Consumer medicine information

Avaxim

Hepatitis A vaccine

BRAND INFORMATION

Brand name

Avaxim

Active ingredient

Hepatitis A vaccine

Schedule

S4

 

Consumer medicine information (CMI) leaflet

Please read this leaflet carefully before you start using Avaxim.

AVAXIM™

AVAXIM™


 Consumer Medicine Information (CMI) summary

The full CMI on the next page has more details. If you are worried about using this medicine, speak to your doctor or pharmacist.


 1. Why am I using AVAXIM?

AVAXIM contains the active ingredient Hepatitis A Virus (inactivated, adsorbed). AVAXIM is a vaccine used to help prevent Hepatitis A infection.

For more information, see Section 1. Why am I using AVAXIM? in the full CMI.

 2. What should I know before I use AVAXIM?

Do not use if you have ever had an allergic reaction to AVAXIM or any of the ingredients listed at the end of the CMI.

Talk to your doctor if you have any other medical conditions, take any other medicines, or are pregnant or plan to become pregnant or are breastfeeding.

For more information, see Section 2. What should I know before I use AVAXIM? in the full CMI.

 3. What if I am taking other medicines?

Some medicines may interfere with AVAXIM and affect how it works.

A list of these medicines is in Section 3. What if I am taking other medicines? in the full CMI.

 4. How do I use AVAXIM?
  • AVAXIM is given as an injection into your upper arm muscle by a doctor or nurse.
  • Your doctor will usually give you one injection, followed by another injection 6 to 36 months later.

More instructions can be found in Section 4. How do I use AVAXIM? in the full CMI.

 5. What should I know while using AVAXIM?

Things you should do
  • Keep an updated record of your vaccinations.
  • Attend any other appointments made by your doctor or nurse.
  • Report any side effects to your doctor.
Things you should not do
  • Do not have AVAXIM if you have had a severe reaction to a previous injection of this vaccine.
Looking after your medicine
  • AVAXIM is usually stored in the doctor's surgery or clinic, or at the pharmacy.

For more information, see Section 5. What should I know while using AVAXIM? in the full CMI.

 6. Are there any side effects?

The more common side effects of AVAXIM include local reaction around the injection site, bruising, mild fever, headaches, unusual weakness, aching muscles, muscle tenderness or weakness (not caused by exercise), painful, swollen joints, nausea, diarrhoea, vomiting or abdominal pain, fainting, severe allergic reaction and seizures. Mostly these are mild and short-lived.

For more information, including what to do if you have any side effects, see Section 6. Are there any side effects? in the full CMI.


AVAXIM™

Active ingredient(s): Hepatitis A Virus (inactivated, adsorbed)


 Consumer Medicine Information (CMI)

This leaflet provides important information about using AVAXIM. You should also speak to your doctor or pharmacist if you would like further information or if you have any concerns or questions about using AVAXIM.

Where to find information in this leaflet:

1. Why am I using AVAXIM?
2. What should I know before I use AVAXIM?
3. What if I am taking other medicines?
4. How do I use AVAXIM?
5. What should I know while using AVAXIM?
6. Are there any side effects?
7. Product details

1. Why am I using AVAXIM?

AVAXIM contains the active ingredient Hepatitis A Virus (inactivated, adsorbed). AVAXIM is a vaccine used to help prevent Hepatitis A infection.

Hepatitis A is an infection caused by a virus which is usually transmitted in unclean food or drink. It may also be transmitted by sharing needles and some sexual practices.

The vaccine contains inactivated virus and is injected into the body. The body then produces its own protection by making disease-fighting substances (antibodies) to fight the virus. The vaccine cannot cause the infection. If a vaccinated person comes into contact with live virus the body is usually ready to destroy it. However, as with all vaccines, 100% protection against hepatitis A cannot be guaranteed. Avaxim will not protect against hepatitis caused by other agents or viruses (such as hepatitis B, hepatitis C, or hepatitis E).

As with most vaccines, AVAXIM may not protect every person.

AVAXIM is recommended in adults and children aged 2 years and older.

2. What should I know before I use AVAXIM?

Warnings

Do not use AVAXIM if:

  • you are allergic to AVAXIM, or any of the ingredients listed at the end of this leaflet.
    Always check the ingredients to make sure you can use this medicine.
  • you have had a severe reaction to a previous injection of this vaccine.
  • the child is under 2 years of age. The safety and efficacy of AVAXIM in these children has not been established.

Check with your doctor if you:

  • have or have had any medical conditions, especially the following:
    - Lowered immunity due to diseases such as some blood disorders, leukaemia, malaria, kidney disease requiring dialysis, HIV/AIDS or cancer.
    - Lowered immunity due to treatment with medicines such as corticosteroids, cyclosporin or other medicines used to treat cancer (including radiation therapy).
If you have lowered immunity then the vaccine may not work as well as it would in healthy individuals.
  • take any medicines for any other condition.
  • have ever had a serious allergic reaction to a vaccine.
  • have an illness with a high temperature or any acute illness. Your doctor may decide to delay vaccine until the illness has passed. A mild illness, such as a cold, is not usually a reason to delay vaccination.
  • have any allergies to:
    - neomycin.
    - any other medicines.
    - any other substances, such as foods, preservatives, or dyes.
  • are pregnant or intend to become pregnant.

During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them. See additional information under Section 6. Are there any side effects?

Pregnancy and breastfeeding

Check with your doctor if you are pregnant or intend to become pregnant.

AVAXIM is not recommended for use during pregnancy. If there is a need to consider AVAXIM during your pregnancy, your doctor will discuss with you the benefits and risks of having it.

Talk to your doctor if you are breastfeeding or intend to breastfeed.

Your doctor will discuss the possible risks and benefits of having AVAXIM during breastfeeding.

3. What if I am taking other medicines?

Tell your doctor or pharmacist if you are taking any other medicines, including any medicines, vitamins or supplements that you buy without a prescription from your pharmacy, supermarket or health food shop.

Having other vaccines

As AVAXIM does not contain any live bacteria or viruses, it can generally be given at the same time as other inactivated vaccines, but at a different injection site.

AVAXIM can be given at the same time as yellow fever vaccine or polysaccharide typhoid vaccine at different injection sites.

Other medicines should be taken as usual after the vaccination.

Check with your doctor or pharmacist if you are not sure about what medicines, vitamins or supplements you are taking and if these affect AVAXIM.

4. How do I use AVAXIM?

How AVAXIM is given

  • AVAXIM is given as an injection into your upper arm muscle by a doctor or nurse.
  • For some people with bleeding disorders, the dose may need to be given under the skin.
  • AVAXIM should not be injected directly into the veins or into the buttocks.
  • The dose is the same for adults and children, 0.5 mL of vaccine. The first injection is followed by a second injection 6 to 36 months later in order to give long-term protection. AVAXIM may be given as a second injection to those who have previously been vaccinated with another inactivated hepatitis A vaccine.
  • It is important to return at the scheduled date for the second dose. If you miss a scheduled dose, talk to your doctor and arrange another visit as soon as possible.
  • Because hepatitis A infection can go undetected for a long period of time, it is possible that an individual may already be infected at the time the vaccine is given. The vaccine may not prevent hepatitis A in these individuals.

How much is injected

  • Your doctor will usually give you one injection, followed by another injection 6 to 36 months later.
5. What should I know while using AVAXIM?

Things you should do

  • Keep an updated record of your vaccinations.
  • Attend any other appointments made by your doctor or nurse.
  • Report any side effects to your doctor.

Remind any doctor, nurse, dentist or pharmacist you visit that you are using AVAXIM.

Looking after your medicine

  • AVAXIM is usually stored in the doctor's surgery or clinic, or at the pharmacy. However, if you need to store AVAXIM
    - Keep it where children cannot reach it.
    - Keep AVAXIM in the original pack until it is time for it to be given.
    - Keep it in the refrigerator, between 2°C and 8°C. Do not freeze AVAXIM. Freezing destroys the vaccine.

Follow the instructions in the carton on how to take care of your medicine properly.

Getting rid of any unwanted medicine

If you no longer need to use this medicine or it is out of date, take it to any pharmacy for safe disposal.

Do not use this medicine after the expiry date.

6. Are there any side effects?

All medicines can have side effects. If you do experience any side effects, most of them are minor and temporary. However, some side effects may need medical attention.

Do not be alarmed by this list of possible side effects.

You may not experience any of them.

See the information below and, if you need to, ask your doctor or pharmacist if you have any further questions about side effects.

Less serious side effects

Less serious side effectsWhat to do
Skin-related:
  • Local reaction around the injection site such as pain sometimes associated with redness. The appearance of a nodule at the injection site has been observed in very rare cases
  • Rash sometimes associated with itchiness of skin, or pinkish, itchy swelling on the skin
General body:
  • Mild fever
  • Bruising
Neurological-related:
  • Headaches
  • Unusual weakness
  • Fainting
  • Seizures
Musculoskeletal-related:
  • Aching muscles, muscle tenderness or weakness (not caused by exercise)
  • Painful, swollen joints
Gastrointestinal-related:
  • Stomach upsets such as nausea, diarrhoea, vomiting or abdominal pain
Liver-related:
  • Mild reversible rise in liver enzyme that can only be found when your doctor does tests
Speak to your doctor if you have any of these less serious side effects and they worry you.

Serious side effects

Serious side effectsWhat to do
Allergy-related:
  • Severe allergic reaction. Symptoms may include:
    - Shortness of breath, wheezing or difficulty breathing
    - Swelling of the face, lips, tongue or other parts of the body
    - Skin rash, itching or hives
Call your doctor straight away, or go straight to the Emergency Department at your nearest hospital if you notice any of these serious side effects.

Tell your doctor or pharmacist if you notice anything else that may be making you feel unwell after you have been given AVAXIM.

Other side effects not listed here may occur in some people.

Reporting side effects

After you have received medical advice for any side effects you experience, you can report side effects to the Therapeutic Goods Administration online at www.tga.gov.au/reporting-problems. By reporting side effects, you can help provide more information on the safety of this medicine.

Always make sure you speak to your doctor or pharmacist before you decide to stop taking any of your medicines.

7. Product details

This medicine is only available with a doctor's prescription.

What AVAXIM contains

Active ingredient
(main ingredient)
  • 160 antigen units hepatitis A virus (inactivated, adsorbed)

The hepatitis A virus that this vaccine contains was grown in a cell line derived from human embryonic lung in the 1960s.

Other ingredients
(inactive ingredients)
  • Aluminium hydroxide hydrate
  • Phenoxyethanol
  • Ethanol absolute
  • Formaldehyde
  • Medium 199 (Hanks) supplemented with Polysorbate 80
  • Neomycin (trace)
  • Bovine serum albumin (trace)

The manufacture of this product includes exposure to bovine derived materials. No evidence exists that any case of vCJD (considered to be the human form of bovine spongiform encephalopathy) has resulted from the administration of any vaccine product.

Potential allergensN/A

Do not take this medicine if you are allergic to any of these ingredients.

What AVAXIM looks like

Each pack of AVAXIM contains one syringe filled with inactivated Hepatitis A vaccine.

Aust R 194815

Who distributes AVAXIM

Australia:

sanofi-aventis australia pty ltd
12-24 Talavera Road
Macquarie Park NSW 2113
Australia
Tel: 1800 818 806

New Zealand:

Pharmacy Retailing (NZ) Ltd t/a Healthcare Logistics
PO Box 62027
Sylvia Park Auckland 1644
Freecall: 0800 283 684
Email: medinfo.australia@sanofi.com

This leaflet was prepared in September 2023.

avaxim-ccdsv10-cmiv5-22sep23

Published by MIMS November 2023

BRAND INFORMATION

Brand name

Avaxim

Active ingredient

Hepatitis A vaccine

Schedule

S4

 

1 Name of Medicine

Hepatitis A virus (inactivated, adsorbed).

2 Qualitative and Quantitative Composition

Avaxim is a sterile suspension for injection containing formaldehyde-inactivated hepatitis A virus (GBM strain) adsorbed onto aluminium hydroxide hydrate.
Each 0.5 mL dose contains:
Active ingredient. Hepatitis A virus* 160 antigen units**.
* GBM strain cultured on MRC-5 human diploid cells. MRC-5 is a cell line that was derived from human embryonic lung tissue in the 1960s.
** In the absence of an international standardised reference, the antigen content is expressed using an in-house reference.
The manufacture of this product includes exposure to bovine derived materials. No evidence exists that any case of vCJD (considered to be the human form of bovine spongiform encephalopathy) has resulted from the administration of any vaccine product.
Contains phenylalanine and residual neomycin.
For the full list of excipients, see Section 6.1 List of Excipients.

3 Pharmaceutical Form

Suspension for injection.
Avaxim is a cloudy, whitish suspension.

4 Clinical Particulars

4.9 Overdose

Cases of administration of more than the recommended dose (overdose) have been reported with Avaxim. The adverse events reported in these cases did not differ in nature to those described in Section 4.8 Adverse Effects (Undesirable Effects).
For information on the management of overdose, contact the Poisons Information Centre on 13 11 26 (Australia).

5 Pharmacological Properties

ATC code: J: Anti-infectives for systemic use; J07 (vaccines) B (Viral vaccines) C (Hepatitis vaccines) 02 (Hepatitis A, inactivated, whole virus).

5.3 Preclinical Safety Data

Genotoxicity. Avaxim has not been evaluated for the genotoxic potential.
Carcinogenicity. Avaxim has not been evaluated for the carcinogenic potential.

6 Pharmaceutical Particulars

6.7 Physicochemical Properties

Not applicable to vaccines.

7 Medicine Schedule (Poisons Standard)

S4 - Prescription Only Medicine.

Summary Table of Changes

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