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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

Started taking the medicine and have questions?

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.

Online doctors for DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE

Discuss questions about DITEBOOSTER SUSPENSION FOR INJECTION IN PRE-FILLED SINGLE-DOSE SYRINGE, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
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She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
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  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
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  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
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  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
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  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
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  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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  • Pediatric Advanced Life Support (PALS)
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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
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Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

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Doctor

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.
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  • 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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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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