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Medicinal Oxygen Air Liquide Sante - patient leaflet, side effects, dosage

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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