ANTI-CHF VACCINE
 
CRIMEAN HAEMORRHAGIC FEVER VACCINE, INACTIVATED
 
COMPOSITION

One dose of the vaccine ( 1 ml ) consist of:
Active substance:
Inactived antigen (CHF virus strain V 42/81) with titer in RBC
not less than 1:300
Àuxilary substances:
Aluminium hydroxide aluminum 0.8 mg/ml
Thiomersal 0.2 mg/ml
Sodium hydrogen carbonate 0.38 mg/ml
Sodium chloride 8.5 mg/ ml
Phenol red as indicator 0.2 mg/ml
Tobramycin traces
Water for injection q. s. 1 ml


DOSSAGE AND PACKAGE

The vaccine is an injection suspension (for subcutaneous injection) of 1 ml - 1 dose.
In one secondary package there are 50 ampoules.


PHARMACO-THERAPEUTIC GROUP OR EFFECT

The vaccine builds specific active protective immunity against the CHF virus - 14 days after the first injection. The appearance of complement-binding antibodies is established.


THERAPEUTIC INDICATIONS

The vaccine is designed for the protection against infection with the CHF Virus for persons over 16 years of age (boarder army units, medical workers, agricultural workers and other persons, living in CHF endemic regions).


CONTRAINDICATIONS
  • acute infectious diseases, including during the period of convalescence, 30 days after the clinical symptoms
  • febrile conditions
  • active form of tuberculosis
  • decompensated hearth disease
  • diabetes, thyrotoxicosis and adrenal insufficiency in decompensation phase
  • acute phlogistic diseases of the central nervous system - meningitis, encephalitis, meningo-encephalitis
    Recovered patients of CHF need no immunization
  • Chronic or active hepatitis and liver cirrhosis
    After entering clinic and biochemical remission, immunization is allowed after consultation with a specialist
  • Acute glomerulonephritis
    The immunizations are to be deferred until the 6th month after recovery
  • Neurotic syndrome
    The immunizations are to be deferred until the corticosteroid treatment is brought to an end
  • Allergy
    -children with direct hereditary allergies (parents, other children in the family) are to be immunized under the protection of anti-allergic means;
    - contra-indications of immunization are anamnestic data of shock, edema of Quince and other severe allergic reactions to allergens, contained in the vaccines.
  • Autoimmune diseases


SPECIAL PRECAUTIONS FOR USE

The immunization is to begin after an examination by a physician.
The vaccine is to be used only before its "expiry" term has expired and if the intactness of the ampoule is preserved and the vaccine looks normal. The vaccine looks normal if it is with yellow to orange over-suspension liquid and whitish suspension, which when shaken homogenizes - to opalescence without aggregated particles.
When the ampoule is opened and the injection is made with all the necessary requirements for antiseptics.
If persons with hypersensitivity are immunized, antihistamine preparations must be prescribed together with the immunization, at the discretion of the physician
.

The vaccine must NOT be made intravenously

MEDICAL INTERACTIONS AND OTHER FORMS OF INTERACTIONS
After the application of gamma-globulin specific for CHF, if immunization with CHF vaccine is necessary, 30 days should pass. In case of corticosteroid preparations use or immunosuppressive treatment, when according to vital indications, it is possible that the vaccination may turn out unsuccessful. This necessitates establishing the protective status (availability of complement-binding antibodies) with the view of a possible continuation of the immunization with CHF vaccine.
No interactions with alcohol, tobacco and foods are described.

SPECIAL PRECAUTIONS CONCERNING USE BY SPECIFIC GROUPS OF PATIENTS (CHILDREN, PREGNANT AND BREAST-FEEDING WOMEN, ELDERY PATIENTS, PERSONS IN SPECIFIC PATHOLOGICAL CONDITIONS).
No tests have been carried out for possible terratogen action of the medicinal product during pregnancy, thus the vaccine is not recommended in such cases. For breast-feeding - no side interactions of the medicinal product have been described in the practice.


INFLUENCE ON THE ABILITY TO DRIVE AND OPERATE MACHINES

There are no data for influence on the ability to drive and operate machines.

DATA FOR AUXILIARY SUBSTANCES THAT ARE TO BE KNOWN REGARDING THE PRODUCT SAFETY
Thiomersal - may cause allergic reaction.

INFORMATION ON THE CORRECT USE:
DOSAGE AND MODE OF APPLICATION:
1 ampoule = 1ml = 1 dose
Before use shake energetically the ampouled vaccine until it turns into homogeneous suspension. The vaccine from an open ampoule is to be applied immediately deep subcutaneously in the area of the shoulder blade under its lower edge.

PRIMARY IMMUNIZATION
Two injections of 1 ml (one dose) with an interval of 30 - 45 days.

REIMMUNIZATION
The first reimmunization is to be done with one injection of 1 ml (one dose) 1 year after the first application and then every 5 years.

It is advisable that the immunization starts in the pre-epidemic period (March-April).

DURATION OF THE TREATMENT WHEN IT HAS TO BE RESTRICTED
See Reimmunization

WHAT TO DO IN CASE OF OVER-DOSE (SYMPTOMS, EMERGENCY MEASURES)
No over-dosing is allowed.

WHAT TO DO IN CASE OF MISSED DOSES
The course shall be started anew - with the primary immunization.

INSTRUCTIONS IN CASE OF NECESSITY, WHEN DISCONTINUING THE PRODUCT USE IS CONNECTED WITH RISKS
In case of tick bite and temperature over 37.5°C, immediately apply specific CHF-bulin.

UNDESIRED SIDE REACTINS:
The application of CHF vaccine may be accompanied with local and general reactions of the organism. The local reactions manifest themselves in slight reddening of the place of injected. The general reaction may manifest itself in an increase of the body temperature up to 37.5°C.

STORAGE
ANTI-CHF VACCINE should be stored and transported between +2°C and +8°C
IT MUST NOT BE FROZEN.
Keep away from children.

SHELF LIFE
The vaccine has an expiry term of 24 months as of the date of production, printed on the package. Never use a vaccine with an expired term.

NAME AND ADDRESS OF MANUFACTURER
BB - NCIPD Ltd. BULGARIA
1504 Sofia, 26 Yanko Sakazov Blvd.
Tel.:**359 2 944 61 91
Fax: **359 2 943 30 75
E-mail: bulbio@bulbio.com

Last Revision: May 2007


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