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Australian public assessment for Ibuprofen - Therapeutic Goods ...

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I. Introduction to product submission<br />

Submission details<br />

AusPAR Caldolor <strong>Ibuprofen</strong> Phebra Pty Ltd PM-2010-02393-3-1<br />

Final 2 January 2013<br />

<strong>Therapeutic</strong> <strong>Goods</strong> Administration<br />

Type of Submission Major Variation (New dose <strong>for</strong>m/New route of administration)<br />

Decision: Approved<br />

Date of Decision: 28 February 2012<br />

Active ingredient(s): <strong>Ibuprofen</strong><br />

Product Name(s): Caldolor<br />

Sponsor’s Name and Address: Phebra Pty Ltd<br />

Locked Bag 3003, Hunters Hill, NSW 2110<br />

Dose <strong>for</strong>m(s): Concentrated injection<br />

Strength(s): 400 mg/4 mL and 800 mg/8 mL<br />

Container(s): Glass vial<br />

Pack size(s): 10 vials per carton<br />

Approved <strong>Therapeutic</strong> use: Caldolor injection is indicated in adults <strong>for</strong> the<br />

management of acute mild to moderate post operative<br />

pain and moderate to severe post-operative pain with<br />

adjunctive reduced morphine dosage, where an IV route<br />

of administration is considered clinically necessary.<br />

Route(s) of administration: Intravenous (IV)<br />

Caldolor is indicated <strong>for</strong> the reduction of fever in adults<br />

where an IV route of administration is considered<br />

clinically necessary<br />

Dosage: See Product In<strong>for</strong>mation (Attachment 1).<br />

ARTG Number (s) 175191 and 175190<br />

Product background<br />

<strong>Ibuprofen</strong> is a non-steroidal anti-inflammatory drug and a non-selective inhibitor of cyclooxygenase<br />

(COX)-1 and -2. It was first marketed in Australia in 1969. It is now registered<br />

by a large number of companies in a range of oral dosage <strong>for</strong>ms. This AusPAR describes<br />

application by Phebra Pty ltd to register the first injectable <strong>for</strong>m of ibuprofen, Caldolor, <strong>for</strong><br />

the management of mild to moderate pain, the management of moderate to severe pain as<br />

an adjunct to opioid analgesics and <strong>for</strong> the reduction of fever in adults. At this time, there<br />

are no parenteral <strong>for</strong>mulations of ibuprofen approved in Australia <strong>for</strong> use in fever or pain.<br />

The product is supplied at a concentration of 100 mg/mL, which must be diluted to 4<br />

mg/mL or less be<strong>for</strong>e administration. <strong>Ibuprofen</strong> is currently marketed as 200 mg and 400<br />

Page 4 of 118

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