menugate vaccine in pregnant women are not available. In a study on rabbits with the introduction of Menugate vaccine at various stages of pregnancy, there was no risk to the fetus. Taking into account the severity of the course of meningococcal infection of group C, it is not recommended to postpone vaccination in cases when there is a high risk of infection with this infection.

Lactation

Information on the safety of the Menugate vaccine during lactation is not available. To make a decision about vaccination during lactation it is necessary to determine the relationship between the benefits of vaccination and the possible risk of infection.

Dosing and Administration:

A single dose is 0.5 ml for all ages.

The lyophilizate must be dissolved with the solvent (0.6 ml) supplied in the package, immediately before use. Before administration, the solution should be shaken gently. After dissolving: opaque suspension whitish color without foreign inclusions. The dissolved vaccine is not subject to storage and should be used immediately.

Before dissolving it is necessary to slightly shake the syringe containing solvent with aluminum hydroxide. The tip of the syringe is removed and replaced with a suitable needle. The total volume of solution is withdrawn from the syringe (0.6 ml) and used to dissolve the vaccine lyophilizate in the vial.

Slightly shake the vial with the solution until the vaccine is completely dissolved (which ensures the binding of the antigen to the adjuvant). Using a second needle of a suitable diameter, a diluted vaccine is injected into the syringe.

The drug is injected intramuscularly into the deltoid muscle, or into the anterior lateral part of the thigh in young children.

Menugate should not be mixed in the same syringe with other vaccines.

VACCINE CAN NOT BE INDUCTED OR SUBCUTANEOUS!

Primary vaccination

Children from 2 to 12 months inclusive, the vaccine is administered twice with an interval of 2 months.

Children over 12 months of age, adolescents and adults the vaccine is administered once.

Revaccination

Children who received a course of vaccination in their first year of life should undergo a single revaccination, if necessary, not earlier than 1 year after the completion of the vaccination course.

Side effects:

In evaluating the side effects of the drug, the following criteria are based on the frequency of their manifestation:

Very often ≥10%

Often from 1 to 10%

Occasionally, from 0.1 to 1%

Rarely from 0.01 to 0.1%

Very rarely <0.01%, including isolated cases

Adverse reactions were recorded daily for 6 days.

Adverse events observed in all age groups, revealed during clinical trials

Local and systemic reactions:

Very often: reactions at the injection site (redness, swelling, tightness and pain).

Often: an increase in body temperature of more than 38.0 ° C.

Side effect noted in infants (the first year of life) and children under 2 years of age

Disorders from the digestive tract:

Very often: diarrhea and anorexia, vomiting (in children under 1 year).

Often: vomiting (in children under 2 years old).

Common reactions:

Very often: irritability, drowsiness, sleep disturbances.

Often: tearfulness.

Side effects observed in older children and adults

General and systemic reactions:

Very often: malaise, headache (in children of lower grades).

Often: headache (in children of senior classes).

Disorders from the digestive tract:

Very often: nausea (in adults).

Violations in the muscular and bony systems:

Very often: myalgia and arthralgia.

Side effects, noted during postmarketing research (for all age groups)

Naibolee hourthen otswept REffects were: dizzyenore, fever, headache pain, nausea, vomiting and fainting.

The incidence of side effects, presented below, is based on summarized data obtained from reports of spontaneous side effects when using Menugate and other meningococcal vaccines.

Nervous system disorders:

Very rarely: dizziness, convulsions including febrile convulsions, fainting, hypersensitivity, hypotension.

Single reports of the development of seizures after vaccination Menugate were obtained. Reports of seizures were obtained with vaccination of children with existing epilepsy. In infants, seizures were usually associated with fever, most likely with febrile seizures.

In very rare cases, after the vaccination of the meningococcal group C with conjugated vaccine, the development of visual disturbances and photophobia was reported.Typically, these adverse reactions have been associated with other neurologic symptoms, such as headache and dizziness.

Disturbances from the respiratory system:

apnea in preterm infants (pregnancy less than 28 weeks).

Disorders from the digestive tract:

Very rarely: nausea, vomiting and diarrhea.

Cutaneous manifestations:

Very rarely: rash, hives, itching, purpura, exudative erythema multiforme, Stevens-Johnson syndrome.

Disturbances in the muscular, connective tissues and bone system:

Very rarely: lymphadenopathy, hypersensitivity reactions, including bronchospasm, facial edema, angioedema, anaphylactic shock.

A report was received of the relapse of the nephrotic syndrome of a vaccine-associated conjugate vaccine against the meningococcal infection of group C.

Interaction:

The introduction of Menugate simultaneously with the following vaccines (in different parts of the body) does not reduce the immune response to any of the listed antigens:

- poliomyelitis vaccine (inactivated or live);

- Diphtheria and tetanus toxoid and DTP vaccine (whole cell or acetyl):

- Haemophilus influenzae a type b (Hib) conjugated vaccine;

- a vaccine against hepatitis B (mono or associated);

- toombinnirovannye measles-rubella-mumps vaccine and the corresponding monovaccines;

- 7-valent pneumococcal conjugate vaccine;

- gan equivalent vaccine (DTP-Hepatitis B-Polio-Hib).

Special instructions:

Menugate does not protect against meningococcal etiology caused by other serogroups of meningokoks (A, B, 29-E, H, I, K, L, W135, X, Y, or Z, including non-types).

Data on the possibility of using this vaccine to control the epidemic outbreak of meningococcal infection during post-exposure prevention are not available.

In persons suffering from a deficiency of humoral immunity, vaccination may not ensure the development of sufficient protective immunity. HIV infection is not a contraindication for immunization, but a special study of the effectiveness of Menugate in individuals with immunodeficiency has not been carried out. In persons with a deficiency of the complement system and those with functional or anatomical aplasia of the spleen, the degree of protection and efficacy have not been established.

Menugate protein included in the vaccine CRM197 It does not replace vaccination against diphtheria.Therefore, the introduction of vaccines containing diphtheria toxoid should not change.

Acute infectious and non-infectious diseases are grounds for postponing Menugate vaccination, except in cases where, in the opinion of the attending physician, the delay in vaccination results in a much higher risk for health. As a rule, small health disorders, without a rise in body temperature, such as mild upper respiratory tract infections, are not a contraindication to vaccination.

When primary immunization of premature infants (pregnancy less than 28 weeks) and children with previously observed complications of the respiratory organs should take into account the potential risk of apnea and the need to monitor the airways within 48-72 hours after vaccination. When deciding on vaccination in these cases, it is necessary to assess the possible risks and benefits.

The use of Menugate vaccine in individuals with thrombocytopenia or bleeding disorders has not been specifically investigated. When deciding on intramuscular vaccination of persons at risk of bleeding, it is necessary to evaluate the possible risk and benefit.

It is necessary to inform parents or guardians about the immunization schedule used for this vaccine, to indicate the possibility of using antipyretic drugs and to emphasize the need to report the development of any adverse reactions.

The cap of the syringe contains 10% natural rubber and although in this case the risk of developing an allergic reaction to latex is very small, physicians conducting vaccination should assess the risk before vaccinating people with an existing hypersensitivity to latex.
Form release / dosage:Lyophilizate for suspension for intramuscular injection, 1 dose (complete with a solvent).
Packaging:

One vial with lyophilizate, one syringe made of hydrolytic class glass, type I (Hebrew Pharm.) With a solvent and two needles in a blister (PVC).

One blister together with instructions for use in a cardboard bundle.

Storage conditions:

In the dark place at a temperature of 2 to 8 ° C. Do not freeze.

Keep out of the reach of children.

Transportation

At a temperature of 2 to 8 ° C. Do not freeze.

Shelf life:

3 years.

Do not use after the expiry date printed on the package.

Terms of leave from pharmacies:On prescription
Registration number:LSR-009102/10
Date of registration:31.08.2010 / 16.11.2016
Expiration Date:Unlimited
Date of cancellation:2018-04-12
The owner of the registration certificate:GlaxoSmithKline Trading, ZAO GlaxoSmithKline Trading, ZAO Russia
Manufacturer: & nbsp
Representation: & nbspNOVARTIS PHARMA LLCNOVARTIS PHARMA LLC
Information update date: & nbsp29.04.2018
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