Patient leaflet - Medicinal Oxygen Air Liquide Sante
1. NAME OF THE VETERINARY MEDICINAL PRODUCT
Medicinal Oxygen Air Liquide Santé 100 % inhalation gas for dogs, cats and horses.
2. QUALITATIVE AND QUANTITATIVE COMPOSITION
Active substance:
100 % oxygen.
3. PHARMACEUTICAL FORM
Inhalation gas.
4. CLINICAL PARTICULARS
4.1 Target species
Dogs, cats and horses.
4.2 Indications for use, specifying the target species
For oxygen supplementation and as a carrier gas during inhalation anaesthesia. For oxygen supplementation during recovery.
4.3 Contraindications
None.
4.4 Special warnings <for each targ
None.
4.5 Special precautions for us
als
Oxygen in concentration up 0 % (FiO2 1.0) should not exceed 12 hours. Oxygen in concentration over 80 % (FiO2 0.8) should not exceed 18 hours.
Animals with pre-existing oxygen radical damage to the lung may have this damage exacerbated by oxygen therapy e.g. in the treatment of paraquat poisoning.
Special precautions to be taken by the person administering the veterinary medicinal product to animals
This veteri
pressu
edicinal product should only be used by persons who have been fully trained to use tors and associated equipment.
en is non-flammable, it strongly supports combustion and no naked flames should be ear the container. Since even the smallest spark can cause violent ignition, electrical ent capable of sparking should not be used in the vicinity of patients receiving oxygen.
Cylinder valves and associated equipment must not be lubricated and must be kept entirely free fro carbon-based oils and grease because otherwise there is a risk of spontaneous combustion and a violent explosion may occur.
If you have been working in an oxygen-enriched atmosphere avoid smoking, open flames or sources of ignition for at least 15 minutes.
4.6 Adverse reactions (frequency and seriousness)
None.
4.7 Use during pregnancy, lactation or lay
Medicinal Oxygen Air Liquide Santé can be used during pregnancy and lacta
4.8 Interaction with other medicinal products and other forms of in
on
None known.
Medicinal Oxygen Air Liquide Santé can be safely administered anaesthetics.
ier gas for inhalation
4.9 Amounts to be administered and administration r
The precise fresh gas flow rate required by an animal du
aesthesia and recovery should be
determined by a suitably experienced veterinarian, taking into consideration the bodyweight and health status of the animal and the anaesthetic equipment and agents being used. The animal must be monitored closely, preferably by means of a pulse oximeter, and the flow rate adapted during anaesthesia to meet their individual requirements.
In-circuit oxygen meters can be used to measure the inspired oxygen fraction and depending on the individual animal, a level of 50 – 100 % of the veterinary medicinal product may be required. As a rule, and if oxygen tension cannot be measured, the inspired oxygen fraction should be maintained at more than 50 %.
Adverse effects can occur if m time or if high levels of oxygen are
oxygen toxicity include dys 100 % oxygen administratio conditions.
4.10 Overdose (symptoms, em
rocedures, antidotes), if necessary
re exposed to excessive levels of oxygen for long periods of dministered under hyperbaric conditions. The first signs of d cyanosis, but should only be suspected after at least 12 hours of
8 hours of 80 % oxygen administration under normobaric
In cases where oxyge oxygen concentration oxygenation can
icity is suspected, the fresh gas flow rate should be maintained, but the e inspired gas should be reduced to approximately 50 %, or less if adequate
4.11
s.
gas analysis. approximatel Alternatively, s adjusted
intained. Oxygenation can be assessed using pulse oximetry or arterial blood en concentration can be reduced to 50 % by including 50 % nitrogen or medical air. This is best monitored with an in-circuit oxygen monitor.
lementary oxygen can be given to an animal breathing air, and the flow rate de the appropriate inspired concentration.
rawal period(s)
5. PHARMACOLOGICAL PROPERTIES
Pharmacotherapeutic group: Medical Gases, ATCvet code: QV03AN01.
-
5.1 Pharmacodynamic properties
Oxygen is an essential element for living organisms. It is involved in cellular metab catabolism and permits production of energy in the form of adenosine triphosphate ( variation of the partial pressure of oxygen in the blood affects the cardiovascular syste respiratory system, cellular metabolism, and the central nervous system. Deprivatio resulting in tissue hypoxia, results in a rapid deterioration of myocardial and ce Intervention with oxygen therapy is essential for the resolution of adequate tissu
gen, us activity. nation.
5.2 Pharmacokinetic particulars
is present in the
Oxygen administered by inhalation is absorbed by alveolar-capillary exch
plasma in the solution and is transported by erythrocytes in the form of oxyhaemoglobin. Oxygen
for the synthesis of ATP.
2O. Both metabolised and ation.
released at tissue level by oxyhaemoglobin is then used in mitochondri Following these catalytic reactions it reappears in the form of CO2 and excess, unmetabolised oxygen are eliminated from the body during exh
for sale:
-
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
None.
6.2 Incompatibilities
Not applicable.
6.3 Shelf life
Shelf-life of the veterinary medicinal 5 years.
6.4. Special precautions for storage
Cylinders should be stored in a locked, clean and ventilated area reserved for the storage of medical gases, protected from weather and with no inflammable materials. Full and empty cylinders should be stored separately. Cylinders should be protected from falling, from being hit, from sources of heat or ignition, from temperatures of more than 50 °C and from combustible materials. Cylinders must be kept vertical.
6.5 Nature a
osition of immediate packaging
6.6
Un h
Special precautions for the disposal of unused veterinary medicinal product or waste ls derived from the use of such products
7. MARKETING AUTHORISATION HOLDER
AIR LIQUIDE Santé INTERNATIONAL
10, rue Cognacq-Jay
75341 Paris Cedex 07
FRANCE
8. MARKETING AUTHORISATION NUMBER(S)
EU/2/06/067/001
EU/2/06/067/002
9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE
20.12.2006
10 DATE OF REVISION OF THE TEXT
Detailed information on this veterinary medicinal product is available on the website of the European Medicines Agency (EMEA)
A.
MANUFACTURING AUTHORISATI BATCH RELEASE
B.
CONDITIONS OR RESTRICTI
REGARDING SUPPLY OR U
ANNEX
LDER(S) RESPONSIBLE FOR
THE MARKETING AUTHORISATION
C.
CONDITIONS OR RESTRICTIONS OF THE MARKETING AUTHORISATION
WITH REGARD TO SAFE AND EFFECTIVE USE
STATEMENT OF TH
D.
ATION
-
A. MANUFACTURING AUTHORISATION HOLDER(S) RESPONSIBLE FOR BATC RELEASE
Name and address of the manufacturer responsible for batch release
Air Liquide Santé France
Zone Industrielle Est
BP 34
F-54181 Heillecourt
France
-
B. CONDITIONS OR RESTRICTIONS OF THE MARKETING AUT REGARDING SUPPLY OR USE
To be supplied only on veterinary prescription.
Not applicable.
Not applicable
D. STATEMENT OF THE MRLs
C. CONDITIONS OR RESTRICTIONS OF THE MARKE REGARD TO SAFE AND EFFECTIVE USE
AUTHORISATION WITH
PARTICULARS TO APPEAR ON THE IMMEDIATE PACKAGE
Information to appear on a durable plastic label appended directly to the cylinder
1. NAME OF THE VETERINARY MEDICINAL PRODUCT
Medicinal Oxygen Air Liquide Santé 100 % inhalation gas for dogs, cats and horse
2. STATEMENT OF ACTIVE AND OTHER SUBSTANCES
100 % oxygen.
3. PHARMACEUTICAL FORM
Inhalation gas.
4. PACKAGE SIZE
15 l cylinders filled at 200 bar, containing 3.2 m3 oxygen under a pressure of 1 bar at 15 °C.
50 l cylinders filled at 200 bar, containing 10.6 m3 oxygen under a pressure of 1 bar at 15 °C.
Dogs, cats and horses.
6. INDICATION(S)
7. METHOD AND RO
5. TARGET SPECIES
OF ADMINISTRATION
Read the package leaflet before use.
8. WITHDRA
ERIOD
Withdrawal period: zero days
9. SPECIAL WARNING(S), IF NECESSARY
Keep away from naked flames. Do not lubricate.
ing.
10. EXPIRY DATE
EXP {MM/AAAA}
11. SPECIAL STORAGE CONDITIONS
DUCTS OR
inders should be returned
CONDITIONS OR
if applicable
Cylinders should be stored in a locked, clean and ventilated area reserved for the stora gases, protected from weather and with no inflammable materials. Full and empty cyli stored separately. Cylinders should be protected from falling, from being hit, fro ignition, from temperatures of more than 50 °C and from combustible materials kept vertical.
12. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSE WASTE MATERIALS, IF ANY
Unwanted partially full, or empty, Medicinal Oxygen Air Liquide to the manufacturer or their authorised distributor.
13. THE WORDS “FOR ANIMAL TREATMENT O RESTRICTIONS REGARDING SUPPLY AND
For animal treatment only.
14. THE WORDS “KEEP OUT OF THE
Keep out of the reach and sight of children.
AND SIGHT OF CHILDREN
15. NAME AND ADDRESS OF T
AIR LIQUIDE Santé INTERNAT 10, rue Cognacq-Jay 75341 Paris Cedex 07 FRANCE
dical
rs should be of heat or ers must be
RKETING AUTHORISATION HOLDER
16. MARKETING A
RISATION NUMBER(S)
17. MA
EU/2/06/067/001 –
EU/2/06/067/002 –
TURER’S BATCH NUMBER
PACKAGE LEAFLET
Medicinal Oxygen Air Liquide Santé 100 % inhalation gas for dogs, cats and horses.
1. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER AND OF THE MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR BATCH RELEASE, IF DIFFERENT
Marketing authorisation holder :
AIR LIQUIDE Santé INTERNATIONAL
10, rue Cognacq-Jay
75341 Paris Cedex 07
FRANCE
Manufacturer for the batch release :
AIR LIQUIDE Santé FRANCE
ZI Est, BP 34
54181 Heillecourt Cedex
FRANCE
2. NAME OF THE VETERINARY MEDICINAL P
Medicinal Oxygen Air Liquide Santé 100
ogs, cats and horses.
3. STATEMENT OF THE
Medicinal Oxygen Air Liquide Santé is an in
4. INDICATION(S)
gas consisting of 100 % oxygen.
(S) AND OTHER INGREDIENT(S)
Medicinal Oxygen Air Liquide Santé can be used for oxygen supplementation and as a carrier gas during inhalation anaesthesia.
The veterinary medicinal product can also be used for oxygen supplementation during recovery.
6. ADVERSE
5. CONTRAINDICAT
None.
None.
7.
IONS
SPECIES
Dogs, cats and horses.
8. DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD OF ADMINISTRATIO
The precise fresh gas flow rate required by an animal during anaesthesia and recovery should be determined by a suitably experienced veterinarian, taking into consideration the bodyweight status of the animal and the anaesthetic equipment and agents being used. The animal must b monitored closely, preferably by means of a pulse oximeter, and the flow rate adapted du anaesthesia to meet their individual requirements.
9. ADVICE ON CORRECT ADMINISTRATION
In-circuit oxygen meters can be used to measure the inspired oxygen fraction and depending on the individual animal, a level of 50 – 100 % of the veterinary medicinal product may be required. As a rule, and if oxygen tension cannot be measured, the inspired oxygen fraction should be maintained at more than 50 %.
10. WITHDRAWAL PERIOD
Zero days.
11. SPECIAL STORAGE PRECAUTIONS
Keep out of the reach and sight of children.
Cylinders should be stored in a locked, clean and ventilated area reserved for the storage of medical gases, protected from weather and with no inflammable materials. Full and empty cylinders should be stored separately. Cylinders should be protected from falling, from being hit, from sources of heat or ignition, from temperatures of more than 50 °C and from combustible materials. Cylinders must be kept vertical.
Do not use after {Month/Year}.
Pregnancy and lactation
Medicinal Oxygen Air Liquid
12. SPECIAL WARNING(S)
can be used during pregnancy and lactation.
Incompatibilities
Medicinal Oxygen Air Liquide Santé has no known incompatibilities with other products likely to be administered conco
Overdose Due to the high veterinary medicin The first sign
o
least 12 ho normobaric
essure of oxygen inhaled by animals during the administration of the roduct, oxygen toxicity may be seen in animals after extended periods of use. ygen toxicity include dyspnoea and cyanosis, but should only be suspected after at 0 % oxygen administration or 18 hours of 80 % oxygen administration under
maint or les or
it
onditions. In cases where oxygen toxicity is suspected, the fresh gas flow rate should be ut the oxygen concentration of the inspired gas should be reduced to approximately 50 % uate oxygenation can be maintained. Oxygenation can be assessed using pulse oximetry ood gas analysis. The oxygen concentration can be reduced to 50 % by including 50 % r approximately 60 % medical air. This is best monitored with an in-circuit oxygen monitor. ively, supplementary oxygen can be given to an animal breathing air, and the flow rate usted to provide the appropriate inspired concentration.
Special precautions for use in animals
Oxygen in concentration up to 100 % (FiO2 1.0) should not exceed 12 hours. Oxygen in concentrati over 80 % (FiO2 0.8) should not exceed 18 hours.
Animals with pre-existing oxygen radical damage to the lung may have this damage exacerb oxygen therapy e.g. in the treatment of paraquat poisoning.
Precautions to be taken by the person administering the veterinary medicinal product to
Medicinal Oxygen Air Liquide Santé should only be used by persons who have been fully trained to use pressure regulators and associated equipment.
Whilst oxygen is non-flammable, it strongly supports combustion and no naked flames should be allowed near the container. Since even the smallest spark can cause violent ignition, electrical equipment capable of sparking should not be used in the vicinity of patients receiving oxygen.
Cylinder valves and associated equipment must not be lubricated and must be kept entirely free from carbon-based oils and grease because otherwise there is a risk of spontaneous combustion and a violent explosion may occur.
ing, open flames or other
If you have been working in an oxygen-enriched atmosphere avo sources of ignition for at least 15 minutes.
UNUSED PRODUCT OR WASTE
13. SPECIAL PRECAUTIONS FOR THE DISPOS MATERIALS, IF ANY
Unwanted partially full, or empty, Medicinal Oxygen Air Liquide Santé cylinders should be returned to the manufacturer or their authorised distributor.
14. DATE ON WHICH THE PACKAGE
20.12.2006
Detailed information on this product (EMEA)
LET WAS LAST APPROVED
able on the website of the European Medicines Agency
15.
Pack sizes 15 l cylinders filled at 20 ontaining 3.2 m3 oxygen under a pressure of 1 bar at 15 °C.
50 l cylinders filled at 200 bar, containing 10.6 m3 oxygen under a pressure of 1 bar at 15 °C.
Lot number
Lot {Number
15/15