Wockhardt UK Ltd

Ash Road North, Wrexham Industrial Estate, Wrexham, LL13 9UF
Telephone: +44 (0)1978 661 261
Fax: +44 (0)1978 660 130

Summary of Product Characteristics last updated on the eMC: 09/04/2010
SPC Morphine Sulphate 15mg/ml Injection BP

When a pharmaceutical company changes an SPC or PIL, a new version is published on the eMC. For each version, we show the dates it was published on the eMC and the reasons for change.

Updated on 09/04/2010 and displayed until Current
Reasons for adding or updating:
  • Change to section 1 -Name of the Medicinal product
Date of revision of text on the SPC:   17-Mar-2010
Legal Category:   POM
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company



Section 1 - addition of full pharmaceutical form to product name

Updated on 16/09/2008 and displayed until 09/04/2010
Reasons for adding or updating:
  • Change of Marketing Authorisation Holder
Date of revision of text on the SPC:   01-Sep-2007
Legal Category:   POM
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company

Section 7 - 'CP Pharmaceuticals Ltd' amended to 'Wockhardt UK Ltd'

Section 8 - PL 04543/0411 amended to PL 29831/0145

Section 9 & 10 amended
Updated on 21/09/2006 and displayed until 16/09/2008
Reasons for adding or updating:
  • Change to section 4.2 - Posology and Method of Administration
  • Change to section 4.3 - Contra-indications
  • Change to section 4.4 - Special Warnings and Precautions for Use
  • Change to section 4.5 - Interactions with other Medicaments and other forms of Interaction
  • Change to section 4.6 - Pregnancy and Lactation
  • Change to section 4.8 - Undesirable Effects
  • Change to section 4.9 - Overdose
  • Change to section 6.2 - Incompatibilities
  • Change to section 10 (date of (partial) revision of the text
Date of revision of text on the SPC:   11/2004
Legal Category:   POM
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company

Section 4.2  

Addition of text regarding the following:

·          Reduced dosage in hepatic impairment

·          Reduced dosage in moderate to severe renal impairment

·          Reduced dosage in debilitated patients.

·          Cross-reference to other concomitant illnesses/conditions in section 4.4

 

Section 4.3     

Deletion:

·          Acute abdomen

 

Additions:

·          Risk of paralytic ileus

·          Diarrhoea

 

Supplementary/amended information:

·          Acute respiratory depression

·          Obstructive airways disease (to be covered under section 4.4)

·          Convulsive disorder (move to section 4.4)

·          Interaction with MAOI (move to section 4.5)

·          Head Injury

·          Biliary colic (cross reference to biliary tract disorders in section 4.4)

 

Section 4.4

Deletions:

·          Myasthenia gravis

·          Biliary colic

 

Additions:

·          Convulsive disorders (moved from section 4.3)

·          Urethral stricture

·          Palliative care

·          Cross-referencing to section 4.2 (elderly, hepatic, renal)

 

Amendments/Supplementary:

·          Asthma and decreased respiratory reserve

·          Biliary tract disorders

·          History of drug abuse and dependence

 

 

Section 4.5     

Deletions:

·          Cisapride (no longer on UK market)

·          Cimetidine

·          Anaesthetics and hypotensives

 

Additions:

·          Antidiarrhoeals and antiperistaltic agents (increased risk of severe constipation)

 

Amended/supplementary information:

·          Antipsychotics

·          MAOIs (severe CNS excitation or depression with pethidine, similar interaction possible with other opioids – moved from section 4.3)

·          Ciprofloxacin

 

Section 4.6

Additional of the following text

·          Gastric stasis may increase the mother’s risk of inhalation pneumonia

 

Section 4.8

Deletions:

·          Muscle rigidity

·          Effects more common in ambulatory patients & in those without severe pain

·          Raised intracranial pressure

 

Additions:

·          Tachycardia

·          Dizziness

·          Headache

·          Rash

·          Visual disturbances

·          Sexual – decrease in libido or potency

·          Respiratory depression

 

Supplementary/amended information:

·          Hypothermia (moved to Overdose)

·          Restlessness (moved to Overdose)

·          Confusion/mental clouding

·          Mood changes – dysphoria

·          Urinary retention & tolerance to urinary effects

 

Section 4.9

Amendment of overdose symptoms:

·          Principle overdose symptoms listed first (coma, pinpoint pupils, respiratory depression)

 

Addition of overdose symptoms:

·          Bradycardia, severe dizziness, severe drowsiness, severe restlessness or nervousness, hallucinations, convulsions (especially in infants and children)

 

Deletion of overdose symptoms:

·          Nausea, vomiting, tremor, miosis, dysphoria (not identified in standard texts as key overdose symptoms)

 

Amendment of overdose treatment:

·          Use of naloxone

 

Section 6.2

Deletion:

·          Chlorpromazine hydrochloride injection

 

Addition:

·          Doxorubicin

·          Fluorouracil

·          Consult specialised references for compatibility information

Updated on 29/09/2003 and displayed until 21/09/2006
Reasons for adding or updating:
  • New SPC for eMC ie an SPC for an existing product, but one that is new for the eMC

Active Ingredients/Generics

 
   morphine sulphate