Section 4.2 (posology) statement added in pregnancy section concerning benzyl alcohol. Section 4.3 (Contraindications) updated to add uncontrolled severe hypertension, acute or subacute septic endocarditis, injuries and operations on the ears, abortus imminens, epidural anaesthesia, premature babies and neonates.
Section 4.4 (Warnings & Precautions) updated to add patients with increased risk of bleeding complications, hypertension, drugs affecting platelet function, intramuscular injection, lumbar puncture and thrombocytopenia. Warnings added concerning benzyl alcohol and parahydroxybenzoates.
Section 4.5 (Interactions) updated list of drugs affecting platelet function or coagulation system.
Section 4.6 (Pregnancy & Lactation) updated - heparin should be used with caution in pregnant women and only if benefits outweigh risks. Precaution required due to uteroplacental haemorrhage, especially at time of delivery. Contraindicated in women with abortus imminens. Information added on benzyl alcohol and use of this formulation in pregnancy.
Section 4.8 (undesirable effects)- section completely re-written and frequencies added.
Section 4.9 (overdose) - first paragraph re-written to reflect minor or severe haemorrhage.
|