| 4.2 Posology and method of administration
Dantrium Intravenous is not recommended for use in children
4.4 Special warnings and precautions for use (two new paragraphs)
The use of Dantrium Intravenous in the management of malignant hyperthermia is not a substitute for previously known supportive measures. It will be necessary to discontinue the suspect triggering agents, attend to increased oxygen requirements and manage the metabolic acidosis. When necessary institute cooling, attend to urinary output and monitor for electrolyte imbalance.
Hepatic dysfunction, including hepatitis and fatal hepatic failure, has been reported with dantrolene sodium therapy. Whilst the licensed indications of intravenous dantrolene sodium do not generally necessitate prolonged therapy, the risk of hepatic dysfunction may increase with dose and duration of treatment, based on experience with oral therapy. However in some patients it is of an idiosyncratic or hypersensitivity type, and could occur after a single dose.
4.6 Pregnancy and lactation
The safety of Dantrium intravenous in pregnant women has not been established; it should be given only when the potential benefits have been weighed against the possible risk to mother and child.
7. MARKETING AUTHORISATION HOLDER
SpePharm Holding B.V.
Kingsfordweg 151
1043 GR Amsterdam
The Netherlands
8. MARKETING AUTHORISATION NUMBER
PL 34413/0003
10. DATE OF REVISION OF THE TEXT
10/2009
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