Medine.co.uk

Hypnorm Solution For Injection

Revised: July 2015

AN: 01556/2014


SUMMARY OF PRODUCTS CHARACTERISTICS


1.

NAME OF THE VETERINARY MEDICINAL PRODUCT



Hypnorm Solution for Injection


2.

QUALITATIVE AND QUANTITATIVE COMPOSITION



Active substances

Fentanyl citrate

(equivalent to fentanyl)

Fluanisone


Excipients

Methyl parahydroxybenzoate

Propyl parahydroxybenzoate



% w/v

0.0315

(0.0200)

1.0000


0.180

0.020


For a full list of excipients, see section 6.1.


3.

PHARMACEUTICAL FORM



Solution for injection.

A clear, colourless solution.


4.

CLINICAL PARTICULARS


4.1

Target species



Mice, rats, rabbits and guinea pigs.


4.2

Indications for use, specifying the target species



Neuroleptanalgesic for mice, rats, rabbits and guinea pigs.


Hypnorm alone produces satisfactory surgical anaesthesia for minor operations and diagnostic techniques for which muscle relaxation is not required.


It may be used in reduced quantities in conjunction with benzodiazepines to produce anaesthesia with muscle relaxation for major surgery.


4.3

Contraindications



None.


4.4

Special warnings for each target species



None.


4.5

Special precautions for use


i.

Special precautions for use in animals



In common with the use of other anaesthetic agents in small mammals, it is essential to maintain normothermia during any procedure.


ii.


Special precautions for the person administering the veterinary medicinal product to animals



iii.

Avoid all contact with skin, eyes and mouth.

Wash off splashes from skin or eyes immediately.

Wash hands and/or exposed skin after use/handling and before eating, drinking or smoking.

In case of accidental self-injection seek medical attention immediately and show the product label and/or pack leaflet to the doctor.


Other precautions


None.



4.6

Adverse reactions (frequency and seriousness)



None according to available data.


4.7

Use during pregnancy, lactation or lay



No information available on use during pregnancy or breast feeding.


4.8

Interaction with other medicinal products and other forms of interaction



None known.


4.9

Amounts to be administered and administration route



Hypnorm


Mice: 0.01 ml/30 g body weight (0.105 mg/kg body weight fentanyl citrate and 3.333 mg/kg body weight fluanisone) by intraperitoneal injection.


Rats: 0.4 ml/kg body weight (0.126 mg/kg body weight fentanyl citrate and 4 mg/kg body weight fluanisone) by intramuscular or intraperitoneal injection.


Rabbits: 0.5 ml/kg body weight (0.158 mg/kg body weight fentanyl citrate and 5 mg/kg body weight fluanisone) by intramuscular injection.


Guinea pigs: 1 ml/kg body weight (0.315 mg/kg body weight fentanyl citrate and 10 mg/kg body weight fluanisone) by intramuscular injection.


The duration of sedation and immobilisation is approximately 30-60 minutes. Analgesic effects may persist.


Hypnorm - benzodiazepine combinations

Hypnorm and Diazepam


Mice: 0.01 ml Hypnorm/30 g body weight (0.105 mg/kg body weight fentanyl citrate and 3.333 mg/kg body weight fluanisone) by intraperitoneal injection with 5 mg/kg body weight diazepam by intraperitoneal injection.


Rats: 0.3 ml Hypnorm/kg body weight (0.095 mg/kg body weight fentanyl citrate and 3 mg/kg body weight fluanisone) by intramuscular injection with 2.5 mg/kg body weight diazepam by intraperitoneal injection.


Rabbits: 0.3 ml Hypnorm/kg body weight (0.095 mg/kg body weight fentanyl citrate and 3 mg/kg body weight fluanisone) by intramuscular injection with 2 mg/kg body weight diazepam by intraperitoneal or intravenous injection.


Guinea pigs: 1 ml Hypnorm/kg body weight (0.315 mg/kg body weight fentanyl citrate and 10 mg/kg body weight fluanisone) by intramuscular injection with 2.5 mg/kg body weight diazepam by intraperitoneal injection.


This combination of drugs provides good surgical anaesthesia with muscle relaxation for about 20-40 minutes.


Hypnorm and midazolam


Clinical experience has shown that at appropriate dilutions, midazolam is miscible with Hypnorm. Midazolam 5 mg/ml and Hypnorm are each diluted with an equal volume of Water for Injection prior to mixing. The resulting mixture contains 1.25 mg/ml midazolam, 2.5 mg/ml fluanisone and 0.079 mg/ml fentanyl citrate and is administered as a single intraperitoneal injection.


Mice: 10 ml/kg body weight


Rats: 2.7 ml/kg body weight


Guinea Pigs: 8 ml/kg body weight


Rabbits: 0.3 ml Hypnorm/kg body weight (0.095 mg/kg body weight fentanyl citrate and 3 mg/kg body weight fluanisone) by intramuscular injection with 2.0 mg/kg body weight midazolam by intraperitoneal injection.


This combination of drugs provides good surgical anaesthesia with muscle relaxation for about 20-40 minutes.


4.10

Overdose (symptoms, emergency procedures, antidotes), if necessary



If respiratory depression occurs, administration of a reversing agent and oxygen may be required.

Reversing agents: Narcotic antagonists such as naloxone or partial agonists such as buprenorphine.


4.11

Withdrawal period



Do not use in rabbits intended for human consumption.



5.

PHARMACOLOGICAL PROPERTIES




Pharmacotherapeutic group: Analgesics, Opioids, Phenylpiperidine derivatives


ATC Vet Code: QN01AH51



The product is a neuroleptanalgesic for use in mice, rats, rabbits and guinea pigs. Fentanyl is an analgesic of the morphine type. Fluanisone is a neuroleptic of the butyrophenone group.


6.

PHARMACEUTICAL PARTICULARS


6.1

List of excipients



Methyl parahydroxybenzoate

Propyl parahydroxybenzoate

Lactic acid

Water for injection


6.2

Incompatibilities



None known.


6.3

Shelf life



Shelf-life of the veterinary medicinal product as packaged for sale: 3 Years.

Shelf-life after opening the immediate packaging: 28 days


6.4

Special precautions for storage



Do not store above 25C.

Following withdrawal of the first dose, use the product within 28 days.



6.5

Nature and composition of immediate packaging



10 ml colourless glass type I vial with rubber bromobutyl bung secured by an aluminium overseal.

Available in cartons containing 1 x 10 ml vial or 5 x 10 ml vials.

Not all pack sizes may be marketed.


6.6

Special precautions for the disposal of unused veterinary medicinal product or waste materials derived from the use of such products, if appropriate



Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements.


7

MARKETING AUTHORISATION HOLDER



Animal Medics UK Ltd

310 Chester Road

Hartford

Cheshire

CW8 2AB

UK


8.

MARKETING AUTHORISATION NUMBER(S)



Vm 41760/4000


9.

DATE OF FIRST AUTHORISATION



Date: 26 July 1995


10.

DATE OF REVISION OF THE TEXT



11.

Date: December 2012


PROHIBITION OF SALE, SUPPLY AND/OR USE


This product falls within the regime of Controlled Drugs Schedule 2





APPROVED 20/07/15

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