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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
 1
 exanthematous  pustulosis  (AGEP),  drug  reaction  with   popular with children.  The new strength is unique   REQUIREMENTS CAN BE FOUND IN:
 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
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 ROS000019-001 Omeprazole Paediatric A4 Ad.indd   1  03/10/2023   15:38
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