HPE HPE 90 – November 2018 | Page 4

READY-TO-USE Ibuprofen B. Braun 4 mg / ml and 6 mg / ml in Ecoflac® plus Make mixing a thing of the past Ibuprofen is recommended for the following indications in adults: 1 Ibuprofen B. Braun 400 mg Short-term symptomatic treatment of actue moderate pain Short-term symptomatic treatment of fever Ibuprofen B. Braun 600 mg Short-term symptomatic treatment of actue moderate pain 1. SmPC Ibuprofen, B. Braun. B. Braun Melsungen AG | www.bbraun.com Ibuprofen B. Braun 400 mg Solution for Infusion / Ibuprofen B. Braun 600 mg Solution for Infusion COMPOSITION Ibuprofen B.Braun 400 mg Solution for Infusion Each ml of solution contains 4 mg of Ibuprofen. Each 100 ml bottle contains 400 mg of Ibuprofen. Excipient with known effect: Each ml of solution contains 9.10 mg of sodium chloride (3.58 mg of sodium). Each 100 ml bottle contains 910 mg of sodium chloride (358 mg of sodium). Ibuprofen B.Braun 600 mg Solution for Infusion Each ml of solution contains 6 mg of Ibuprofen. Each 100 ml bottle contains 600 mg of Ibuprofen. Excipient with known effect: Each ml of solution contains 9.15 mg of sodium chloride (3.60 mg of sodium). Each 100 ml bottle contains 915 mg of sodium chloride (360 mg of sodium). Excipients L-arginine, Sodium chloride, Hydrochloric acid, Sodi- um hydroxide, Water for injections THERAPEUTIC INDICATIONS - Ibuprofen B. Braun 400 mg is indicated in adults for the short-term symptomatic treatment of acute moderate pain, and for the short-term symptomatic treatment of fever, - Ibuprofen B. Braun 600 mg is indicated in adults for the short-term symptomatic treatment of acute moderate pain, when administration by intravenous route is clinically justified when other routes of administration are not possible. CONTRAINDICATIONS - Hypersensitivity to the active substance, to other NSAIDs or to any of the excipients - A history of bronchospasm, asthma, rhinitis, angioedema or urticaria associated with taking acetylsalicylic acid (ASA) or other non-steroidal anti-inflammatory drugs (NSAIDs); - Conditions involving an increased tendency or ac- tive bleeding such as thrombocytopenia; - Active, or history of recurrent peptic ulcer / haem- orrhage (two or more distinct episodes of proven ulceration or bleeding); - History of gastrointestinal bleeding or perforation, related to previous NSAIDs therapy; - Cerebrovascular or other active bleeding; - Severe hepatic or renal insufficiency; - Severe heart failure (NYHA Class IV); - Severe dehydration (caused by vomiting, diarrhoea or insufficient fluid intake); - Pregnancy, in the last trimester. UNDESIRABLE EFFECTS Very common (≥ 1 / 10) : Fatigue or sleeplessness, headache, dizziness, pyrosis, abdominal pain, nausea, vomiting, flatulence, diar- rhoea, constipation and slight gastro-intestinal blood losses that may cause anaemia in exceptional cases. Common (≥ 1 / 100 to < 1 / 10) : Vertigo, gastrointestinal ulcers, potentially with bleed- ing and perforation. Ulcerative stomatitis, exacerbation of colitis and Crohn´s disease, skin eruption, pain and burning sensation in the administration site. Uncommon (≥ 1 / 1000 to < 1 / 100) : Hypersensitivity reactions with skin rashes and itch- ing, as well as asthma attacks (possibly with drop in blood pressure), anxiety, restlessness, insomnia, ag- itation, irritability or tiredness, visual disturbances, tinnitus, gastritis, urticaria, pruritus, purpura (in- cluding allergic purpura), skin rash, reduced urinary excretion and formation of oedemas, particularly in patients with arterial hypertension or renal insufficien- cy, nephrotic syndrome, interstitial nephritis that may be accompanied by acute renal insufficiency. Rare (>1 / 10 000, <1 / 1000) : Psychotic reactions, nervousness, irritability, con- fusion or disorientation and depression, reversible toxic amblyopia, hearing disorders, esophageal ste- nosis, exacerbation of diverticular disease, unspecific haemorrhagic colitis, if gastrointestinal bleeding occurs could cause anemia and haematemesis, stiff neck, renal tissue damage (papillary necrosis), partic- ularly in long-term therapy, increased serum uric acid concentration in the blood. Very rare (<1/10000): Exacerbation of infection-related inflammations (e. g. development necrotising fasciitis) coinciding with the use of non-steroidal anti-inflammatory drugs has been described. This is possibly associated with the mechanism of action of the non-steroidal anti-in- flammatory drugs. Disturbances to blood formation (anaemia, agranulocytosis, leucopenia, thrombocyto- penia, and pancytopenia,). First symtomps are: fever, sore throat, superficial mouth wounds, influen- za-like complaints, severe lassitude, nosebleeds and skin bleeding, systemic lupus erythematosus, severe hypersensitivity reactions, face oedema, swelling of the tongue, swelling of the internal larynx with constriction of the airways, difficulty breathing, palpitations, hypotension and life threatening shock), Aseptic meningitis (stiff neck, headache, nausea, vomiting, fever or confusion). Patients with auto- immune disorders (SLE, mixed connective-tissue disease) appear to be predisposed. Palpitations, heart failure, myocardial infarction, arterial hypertension, asthma, bronchospasm, dyspnoea and wheezing, oesophagitis, pancreatitis, formation of intestinal, diaphragm-like strictures, jaundice, hepatic dys- function, hepatic damage, particularly in long-term therapy, acute hepatitis, hepatic insufficiency. Bullous reactions including Stevens-Johnson syndrome and toxic epidermal necrolysis (Lyell’s syndrome), erythema multiforme alopecia. Photosensitivity reactions and allergic vasculitis. In exceptional cases, severe skin infections and soft-tissue complications in varicella infection (see also “Infections and infestations”). Site of injection reactions such as swelling, haematoma or bleeding. WARNINGS Keep out of the sight and reach of children. For single use in one patient only. MARKETING AUTHORIZATION HOLDER B. Braun Melsungen AG, 34209 Melsungen, Germany Last revision: 06 / 2017 Prescription only Not all products are registered and approved for sale in all countries or regions. Indications of use may also vary by country and region. Please contact your country repre- sentative for product availability and information.