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DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE

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About the medicine

How to use DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

diTeBooster

Injectable suspension, pre-filled monodose syringe

Injectable suspension, vial

Vaccine against diphtheria and tetanus (adsorbed, reduced antigen content)

Read all of this leaflet carefully before you receive this vaccine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • If you experience any side effects, talk to your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the package leaflet:

  1. What is diTeBooster and what is it used for.
  2. What you need to know before you are vaccinated with diTeBooster.
  3. How to be vaccinated with diTeBooster
  4. Possible side effects
  5. Storage of diTeBooster
  6. Package contents and further information.

1. What is diTeBooster and what is it used for

diTeBooster is a vaccine that protects against diphtheria and tetanus.

diTeBooster stimulates the body to produce antibodies against diphtheria and tetanus.

This vaccine can be used to revaccinate children (from 5 years of age) and adults who have already received primary vaccination against diphtheria and tetanus.

This vaccine is used to vaccinate children (from 5 years of age) and adults who have forgotten, not completed, or not received primary vaccination against diphtheria and tetanus.

In the case of deep or potentially contaminated wounds, this vaccine can be used as prevention against tetanus and as a booster against diphtheria.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you are vaccinated with diTeBooster

You should not be vaccinated with diTeBooster

  • if you are allergic to the active substances or to any of the other ingredients of the vaccine (listed in section 6).
  • if you have experienced severe side effects after previous vaccinations.

Warnings and precautions

Talk to your doctor, pharmacist, or nurse before you are vaccinated with diTeBooster.

  • if you have any illness. In the case of acute illness with fever, vaccination should be postponed.
  • if you are receiving any treatment that reduces the immune response (e.g., corticosteroids) or if you have any illness that increases the risk of bleeding.
  • if you have any allergies.
  • if you have not felt well after previous vaccinations.
  • if you are allergic to formaldehyde. The vaccine may contain traces of formaldehyde used during the manufacturing process.

Children and adolescents

Children under 5 years of age should not be vaccinated with diTeBooster.

Other medicines and diTeBooster

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including those bought without a prescription.

diTeBooster can be administered together with other vaccines, but in separate injections.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before you are vaccinated with diTeBooster.

Pregnancy

There are not enough data on the use of diTeBooster in pregnant women. If you are pregnant, your doctor will decide if the risk of tetanus and diphtheria infection is higher than the possible risk to the fetus from vaccination.

Breastfeeding

There are not enough data on the use of diTeBooster during breastfeeding, but no harmful effects of the vaccine have been reported in breastfed infants.

Driving and using machines

diTeBooster should not affect your ability to drive or use machines.

diTeBooster contains sodium

diTeBooster contains less than 1 mmol of sodium (23 mg) per dose; this is essentially "sodium-free".

3. How to be vaccinated with diTeBooster

The doctor or nurse will administer the vaccine intramuscularly.

The recommended dose is 0.5 ml for children (5 years of age or older) and adults.

If you or your child have not been previously vaccinated against diphtheria and tetanus, you may need to be vaccinated more than once. Follow your doctor's instructions.

If you have any other questions about the use of this vaccine, ask your doctor, pharmacist, or nurse.

Medicine questions

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Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this vaccine can cause side effects, although not everybody gets them.

Severe side effects

  • Severe allergic reactions (e.g., difficulty breathing, difficulty swallowing, itching in hands and feet, swelling of the face and around the eyes).

If you notice any of these reactions, contact your doctor immediately.

Other side effects are:

Very common (may affect more than 1 in 10 people)

  • Mild redness and swelling at the injection site.
  • Pain and itching at the injection site.
  • Headache and fatigue

Common (may affect up to 1 in 10 people)

  • General feeling of being unwell (feeling sick) and fever (temperature of 38°C or higher).
  • Severe redness and swelling of 5 cm or more at the injection site
  • Muscle pain.
  • Dizziness.
  • Nausea, vomiting, and diarrhea.

Uncommon(may affect up to 1 in 100 people)

  • Eczema and skin inflammation (dermatitis).

Rare(may affect up to 1 in 1,000 people)

  • High fever (temperature above 40°C).
  • Persistent itching nodules (granuloma) or sterile abscess at the injection site.
  • Hives.

Very rare (may affect up to 1 in 10,000 people)

  • Fainting.

Reporting of side effects:

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of diTeBooster

Keep this medicine out of the sight and reach of children.

Store in a refrigerator (between 2°C and 8°C).

Do not freeze.

Discard the vaccine safely if it has been frozen.

Do not use diTeBooster after the expiry date stated on the packaging after "EXP". The expiry date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Package contents and further information

Composition of diTeBooster

  • The active substances are:

1 dose (=0.5 ml) contains at least 2 international units of purified diphtheria toxoid and at least 20 international units of purified tetanus toxoid adsorbed on hydrated aluminum hydroxide, corresponding to 0.5 mg of aluminum.

Aluminum is included in this vaccine as an adjuvant. Adjuvants are substances included in certain vaccines to accelerate, enhance, and/or prolong the protective effects of the vaccine.

  • The other excipients are:

Sodium hydroxide, sodium chloride, and water for injections.

Appearance and package contents

diTeBooster is a colorless or pale yellow liquid with white and gray particles.

Each dose is provided as a pre-filled syringe or vial.

Package sizes: 1 x 0.5 ml, 5 x 0.5 ml, 10 x 0.5 ml, and 20 x 0.5 ml.

Vial size: 1 x 0.5 ml, 5 x 0.5 ml, and 10 x 0.5 ml.

Not all package sizes may be marketed.

Marketing authorization holder and manufacturer

AJ Vaccines A/S,

5, Artillerivej,

2300 Copenhagen S,

Denmark.

tel.: +45 7229 7000

fax: +45 7229 7999

e-mail: [email protected]

You can request further information about this medicine from the local representative of the marketing authorization holder:

MEDICARE PHARMA, S.L.

Pº de la Castellana, 177 3ºB

28046 Madrid, Spain

Tel. 91 3395489

This medicine is authorized in the Member States of the European Economic Area under the following names:

AT, DK, EL, ES, FI, IE, PT, NO, SE: diTeBooster

DE: Td-IMMUN

This leaflet was last revised in January 2024

--?------------------------------------?----------------------------------------------------?-------------------------

This information is intended only for healthcare professionals:

diTeBooster is used for the revaccination of children (≥ 5 years of age) and adults who have received primary immunization with at least 3 doses of diphtheria and tetanus vaccine.

diTeBooster is used to vaccinate children (≥ 5 years of age) and adults who have forgotten, not completed, or not received primary vaccination against diphtheria and tetanus.

diTeBooster can be used in the case of deep or potentially contaminated wounds, as prevention against tetanus and as a booster against diphtheria.

The use of diTeBooster should be carried out following local official recommendations.

Shake before use. After thorough resuspension, the vaccine should appear as a colorless or pale yellow suspension of white and gray particles.

The dose is 0.5 ml, administered intramuscularly.

Administration of booster doses of the diphtheria and tetanus vaccine should be carried out at intervals indicated by official recommendations (generally every 10 years). Too frequent booster vaccination will increase the risk of adverse reactions.

Individuals with unknown immune status or incomplete primary vaccination may be vaccinated with diTeBooster. More than one vaccine may be necessary to achieve protective immunity against diphtheria and tetanus. National recommendations should be followed.

In individuals with bleeding disorders, diTeBooster may be administered subcutaneously. Clinical studies have shown that fewer local reactions occur with intramuscular injection than with subcutaneous injection.

Necessary precautions should always be taken for the treatment of anaphylactic reactions.

The final product may contain trace amounts of formaldehyde used during the manufacturing process. Caution should be exercised in subjects with known hypersensitivity to formaldehyde.

Do not mix diTeBooster with other vaccines in the same syringe.

Concomitant administration of diTeBooster with other inactivated vaccines has not been studied. It is unlikely that concomitant administration will interfere with immune responses. If necessary, diTeBooster can be administered simultaneously with other vaccines, at a different injection site.

Disposal of unused medicine and all materials that have come into contact with it should be carried out in accordance with local regulations.

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Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
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Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Svetlana Kolomeeva

Cardiology 18 years exp.

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
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  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
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  • Hyperlipidaemia and elevated cholesterol.
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  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

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Marta Reguero Capilla

Allergology 8 years exp.

Dr Marta Reguero Capilla is an allergist and immunologist who works with both adults and children. She specialises in the diagnosis, treatment, and ongoing management of allergic and immune-related conditions through online consultations.

In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
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  • urticaria (acute and chronic) and angioedema;
  • food allergies and reactions to foods, additives, or medications;
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  • interpretation of laboratory tests, allergy testing, and immunology results;
  • immune system concerns, frequent infections, and reduced immune response;
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Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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Frequently Asked Questions

Is a prescription required for DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE?
DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE?
The active ingredient in DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE is tetanus toxoid, combinations with diphtheria toxoid. This information helps identify medicines with the same composition but different brand names.
Who manufactures DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE?
DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE is manufactured by Aj Vaccines A/S. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE?
Other medicines with the same active substance (tetanus toxoid, combinations with diphtheria toxoid) include DIFTAVAX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE, BEXSERO Injectable Suspension in Pre-filled Syringe, BEXSERO Injectable Suspension in Pre-filled Syringe. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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