Gardasil0.5 ml
IM Injection
Human Papillomavirus Quadrivalent
Healthcare Pharmaceuticals Ltd.
Product Code : 7691
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Medicine overview
Indications of Gardasil 0.5 ml
Gardasil 0.5 ml is a vaccine indicated in girls and women 9 through 26 years of age for the prevention of the following diseases caused by Human Papillomavirus (HPV) types included in the vaccine:
Cervical, vulvar, vaginal, and anal cancer caused by HPV types 16 and 18. ... Read moreGardasil 0.5 ml is a vaccine indicated in girls and women 9 through 26 years of age for the prevention of the following diseases caused by Human Papillomavirus (HPV) types included in the vaccine:
Cervical, vulvar, vaginal, and anal cancer caused by HPV types 16 and 18.
Genital warts (condyloma acuminata) caused by HPV types 6 and 11.
And the following precancerous or dysplastic lesions caused by HPV types 6, 11, 16, and 18:
Cervical intraepithelial neoplasia (CIN) grade 2/3 and Cervical adenocarcinoma in situ (AIS).
Cervical intraepithelial neoplasia (CIN) grade 1.
Vulvar intraepithelial neoplasia (VIN) grade 2 and grade 3.
Vaginal intraepithelial neoplasia (VaIN) grade 2 and grade 3.
Anal intraepithelial neoplasia (AIN) grades 1, 2, and 3.
Gardasil 0.5 ml is indicated in boys and men 9 through 45 years of age for the prevention of the following diseases:
Anal, oropharyngeal and other head and neck cancers caused by HPV types 16, 18 , 31, 33, 45, 52, and 58.
Genital warts (condyloma acuminata) caused by HPV types 6 and 11.
And the following precancerous or dysplastic lesions caused by HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58 :
Anal intraepithelial neoplasia (AIN) grades 1, 2, and 3.
Theropeutic Class
Vaccines, Anti-sera & Immunoglobulin
Pharmacology
HPV only infects human beings. Animal studies with analogous animal papillomaviruses suggest that the efficacy of L1 VLP vaccines may involve the development of humoral immune responses. Human beings develop a humoral immune response to the vaccine, although the exact mechanism of protection is unknown.
Dosage of Gardasil 0.5 ml
9 through 14 years:
2-dose: 0, 6 to 12 months. If the second dose is administered earlier than 5 months after the first dose, a dminister a third dose at least 4 months after the second dose.
3-dose: 0, 2, 6 months.
15 through 45 years:
3-dose: 0, 2, 6 months.
Administration of Gardasil 0.5 ml
For intramuscular use only. Shake well before use. Thorough agitation immediately before administration is necessary to maintain suspension of the vaccine. Gardasil 0.5 ml should not be diluted or mixed with other vaccines. After thorough agitation, Gardasil 0.5 ml is a white, cloudy liquid. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration. Do not use the product if particulates are present or if it appears discolored. Gardasil 0.5 ml should be administered intramuscularly in the deltoid region of the upper arm or in the higher anterolateral area of the thigh. Syncope has been reported following vaccination with Gardasil 0.5 ml and may result in falling with injury; observation for 15 minutes after administration is recommended.
Interaction of Gardasil 0.5 ml
Immunosuppressive therapies, including irradiation, antimetabolites, alkylating agents, cytotoxic drugs, and corticosteroids (used in greater than physiologic doses), may reduce the immune responses to vaccines.
Contraindications
Hypersensitivity, including severe allergic reactions to yeast (a vaccine component), or after a previous dose of Gardasil 0.5 ml.
Side Effects of Gardasil 0.5 ml
The most common (≥10%) local and systemic adverse reactions reported:
In girls and women 16 through 26 years of age: injection-site pain (89.9%), injection-site swelling (40.0%), injection-site erythema (34.0 %) and headache ( 14.6%).
In girls 9 through 15 years of age: injection-site pain (89.3%), injection-site swelling (47.8%), injection-site erythema (34.1%) and headache ( 11.4%).
In women 27 through 45 years of age: injection-site pain (82.8%), injection-site swelling (23.3%), injection-site erythema (16.9%), and headache (13.6%)
In boys and men 16 through 26 years of age: injection-site pain (63.4%), injection-site swelling (20.2%) and injection-site erythema (20.7%).
In boys 9 through 15 years of age: injection-site pain (71.5%), injection-site swelling (26.9%), and injection-site erythema (24.9%).
Pregnancy & Lactation
Pregnancy Category B. Reproduction studies have been performed in female rats at doses equivalent to the recommended human dose and have revealed no evidence of impaired female fertility or harm to the fetus due to Gardasil 0.5 ml. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human responses, Gardasil 0.5 ml should be used during pregnancy only if clearly needed. It is not known whether Gardasil 0.5 ml is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Gardasil 0.5 ml is administered to a nursing woman.
Precautions & Warnings
Because vaccinees may develop syncope, sometimes resulting in falling with injury, observation for 15 minutes after administration is recommended. Syncope, sometimes associated with tonic-clonic movements and other seizure-like activity, has been reported following vaccination with Gardasil 0.5 ml. When syncope is associated with tonic-clonic movements, the activity is usually transient and typically responds to restoring cerebral perfusion by maintaining a supine or Trendelenburg position.
Overdose Effects of Gardasil 0.5 ml
There have been reports of administration of higher than recommended doses of Gardasil 0.5 ml. In general, the adverse event profile reported with overdose was comparable to recommended single doses of Gardasil 0.5 ml.
Storage Conditions
Store refrigerated at 2 to 8°C. Do not freeze. Protect from light. Gardasil 0.5 ml should be administered as soon as possible after being removed from refrigeration.
Use In Special Populations
Pediatric Use: Safety and effectiveness have not been established in pediatric patients below 9 years of age.Geriatric Use: The safety and effectiveness of Gardasil 0.5 ml have not been evaluated in a geriatric population, definedas individuals aged 65 years and over.
Drug Classes
Vaccines, Anti-sera & Immunoglobulin
Mode Of Action
HPV only infects human beings. Animal studies with analogous animal papillomaviruses suggest that the efficacy of L1 VLP vaccines may involve the development of humoral immune responses. Efficacy of Gardasil 0.5 ml against anogenital diseases related to the vaccine HPV types in h uman beings is thought to be mediated by humoral immune responses induced by the vaccine, although the exact mechanism of protection is unknown.
Pregnancy
Pregnancy Category B. Reproduction studies have been performed in female rats at doses equivalent to the recommended human dose and have revealed no evidence of impaired female fertility or harm to the fetus due to Gardasil 0.5 ml. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human responses, Gardasil 0.5 ml should be used during pregnancy only if clearly needed. It is not known whether Gardasil 0.5 ml is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Gardasil 0.5 ml is administered to a nursing woman.
Pediatric Uses
Pediatric Use: Safety and effectiveness have not been established in pediatric patients below 9 years of age.Geriatric Use: The safety and effectiveness of Gardasil 0.5 ml have not been evaluated in a geriatric population, defined as individuals aged 65 years and over.
Disclaimer
The information provided is accurate to our best practices, but it does not replace professional medical advice. We cannot guarantee its completeness or accuracy. The absence of specific information about a drug should not be seen as an endorsement. We are not responsible for any consequences resulting from this information, so consult a healthcare professional for any concerns or questions.