Summary of medicine characteristics - LIPOSIC EYE GEL 2 MG / G EYE GEL
Liposic ® Eye Gel, 2mg/g, eye gel
2 QUALITATIVE AND QUANTITATIVE COMPOSITION
Each 1 g of eye gel contains 2 mg of carbomer.
For the full list of excipients, see section 6.1.
Eye gel
White, turbid, highly viscous, gel
4.1 Therapeutic indications
Symptomatic treatment of dry eye syndrome.
4.2 Posology and method of administration
Posology
Therapy of dry eye conditions requires an individual dosage regimen.
According to the severity and intensity of the symptoms, instill one drop into the conjunctival sac 3–5 times daily; and approximately 30 minutes before going to bed (otherwise there is a risk of sticky eyelids).
Children and adolescents aged to 18 years
The safety and efficacy of Liposic ® in children and adolescents at the posology recommended in adults has been established by clinical experience, but no clinical trial data are available.
Method of administration
Ocular use.
Generally, an ophthalmologist should be consulted when treating keratoconjunctivitis sicca, which normally turns out to be long-term or permanent therapy.
An appropriate drop size is obtained when the tube is held in a vertical position above the eye during instillation.
4.3 Contraindications
Hypersensitivity to the active substance or to any of the excipients listed in section 6.1.
4.4 Special warnings and precautions for use
Contact lenses should be removed prior to administration, and may be inserted again 30 minutes after Liposic ® Eye Gel, 2 mg/g, Eye gel has been instilled. Liposic ® Eye Gel, 2 mg/g, Eye gel may prolong the contact-time of topically applied drugs in ophthalmology. Concomitant ocular medication should be administered 15 minutes prior to instillation of Liposic ® Eye Gel, 2 mg/g, Eye gel (see section 4.5).
If the symptoms of the dry eye continue or worsen, treatment should be stopped and an ophthalmologist should be consulted.
4.5 Interaction with other medicinal products and other forms of interaction
No interaction studies have been performed.
4.6 Fertility, pregnancy and lactation
No studies have been performed.
Pregnancy
There are no data from the use of carbomer in pregnant women.
Animal studies do not indicate direct to reproductive toxicity (see section 5.3). As a precautionary measure it is preferable to avoid the use of Liposic ® Eye Gel, 2 mg/g, Eye gel during pregnancy.
Breastfeeding
It is unknown whether Carbomer/metabolite are excreted in human milk.
A risk to the newborns/infants cannot be excluded.
A decision must be made whether to discontinue breast-feeding or to discontinue/abstain from Liposic ® Eye Gel, 2 mg/g, Eye gel therapy taking into account the benefit of breast feeding for the child and the benefit of therapy for the woman.
Fertility
No studies have been performed.
4.7 Effects on ability to drive and use machines
Liposic ® Eye Gel, 2 mg/g, Eye gel has moderate influence on the ability to drive and use machines.
When used as indicated, this medicinal product may impair visual acuity for about five minutes due to the formation of streaks after gel application, and patients should exercise caution when driving vehicles or operating machinery.
4.8 Undesirable effects
Adverse reactions have been ranked under headings of frequency using the following convention:
very common (>1/10);
common (> 1/100 to < 1/10)
uncommon (> 1/1.000 to < 1/100)
rare (> 1/10.000 to < 1/1.000)
very rare (< 1/10.000)
_____not known (cannot be estimated from the available data)_________________
| Eye disorders very rare (< 1/10.000) | burning eyes eye redness eyelid eczema foreign body sensation in eyes giant papillary conjunctivitis itching eyes, sticky eye sensation superficial punctate keratitis tearful eyes vision blurred |
These reactions could have either occurred due to the preservative contained (cetrimide) or as intolerance reactions to one of the other ingredients.
Blurred vision can occur after instillation of Liposic ® due to the high viscosity of the preparation. In clinical studies with Liposic ® only one non-serious topical ocular adverse reaction was recorded as a single observation (burning eyes).
Paediatric population
No special information have been reported.
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via:
United Kingdom
Yellow Card Scheme
Website: www.mhra.gov.uk/yellowcard
4.9 Overdose
4.9 OverdoseNo case of overdose has been reported.
Paediatric population
No special information have been reported for the paediatric population.
5 PHARMACOLOGICAL PROPERTIES
5.1 Pharmacodynamic properties
Pharmacotherapeutic group: artificial tears and other indifferent preparations ATC code S01XA20
Liposic ® Eye Gel, 2 mg/g, Eye gel is based on a high molecular weight hydrophilic polymer. Its pH and osmolality are similar to those of the normal tear film. Due to its physical properties, the eye gel binds water and forms a translucent lubricating and wetting film on the surface of the eye. The gel structure is destroyed by the salts contained in the lacrimal fluid and releases moisture. A study in 54 patients with keratoconjunctivitis sicca found that Liposic ® Eye Gel, 2 mg/g, Eye gel therapy prolonged tear break-up time from a mean of 5.3 seconds to 11.2 seconds after 6 weeks. Schirmer I-test values were increased from a mean of 4.8 mm to 10.7 mm after 6 weeks.
5.2 Pharmacokinetic properties
No controlled animal nor human pharmacokinetic studies with this product are available. However, absorption or accumulation in eye tissues can presumably be excluded due to the high molecular weight of carbomer. Clinical studies performed with an essentially similar product have shown that ocular residence time can be assumed to be approximately up to 90 minutes.
Paediatric population
No data available.
5.3 Preclinical safety data
5.3 Preclinical safety dataNon-clinical data reveal no special hazard for humans based on conventional studies of safety pharmacology, repeated dose toxicity, genotoxicity, carcinogenic potential, toxicity to reproduction.
6 PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Cetrimide, preservative
Sorbitol
Medium-chain triglycerides
Sodium hydroxide (for pH adjustment)
Water for injection
6.2 Incompatibilities
Not applicable.
6.3 Shelf life
3 years
28 days after opening of the container.
6.4 Special precautions for storage
Do not store above 25 ° C.
6.5 Nature and contents of container
Tubes of 5 g gel. Packs with one or three tubes of 5 g eye gel. Tubes of 10 g gel. Packs with one or three tubes of 10 g eye gel.
Not all pack sizes may be marketed
6.6 Special precautions for disposal
6.6 Special precautions for disposalNo special requirements
7 MARKETING AUTHORISATION HOLDER
Bausch and Lomb UK Ltd. Bausch & Lomb House 106 London Road
Kingston-Upon-Thames Surrey, KT2 6TN, UK
8 MARKETING AUTHORISATION NUMBER(S)
PL 03468/0096
9 DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION
20/09/2010