Infanrix Ipv Hib powder and suspension for suspension for injection - Patient leaflet, side effects, dosage

1. What Infanrix-IPV+Hib is and what it is used for

Infanrix-IPV+Hib is a vaccine used to protect your child against 5 diseases:

• Diphtheria - a serious bacterial infection that mainly affects the airways

  and sometimes the skin. The airways become swollen causing serious

  breathing problems. The bacteria also release a poison. This can cause

  nerve damage, heart problems and even death.

• Tetanus - Tetanus bacteria enter the body through cuts, scratches or

  wounds in the skin. Wounds that are more likely to get tetanus infection are

  burns, fractures, deep wounds or wounds that have soil, dust, horse manure

  or wood splinters in them. The bacteria release a poison. This can cause

  muscle stiffness, painful muscle spasms, fits and even death. The muscle

  spasms can be strong enough to cause bone fractures of the spine.

• Whooping cough (pertussis) - a highly infectious disease that affects

  the airways. It causes severe coughing that may lead to problems with

  breathing. The coughing often has a ‘whooping’ sound. The cough may

  last for one to two months or longer. Whooping cough can also cause ear

  infections, chest infections which may last a long time, lung infections, fits,

  brain damage and even death.

• Polio - a viral infection. Polio can make the muscles unable to move (paralysis

  of the muscles). This includes the muscles needed for breathing and walking.

  The arms or legs affected by the disease may be painfully twisted (deformed).

• Haemophilus influenzae type b (Hib) - can cause brain swelling

  (inflammation). This can lead to serious problems such as: mental slowness

  (retardation), cerebral palsy, deafness, epilepsy or partial blindness. It can

  also cause swelling of the throat. This can cause death by suffocation. Less

  commonly, the bacteria can also infect the blood, heart, lungs, bones,

  joints and tissues of the eyes and mouth.

Infanrix-IPV+Hib is for children between 2 months and 3 years old. It is not

suitable for children older than 3 years.

How the vaccine works

Infanrix-IPV+Hib helps your child’s body make its own protection (antibodies).

This will protect your child against these diseases.

About the protection from Infanrix-IPV+Hib

• Infanrix-IPV+Hib will only protect against infections caused by the

  pathogens for which the vaccine has been developed.

• As with all vaccines, Infanrix-IPV+Hib may not fully protect all children

  who are vaccinated.

• Children with a weakened immune system (such as due to HIV infection)

  may not get the full benefit from Infanrix-IPV+Hib.

• The vaccine cannot cause the diseases that it protects your child from.

2. What you need to know before your child receives Infanrix-IPV+Hib

Infanrix-IPV+Hib should not be given

• if your child is allergic to Infanrix-IPV+Hib or any of the other

  ingredients of this medicine (listed in Section 6) or neomycin,

  polymyxin (types of antibiotics) or formaldehyde. The active

  substances and other ingredients in Infanrix-IPV+Hib are listed at

  the end of the leaflet. Signs of an allergic reaction may include itchy skin, rash, shortness of breath and swelling of the face and tongue.

  • if your child experienced problems of the nervous system within

    7 days after previous vaccination with a vaccine against pertussis (whooping cough) disease.

  • if your child has a severe infection with a high temperature

    (over 38°C). A minor infection such as a cold should not be a problem. However, talk to your doctor first.

Infanrix-IPV+Hib should not be given if any of the above apply to your child. If you are not sure, talk to your doctor or pharmacist before your child is given Infanrix-IPV+Hib.

Warnings and Precautions

Talk to your doctor or pharmacist before your child is given Infanrix-IPV+Hib

• if after previously having Infanrix-IPV+Hib or another vaccine against pertussis (whooping cough) disease, your child had any problems, especially :

  • a high temperature (over 40°C) within 48 hours of vaccination
  • a collapse or ‘shock-like’ state within 48 hours of vaccination
  • persistent crying lasting 3 hours or more within 48 hours of vaccination
  • seizures/fits with or without a high temperature within 3 days of having the vaccine
• your child is suffering from an undiagnosed or progressive disease of the brain or uncontrolled epilepsy. After control of the disease the vaccine should be administered.
• if your child has a tendency to seizures/fits due to a fever, or if there is a family history of this
• if your child has a bleeding problem or bruises easily.

If any of the above apply to your child (or you are not sure), talk to your doctor or pharmacist before your child is given Infanrix-IPV+Hib. Fainting can occur following, or even before, any needle injection, therefore tell the doctor or nurse if your child fainted with a previous injection.

Other medicines and Infanrix-IPV+Hib

Tell your doctor or pharmacist if your child is taking, has recently taken or might take any other medicines.

In particular tell your doctor or pharmacist if your child is taking any of the following:

• medicines to fight infection that affect the immune system. Infanrix-IPV+Hib may not work as well if your child is taking these medicines. Infanrix-IPV+Hib can be given at the same time as other childhood vaccines. A different place for the injection will be used for each vaccine.

Pregnancy and breast-feeding

Ask your doctor or pharmacist for advice before taking any medicine. Infanrix-IPV+Hib will never be given to people who are pregnant or breast-feeding as it is only used in children.

Infanrix-IPV+Hib contains para-aminobenzoic acid, phenylalanine, sodium and potassium

Infanrix-IPV+Hib contains para-aminobenzoic acid. It may cause allergic reactions (possibly delayed), and exceptionally, bronchospasm. This medicine contains 0.036 microgram phenylalanine in each dose. Phenylalanine may be harmful if you have phenylketonuria (PKU), a rare genetic disorder in which phenylalanine builds up because the body cannot remove it properly.

This medicine contains less than 1 mmol sodium (23mg) per dose, that is to say essentially ‘sodium-free’.

This medicine contains potassium, less than 1 mmol (39 mg) per dose, i.e. essentially ‘potassium-free’.

3. How Infanrix-IPV+Hib is given

How much is given

• The doctor will give the recommended dose of Infanrix-IPV+Hib to your child.
• Usually, your child will receive two or three injections with an interval of 1 month. It depends on official recommendation. The first injection can be given from the age of 2 months.
• You will be informed when your child should come back for their next injection.

• If additional injections (boosters) are necessary, the doctor will tell you.

  These booster injections will be given at least 6 months after the last injection of the initial vaccination course.

How the vaccine is given

• Infanrix-IPV+Hib is always injected into a muscle.
• This is usually in the thigh.
• The vaccine should not be given into a blood vessel

Package leaflet: Information for the user

The following information is intended for healthcare professionals only:

Infanrix-IPV+Hib should not be mixed with other vaccines or medicinal products in the same syringe.

Upon storage of the Infanrix-IPV suspension, a white deposit and clear supernatant can be observed in the syringe. This is not a sign of deterioration. The pre-filled syringe should be well shaken to obtain a homogeneous suspension. The Infanrix-IPV suspension in the pre-filled syringe, the Hib powder in the vial and the reconstituted vaccine should be inspected visually for any foreign particulate matter and/or abnormal physical appearance prior to administration. In the event of either is observed, the vaccine should be discarded. The vaccine is reconstituted by adding the entire contents of the pre-filled syringe of Infanrix-IPV suspension to the vial containing the Hib powder. The mixture should then be injected immediately. If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and should normally not be longer than 8 hours at 2°C to 8°C (in a refrigerator). The full reconstitution instructions are:

1. 1. Shake the pre-filled syringe containing the Infanrix-IPV suspension
2. 2. Attach a 38 mm, 21 gauge (G) (green) needle to the pre-filled syringe of Infanrix-IPV and inject the contents of the syringe into the Hib vial.
3. 3. With the needle still inserted, shake the Hib vial vigorously and examine for complete dissolution.
4. 4. Withdraw the entire mixture back into the syringe.
5. 5. Replace the 38 mm, 21G (green) needle with an appropriate size needle for injection and administer the vaccine. This vaccine needs to be injected to the appropriate depth in order for it to be effective. Choose the most appropriate needle for your patient to ensure the vaccine reaches the correct tissue. In most cases, this should be the 25 mm 23G (blue) needle provided, except in the smallest of babies, in which case a 16 mm, 25G (orange) needle should be used.
6. 6. After reconstitution, Infanrix-IPV+Hib should be injected as soon as possible. If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and should normally not be kept longer than 8 hours at 2°C to 8°C (in a refrigerator). It should never be frozen.
7. 7. If the vaccine is not administered immediately, shake the solution vigorously again before injection.

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Page 1 of 2 If your child misses a dose

• If your child misses a scheduled injection, it is important that you

  make another appointment.

• Make sure your child finishes the complete vaccination course.

  If not, your child may not be fully protected against the diseases.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects may happen with this vaccine:

Allergic reactions

If your child has an allergic reaction, see your doctor straight away. The signs may include:

• face swelling
• low blood pressure
• difficulty breathing
• skin going blue
• loss of consciousness.

These signs usually start very soon after the injection has been given. Take your child to see a doctor straight away if they happen after leaving the clinic. Allergic reactions are very rare (these may occur with up to 1 in 10,000 doses of the vaccine).

See your doctor straight away if your child has any of the following serious side effects:

• collapse
• loss of consciousness
• lack of awareness
• fits

If you notice any of the above, see your doctor straight away. These effects are very rare (these may occur with up to 1 in 10,000 doses of the vaccine).

Other side effects include:

Very common (these may occur with 1 in 10 doses or more of the vaccine): loss of appetite, high temperature of 38°C or higher, swelling, pain and redness at the injection site, unusual crying, feeling restless, feeling irritable, feeling sleepy.

Common (these may occur with up to 1 in 10 doses of the vaccine): diarrhoea or being sick (vomiting), hard lump at the injection site, large swelling at the injection site.

Uncommon (these may occur with up to 1 in 100 doses of the vaccine): swollen glands in the neck, armpit or groin (lymphadenopathy), coughing, chest infection (bronchitis) or runny nose, upper respiratory tract infection such as a cold, tonsillitis or laryngitis, rash, lumpy rash (hives), tiredness, swelling of the injected limb and sometimes the nearby joint, high temperature of 39.5°C or higher.

Rare (these may occur with up to 1 in 1,000 doses of the vaccine): skin rash, itching.

Very rare (these may occur with up to 1 in 10,000 doses of the vaccine): in babies born very prematurely (at or before 28 weeks of gestation) longer gaps than normal between breaths may occur for 2-3 days after vaccination, temporarily stopping breathing (apnoea), swelling of the whole injected limb, blisters at the injection site.

Booster doses of Infanrix-IPV+Hib may increase the risk of reactions at the injection site. These include swelling at the place of injection, swelling of the whole injected leg or arm and sometimes swelling at the nearby joint. These reactions usually begin within 2 days of the injection and go away after 4 days.

Reporting of side effects

If your child gets any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Infanrix-IPV+Hib

• Keep this medicine out of the sight and reach of children.
• Store in a refrigerator (2°C to 8°C).

• Do not freeze.

  • Store in the original package in order to protect from light.

  • Do not use this medicine after the expiry date which is stated on

    the carton. The expiry date refers to the last day of that month.

  • Do not throw away any medicines via waste water or household

    waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

6. Content of the pack and other information

What Infanrix-IPV+Hib contains

The active substances are:

Diphtheria toxoid¹

not less than 30 International Units (IU) (25 Lf) Tetanus toxoid¹

not less than 40 International Units (IU) (10 Lf) Bordetella pertussis antigens

Pertussis toxoid¹ 25 micrograms Filamentous Haemagglutinin¹ 25 micrograms Pertactin¹ 8 micrograms Poliovirus (inactivated)

type 1 (Mahoney strain) ² 40 D-antigen unit type 2 (MEF-1 strain) ² 8 D-antigen unit type 3 (Saukett strain) ² 32 D-antigen unit Haemophilus influenzae type b polysaccharide

(polyribosylribitol phosphate) 10 micrograms conjugated to tetanus toxoid as carrier protein

approximately 25 micrograms ¹adsorbed on aluminium hydroxide, hydrated

0.5 milligrams Al^{3+ 2}propagated in VERO cells

Aluminium hydroxide is included in this vaccine as an adjuvant. Adjuvants are substances included in certain vaccines to accelerate, improve and/or prolong the protective effects of the vaccine.

The other ingredients are: lactose, sodium chloride (see also section 2, Infanrix-IPV+Hib contains sodium), Medium 199 (containing amino acids (including phenylalanine), mineral salts (including sodium and potassium), vitamins (including para-aminobenzoic acid) and other substances), water for injections.

What Infanrix-IPV+Hib looks like and contents of the pack

• The Infanrix-IPV component of the Infanrix-IPV+Hib vaccine is a white, slightly milky suspension presented in a pre-filled syringe (0.5ml).
• The Hib component of the vaccine is a powder presented in a separate vial.
• Both components are mixed together just before your child receives the injection.
• Infanrix-IPV+Hib is available in 1-dose vial + pre-filled syringe with or without separate needles, pack sizes of 1 and 10.
• Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Marketing authorisation holder is:

SmithKline Beecham Ltd, 79 New Oxford Street, London, WC1A 1DG, United Kingdom

Manufacturer is:

GlaxoSmithKline Biologicals S.A.

Rixensart

Belgium

Other formats:

To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge:

0800 198 5000 (UK Only)

Please be ready to give the following information:

Product name Infanrix-IPV+Hib

Reference number 10592/0216

This is a service provided by the Royal National Institute of Blind People. This leaflet was last revised in 11/2024

Other sources of information

Detailed information on this medicine is available on the web site of: the Medicines and Healthcare Products Regulatory Agency (MHRA)

Instructions for the pre-filled syringe

Plunger

Barrel

Luer Lock Adaptor

Cap

Hold the syringe by the barrel, not by the plunger.

Unscrew the syringe cap by twisting it anticlockwise.

Needle hub To attach the needle, connect the hub to the Luer Lock Adaptor and rotate a quarter turn clockwise until you feel it lock.

Reconstitute the vaccine as described above.Do not pull the syringe plunger out of the barrel. If it happens, do not administer the vaccine.

Disposal

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

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© 2024 GSK group of companies or its licensor.

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