Package Insert: Information for the User
Moxifloxacino Kabi 400 mg/ 250 ml Solution for Infusion EFG
Read this package insert carefully before you start taking this medicine, because it contains important information for you.
Moxifloxacino Kabi contains moxifloxacino as the active ingredient, which belongs to the group of antibiotics known as fluoroquinolonas. Moxifloxacino acts by eliminating bacteria that cause infections, provided that such bacteria are sensitive to moxifloxacino.
Antibiotics are used to treat bacterial infections and are not effective for treating viral infections such as the flu or a cold.
It is essential that you follow the instructions regarding dosage, administration, and treatment duration as indicated by your doctor.
Do not store or reuse this medication. If you have any leftover antibiotic after completing treatment, return it to the pharmacy for proper disposal. Do not dispose of medications through the drain or in the trash.
Moxifloxacino is indicated for adults for the treatment of the following bacterial infections:
Moxifloxacino is used solely for treating infections when standard antibiotics are ineffective or cannot be used..
Consult your doctor if you are unsure if you belong to one of the patient groups described below.
Do not use Moxifloxacino Kabi
Warnings and Precautions
Before starting to take this medication
Do not take fluoroquinolone or quinolone antibacterial medications, including Moxifloxacino Kabi 400 mg/ 250 ml solution for infusion EFG, if you have experienced a severe adverse reaction to a quinolone or fluoroquinolone in the past. If this is the case, inform your doctor as soon as possible.
Consult your doctor before Moxifloxacino Kabi is administered to you for the first time. It is essential that they know that:
The treatment with Moxifloxacino Kabi should be interrupted immediately in the following cases:
During treatment with Moxifloxacino Kabi, you must immediately inform your doctor:
Severe skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis (NET), and generalized acute pustular psoriasis (PEGA) and drug reaction with eosinophilia and systemic symptoms (DRESS or hypersensitivity syndrome) have been reported with the use of moxifloxacino.
If you develop a severe skin rash or any of these skin symptoms, stop taking moxifloxacino and contact your doctor or seek immediate medical attention.
In rare cases, you may experiencenervous system damage (neuropathy)such as pain, burning, tingling, numbness, and/or weakness, especially in feet and legs or hands and arms. If this occurs, stop taking Moxifloxacino Kabi and immediately inform your doctor to prevent the development of a potentially irreversible disorder.
When Moxifloxacino Kabi is administered to you, you should be aware that:
Severe, prolonged, and potentially irreversible adverse effects:
Fluoroquinolone or quinolone antibacterial medications, including Moxifloxacino Kabi, have been associated with rare but severe adverse effects, some of which were of long duration (persistent for months or years), incapacitating, or potentially irreversible. This includes tendon pain, muscle and joint pain in the upper and lower limbs, difficulty walking, abnormal sensations such as pins and needles, numbness, tingling, or burning, sensory disorders such as decreased vision, taste, smell, and hearing, depression, memory impairment, intense fatigue, and severe sleep disorders.
If you experience any of these adverse effects after taking Moxifloxacino Kabi, contact your doctor immediately before continuing treatment. You and your doctor will decide whether to continue or discontinue treatment, considering also the use of an antibiotic from another class.
Children and adolescents
This medication should not be administered to children and adolescents under 18 years old because its safety and efficacy have not been established for this age group (see sectionDo not use Moxifloxacino Kabi).
Use of Moxifloxacino Kabi with other medications
Inform your doctor or pharmacist if you are using, have used recently, or may need to use any other medication.
When receiving treatment with Moxifloxacino Kabi, you should be aware of the following:
If you are taking Moxifloxacino Kabi, along with other medications that affect the heart, there is a higher risk of heart rhythm disorders. Therefore, do not take Moxifloxacino Kabi at the same time as the following medications:
While you are receiving treatment with Moxifloxacino Kabi, you should inform your doctor:
Use of Moxifloxacino Kabi with food, drinks, and alcohol
The effect of Moxifloxacino Kabi is not altered by food, including dairy products.
You should not drink alcohol while receiving treatment with Moxifloxacino Kabi.
Pregnancy, lactation, and fertility
If you are pregnant or breastfeeding, or if you think you may be pregnant, consult your doctor or pharmacist before using this medication.
Do not useMoxifloxacino Kabi if you are pregnant or breastfeeding.
Animal studies do not indicate that fertility is affected by the use of this medication.
Driving and use of machines
Moxifloxacino Kabi may cause dizziness or vertigo, you may experience sudden and temporary loss of vision, or you may faint. If you experience these symptoms, do not drive vehicles or operate machinery.
Moxifloxacino Kabi contains sodium
The maximum recommended daily dose of this medication contains 1206 mg of sodium (main component of table salt/for cooking). This is equivalent to 60% of the recommended daily maximum sodium intake for an adult.
Moxifloxacino will always be administered by a doctor or healthcare professional.
The recommended dose in adults is onebottle or bag, once a day.
Moxifloxacino is for intravenous use (in a vein). Your doctor must ensure that the infusion is administered at a constant flow for 60 minutes.
No dose adjustment is necessary in elderly patients, patients with low body weight, or patients with kidney problems.
Treatment duration
Your doctor will decide on the duration of treatment with moxifloxacino. In some cases, your doctor may initiate treatment with moxifloxacino infusion solution and then continue with oral treatment with tablets.
The treatment duration depends on the type of infection and how you respond to treatment, but the recommended treatment durations are as follows:
Indication | Treatment duration |
Pulmonary infections(community-acquired pneumonia) Most patients with pneumonia switch to oral treatment with tablets after 4 days. | 7 - 14 days |
Skin and soft tissue infections In patients with severe skin and soft tissue infections, the median duration of intravenous treatment is around 6 days and the overall median treatment duration (infusion followed by tablets) is 13 days. | 7 – 21 days |
It is essential to complete the treatment, even if you start feeling better after a few days. If you interrupt treatment too soon, the infection may not be fully cleared, the infection may recur, your condition may worsen, and you may also develop antibiotic resistance.
Do not exceed the recommended dose and treatment duration.
If you use more Moxifloxacino Kabi than you should
If you are concerned that you have received too much moxifloxacino, consult your doctor immediately.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service at 91 562 04 20, indicating the medication and the amount ingested.
If you forget to use Moxifloxacino Kabi
If you are concerned that you may have forgotten a dose of moxifloxacino, consult your doctor immediately.
If you interrupt treatment with Moxifloxacino Kabi
If you interrupt treatment too soon, your infection may not be fully cleared. Consult your doctor if you plan to discontinue treatment with moxifloxacino before completing the full treatment.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everyone will experience them.
You should interrupt treatment and contact your doctor immediatelyif you experience the side effects listed below, as they may put your life at risk:
Rare side effects(may affect up to 1 in 1,000 people)
Very rare side effects (may affect up to 1 in 10,000 people)
Side effects of unknown frequency(frequency cannot be estimated from available data)
During treatment with Moxifloxacino Kabi, the following side effects have been observed.
Common side effects(may affect up to 1 in 10 people)
Uncommon side effects (may affect up to 1 in 100 people)
Rare side effects (may affect up to 1 in 1,000 people)
Very rare side effects (may affect up to 1 in 10,000 people)
The administration of quinolone and fluoroquinolone antibiotics has been associated with very rare cases of long-lasting or permanent adverse reactions (even months or years) or permanent, such as tendon inflammation, tendon rupture, joint pain, limb pain, difficulty walking, abnormal sensations such as pinpricks, tingling, itching, numbness, or pain (neuropathy), depression, fatigue, sleep disturbances, memory loss, and hearing, vision, taste, and smell loss, in some cases regardless of the presence of pre-existing risk factors.
Cases of increased size and weakening or tearing of the aortic wall (aneurysms and dissections) have been reported, which could lead to rupture and be fatal, and heart valve insufficiency in patients who have received fluoroquinolones. See section 2.
Unknown frequency(cannot be estimated from available data)
The following symptoms have been observed more frequently in patients treated intravenously:
Common(may affect up to 1 in 10 people)
Uncommon(may affect up to 1 in 100 people)
The following side effects have been observed after treatment with other quinolone antibiotics and may also occur during treatment with Moxifloxacino Kabi
Very rare (may affect up to 1 in 10,000 people)
Reporting of side effects
If you experience any type of side effect, consult your doctor or pharmacistbefore they administer the next dose, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through the Spanish System for the Vigilance of Medicines for Human Use: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.
As this medication will be administered by healthcare professionals, they will be responsible for the correct conservation of the product before and during use, as well as its correct disposal.
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date that appears on the label of the vial or on thebagand on the outer packaging after CAD. The expiration date is the last day of the month indicated.
Do not refrigerate or freeze.
Store the vial in the outer packaging to protect it from light.
This product is for single use. Any unused solution must be discarded.
At refrigerator temperatures, precipitation may occur, which will redissolve at room temperature.
Do not use this medication if you observe visible particles or if the solution is cloudy.
Your doctor or hospital staff will be responsible for storing Moxifloxacino Kabi and are responsible for the quality of the product once opened or when not used immediately. They will also be responsible for the correct disposal of any unused Moxifloxacino Kabi.
Medications should not be thrown away through drains or in the trash. Ask your pharmacist how to dispose of the containers and medications that you no longer need. This will help protect the environment.
Composition of Moxifloxacino Kabi vials:
Appearance of Moxifloxacino Kabi and packaging contents:
Moxifloxacino Kabi is a transparent yellow infusion solution.
Moxifloxacino Kabi is packaged in carton boxes containing a low-density polyethylene vial of 250 ml (KabiPac) as primary packaging with a stopper containing a rubber disc to allow the insertion of the needle. The packaging contains 1, 10, 20, 25, or 40 vials.
Moxifloxacino Kabi is packaged in carton boxes containing polyolefin (free flex) bags of 250 ml with an administration port (infusion port) and an addition port (injection port) with a polypropylene mouth and aluminum wrapping. The packaging contains 1, 10, 20, 25, or 40 bags.
Only some packaging sizes may be commercially available.
Marketing Authorization Holder and Responsible Manufacturer:
Marketing Authorization Holder:
Fresenius Kabi España, S.A.U.
Marina 16-18,
08005 Barcelona
Spain
Responsible Manufacturer of the vials:
Fresenius Kabi Polska Sp. z o.o.
ul. Sienkiewicza 25, 99-300 Kutno
Poland
Responsible Manufacturer of the bags:
HP Halden Pharma AS
Svinesundsveien 80
1788 Halden
Norway
This medicinal product is authorized in the Member States of the European Economic Area under the following names:
Member State Name | Medicinal Product Name |
Austria | Moxifloxacin Kabi 400 mg Infusionslösung |
Belgium | Moxifloxacine Fresenius Kabi 400mg/250ml oplossing voor infusie |
Bulgaria | ?????????????? ???? 400 mg/250 ml ?????????? ??????? |
Croatia | Moxifloxacin Kabi 400 mg/250 ml otopina za infuziju |
Czech Republic | Moxifloxacin Kabi 400 mg/250 ml infuzní roztok |
Dominican Republic | Moxifloxacin Fresenius Kabi |
Germany | Moxifloxacin Kabi 400 mg Infusionslösung |
Finland | Moxifloxacin Fresenius Kabi 400 mg/250 ml infuusioneste, liuos |
Hungary | Moxifloxacin Kabi 400 mg/250 ml oldatos infúzió |
Ireland | Moxifloxacin 400 mg/250 ml solution for infusion |
Luxembourg | Moxifloxacin Kabi 400 mg/250 ml solution pour perfusion |
Netherlands | Moxifloxacine Fresenius Kabi 400mg/250ml oplossing voor infusie |
Poland | Moxifloxacin Kabi |
Romania | Moxifloxacina Kabi 400 mg/250 ml solutie perfuzabila |
Slovakia | Moxifloxacin Kabi 400 mg/250 ml infúzny roztok |
Slovenia | Moksifloksacin Kabi 400 mg/250 ml raztopina za infundiranje |
Spain | Moxifloxacino Kabi 400 mg/250 ml solución para perfusión |
Sweden | Moxifloxacin Fresenius Kabi 400 mg/250 ml, infusionsvätska, lösning |
Last review date of thisleaflet::April 2024.
The detailed information of this medicinal product is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/
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This information is intended solely for healthcare professionals:
Moxifloxacino Kabi may be administered via a T port together with the following solutions: water for injection preparations,sodium chloride 9 mg/ml (0.9%) solution for injection, glucose 5%/10%, Ringer's solution, lactate sodium compound solution (Hartmann's solution, Ringer-lactate solution).
Moxifloxacino Kabi should not be co-administered with other medicinal products.
The following solutions are incompatible with Moxifloxacino Kabi:
Sodium chloride solutions at 10% and 20%,
Bicarbonate sodium solutions at 4.2% and 8.4%
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