Octreoscan
PARTICULARS TO APPEAR ON THE OUTER PACKAGING
Tin containing radio-active kit (radiolabel in lead shielding and labeling substance)
1. NAME OF THE MEDICINAL PRODUCT
Octreoscan
111 MBq/mL
Kit for radiopharmaceutical preparation
111In-Pentetreotide
2. STATEMENT OF ACTIVE SUBSTANCE(S)
Vial A (DRN 4920/A = code on vial): Indium (111In) Chloride 111 MBq/ml (122 MBq/1.1ml) at ART
Vial B: Pentetreotide 10 micrograms
3. LIST OF EXCIPIENTS
Vial A: Contains also: hydrochloric acid, water for injection and ferric chloride hexahydrate.
Vial B: Contains also: sodium citrate dihydrate, citric acid monohydrate, inositol and gentisic acid.
4. PHARMACEUTICAL FORM AND CONTENTS
Kit for radiopharmaceutical preparation. The kit consists of two vials:
Vial A: Radiopharmaceutical precursor
Vial B: Powder for solution for injection
5. METHOD AND ROUTE(S) OF ADMINISTRATION
For intravenous use after reconstitution.
Read the package leaflet before use.
6. SPECIAL WARNING THAT THE MEDICINAL PRODUCT MUST BE STORED OUT OF
THE SIGHT AND REACH OF CHILDREN
Keep out of the sight and reach of children.
7. OTHER SPECIAL WARNING(S), IF NECESSARY
First use: [YYYY-MM-DD hh:mm] h CET
8. EXPIRY DATE
EXP [DD MMM YYYY]
After reconstitution and labeling: expiry 6 hours
9. SPECIAL STORAGE CONDITIONS
Before and after reconstitution store below 25ºC.
10. SPECIAL PRECAUTIONS FOR DISPOSAL OF UNUSED MEDICINAL PRODUCTS OR
WASTE MATERIALS DERIVED FROM SUCH MEDICINAL PRODUCTS, IF
APPROPRIATE
Radioactive waste disposal should be in accordance with national regulations.
11. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER
Curium Netherlands B.V.
Westerduinweg 1755 LE Petten
The Netherlands
12. MARKETING AUTHORISATION NUMBER(S)
88/143/94-C
13. BATCH NUMBER
Lot [12345]
14. GENERAL CLASSIFICATION FOR SUPPLY
Medicinal product subject to medicinal prescription.
15. INSTRUCTIONS ON USE
The sterile needle included in the pack is to be used for the reconstitution.
16. INFORMATION IN BRAILLE
Nevyžaduje se - odůvodnění přijato.
Exception request submitted as OCTREOSCAN is solely hospital product, thus including the product
name on label in Braille may be omitted.
PARTICULARS TO APPEAR ON THE OUTER PACKAGING
Lead pot
1. NAME OF THE MEDICINAL PRODUCT
Indium (111In) Chloride
111 MBq/mL
Radiopharmaceutical precursor
(DRN 4920/A = code on vial)
2. STATEMENT OF ACTIVE SUBSTANCE(S)
Indium (111In) Chloride 111 MBq/mL (122 MBq/1.1mL) at ART
3. LIST OF EXCIPIENTS
Contains also: hydrochloric acid, water for injection and ferric chloride hexahydrate.
4. PHARMACEUTICAL FORM AND CONTENTS
Radiopharmaceutical precursor
5. METHOD AND ROUTE(S) OF ADMINISTRATION
For intravenous use after reconstitution.
Read the package leaflet before use.
6. SPECIAL WARNING THAT THE MEDICINAL PRODUCT MUST BE STORED OUT OF
THE SIGHT AND REACH OF CHILDREN
Keep out of the sight and reach of children.
7. OTHER SPECIAL WARNING(S), IF NECESSARY
First use: [YYYY-MM-DD hh:mm] h CET
8. EXPIRY DATE
EXP [DD MMM YYYY hh:mm] h CET
After reconstitution and labeling: expiry 6 hours
9. SPECIAL STORAGE CONDITIONS
Before and after reconstitution store below 25ºC.
10. SPECIAL PRECAUTIONS FOR DISPOSAL OF UNUSED MEDICINAL PRODUCTS OR
WASTE MATERIALS DERIVED FROM SUCH MEDICINAL PRODUCTS, IF
APPROPRIATE
Radioactive waste disposal should be in accordance with national regulations.
11. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER
Curium Netherlands B.V.
Westerduinweg 3, 1755 LE Petten,
Netherlands
12. MARKETING AUTHORISATION NUMBER(S)
88/143/94-C
13. BATCH NUMBER
Lot [12345]
14. GENERAL CLASSIFICATION FOR SUPPLY
15. INSTRUCTIONS ON USE
The sterile needle included in the pack is to be used for the reconstitution.
16. INFORMATION IN BRAILLE
Nevyžaduje se - odůvodnění přijato.
Exception request submitted as OCTREOSCAN is solely hospital product, thus including the product
name on label in Braille may be omitted.
MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
In case of radiopharmaceuticals the vial should be labelled in accordance to the article 66(3) of
Directive 2001/83.
Vial label: Vial A
1. NAME OF THE MEDICINAL PRODUCT AND ROUTE(S) OF ADMINISTRATION
DRN 4920/A
In-111I
2. METHOD OF ADMINISTRATION
3. EXPIRY DATE
EXP [DD MMM YY] h CET
4. BATCH NUMBER
Lot [00000/000]
5. CONTENTS BY WEIGHT, BY VOLUME OR BY UNIT
122 MBq/1.1 mL (111 MBq/mL)
[YYYY-MM-DD hh:mm] h CET
6. OTHER
Curium Netherlands B.V., Petten, NL
MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
Vial label: Vial B
1. NAME OF THE MEDICINAL PRODUCT AND ROUTE(S) OF ADMINISTRATION
OctreoScan Vial B
Powder for solution for injection
2. METHOD OF ADMINISTRATION
Intravenous use after labelling with Vial A
3. EXPIRY DATE
EXP [DD MMM YYYY]
After reconstitution: expiry 6 Hours
4. BATCH NUMBER
Lot [000000]
5. CONTENTS BY WEIGHT, BY VOLUME OR BY UNIT
Pentetreotide 10 micrograms
6. OTHER
Curium Netherlands B.V.