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          Abbreviated Prescribing Information: Omeprazole 1 mg/                                              STRENGTH
          ml,  Powder  for  Oral  Suspension. Consult Summary of                                                                     ARE YOU PREPARED
          Product Characteristics before prescribing. Presentation:
          White/off-white/slightly  yellow  powder,  each  ml  of
          reconstituted  suspension  contains  1  mg  of  omeprazole.
          Therapeutic Indications:  Omeprazole  Oral  Suspension  is
          indicated for treatment of refl ux esophagitis; Symptomatic                                                                   FOR WASTE
          treatment of heartburn and acid regurgitation in gastro-
          esophageal  refl ux  disease  in  children  aged  1  –  12
          months of age. Posology and Method of Administration:
          Omeprazole Oral Suspension should be taken on an empty
          stomach  following  reconstitution,  at  least  30  minutes
          before a meal. The oral suspension should not be mixed
          or administered with any drinks or foods other than milk.
          Omeprazole  can  be    administered  via  nasogastric  (NG)                                                                  MANAGEMENT
          or  percutaneous  endoscopic  gastrostomy  (PEG)  tubes.
          Paediatric population aged 1 month to 12 months:
          Omeprazole 1 mg/ml oral suspension should be used for
          patients weighing ≥ 2 kg to ≤ 5 kg. 1 mg/kg body weight
          once daily is recommended. Individual dose measurements
          ≤ 2 ml are not indicated. The treatment time is 4-8 weeks
          for refl ux esophagitis and 2–4 weeks for heartburn and                                                                       LEGISLATION?
          acid  regurgitation  in  gastro-esophageal  refl ux  disease.
          Dose adjustment is not needed in patients with impaired
          renal  function. Contraindications:  Hypersensitivity  to  the
          active substance, substituted benzimidazoles or to any of
          the excipients listed and concomitant use with nelfi navir.
          Special Warnings and Precautions for use: Caution should
          be  exercised  when  used  as  Omeprazole  may  alleviate                                                                  In Wales, from 6th April 2024,
          symptoms of malignancy and delay diagnosis. Concomitant
          use with atazanavir is not recommended. Omeprazole may                                                                     new legislation will mean material
          reduce the absorption of vitamin B12 and the potential for
          interactions with drugs metabolised through CYP2C19 should                                                                 that is prime for recycling must
          be considered. Severe hypomagnesaemia has been reported
          in patients treated with proton pump inhibitors (PPIs) like                                                                be separated prior to collection
          omeprazole for at least three months, and in most cases
          for a year. Increased risk of hip, wrist and spine fracture                                                                for processing off site and kept
          in high doses and over long durations (>1 year) should be
          considered. Severe cutaneous adverse reactions are reported                                                                separate throughout waste
          in association with omeprazole treatment. Treatment should                                                                 processing activities.
          be discontinued in case of suspected acute tubulointerstitial
          nephritis  and  subacute  cutaneous  lupus  erythematosus.
          Omeprazole  treatment  should  be  stopped  for  at  least
          5  days  before  Increased  Chromogranin  measurements.
          Slightly  increased  risk  of  gastrointestinal  infections  such
          as  Salmonella  and  Campylobacter  are  associated  with
          proton pump inhibitors. Care should be exercised in patients                                                                 There are six streams of recyclable waste defined within the new legislation which are referred
          with reduced kidney function or patients on a controlled
          potassium diet as this medicine contains 54.3 mg (1.39   Making a happy difference for babies                                to as a facility’s “separation requirements”:
          mmol) potassium per ml or 271.5 mg (6.95 mmol) of
          potassium per 5 ml dose. Allergic reactions may be caused
                                                                      *
          by  the  excipient  sodium  methyl  para  hydroxybenzoate.
          Risk  for  neonatal  jaundice  should  be  considered  and   with GORD  and their parents
          patients  with  fructose  intolerance  should  not  take  this                                                                        Food Waste – for any facility             Material Waste – Metals,
          medicine as it contains maltitol. Any warning from the                                                                                creating more than 5KG of                 Plastics and other packaging             Paper and
          MC, CHM CSM or MHRA. No. Black Triangle notice (if                                                                                                                                                                       Card
          relevant):  N/A.  Legal Category:  POM.  The reported   A new 1mg/ml strength of licensed liquid                                      waste per week                            of a similar composition
          adverse reactions are:  Leukopenia,  thrombocytopenia,
          Agranulocytosis,  pancytopenia,  Hypersensitivity  reactions   omeprazole for babies from 1-12 months
          e.g. fever, angioedema and anaphylactic reaction/shock,
          Hyponatraemia,  Hypomagnesaemia;  hypocalcaemia,                                                                                                                                Electronic                               Unsold
          hypokalaemia, Insomnia, Agitation, confusion, depression,   Developed specifi cally to meet the needs of babies over one               Glass
          Aggression,   hallucinations,   Headache,   Dizziness,                                                                                                                          Equipment                                Textiles
          paraesthesia, somnolence, Taste disturbance, Blurred vision,   month who suffer with GORD, Omeprazole 1mg/ml Powder
          Vertigo,  Bronchospasm,  Abdominal  pain,  constipation,
          diarrhoea, fl atulence, nausea/vomiting, fundic gland polyps   for Oral Suspension is an extension to Rosemont’s innovative
          (benign), Dry mouth, stomatitis, gastrointestinal candidiasis,
          Microscopic colitis, Increased liver enzymes, Hepatitis with   range of licensed liquid omeprazole products. The product has a
          or  without  jaundice,  Hepatic  failure,  encephalopathy  in
          patients with pre-existing liver disease, Dermatitis, pruritus,   natural Strawberry fl avour. Strawberry fl avour is most
          rash, urticaria, Alopecia, photosensitivity, acute generalized                                                             FULL DETAILS OF COMMERCIAL
          exanthematous  pustulosis  (AGEP),  drug  reaction  with   popular with children.  The new strength is unique              REQUIREMENTS CAN BE FOUND IN:
                                                                        1
          eosinophilia  and  systemic  symptoms  (DRESS),  Erythema
          multiforme,  Stevens-Johnson  syndrome,  toxic  epidermal   in that it can be mixed with a small quantity of baby’s
          necrolysis (TEN), Subacute cutaneous lupus erythematosus,                                                                  WALES
          Fracture  of  the  hip,  wrist  or  spine,  Arthralgia,  myalgia,   milk to make administration easier. View our video     “Separate Collection of Waste Materials for
          Muscular  weakness,  Tubulointerstitial  nephritis  (with
          possible  progression  to  renal  failure),  Gynaecomastia,   Scan to see   guide to constitution via the QR code or for more   Recycling – A Code of Practice for Wales”
          Malaise,  peripheral  oedema,  Increased  sweating.  Pack   constitution
          Size and NHS Price:  Each  bottle  contains  90ml  of   video  information, visit www.rosemontpharma.com
          oral  suspension  of  which  at  least  75ml  is  intended  for                                                            ENGLAND
          dosing-  £111.00.  Marketing Authorisation Number:  PL
          34111/0005.  Marketing Authorisation Holder:  Xeolas                                                                       “Environment Act 2021”
          Pharmaceuticals Limited, Hamilton Building, DCU, Glasnevin,   *Gastro oesophageal refl ux disease
          Dublin 9, Ireland. Date of Preparation: July 2023.
          Reference 1. Generation R. What fl avour would children   Rosemont Pharmaceuticals Ltd. Rosemont House, Yorkdale Industrial Park, Braithwaite Street, Leeds LS11 9XE  T +44 (0)113 244 1400  F +44 (0)113 245 3567
          choose  for  their  medicine?  Available  at:  https://  E infodesk@rosemontpharma.com  Sales/Customer Service:  T +44 (0) 113 244 1999  F +44 (0) 113 246 0738  W www.rosemontpharma.com
          generationr.org.uk/what-fl avour-would-children-choose-
          for-their-medicines/  Accessed August 2023.   Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard  Adverse events should also be reported to Rosemont Pharmaceuticals Ltd on 0113 244 1400.  View Rubbermaid Commercial Product solutions here via LYRECO.CO.UK
                                                                                                      ROS000019-001 September 2023
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      ROS000019-001 Omeprazole Paediatric A4 Ad.indd   1                                                           03/10/2023   15:38
                                                                                                                   03/10/2023   15:38
      ROS000019-001 Omeprazole Paediatric A4 Ad.indd   1
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