How to use DURATOBAL 100 micrograms/ml INJECTABLE SOLUTION
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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 theuser
DURATOBAL 100 micrograms/ml solution for injection
Carbetocin
Read all of this leaflet carefully before you start usingthis medicine, 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 or pharmacist.
- This medicine has been prescribed for you only, do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
- If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
Contents of the pack
- What DURATOBAL is and what it is used for
- What you need to know before you use DURATOBAL
- How to use DURATOBAL
- Possible side effects
- Storage of DURATOBAL
- Contents of the pack and further information
1. What DURATOBAL is and what it is used for
The active substance of DURATOBAL is carbetocin. It is similar to a substance called oxytocin, which is produced naturally by the body to contract the uterus during childbirth.
DURATOBAL is used in the treatment of women who have just given birth.
In some women, after childbirth, the uterus (womb) does not contract quickly enough. This makes it more likely that they will bleed more than usual. DURATOBAL makes the uterus contract and thus reduces the risk of bleeding.
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2. What you need to know before you use DURATOBAL
DURATOBAL should not be used until after the baby has been delivered.
Before using DURATOBAL, your doctor should know about any diseases you may have. You should tell your doctor about any new symptoms that develop while you are being treated with DURATOBAL.
Do not use DURATOBAL:
- if you are pregnant
- if you are in labor and the baby has not yet been delivered
- to induce labor
- if you are allergic to carbetocin or any of the other components of this medicine (listed in section 6)
- if you are allergic to oxytocin (whether administered by drip or injection during or after childbirth)
- if you have any kidney or liver disease
- if you have any severe coronary disease
- if you have epilepsy (repeated episodes of convulsions, loss of consciousness)
If you experience any of these symptoms, consult your doctor, midwife, or nurse.
Warnings and precautions
Tell your doctor, midwife, or nurse before receiving DURATOBAL
- if you have migraines (recurring headaches)
- if you have asthma (respiratory disorder with recurring episodes of difficulty breathing, wheezing, and coughing)
- if you have pre-eclampsia (high blood pressure during pregnancy) or eclampsia (toxemia of pregnancy - intense agitation, involuntary movements)
- if you have heart or circulation problems (such as high blood pressure)
- if you have any other disease
If you experience any of these symptoms, consult your doctor, midwife, or nurse.
DURATOBAL may cause water retention in the body, which can cause drowsiness, apathy, and headache.
Children and adolescents
Not relevant in children under 12 years.
Experience with adolescents is limited.
Using DURATOBAL with other medicines
Tell your doctor, midwife, or nurse if you are taking, have recently taken, or might take any other medicines.
Pregnancy and breastfeeding
DURATOBAL should not be used during pregnancy and childbirth until the baby has been delivered.
It has been seen that small amounts of carbetocin pass from the blood of breastfeeding mothers into breast milk, but it is assumed to be degraded in the infant's intestine. Breastfeeding does not need to be restricted after using DURATOBAL.
3. How to use DURATOBAL
DURATOBAL is administered by injection into one of your veins or into one of your muscles, immediately after the delivery of your baby. The dose is one vial (100 micrograms).
If you use more DURATOBAL than you should:
If you have accidentally used more DURATOBAL than you should, you may experience uterine hyperactivity with strong contractions that can lead to uterine rupture or postpartum hemorrhage. You may also experience drowsiness, apathy, and headache caused by fluid retention. You should be treated with other medication and possible surgery.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
When DURATOBAL is administered into one of your veins after acesarean
Very common: may affect more than 1 in 10 women
- nausea
- stomach pain
- pruritus (itching)
- flushing (red skin)
- feeling of warmth
- low blood pressure
- headache
- tremors
Common: may affect up to 1 in 10 women
- vomiting
- dizziness
- back or chest pain
- metallic taste in the mouth
- anemia (reduced red blood cells)
- shortness of breath
- chills
- general pain
Unknown: frequency cannot be estimated from the available data
- Accelerated heart rate, slow heart rate that can cause cardiac arrest (when the heart stops beating)
- Allergic reactions (including severe and sudden allergic reaction with difficulty breathing, swelling, dizziness, rapid heartbeat, sweating, low blood pressure, and loss of consciousness)
Side effects observed with similar products that may be expected with carbetocin:
Irregular heartbeats, chest pain, fainting or palpitations that may indicate that the heart is not beating correctly.
Occasionally, some women may experience sweating.
When DURATOBAL is administered into one of your muscles after a vaginal delivery
Uncommon: may affect up to 1 in 100 women
- nausea
- stomach pain
- vomiting
- low blood pressure
- anemia
- headache
- dizziness
- rapid heartbeat
- back or chest pain
- muscle weakness
- chills
- fever
- general pain
Rare: may affect less than 1 in 1,000 women
- flushing (red skin)
- pruritus (itching)
- shortness of breath
- tremors
- difficulty urinating
Unknown: frequency cannot be estimated from the available data
- Allergic reactions (including severe and sudden allergic reaction with difficulty breathing, swelling, dizziness, rapid heartbeat, sweating, low blood pressure, and loss of consciousness)
Side effects observed with similar products that may be expected with carbetocin:
Slow heart rate, irregular heartbeats, chest pain, fainting or palpitations that may indicate that the heart is not beating correctly.
Reporting of side effects
If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaram.es.
By reporting side effects, you can help provide more information on the safety of this medicine.
5. Storage of DURATOBAL
Keep this medicine out of the sight and reach of children.
Do not use DURATOBAL after the expiry date which is stated on the carton or vial after EXP. The expiry date is the last day of the month shown.
The vials of DURATOBAL are stored in the original package to protect from light. Store below 30°C. Do not freeze.
The solution should be used immediately after opening the vial.
6. Contents of the pack and further information
Composition of DURATOBAL:
The active substance is carbetocin. Each milliliter contains 100 micrograms of carbetocin.
The other ingredients are: L-methionine, succinic acid, mannitol, sodium hydroxide, and water for injection.
Appearance of DURATOBAL and contents of the pack.
Duratobal is a clear and colorless solution for injection, prepared for intravenous and intramuscular injection, and provided in packs of five 1 milliliter vials.
DURATOBAL should only be used in specialized obstetric units that are well equipped.
Marketing Authorization Holder:
FERRING S.A.U.
C/ del Arquitecto Sánchez Arcas 3, 1º
Madrid 28040
Spain
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Manufacturer:
FERRING GMBH
Wittland 11, D-24109 Kiel
Germany
This medicine is authorized in other EEA Member States under the following names:
PABAL/ DURATOCIN.
This text was approved in June 2023
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- Country of registration
- Dosage formINJECTABLE, 100 micrograms/milliliter
- ATC codeH01BB03
- Active substance
- Prescription requiredYes
- Manufacturer
- This information is for reference only and does not constitute medical advice. Always consult a doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
- Alternatives to DURATOBAL 100 micrograms/ml INJECTABLE SOLUTIONDosage form: INJECTABLE, 100 microgramsActive substance: carbetocinManufacturer: Gp Pharm S.A.Prescription requiredDosage form: INJECTABLE, 16.7 µg/mlActive substance: oxytocinManufacturer: Fresenius Kabi España, S.A.U.Prescription requiredDosage form: INJECTABLE, 10 IU oxytocinActive substance: oxytocinManufacturer: Alfasigma S.P.A.Prescription required
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Frequently Asked Questions
DURATOBAL 100 micrograms/ml INJECTABLE SOLUTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
The active ingredient in DURATOBAL 100 micrograms/ml INJECTABLE SOLUTION is carbetocin. This information helps identify medicines with the same composition but different brand names.
DURATOBAL 100 micrograms/ml INJECTABLE SOLUTION is manufactured by Ferring S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether DURATOBAL 100 micrograms/ml INJECTABLE SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.
You can buy DURATOBAL 100 micrograms/ml INJECTABLE SOLUTION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.
To obtain a prescription, you can use Oladoctor:
Other medicines with the same active substance (carbetocin) include CARBETOCINA GP-PHARM 100 micrograms Injectable Solution in Pre-filled Syringe, OXITOCIN KABI 10 IU/ML INJECTABLE SOLUTION AND PERFUSION SOLUTION, SYNTOCINON 10 IU/mL Injectable Solution and Perfusion Solution. 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.
