Updated on 26/01/2009 and displayed until 26/05/2009
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Reasons for adding or updating:
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Change to section 1 -Name of the Medicinal product
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Change to section 4.3 - Contraindications
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Change to section 4.4 - Special warnings and precautions for Use
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Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
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Change to section 4.6 - Pregnancy and Lactation
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Change to section 4.8 - Undesirable Effects
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Change to section 6. 3 - Shelf Life
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Change to section 6. 5 - Nature and Contents of Container
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Change to section 9 - Date of first Authorisation/renewal of the Authorisation
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Change to section 10 date of revision of the text
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| Date of revision of text on the SPC: 27-Oct-2008 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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Section 1: Name re-arrangement as per guidance.
Section 4.3: Added: Patients dependent on non-opioid drugs, hypersensitivity to methadone, use during an asthma attack.
Section 4.4: Added that caution should be used in hepatic/renal dysfunction. Added sections on: Addiction/tolerance/dependence, withdrawal, respiratory depression, hepatic disorders, constipation, neonates/children. Added caution for patients with acute alocholism, convulsive disroders, head injuries, raised intracranial pressure, hypothyroidism, adrenocortical insufficiency, prostatic hyperplasia, hypotension, shock, inflammatory or obstructive bowel disorders, myasthenia gravis, taking concurrent CNS depressants. Updated excipient warnings for sucrose.
Section 4.5: Added: SSRIs, histamine H2 antagonist, drugs causing reduced GI motility, pregnancy tests, St John's Wort. Expanded on: Rifampicin, anticonvulsants, MAOIs, pH or urine, antiretroviral agents.
Section 4.6: has been expanded.
Section 4.8: Added the following system organ classes: Cardiac, Nervous system, eye, ear and labyrinth, respiratory, gastrointestinal, renal and urinary, skin, endocrine, vascular, general, reproductive system and psychiatric.
Section 6.3: Added shelf life of HDPE pack
Section 6.5: Added container for HDPE pack
Section 9: Date of renewal added
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