EPISALVAN Gel Ref.[50043] Active ingredients: Betulin

Source: European Medicines Agency (EU)  Revision Year: 2020  Publisher: Amryt GmbH, Streiflingsweg 11, 75223 Niefern-Öschelbronn, Germany tel +49 (0) 7233 9749 0 fax +49 (0) 7233 9749 – 210 Email: info.de@amrytpharma.com

4.1. Therapeutic indications

Treatment of partial thickness wounds in adults.

See section 4.4 and 5.1 with respect to type of wounds studied.

4.2. Posology and method of administration

Posology

The gel should be applied to the wound surface at a thickness of approximately 1 mm and covered by sterile wound dressing. The gel should be re-applied at each wound dressing change, until the wound is healed, for up to 4 weeks (see section 4.4 “wound size” and “duration of use”).

Special populations

Renal or hepatic impairment

No formal studies have been conducted with Episalvan in patients with renal or hepatic impairment. No dose adjustment or special considerations are anticipated for patients with renal or hepatic impairment (see section 5.2).

Elderly

No dose adjustment is required.

Paediatric population

The safety and efficacy of Episalvan in children and adolescents under 18 years have not yet been established. No data are available.

Method of administration

For cutaneous application.

Fresh wounds should achieve haemostasis prior to application of Episalvan. If necessary, wounds (accidental wounds) should be cleaned according to standard procedure, using e.g. wound antiseptic solution, prior to application of Episalvan.

Episalvan is for single use only.

4.9. Overdose

Overdosing with Episalvan is unlikely: in patients in which wound sizes >300 cm² were repeatedly treated with Episalvan, no betulin plasma levels could be detected.

No data have been generated to study the effect of accidental ingestion of Episalvan.

6.3. Shelf life

4 years.

Once opened, the product should be used immediately and be discarded after use.

6.4. Special precautions for storage

Store below 30°C.

6.5. Nature and contents of container

White collapsible aluminium tube, interior lacquered with epoxy phenolic coating, and with a sealing compound in the fold. The tubes are closed with a tamper-evident aluminium membrane and fitted with a white polypropylene screw cap. The tube is packed in a cardboard box.

Pack size: 1 tube containing 23.4 g gel.

6.6. Special precautions for disposal and other handling

No special requirements.

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