Twinrix

Twinrix

vaccine, hepatitis a + hepatitis b

Manufacturer:

GlaxoSmithKline

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Per 1 mL Inactivated HAV 720 ELISA U adsorbed, recombinant HBsAg 20 mcg adsorbed
Indications/Uses
Non-immune adult & childn ≥1 yr at risk of both hepatitis A & B infection.
Dosage/Direction for Use
IM Adult & adolescent ≥16 yr 3 primary doses at 0, 1, 6 mth (standard schedule) or 0, 7, 21 days followed by 4th dose at 12 mth (rapid schedule). Childn 1-15 yr 2 primary doses at 0, 6-12 mth. Booster dose General guideline can be drawn from experience w/ monovalent vaccines.
Contraindications
Hypersensitivity to the vaccine, neomycin or after previous inj.
Special Precautions
Not to be inj intravascularly. Not recommended for post-exposure prophylaxis (eg, needle-stick injury). Postpone vaccination in subjects w/ acute severe febrile illness. Syncope. Patients on haemodialysis or w/ impaired immune system. Pregnancy & lactation.
Adverse Reactions
Headache; inj site pain & redness, fatigue. GI symptoms eg, diarrhoea, nausea, vomiting; inj site swelling. Adult & childn ≥16 yr: Inj site reaction, malaise. Childn 1-15 yr: Loss of appetite; irritability. Drowsiness; fever.
Drug Interactions
Adequate response may not be achieved w/ immunosuppressants.
MIMS Class
Vaccines, Antisera & Immunologicals
ATC Classification
J07BC20 - combinations ; Belongs to the class of hepatitis viral vaccines.
Presentation/Packing
Form
Twinrix vaccine (inj) (pre-filled syringe) 1 mL
Packing/Price
1's (RM122/pre-filled syringe)
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