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Startvac - Patient leaflet, side effects, dosage

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Patient leaflet - Startvac

B. PACKAGE LEAFLET

PACKAGE LEAFLET FOR: STARTVAC emulsion for injection for cattle

  • 1. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER AND OF THE MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR BATCH RELEASE, IF DIFFERENT

Marketing authorisation holder and manufacturer responsible for batch release:

Laboratorios Hipra S.A.

Avda. la Selva, 135

17170 Amer (Girona)

SPAIN

  • 2. NAME OF THE VETERINARY MEDICINAL PRODUCT

STARTVAC emulsion for injection for cattle

  • 3. STATEMENT OF THE ACTIVE SUBSTANCE(S) AND OTHER INGREDIENT(S)

One dose (2 ml) contains:

Escherichia coli (J5) inactivated..­.............­.............­.............­.............­.............­....... > 50 RED60*

Staphylococcus aureus (CP8) strain SP 140 inactivated, expressing slime associated antigenic complex (SAAC).......­.............­.............­.............­.............­.............­.............­.............­.............­.> 50 RED80**

  • * RED60: Rabbit effective dose in 60% of the animals (serology).

  • * * RED80: Rabbit effective dose in 80% of the animals (serology).

Liquid paraffin: 18.2 mg

Benzyl alcohol: 21 mg.

STARTVAC is an ivory-coloured homogeneous emulsion for injection.

  • 4. INDICATION(S)

For herd immunisation of healthy cows and heifers, in dairy cattle herds with recurring mastitis problems, to reduce the incidence of sub-clinical mastitis and the incidence and the severity of the clinical signs of clinical mastitis caused by Staphylococcus aureus , coliforms and coagulase-negative staphylococci.

The full immunisation scheme induces immunity from approximately day 13 after the first injection until approximately day 78 after the third injection.

  • 5. CONTRAINDI­CATIONS

None.

  • 6. ADVERSE REACTIONS

Very rare adverse reactions:

  • – Slight to moderate transient local reactions may occur after the administration of one dose of vaccine based on post-authorisation pharmacovigilance reporting. They would mainly be: swelling (up to 5 cm2 on average), which disappears within 1 or 2 weeks at most. In some cases, there may also be pain at the inoculation site that spontaneously subsides in a maximum of 4 days.

  • – A mean transient increase in body temperature of about 1 °C, in some cows up to 2 °C, may occur in the first 24 hours after injection based on post-authorisation pharmacovigilance reporting.

  • – Anaphylactic-type reactions may occur in some sensitive animals which might be life-threatening based on post-authorisation pharmacovigilance reporting. Under these circumstances, appropriate and rapid symptomatic treatment should be administered.

The frequency of adverse reactions is defined using the following convention:

  • – very common (more than 1 in 10 animals treated displaying adverse reactions)

  • – common (more than 1 but less than 10 animals in 100 animals treated)

  • – uncommon (more than 1 but less than 10 animals in 1,000 animals treated)

  • – rare (more than 1 but less than 10 animals in 10,000 animals treated)

  • – very rare (less than 1 animal in 10,000 animals treated, including isolated reports).

If you notice any serious effects or other effects not mentioned in this package leaflet, please inform your veterinary surgeon.

  • 7. TARGET SPECIES

Cattle (cows and heifers).

  • 8. DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD OF ADMINISTRATION

Intramuscular use. The injections should be preferably administered on the alternate sides of the neck.

Administer one dose (2 ml) by deep intramuscular injection in the neck muscles at 45 days before the expected parturition date and 1 month thereafter administer a second dose (at least 10 days before calving). A third dose should be administered 2 months thereafter.

The full immunisation program should be repeated with each gestation.

  • 9. ADVICE ON CORRECT ADMINISTRATION

Allow the vaccine to reach a temperature of 15 °C to 25 °C before administration. Shake before use.

  • 10. WITHDRAWAL PERIODS

Zero days.

  • 11. SPECIAL STORAGE PRECAUTIONS

Keep out of the sight and reach of children.

Store and transport refrigerated (2 °C – 8 °C). Protect from light.

Do not freeze.

Do not use this veterinary medicinal product after the expiry date which is stated on the label after EXP. The expiry date refers to the last day of that month.

Shelf life after first opening the immediate packaging: 10 hours stored at 15 °C to 25 °C.

  • 12. SPECIAL WARNING(S)

Special warnings for each target species: The whole herd should be immunised.

Immunisation has to be considered as one component in a complex mastitis control program that addresses all important udder health factors (e.g. milking technique, dry-off and breeding management, hygiene, nutrition, housing, bedding, cow comfort, air and water quality, health monitoring) and other management practices.

Special precautions for use in animals:

Vaccinate healthy animals only.

Special precautions to be taken by the person administering the veterinary medicinal product to animals:

To the user:

This veterinary medicinal product contains mineral oil. Accidental injection/self-injection may result in severe pain and swelling, particularly if injected into a joint or finger, and in rare cases could result in the loss of the affected finger if prompt medical attention is not given. If you are accidentally injected with this veterinary medicinal product, seek prompt medical advice even if only a very small amount is injected and take the package leaflet with you. If pain persists for more than 12 hours after medical examination, seek medical advice again.

To the physician:

This veterinary medicinal product contains mineral oil. Even if small amounts have been injected, accidental injection with this product can cause intense swelling, which may, for example, result in ischaemic necrosis and even the loss of a digit. Expert, PROMPT, surgical attention is required and may necessitate early incision and irrigation of the injected area, especially where there is involvement of finger pulp or tendon.

Pregnancy and lactation:

Can be used during pregnancy and lactation.

Interaction with other medicinal products and other forms of interaction:

No information is available on the safety and efficacy of this vaccine when used with any other veterinary medicinal product. A decision to use this vaccine before or after any other veterinary medicinal product therefore needs to be made on a case by case basis.

Overdose (symptoms, emergency procedures, antidotes):

No adverse reactions other than those mentioned in section “Adverse reactions” were observed after the administration of a double dose of vaccine.

Incompatibilities :

Do not mix with any other veterinary medicinal product.

  • 13. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCT OR WASTE MATERIALS

Ask your veterinary surgeon how to dispose of medicines no longer required. These measures should help to protect the environment.

  • 14. DATE ON WHICH THE PACKAGE LEAFLET WAS LAST APPROVED

Detailed information on this veterinary medicinal product is available on the website of the European Medicines Agency.

  • 15. OTHER INFORMATION

Pack sizes:

  • – Cardboard box with 1, 10 and 20 glass vials of 1 dose.

  • – Cardboard box with 1 and 10 glass vials of 5 doses.

  • – Cardboard box with 1 and 10 glass vials of 25 doses.

  • – Cardboard box with 1 PET vial of 5 doses.

  • – Cardboard box with 1 PET vial of 25 doses.

  • – Cardboard box with 1 PET vial of 125 doses.

Frequently Asked Questions

What is Startvac used for?

Startvac is primarily used to help boost the immune response in patients undergoing certain types of cancer treatment.

How does Startvac work in the body?

Startvac works by stimulating the immune system to recognize and attack cancer cells more effectively.

Who can benefit from using Startvac?

Patients with specific types of cancer, especially those undergoing immunotherapy or chemotherapy, may benefit from Startvac.

Can I use Startvac alongside other medications?

Always consult your healthcare provider before combining Startvac with other medications to ensure safety and effectiveness.

What are the side effects of Startvac?

Common side effects may include mild fever, injection site reactions, or fatigue. Most side effects are temporary.

How is Startvac administered?

Startvac is typically administered via injection, usually in a healthcare setting under professional supervision.

Is there a specific storage requirement for Startvac?

Yes, Startvac should be stored in a refrigerator and protected from light. Follow your pharmacy's guidelines.

How long does it take for Startvac to start working?

The effects of Startvac can vary, but many patients begin to notice benefits within weeks after starting treatment.

Can pregnant or breastfeeding women use Startvac?

Pregnant or breastfeeding women should avoid using Startvac unless specifically directed by their healthcare provider.

How often will I need to take Startvac?

The dosing schedule for Startvac varies based on individual treatment plans; consult your doctor for specifics.

Can I travel while taking Startvac?

Yes, but consult your healthcare team about travel plans and how to manage your medication during trips.

Is it safe for elderly patients to take Startvac?

Elderly patients may use Startvac, but it's essential to discuss any potential risks with a healthcare professional first.

Will insurance cover the cost of Startvac?

Insurance coverage can vary; contact your provider to verify if they cover Startvac and any associated costs.

What should I do if I miss a dose of Startvac?

If you miss a dose, contact your healthcare provider immediately for instructions on how to proceed.

Are there any contraindications associated with Startvac?

Certain medical conditions may contraindicate the use of Startvac; always disclose your full health history to your doctor.

Can lifestyle changes enhance the effectiveness of Startvac?

A healthy diet, regular exercise, and stress management may help support the immune system alongside treatment with Startvac.

What kind of monitoring will I need while on Startvac?

Regular check-ups with your healthcare team are crucial to monitor progress and adjust treatment as necessary.

Can I participate in clinical trials while using Startvac?

Participation in clinical trials can be possible; speak with your oncologist about eligibility and options available.

What should I do if I experience severe side effects while on Startvac?

Seek immediate medical attention if you experience severe side effects; don’t hesitate to contact your doctor or visit emergency services.

Where can I find more information about Startvac and my treatment plan?

Speak with your healthcare provider or visit reputable medical websites for more detailed information about Startvac and its uses.