NIMENRIX (Meningococcal polysaccharide groups A, C, W-135 and Y conjugate vaccine) Special Handling Instructions

Medical Information
Canada
 

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In the absence of compatibility studies, NIMENRIX must not be mixed with other medicinal products.

Instructions for reconstitution of the vaccine with the diluent presented in pre-filled syringe

NIMENRIX must be reconstituted by adding the entire content of the pre-filled syringe of diluent to the vial containing the powder.

To attach the needle to the syringe, refer to the below drawing.

Note: However, the syringe provided with NIMENRIX might be slightly different (without screw thread) than the syringe described in the drawing. In that case, the needle should be attached without screwing.

  1. Holding the syringe barrel in one hand (avoid holding the syringe plunger), unscrew the syringe cap by twisting it anticlockwise.
  2. To attach the needle to the syringe, twist the needle clockwise into the syringe until you feel it lock (see drawing).

  3. Remove the needle protector, which on occasion can be a little stiff.

  4. Add the diluent to the powder. After the addition of the diluent to the powder, the mixture should be well shaken until the powder is completely dissolved in the diluent.

After reconstitution, the vaccine should be used promptly. Although delay is not recommended, stability has been demonstrated for 8 hours at 30°C after reconstitution. If not used within 8 hours, do not administer the vaccine.

A new needle should be used to administer the vaccine.

Instructions for reconstitution of the vaccine with diluent presented in ampoules

NIMENRIX must be reconstituted by adding the entire content of the ampoule of diluent to the vial containing the powder.

To do so, break the top of the ampoule, draw up the diluent with a syringe and add the diluent to the powder.

The mixture should be well shaken until the powder is completely dissolved in the diluent.

After reconstitution, the vaccine should be used promptly. Although delay is not recommended, stability has been demonstrated for 8 hours at 30°C after reconstitution. If not used within 8 hours, do not administer the vaccine.

A new needle should be used to administer the vaccine.