Wednesday, September 7, 2016

Difflam Cream





1. Name Of The Medicinal Product



Difflam Cream



or



Difflam-P Cream


2. Qualitative And Quantitative Composition



Each tube of Difflam Cream/ Difflam-P Cream contains Benzydamine Hydrochloride 3% w/w.



3. Pharmaceutical Form



Cream.



4. Clinical Particulars



4.1 Therapeutic Indications



Difflam Cream/ Difflam-P Cream is a topical analgesic and non-steroidal anti-inflammatory agent.



It is recommended as a short-term treatment for the relief of symptoms associated with painful inflammatory conditions of the musculo-skeletal system, including:



Acute inflammatory disorders such as myalgia and bursitis.



Traumatic conditions such as sprains, strains, contusions and the after-effects of fractures.



Difflam Cream/ Difflam-P Cream is well absorbed through the skin and has been shown to have anti-inflammatory and local anaesthetic actions.



4.2 Posology And Method Of Administration



Difflam Cream/ Difflam-P Cream should be massaged lightly into the affected area. Depending on the size of the site to be treated, 35 - 85 mm (1 - 2 g) should be applied three times daily and at the discretion of the doctor, up to six times daily in more severe conditions. It is recommended that treatment be limited to not more than ten days.



ELDERLY:



No special dosage recommendations are made for elderly patients.



4.3 Contraindications



Difflam Cream is contraindicated in patients with known hypersensitivity to any of the ingredients.



4.4 Special Warnings And Precautions For Use



To avoid possible irritation, Difflam Cream/ Difflam-P Cream should be kept away from eyes and mucosal surfaces.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



None.



4.6 Pregnancy And Lactation



Difflam should not be used in pregnancy or lactation unless considered essential by the physician. There is no evidence of a teratogenic effect in animal studies.



4.7 Effects On Ability To Drive And Use Machines



None.



4.8 Undesirable Effects



Photosensitivity reactions have been reported and local skin reactions which have varied from erythema to papular eruption. The skin returned to normal on stopping treatment.



4.9 Overdose



Difflam is unlikely to cause adverse systemic effects, even if accidental ingestion should occur. No special measures are required.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



Benzydamine exerts an anti-inflammatory and analgesic action by stabilising the cellular membrane and inhibiting prostaglandin synthesis.



5.2 Pharmacokinetic Properties



Following topical administration, benzydamine is absorbed through intact skin and reaches peak levels between 24 - 32 hours, amounting to about 20 - 25% of the plasma levels obtained after the oral administration of the same dose.



About half of the benzydamine is excreted unchanged via the kidney at a rate of 10% of the dose within the first 24 hours. The remainder is metabolised, mostly to N-oxide.



5.3 Preclinical Safety Data



Non-Clinical Data reveal no special hazards for humans based on conventional studies of safety pharmacology, repeated toxicity, genotoxicity, cardiogenic potential, and toxicity to reproduction.



6. Pharmaceutical Particulars



6.1 List Of Excipients



'Cutina' MD



Cetyl Alcohol USNF



'Cetiol' V



'Eumulgin' B1



Propylene Glycol Ph Eur



Perfume, 'Crematest' 0/064060



Methyl Hydroxybenzoate Ph Eur



Propyl Hydroxybenzoate Ph Eur



Purified Water Ph Eur



6.2 Incompatibilities



None known.



6.3 Shelf Life



3 years.



6.4 Special Precautions For Storage



Store between 5 - 30°C. Do not freeze.



6.5 Nature And Contents Of Container



Collapsible Aluminium tube closed with plastic screwcap



or



Laminate tube closed with plastic screwcap.



Contents: 35 g, 50 g or 100 g



6.6 Special Precautions For Disposal And Other Handling



Not applicable.



7. Marketing Authorisation Holder



Meda Pharmaceuticals Ltd



249 West George Street



Glasgow



G2 4RB



Trading as:



Meda Pharmaceuticals Ltd



Skyway House



Parsonage Road



Takeley



Bishop's Stortford



CM22 6PU



8. Marketing Authorisation Number(S)



PL 15142/0044



9. Date Of First Authorisation/Renewal Of The Authorisation



6 March 1980/ 6 September 2002



10. Date Of Revision Of The Text



17th June 2011




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