This information is intended for use by health professionals

1. Name of the medicinal product

Naseptin Nasal Cream

2. Qualitative and quantitative composition

Chlorhexidine dihydrochloride

Neomycin sulfate

0.1% w/w

0.5% w/w

Excipients: Contains 8% w/w (80mg/g) cetostearyl alcohol

For a full list of excipients, see section 6.1

3. Pharmaceutical form

A smooth white cream with a fatty odour.

4. Clinical particulars
4.1 Therapeutic indications

Eradication of nasal infection with, and carriage of, Staphylococci.

4.2 Posology and method of administration

For nasal application only.

A small amount of Naseptin is placed on the little finger and applied to the inside of each nostril.

For prophylaxis: Naseptin is applied as above, twice daily, to prevent patients from becoming carriers and to inhibit the dispersion of Staphylococci.

For eradication of infection: Naseptin is applied four times daily for 10 days to eliminate organisms from the nares.

Children and elderly patients: There are no special dosage recommendations for either children or elderly patients.

4.3 Contraindications

Patients who have previously shown a hypersensitivity reaction to neomycin or chlorhexidine, although such reactions are extremely rare.

4.4 Special warnings and precautions for use

For nasal application only. Keep out of the eyes and ears.

Naseptin contains Arachis oil (peanut oil) and should not be taken/applied by patients known to be allergic to peanut. As there is a possible relationship between allergy to peanut and allergy to Soya, patients with Soya allergy should also avoid Naseptin.

Irritative skin reactions can occasionally occur. Prolonged use of neomycin can lead to skin sensitisation, ototoxicity and nephrotoxicity. Use with caution in children, elderly patients and patients with impaired hearing (see Section 4.8 'Undesirable effects').

4.5 Interaction with other medicinal products and other forms of interaction

None known.

4.6 Pregnancy and lactation

Chlorhexidine and neomycin cannot be detected in the blood following application of Naseptin and its use is unlikely to have any effect on the foetus or on breast feeding.

4.7 Effects on ability to drive and use machines

None known.

4.8 Undesirable effects

Undesirable effects are listed by MedDRA System Organ Classes.

Assessment of undesirable effects is based on the following frequency groupings:

Very common: ≥1/10

Common: ≥1/100 to <1/10

Uncommon: ≥1/1,000 to <1/100

Rare: ≥1/10,000 to <1/1,000

Very rare: <1/10,000

Not known: cannot be estimated from the available data

System Organ Class

Frequency

Undesirable Effect

Immune system disorders

Not known

• anaphylaxis

Nervous system disorders

Not known

• temporary hyposmia

• temporary ageusia

Ear and labyrinth disorders

Not known

• ototoxicity1

Skin and subcutaneous tissue disorders

Not known

• Irritative skin reactions

• skin sensitisation

Renal and urinary disorders

Not known

• nephrotoxicity

1Use with caution in children, elderly patients and patients with impaired hearing (see Section 4.4 'Special warnings and precautions for use').

Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme. Tel: Freephone 0808 100 3352. Website: www.mhra.gov.uk/yellowcard.

4.9 Overdose

Accidental ingestion of the contents of a Naseptin tube is unlikely to have any adverse effects on the patient.

5. Pharmacological properties
5.1 Pharmacodynamic properties

Chlorhexidine is effective against a wide range of Gram negative and Gram positive vegetative bacteria, yeasts, dermatophyte fungi and lipophilic viruses. It is inactive against bacterial spores except at elevated temperatures.

Neomycin is a rapidly bactericidal aminoglycoside antibiotic effective against Gram positive organisms including staphylococci and a wide range of Gram negative organisms. Strains of Pseudomonas aeruginosa are resistant to neomycin, as are fungi and viruses.

5.2 Pharmacokinetic properties

Because of its cationic nature, chlorhexidine binds strongly to the skin, mucosa and other tissues and is thus very poorly absorbed. No detectable blood levels have been found in man following oral use and percutaneous absorption, if it occurs at all, is insignificant.

Neomycin is either not absorbed or is absorbed only minimally through intact skin. Any neomycin which is absorbed will be rapidly excreted by the kidneys in an unchanged state.

5.3 Preclinical safety data

There are no pre-clinical data of relevance to the prescriber which are additional to those already included in other sections of the Summary of Product Characteristics.

6. Pharmaceutical particulars
6.1 List of excipients

Arachis oil, cetostearyl alcohol, cetostearyl alcohol/ethylene oxide condensate, purified water.

6.2 Incompatibilities

Hypochlorite bleaches may cause brown stains to develop in fabrics which have previously been in contact with preparations containing chlorhexidine.

Chlorhexidine is incompatible with soap and other anionic agents.

6.3 Shelf life

3 years.

6.4 Special precautions for storage

Store below 30°C.

6.5 Nature and contents of container

Collapsible, internally lacquered aluminium tubes of 15g with white food-grade polyethylene screw caps.

6.6 Special precautions for disposal and other handling

For nasal application only.

7. Marketing authorisation holder

Alliance Pharmaceuticals Limited

Avonbridge House

Bath Road

Chippenham

Wiltshire

SN15 2BB

8. Marketing authorisation number(s)

PL16853/0024

9. Date of first authorisation/renewal of the authorisation

August 1999

10. Date of revision of the text

25 May 2017

11. Legal status

POM