Details of SPC changes:
- Section 4.2: safety related change (addition of information related to proactive management of diarrhoea) and format changes
- Section 4.3: hypersensitivity contraindication updated to specify that contraindicated in ‘severe’ hypersensitivity cases
- Section 4.4: safety-related change (addition of: when prescribing HYCAMTIN) and format changes
- Section 4.5: addition of information relating to in vivo pharmacokinetic studies (No in vivo human pharmacokinetic interaction studies have been performed.)
- Section 4.6: format changes
- Section 4.8: safety-related changes (addition of severe bleeding, information relating to fatal cases of interstitial lung disease, potential for nausea, vomiting and diarrhoea to cause dehydration, addition of info relating to fatalities due to sepsis) and format changes
- Section 5.1: format changes
- Section 5.2: safety-related changes (correction of figures relating to overall recovery of administered dose after renal clearance) and format changes
- Section 10: update to date last updated and update of EMA contact details.
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