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Xomolix 2,5 mg/ml solucion inyectable

About the medicine

Como usar Xomolix 2,5 mg/ml solucion inyectable

Introduction

PROSPECTO: INFORMATION FOR THE USER

Xomolix 2.5 mg/ml injectable solution

Droperidol

Read this prospectus carefully before starting to use this medication, as it contains important information for you.

  • Keep this prospectus, as you may need to read it again.
  • If you have any doubts, consult your doctor or nurse.
  • If you experience adverse effects,consult your doctor, pharmacist, or nurse,eveniftheydo not appear in this prospectus. See section 4.

1. What is Xomolix and how it is used

2. What you need to know before Xomolix is administered

3. How to use Xomolix

4. Possible adverse effects

5.Storage ofXomolix

6. Contents of the package and additional information

1. What is Xomolix and what is it used for

Xomolix is an injection solution that contains the active ingredient droperidol, which belongs to a group of antipsychotics known as butyrophenone derivatives. Xomolix is used to prevent nausea or vomiting when waking up after an operation or when receiving morphine-derived analgesics after an operation.

2. What you need to know before they give you Xomolix

You should not be given Xomolix if:

  • You are allergic to droperidol, or to any of the other components of this medication (listed in section 6).
  • You are allergic to a group of medications used to treat psychiatric disorders, called butyrophenones (for example haloperidol, triperidol, benperidol, melperona, domperidona).
  • If you or someone in your family has abnormalities in the electrocardiogram (ECG).
  • You have low levels of potassium or magnesium in your blood.
  • You have a heart rate of less than 55 beats per minute (your doctor or nurse will check this), or you are taking medications that may cause this situation.
  • You have a tumor in your adrenal gland (pheochromocytoma).
  • You are in a coma.
  • You have Parkinson's disease.
  • You have severe depression.

Warnings and precautions

Consult your doctor or nurse before starting to use Xomolix.

  • If you have epilepsy, or a history of epilepsy.
  • If you have heart problems or a history of heart disease.
  • If you have a family history of sudden death.
  • If you have kidney problems (especially if you are on long-term dialysis).
  • If you have any lung disease or breathing difficulties.
  • If you have prolonged vomiting or diarrhea.
  • If you are using insulin.
  • If you are taking diuretics that cause potassium loss (for example furosemide or bendroflumethiazide).
  • If you are taking laxatives.
  • If you are taking glucocorticoids (a type of steroid hormone).
  • If you or someone in your family has a history of blood clots, as this type of medication has been associated with the formation of blood clots.
  • If you are or have been a heavy drinker (of alcohol).

Other medications and Xomolix

Inform your doctor or nurse if you are taking, have taken recently, or may need to take any other medication, as some medications cannot be taken with droperidol.

You should not use Xomolix if you are using any of the following medications, as the combination increases the risk of irregular heartbeat, which can lead to a heart attack:

What the medication is used for

Medication(s)

Heart arrhythmias, irregular heartbeat

Class IA and III antiarrhythmics

Infections (bacterial)

Macrolide antibiotics and fluoroquinolone antibiotics

Malaria

Antimalarial medications

Allergies

Antihistamines

Mental health disorders such as schizophrenia...

Antipsychotics

Heartburn

Cisapride

Infestation by a parasite or fungal infection

Pentamidine

Nausea (urge to vomit) or vomiting

Domperidone

Dependence on opioids; pain

Methadone

Metoclopramide and other neuroleptics should be avoided during treatment with Xomolix, as the risk of movement disorders induced by these medications increases.

Other medications may affect or be affected when used concomitantly with Xomolix. Droperidol, the active ingredient in Xomolix:

  • May increase the effects of sedatives such as barbiturates, benzodiazepines, and morphine derivatives.
  • May increase the effects of medications used to lower blood pressure (anti-hypertensives).
  • May increase the effects of other medications, such as certain antifungals, antivirals, and antibiotics.

You should talk to your doctor or nurse if you are taking any of these medications.

Use of Xomolix with alcohol

Avoid drinking alcoholic beverages for 24 hours before and after using Xomolix.

Pregnancy, breastfeeding, and fertility

If you are pregnant, consult your doctor, as they will decide whether you should use Xomolix.

The following symptoms may occur in newborns of mothers who used Xomolix in the last trimester of pregnancy (the last three months of pregnancy): tremors, stiffness, and/or muscle weakness, drowsiness, agitation, breathing difficulties, and feeding difficulties. If your baby develops any of these symptoms, you may need to contact your doctor.

If you are breastfeeding and are to be given Xomolix, treatment will be limited to a single administration. You can resume breastfeeding when you wake up from the operation.

Consult your doctor before using any medication.

Driving and operating machinery

Droperidol has a significant effect on your ability to drive and operate machinery.

Do not drive or operate machinery for at least 24 hours after taking Xomolix.

Xomolix contains sodium

This medication contains less than 1 mmol of sodium (23 mg) per ml, making it essentially "sodium-free".

3. How Xomolix is administered

Xomolix will be administered by a doctor via an intravenous injection.

The amount and manner in which Xomolix is administered will depend on the situation. Your doctor will determine the amount of Xomolix you need based on various criteria, including your weight, age, and medical condition.

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

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20.

4. Possible Adverse Effects

Like all medicines, this medicine may cause side effects, although not everyone will experience them.

Contact your doctor or nurse immediatelyif you experience any of the following serious side effects:

  • an increase in your body temperature, sweating, salivation, muscle stiffness, tremors. These may be signs of a condition known as malignant neuroleptic syndrome (rare side effect)
  • severe allergic reaction or rapid swelling in the face or throat, difficulty swallowing; hives and difficulty breathing (rare side effect)

The following side effects have also been reported:

Frequent side effects (may affect up to 1 in 10 people)

  • Drowsiness
  • Hypotension

Less frequent side effects (may affect up to 1 in 100 people)

  • Anxiety
  • Eye movement crisis (rotational eye movements)
  • Accelerated pulse (e.g. more than 100 beats per minute)
  • Dizziness

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

  • Confusion
  • Agitation
  • Irregular pulse
  • Skin rash

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

  • Blood disorders (usually related to red blood cells or platelets). Your doctor will advise you.
  • Change in mood to sadness, anxiety, depression, and irritability.
  • Involuntary muscle movements.
  • Seizures or tremors
  • Heart attack (cardiac arrest)
  • Sudden death
  • Torsade de pointes (life-threatening irregular pulse)
  • Prolongation of the QT interval on the electrocardiogram (a heart condition that affects heartbeats)

Other possible side effects of unknown frequency (frequency cannot be estimated from available data) are:

  • Inappropriate secretion of antidiuretic hormone (excessive hormone release leading to fluid retention and decreased sodium levels in the body)
  • Hallucinations
  • Seizures
  • Parkinson's disease
  • Fainting
  • Respiratory difficulties

Reporting of side effects

If you experience any type of side effect, consult your doctor, pharmacist, or nurse, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish System for Pharmacovigilance of Medicines for Human Use, website:www.notificaram.es.

By reporting side effects, you can contribute to providing more information on the safety of this medicine.

5. Conservation of Xomolix

  • Keep this medication out of the sight and reach of children.
  • Do not use this medication after the expiration date that appears on the packaging and on the ampule after Cad. The expiration date is the last day of the month indicated.
  • Store in the original packaging to protect it from light.
  • The solution must be used immediately, once opened.
  • Compatibility of droperidol with morphine sulfate has been demonstrated in a 0.9% sodium chloride solution (14 days at room temperature) in plastic syringes. From a microbiological point of view, the diluted product must be used immediately. If not used immediately, the time and conditions under which it has been stored once opened, before being used, are the responsibility of the user and normally should not exceed 24 hours, stored at a temperature between 2 and 8°C, unless the solution has been stored in validated and controlled aseptic conditions.
  • Do not use this medication if you observe visible signs of deterioration. The product must be visually inspected prior to use and only solutions that are transparent and free of particles should be used.
  • Medications should not be disposed of through drains or in the trash. Ask your pharmacist how to dispose of the packaging and medications that you no longer need. In this way, you will help protect the environment.

6. Contents of the packaging and additional information

Composition of Xomolix

  • The active principle is droperidol, each milliliter of solution contains 2.5 mg of droperidol.
  • The other components are mannitol, tartaric acid, sodium hydroxide, water for injectable preparations.

Appearance of the product and contents of the packaging

Xomolix is a transparent and colorless injectable solution.

The solution is contained in amber-colored glass ampoules. Each ampoule contains 1 milliliter of solution and is packaged in boxes containing 10 ampoules.

Holder of the marketing authorization and responsible for manufacturing

Holder of the marketing authorization

Responsible for manufacturing

SUBSTIPHARM

24 rue Erlanger

75016 Paris

France

DELPHARM TOURS

Rue Paul Langevin

37170 Chambray-les-Tours

France

This medicine is authorized in the member states of the European Economic Area with the following names:

Xomolix

Greece, Spain, Italy, Portugal

Dehydrobenzperidol

Belgium, Denmark, Finland, Luxembourg, Netherlands

Dridol

Iceland, Norway, Sweden

Last review date of this leaflet: April 2023

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS) http://www.aemps.gob.es/.

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Alina Tsurkan

Medicina familiar12 anos de experiência

A Dra. Alina Tsurkan é médica de clínica geral e familiar licenciada em Portugal, oferecendo consultas online para adultos e crianças. O seu trabalho centra-se na prevenção, diagnóstico preciso e acompanhamento a longo prazo de condições agudas e crónicas, com base em medicina baseada na evidência.

A Dra. Tsurkan acompanha pacientes com uma ampla variedade de queixas de saúde, incluindo:

  • Infeções respiratórias: constipações, gripe, bronquite, pneumonia, tosse persistente.
  • Problemas otorrinolaringológicos: sinusite, amigdalite, otite, dor de garganta, rinite alérgica.
  • Queixas oftalmológicas: conjuntivite alérgica ou infeciosa, olhos vermelhos, irritação ocular.
  • Problemas digestivos: refluxo ácido (DRGE), gastrite, síndrome do intestino irritável (SII), obstipação, inchaço abdominal, náuseas.
  • Saúde urinária e reprodutiva: infeções urinárias, cistite, prevenção de infeções recorrentes.
  • Doenças crónicas: hipertensão, colesterol elevado, controlo de peso.
  • Queixas neurológicas: dores de cabeça, enxaquecas, distúrbios do sono, fadiga, fraqueza geral.
  • Saúde infantil: febre, infeções, problemas digestivos, seguimento clínico, orientação sobre vacinação.

Outros serviços disponíveis:

  • Atestados médicos para a carta de condução (IMT) em Portugal.
  • Aconselhamento preventivo e consultas de bem-estar personalizadas.
  • Análise de resultados de exames e relatórios médicos.
  • Acompanhamento clínico e revisão de medicação.
  • Gestão de comorbilidades e situações clínicas complexas.
  • Prescrições e documentação médica à distância.

A abordagem da Dra. Tsurkan é humanizada, holística e baseada na ciência. Trabalha lado a lado com cada paciente para desenvolver um plano de cuidados personalizado, centrado tanto nos sintomas como nas causas subjacentes. O seu objetivo é ajudar cada pessoa a assumir o controlo da sua saúde com acompanhamento contínuo, prevenção e mudanças sustentáveis no estilo de vida.

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Áreas de atuação:

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  • Doenças crónicas: hipertensão, diabetes, colesterol elevado, gestão de múltiplas patologias.
  • Medicina do viajante: aconselhamento pré-viagem, vacinas, avaliação “fit-to-fly” e gestão de infeções relacionadas com viagens.
  • Saúde sexual e reprodutiva: prescrição de PrEP, prevenção e tratamento de infeções sexualmente transmissíveis.
  • Gestão de peso e bem-estar: planos personalizados para perda de peso, alterações no estilo de vida e saúde preventiva.
  • Dermatologia e sintomas de pele: acne, eczemas, infeções cutâneas e outras condições dermatológicas.
  • Baixa médica (Baixa por doença): emissão de certificados médicos válidos para a Segurança Social em Portugal.
Outros serviços:
  • Certificados médicos para troca da carta de condução (IMT)
  • Interpretação de exames e relatórios médicos
  • Acompanhamento clínico de casos complexos
  • Consultas online multilíngues (PT, EN, ES)
O Dr. Lopes combina um diagnóstico rápido e preciso com uma abordagem holística e empática, ajudando os pacientes a lidar com situações agudas, gerir doenças crónicas, viajar com segurança, obter documentos médicos e melhorar o seu bem-estar a longo prazo.
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  • Sintomas comuns: febre, dor de garganta, tosse, fadiga ou queixas digestivas
  • Doenças crónicas: hipertensão, diabetes, colesterol elevado e problemas da tiroide
  • Saúde mental: stress, insónias, ansiedade e burnout
  • Cuidados preventivos: check-ups, aconselhamento sobre estilo de vida e seguimento de tratamentos
  • Questões de saúde relacionadas com o trabalho, emissão de baixas médicas e orientação para o regresso à atividade laboral
O Dr. Meneses formou-se na Universidade da Beira Interior e tem vários anos de experiência com populações diversas.

Adota uma abordagem próxima, clara e orientada para fornecer aconselhamento médico prático, adaptado às necessidades de cada pessoa.

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O Dr. Ben Ami oferece diagnóstico, tratamento e acompanhamento em casos como:

  • Infeções respiratórias (constipações, gripe, bronquite, pneumonia).
  • Problemas de ouvidos, nariz e garganta, como sinusite, otite e amigdalite.
  • Problemas digestivos: gastrite, refluxo ácido, síndrome do intestino irritável (SII).
  • Infeções urinárias e outras infeções comuns.
  • Gestão de doenças crónicas: hipertensão, diabetes, distúrbios da tiroide.
  • Condições agudas que exigem atenção médica urgente.
  • Dores de cabeça, enxaquecas e lesões ligeiras.
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Com uma abordagem centrada no paciente e baseada em evidência científica, o Dr. Ben Ami acompanha pessoas em todas as fases da vida — oferecendo orientação médica clara, intervenções atempadas e continuidade nos cuidados.

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