Patient Leaflet Updated 17-Mar-2022 | Ranbaxy (UK) Limited a Sun Pharmaceutical Company
Epoprostenol 0.5 mg & 1.5 mg powder for solution for infusion
Epoprostenol 0.5 mg powder for solution for infusion
Epoprostenol 1.5 mg powder for solution for infusion
epoprostenol
1. What Epoprostenol is and what it is used for
2. What you need to know before you use Epoprostenol
3. How to use Epoprostenol
4. Possible side effects
5. How to store Epoprostenol
6. Contents of the pack and other information
Epoprostenol contains the active substance epoprostenol which belongs to a group of medicines called prostaglandins, which stop blood from clotting and widen the blood vessels.
Epoprostenol is used to treat a lung condition called ‘pulmonary arterial hypertension’. This is where the pressure is high in the blood vessels in the lungs. Epoprostenol widens the blood vessels to lower the blood pressure in the lungs.
Epoprostenol is also used to prevent blood clotting during kidney dialysis in emergency situations when heparin cannot be used.
If you think any of these apply to you, don’t use Epoprostenol until you have checked with your doctor.
Talk to your doctor before treatment with Epoprostenol
Epoprostenol is injected into a vein. It is important that the medicine does not leak out of the vein into the surrounding tissue. If it does, the skin could be damaged. The symptoms of this are:
This may be followed by blistering and shedding of the skin. While you are being treated with Epoprostenol, it is important that you check the injection area.
Contact the hospital immediately for advice if the area becomes sore, painful or swollen or you notice any blistering or shedding of the skin.
Epoprostenol can cause your heart to beat faster or slower. Also your blood pressure can become too low. While you are being treated with Epoprostenol your heart rate and blood pressure will be checked. The symptoms of low blood pressure include dizziness and fainting.
Tell your doctor immediately if you get these symptoms. Your dose may need to be reduced or your infusion stopped.
The safety and efficacy of Epoprostenol in children have not yet been established.
Tell your doctor or nurse if you are using, have recently used or might use any other medicines.
Some medicines may affect how Epoprostenol works, or make it more likely that you’ll have side effects.
Epoprostenol can also affect how some other medicines work if taken at the same time. These include:
Tell your doctor or nurse if you are taking any of these.
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before treatment with this medicine.
It is not known whether the ingredients of Epoprostenol can pass into breast-milk. You should stop breastfeeding your child during treatment with Epoprostenol.
Your treatment may have an effect on the ability to drive or use machinery.
Don’t drive or use machines if you’re feeling unwell.
This medicine contains less than 1 mmol sodium (23 mg) per dose, that is to say essentially ‘sodium- free’.
The diluted solution of Epoprostenol (pH 12) must not be used with administration materials containing polyethylene terephthalate (PET) or polyethylene terephthalate glycol (PETG).
Always use this medicine exactly as your doctor, nurse or pharmacist has told you. Check with your doctor or nurse if you are not sure.
Epoprostenol comes as a powder in a small glass vial. The powder needs to be dissolved before use.
Epoprostenol should not be given as a quick injection into your vein. It should always be given as an intravenous infusion (drip).
Your doctor will decide how much Epoprostenol is right for you. The amount you are given is based on your body weight, and your type of illness. Your dose may be increased or decreased depending on how well you respond to treatment.
Epoprostenol is given by slow infusion (drip) into a vein.
Your first treatment will be given to you in a hospital. This is because your doctor needs to monitor you and find the best dose for you.
You will start with an infusion of Epoprostenol. The dose will be increased until your symptoms are relieved and any side effects are manageable. Once the best dose has been found, a permanent tube (line) will be fitted into one of your veins. You can then be treated using an infusion pump.
You will be given an infusion of Epoprostenol for the duration of your dialysis.
If you are treating yourself at home, your doctor or nurse will show you how to prepare and use Epoprostenol. They will also advise you how to stop treatment if necessary. Stopping Epoprostenol must be done gradually. It is very important that you follow all their instructions carefully.
Epoprostenol comes as a powder in a glass vial. Before use, the powder needs to be dissolved in a liquid. The liquid does not contain a preservative. If you have any of the liquid left over, it must be thrown away.
If you have been fitted with a ‘line’ into a vein it is very important to keep this area clean, otherwise you could get an infection. Your doctor or nurse will show you how to clean your ‘line’ and the area around it. It is very important that you follow all of their instructions carefully. It is also very important that you carefully follow all instructions regarding the change of the pump drug delivery reservoir (cassette) and that you always use an extension set with an in-line filter, as instructed by your doctor to reduce the risk of an infection.
Seek urgent medical attention if you think you have used or been given too much Epoprostenol. Symptoms of overdose may include headache, nausea, vomiting, fast heart rate, warmth or tingling, or feeling like you might pass out (feeling faint/dizziness).
Do not use a double dose to make up for a forgotten dose.
Stopping Epoprostenol must be done gradually. If the treatment is stopped too quickly you may get serious side effects, including dizziness, feeling weak and breathing difficulties. If you have problems with the infusion pump or an injection line that stops or prevents treatment with Epoprostenol, contact your doctor, nurse or hospital immediately.
If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Very common (may affect more than 1 in 10 people)
Common (may affect up to 1 in 10 people)
Uncommon (may affect up to 1 in 100 people)
Rare (may affect up to 1 in 1000 people)
Very rare (may affect up to 1 in 10,000 people)
Not known (frequency cannot be estimated from the available data)
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date, which is stated on the vial label and carton after EXP. The expiry date refers to the last day of that month.
Do not freeze.
Keep the vial in the outer carton in order to protect from light.
The reconstituted solution should be further diluted to the final concentration within one hour of reconstitution (see Information intended for medical or healthcare professionals).
For storage conditions after reconstitution and dilution of the medicine see Information intended for medical or healthcare professionals.
Do not use this medicine if you notice any particles in the reconstituted solution.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
Epoprostenol 0.5 mg, powder for solution for infusion:
Epoprostenol 1.5 mg, powder for solution for infusion:
The other ingredients are glycine, sucrose and sodium hydroxide (for pH adjustment).
White to off-white powder in a clear glass vial with a rubber stopper and an aluminium flip-off cap.
Each pack contains one vial holding 0.5 mg powder.
Each pack contains one vial holding 1.5 mg powder.
Not all pack sizes may be marketed.
This medicine is authorised in the Member States of the European Economic Area and in the United Kingdom (Northern Ireland) under the following names:
Italy Epoprostenolo SUN
Netherlands Epoprostenol SUN
Spain Epoprostenol SUN
United Kingdom (Northern Ireland) Epoprostenol
This leaflet was last revised in December 2021
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