Form for providing product information

20 November 2017

AUSTRALIAN PRODUCT INFORMATION - TRADE NAME (ACTIVE INGREDIENT)

1 NAME OF THE MEDICINE

  • The Australian Approved Name (AAN) of the therapeutically active ingredient or, in the case of a fixed dose combination or composite pack containing multiple therapeutically active ingredients, the AAN of each therapeutically active ingredient.

2 QUALITATIVE AND QUANTITATIVE COMPOSITION

  • A description of the formulation(s) including quantity, proportion or strength of each therapeutically active ingredient.
  • A description of relevant physical and chemical characteristics of each therapeutically active ingredient.
  • List of excipients with known effect, followed by the mandatory standard text 'For the full list of excipients, see Section 6.1 List of excipients.'

Note 1: For the purpose of this approved form, "quantitative composition" only relates to the quantity of the therapeutically active ingredient.

Note 2: Excipients with known effect are those listed in Schedule 1 to the Therapeutic Goods Order No. 91 - Standard for labels of prescription and related medicines and Schedule 1 to the Therapeutic Goods Order No. 92 - Standard for labels of non-prescription medicines.

Note 3: Australian Approved Names should be used for the excipients.

Note 4: For products registered prior to 1 January 2018, this section may be combined with section 3 under the heading '2 and 3 QUALITATIVE AND QUANTITATIVE COMPOSITION and PHARMACEUTICAL FORM'.

3 PHARMACEUTICAL FORM

  • Presentation of the medicine, including information about:
    • Dosage form.
    • Any other information relevant to the presentation or appearance of the medicine.

Note 5: The pharmaceutical form should be described by the AAN, together with a visual description of the appearance of the product (colour, markings, tablet scoring etc). In the case of products to be reconstituted before use, a reference to the appearance before reconstitution should be included.

4 CLINICAL PARTICULARS

4.1 THERAPEUTIC INDICATIONS

  • The therapeutic indications of the medicine.

Note 6: The specific therapeutic uses should be stated clearly and concisely, and should define the target disease or condition, distinguishing between treatment (symptomatic, curative or modifying the evolution or progression of the disease), prevention (primary or secondary) and diagnostic indications. Mandatory conditions of product usage, where relevant, should also be included if not covered more appropriately in other parts of the PI.

4.2 DOSE AND METHOD OF ADMINISTRATION

  • Dosage (dose and interval)
  • Method of administration
  • Dosage adjustment (if applicable) in:
    • renal impairment
    • hepatic impairment
    • dialysis
    • concomitant disease.
  • If relevant, the maximum tolerated daily dose and the maximum dose for an entire course of therapy.
  • Monitoring advice.
  • Other relevant information such as relationship to meals and compatibility with other medicines and fluids.

4.3 CONTRAINDICATIONS

  • A description of situations in which persons:
    • should never be treated with the medicine; and
    • should generally not be treated with the medicine.

Note 7: Situations where life threatening or fatal adverse reactions may occur can also be referred to.

4.4 SPECIAL WARNINGS AND PRECAUTIONS FOR USE

Note 8: The circumstances where caution is required in relation to the medicine should be described. The actions the health care professional should take should also be described. Information on special warnings and precautions should include, but not be limited to, information of the kind listed below. Additional information can also be provided if appropriate.

Note 9: Examples of the circumstances where caution is required could be in relation to particular population groups or clinical situations where dosage adjustment is required.

Note 10: An example of the actions the health care professional should take could be to specify particular investigations that may need to be carried out.

Identified precautions
  • Include identified precautions and special warnings specific to the use of the medicine under relevant sub-headings.
  • If not relevant, this subheading may be deleted from this section of the PI.

Note 11: Example subheadings include 'Hepatotoxicity', 'QT prolongation' etc. These should replace the term 'identified precautions' which is not intended as a subheading in the PI.

Use in hepatic impairment
  • If relevant, include a precaution regarding use of the medicine in persons with hepatic impairment.
  • If not relevant, this sub-heading may be deleted from this section of the PI.
Use in renal impairment
  • If relevant, include a precaution regarding use of the medicine in persons with renal impairment.
  • If not relevant, this sub-heading may be deleted from this section of the PI.
Use in the elderly
Paediatric use
Effects on laboratory tests

4.5 INTERACTIONS WITH OTHER MEDICINES AND OTHER FORMS OF INTERACTIONS

Note 12: In relation to interactions with other medicines or other forms of interaction (such as with food), include known clinically relevant interactions and other potentially serious interactions. Interactions should be grouped according to outcome, for example, potentiation or reduction of effect, and the mechanism of action should also be explained where this is known.

Note 13: If relevant, a cross-reference to 'Section 6.2 - Incompatibilities' may be included.

4.6 FERTILITY, PREGNANCY AND LACTATION

Note 14: The following subheadings are mandatory. If no data are available, then the following optional standard text may be included: 'No data available'.

Effects on fertility
Use in pregnancy

Note 15: Include a proposed or approved Australian Pregnancy Categorisation, any relevant standard text for the class of medicine and other information consistent with this categorisation, as well as effects on labour and delivery.

Use in lactation

4.7 EFFECTS ON ABILITY TO DRIVE AND USE MACHINES

  • Extent to which the medicine influences the ability of persons to drive or use machines.

Note 16: Medicines listed in Appendix K to the current Poisons Standard should include a sedation warning in this section.

Note 17: If the medicine was registered prior to 1 January 2018 and there is currently no statement regarding effects of ability to drive and use machines, then the following optional standard text may be included: 'The effects of this medicine on a person's ability to drive and use machines were not assessed as part of its registration'.

4.8 ADVERSE EFFECTS (UNDESIRABLE EFFECTS)

  • Severity, clinical importance and frequency of adverse effects.
  • Include information on how to report adverse events

Note 18: For clarity and consistency, the following format is preferred:

A table of adverse events (not adverse reactions) at a cut-off of, for example, 1% comparing the frequency of adverse events (n(%) or (%)) on drug with placebo/active comparator (if studies support this comparison) (usually very common and common);

A line listing of adverse reactions that fall below the cut-off by System Organ Classes (SOC) using CIOMS[1] frequencies (usually uncommon, rare); and

  • A post-marketing section of adverse reactions by system organ class using CIOMS frequencies (usually rare or very rare).
  • Note 19: The following mandatory standard text must be included in this section:

    'Reporting suspected adverse reactions after registration 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 at https://www.tga.gov.au/reporting-problems.'

    4.9 OVERDOSE

    • Symptoms, signs and recommended treatment of overdose or accidental poisoning.

    Note 20: The following mandatory standard text must be included under this heading:

    For information on the management of overdose, contact the Poisons Information Centre on 13 11 26 (Australia).

    Note 21: For all overdoses, the mainstay of treatment is supportive and symptomatic care. This should be emphasised before discussion of specific antidotes. Information on serious toxicity, Tmax, elimination half-life (in the setting of overdose) and the effectiveness of haemodialysis and repeated doses of activated charcoal in removing the medicine are very useful in the management of overdose. Any available information on these issues, including animal data, should be considered for inclusion.

    Note 22: If activated charcoal is considered to be potentially useful in the management of overdose of the medicine, then a suitable statement for inclusion would be:

    'Activated charcoal may reduce absorption of the medicine if given within one or two hours after ingestion. In patients who are not fully conscious or have impaired gag reflex, consideration should be given to administering activated charcoal via a nasogastric tube, once the airway is protected.'

    Note 23: Whole bowel irrigation may be useful in the management of overdose of slow release preparations with significant toxicity (eg. slow release calcium channel blockers) or medicine not absorbed by charcoal (eg. iron, lithium). If whole bowel irrigation is considered to be potentially useful in the management of overdose of the medicine, then a suitable statement for inclusion would be:

    'Whole bowel irrigation (eg. 1 or 2 litres of polyethylene glycol solution orally per hour until rectal effluent is clear) may be useful for gut decontamination.'

    Note 24: Syrup of Ipecac and gastric lavage are no longer considered to be standard therapy for gut decontamination. Reference to these interventions therefore need not routinely be included.

    Note 25: It is generally inappropriate to include LD50 values from any animal studies.

    5 PHARMACOLOGICAL PROPERTIES

    5.1 PHARMACODYNAMIC PROPERTIES

    Mechanism of action
    • The pharmacology and pharmacological actions of the medicine, especially in humans.
    Clinical trials
    • Clinical trials related to the indications, both positive and negative.

    Note 26: If the medicine was registered prior to 1991 and there have been no applications to the Therapeutic Goods Administration requiring the advice of either the Australian Drug Evaluation Committee (ADEC) or the Advisory Committee on Prescription Medicines (ACPM) since then, it is unlikely that suitable clinical trial data will be available. In that case, the Clinical Trials section may include the optional standard text 'No data available'.

    Note 27: For over the counter medicines not registered on the basis of clinical trial data, the Clinical Trials section may include the optional standard text 'No data available'.

    5.2 PHARMACOKINETIC PROPERTIES

    • Pharmacokinetics with subheadings in the order shown below, especially in humans.
    Absorption
    Distribution
    Metabolism
    Excretion

    5.3 PRECLINICAL SAFETY DATA

    • Preclinical safety data with subheadings in the order shown below.
    Genotoxicity
    Carcinogenicity

    6 PHARMACEUTICAL PARTICULARS

    6.1 LIST OF EXCIPIENTS

    • Complete list of excipients, including those listed in section 2.

    Note 28: Australian Approved Names should be used for the excipients.

    Note 29: If the medicine was registered prior to 1 January 2018, the following optional standard text may be used in this section: 'Refer to Section 2 - Qualitative and quantitative composition.'

    6.2 INCOMPATIBILITIES

    • Information on physical and chemical incompatibilities of the medicine with other products with which it is likely to be mixed or co-administered.

    Note 30: If the medicine was registered prior to 1 January 2018 and the approved PI did not require a statement on incompatibilities, then the following optional standard text may be used in this section: 'Incompatibilities were either not assessed or not identified as part of the registration of this medicine.'

    Note 31: If relevant, a cross-reference to 'Section 4.5 - Interactions with other medicines and other forms of interactions' may be included.

    6.3 SHELF LIFE

    • Duration of approved shelf-life

    Note 32: The following optional standard text may be used in place of the shelf-life information in this section: 'In Australia, information on the shelf life can be found on the public summary of the Australian Register of Therapeutic Goods (ARTG). The expiry date can be found on the packaging.'

    Note 33: If relevant, information on the in-use shelf life may be included in this section of the PI.

    6.4 SPECIAL PRECAUTIONS FOR STORAGE

    • Storage conditions.

    6.5 NATURE AND CONTENTS OF CONTAINER

    • Container type.
    • Pack sizes.

    Note 34: Reference should be made to the immediate container for the medicine using the AAN and the material of construction of the immediate container (for example, "glass vial", "PVC/Aluminium blisters"). Any other component of the product should be listed (for example, needles, swabs, measuring spoons, syringes or inhaler devices). The container of any solvent provided with the medicine should also be described.

    Note 35: All pack sizes should be listed. Pack sizes mentioned should include the number of units, total weight or volume of the immediate container (as appropriate) and the number of containers present in any outer carton.

    6.6 SPECIAL PRECAUTIONS FOR DISPOSAL

    Note 36: If there are no special precautions for disposal, then the following optional standard text may be used in this section: 'In Australia, any unused medicine or waste material should be disposed of by taking to your local pharmacy.'

    6.7 PHYSICOCHEMICAL PROPERTIES

    Chemical structure
    • The chemical structure of each therapeutically active ingredient, except in the case of therapeutically active ingredients that are:
      • inorganic salts or simple organic compounds where a molecular formula may be included;
      • complex biological molecules such as large peptides and proteins, where a simpler schematic presentation of the structure may be included; and
      • substances where the structure is not defined.
    CAS number
    • The Chemical Abstracts Service (CAS) Registry Number of the medicine.

    7 MEDICINE SCHEDULE (POISONS STANDARD)

    • The schedule of the current Poisons Standard in which the medicine is included (if applicable).

    8 SPONSOR

    • Name, street address and contact details of the sponsor of the medicine.

    Note 37: It is recommended that the PI include contact details such as an email address, phone number and/or website address for the sponsor.

    Note 38: If the medicine was registered prior to 1 January 2018 and the approved PI did not include these details, then inclusion of the sponsor name and street address only is acceptable.

    9 DATE OF FIRST APPROVAL

    • Date of first inclusion in the Australian Register of Therapeutic Goods.

    Note 39: To be completed when the medicine is included in the ARTG.

    10 DATE OF REVISION

    • Date of the most recent TGA approved changes to an approved PI.

    Note 40: To be completed at the time of any approval of change(s) to the approved PI, including changes to tradenames or approval of additional tradenames.

    Summary table of changes

    Section changed Summary of new information
       
       
       

    1. Council for International Organizations of Medical Sciences.