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Others

TYPHOID FEVER – EPIDEMIOLOGY

[vc_row css=”.vc_custom_1512548108767{margin-bottom: 0px !important;}”][vc_column width=”1/4″][vc_single_image image=”3487″ img_size=”full”][/vc_column][vc_column width=”3/4″][vc_column_text]The epidemiology of the typhoid fever primarily involves person to person spread because this organism lacks an animal reservoir. Faecal contamination is the major mode of spread and the usual vehicle is contaminated water. An asymptomatic human carrier state exists.

The carrier state may last for many weeks to years providing human reservoir. The incidence of chronic carrier state is around 3% Christie, A.B. et al.(1974). Occasionally food handled by an individual who is carrier of S.typhi may be the vehicle.

The famous case study of “Typhoid Mary” who gave rise to hundreds of typhoid cases during her life time is a classic example of chronic carrier.[/vc_column_text][/vc_column][/vc_row][vc_row css=”.vc_custom_1512548113942{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column][vc_column_text]

CONTENTS

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Categories
Others

TYPHOID FEVER – INTRODUCTION

[vc_row css=”.vc_custom_1512548019641{margin-bottom: 0px !important;}”][vc_column width=”1/4″][vc_single_image image=”3487″ img_size=”full”][/vc_column][vc_column width=”3/4″][vc_column_text]Typhoid fever has been reported from all parts of the world. With the improvement in sanitation and standard of living, the disease is now uncommon in developed countries. However, in developing and under-developed countries, it is still one of the major infectious disease having significant mortality and morbidity. It has been estimated that globally about 16 million cases of typhoid fever are reported annually causing about 6,00,000 deaths Crump J.A. et al.(2004).In addition to this, the socio-economic implications of the disease are huge because of following reasons :-

1. Complete recovery takes several weeks.

2. Emergence of multi-drug resistant strains contributing to escalating cost of treatment. It may also contribute to higher morbidity and increased mortality.

3. Recent research reveal that the INFANTS and children up to 5 years of age suffer most from typhoid fever than in any other age group.

[/vc_column_text][/vc_column][/vc_row][vc_row css=”.vc_custom_1512548025361{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column][vc_column_text]A large population particularly infants remained unprotected against typhoid fever Since there was no vaccine available for this age group and children less than 2 years of age.

Spread of the disease can be controlled by improving sanitation, water supply and standard of living, however, this is almost impossible to implement in many of the countries including India because of financial , social and technical reasons. Under these circumstances, the ideal way is to provide through active immunization.

Introduction of Vi polysaccharide typhoid vaccine with much lower reactogenicity. has led to marked increase in acceptance of vaccination as a preferred method to prevent typhoid fever. Still a large population particularly infants remained uncovered since there was no vaccine available for children and infants less than 2 years of age.

Further the Vi antigen includes immunity for about 2-3 years only, thus revaccination is required.

Conjugated Vi polysaccharide typhoid vaccine can be used to vaccinate 3 month or older infants with very high levels of protection. With Vi conjugated vaccine, it is expected that immunity will last for much longer period due to establishment of memory, and immunity may be boosted by natural exposure to S.typhi.

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CONTENTS

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Categories
Human Products

Peda Typh™

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Typhoid Vi Conjugate Vaccine

 

 

Typhoid in infants often remain unrecognized due to atypical clinical picture.
The infants are more susceptible to typhoid as has been revealed by various studies. The Typhoid Vi Conjugate vaccine have been demonstrated to include ‘T’ Cell dependent response with much higher antibody. The conjugate Vi antigen vaccine also elicits booster response as is common to all conjugated vaccines.

A clear to slightly turbid solution containing purified Vi capsular polysaccharide of Salmonella typhi (Strain Ty2) conjugated with Tetanus toxoid protein for prevention of typhoid fever.

[/vc_column_text][/vc_column][vc_column width=”1/3″ el_class=”block2″][vc_single_image image=”3983″ img_size=”full” alignment=”center”][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432424869{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block3″][vc_row_inner css=”.vc_custom_1512431727138{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]COMPOSITION :

One dose (0.5 ml) contains: 5 µg of Vi polysaccharide of Salmonella typhi (Strain Ty2) conjugated to 5 µg Tetanus toxoid protein in isotonic saline 0.5 ml.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block4″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″ el_class=”img”][vc_column_text]INDICATIONS :

Peda Typh™ is indicated for active immunization against Salmonella typhi in infants of age ? 3 months, children and adults.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block5″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]CONTRA – INDICATIONS:

  • Hypersensitivity to any constituent of the vaccine.
  • Pregnant & lactating women.
  • In the event of fever or severe infection, persistent diarrhoea and vomiting.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432458076{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block6″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″][vc_column_text]ADMINISTRATION :

Inject 0.5ml intramuscularly. Do not inject intravenously or intradermally. Prevention becomes effective 4 weeks after immunization.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block7″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″][vc_column_text]DOSAGE :

One dose followed by booster after 2½-3 years of primary vaccination. Vaccination can be done from 3 months age onwards .

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block8″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3352″ img_size=”24×24″][vc_column_text]POSSIBLE SIDE EFFECTS :

As for any product, there may be more or less moderate and temporary side effects like: – Pain, induration, erythema, purities at the injection site. – Rare, transient febrile reactions. – Paracetamol or Ibuprofen cover for 36 hours after vaccination shall decrease the intensity of side effects.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432608841{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block9″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″][vc_column_text]STORAGE :

Store between +2° to +8°C in the refrigerator. Do not freeze.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block10″][vc_row_inner css=”.vc_custom_1514698564953{margin-top: 0px !important;margin-bottom: 0px !important;}” el_class=”product-border”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″][vc_column_text]PACK SIZE :

  • One dose in glass vial with disposable syringe
  • One dose in prefilled syringe.

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The shelf life of the product is 36 months from the date of manufacture if stored at recommended storage conditions.

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CLINICAL TRIAL OF TYPHOID Vi CONJUGATE VACCINE (PEDA TYPH™)

Introduction
The studies were undertaken to assess the immunogenicity and safety in infants and older children of a new vaccine-Vi polysaccharide conjugated with Tetanus toxoid protein. This new technology has avoided the use of recombinant proteins for conjugation. The vaccine has passed the required safety & immunological parameters in animals. The permission to conduct clinical trial Phase III in human was cleared by the Drugs Controller General (India) after necessary evaluation.

Open , multicentric, controlled & comparative study was undertaken. The three consecutive batches of Vi conjugate typhoid vaccine (Peda TyphTM), used for conducting the clinical trial, were found to be of standard quality by Central Drugs Laboratory, Central Research Institute, Kasauli, H.P. of Government of India. The Vi polysaccharide typhoid vaccine manufactured by BIO-MED (P) LTD., was also tested for comparative assessment studies. The study protocols were approved by the ethics committee of eminent medical colleges located in three widely separated zones of India.

Based on the above data, the principle investigators concluded that Peda Typh™ (Vi Conjugated Typhoid vaccine) was safe & well tolerated in all age groups including infants.

Immunological Response
Evaluation of Immunogenicity :
Blood samples(1-2ml) were collected by venipuncture before vaccination on day 0(pre-immune) and 4 weeks after vaccination (post immune). lgG anti Vi antibodies were detemined by ELISA.

ELISA test : (Assay for assessment of immune response in paired serum samples) ELISA test kit was validated and calibrated as per the guidelines of good laboratory practice.

Serum lgG Vi antibodies were assayed by ELISA and expressed in ELISA units relative to a standard reference. The unitage of the standard reference was assigned by NICHD, NIH, USA.

Preparation of standard reference curve and calculation of lgG antibodies was done by program of ELISA version 2.0, Centers for Disease control , Atlanta(USA).

Biostatistical Analysis : Biostatistical analysis of the clinical trial of Peda Typh™ was done by Dr.R.M. Pandey Ph.D.,FRSS(U.K.),Professor and Head, Department of Bio-Statistics, All India Institute of Medical Sciences ,N.Delhi. Biostatistical analysis proved that Peda Typh™ vaccine is safe and immunogenic. The antibody titers of the sera from 100% of the subjects (from all three centers) showed a four fold or greater rise in antibody titer of each group after immunization .No statistically significant differences were found in male and female children.

Results are graphically presented in figure 2. The lgG anti-Vi antibodies of Peda TyphTM were 97.425 ELISA units in infants and children 3 months to 24 months of age. The geometric mean (95% confidence interval) of all volunteers was 70.32(62.86-78.66).

The Vi conjugate typhoid vaccine (Peda Typh™) under clinical trial have been found to be highly immunogenic in infants and children less than 2 years of age in which unconjugated Vi polysaccharide typhoid vaccine is known to induce very low or nil immunogenic response.

The efficacy of Vi conjugate typhoid vaccine in clinical trials conducted in Vietnam have been found to be 89% over the 46 months period.

On comparing the data of clinical trial of Vi conjugate typhoid vaccine developed by N.I.H (Published in The New England Journal vol.344 no. 17, 2001 pg.No.1263-1269) with Peda Typh™ , it was found that the geometric mean post immune lgG(25-75 percentile) are statistically equivalent.

Immunizations not only prevent mortality and morbidity. They also reduce the expenditure of public and private resources. The latest generation Vi conjugate typhoid vaccine is an effective tool to control the emerging pattern of typhoid fever in children and infants <2 years of age.

The above study has been published in :
Garg P., Garg S., Sharma M.K (2014), Clinical trial of Tetanus Toxoid Conjugated Vi Polysaccharide Typhoid Vaccine in infants and young children, Sharma et al (2014) Biotechnology International 7(4) : 90-100.

Further post licensure studies on Peda Typh™ has been done in SRM Medical college Chennai by Dr. Balaji Chinnasami et al.

Dr. Monjori Mitra et.al conducted a large scale Safety Immunogenicity & Efficacy study in Municipal school children in Kolkata (highly endemic area).

The studies have been published in :

  1. Chinnasami B., Mangayarkarasi V., Prema A., Sadasivam K. & Davis M.J. (2013). Safety and immunogenicity of Salmonella typhi Vi conjugate vaccine (Peda Typh™) is children upto five years. International Journal of Scientific and Research Publication, Volume 3, issue 2, February 2013.
  2. Chinnasami B., Sadasivam K., Vivekanandhan A., Arunachalam P. & Pasupathy S. (2015). A study on Longevity of Immune Response after vaccination with Salmonella typhi Vi Conjugate Vaccine (Peda Typh™) in children. Journal of Clinical & Diagnostic Research. 2015 May, Vol-9(5).
  3. Mitra M., Shah N., Ghosh A., et al (2015). Efficacy and Safety of Vi-Tetanus Toxoid Conjugated Typhoid Vaccine (Peda Typh™) in Indian Children: School Based Cluster Randomized study. Human Vaccine & immunotherapeutics 2016, VoI. 0,No. 0, 1-7

The highlights of the result of the studies are as under :

  • Efficacy of Peda Typh has been found to be 100% versus 33 cases of typhoid in control group over a follow up period of 1 year.
  • One dose of the vaccine was found to give protective immunity in infants & children . No significant advantage of two doses regimen over one dose was found.”as per Dr. Chinnasami in his study “ A study on Longevity of Immune Response after vaccination with Salmonella typhi Vi Conjugate Vaccine (Peda Typh™) in children.
  • Serum analysis of post licensure follow up study at SRM Medical College using Peda Typh™ showed adequate immune response 30 months post vaccination with Single dose – 14 (4.8 – 29.8) µg/ml (which is much greater than earlier seroprotective level 3.52 Elisa unit equivalent to 4.36mcg/ml or current seroprotective level 1.4 µg/ml-2µg/ml).

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Categories
Poultry Vaccine

RANIKHET DISEASE VACCINE, LIVE, LENTOGENIC LASOTA STRAIN, I.P.

Categories
Poultry Vaccine

Ranikhet Disease Vaccine, Live, Mesogenic ‘RB’strain, I.P.

Categories
Human Products

POLIOMYELITIS VACCINE, LIVE (ORAL) I.P. (DI-VALENT)

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POLIOMYELITIS VACCINE, LIVE (ORAL) I.P. (DI-VALENT)
(Bivalent/b-OPV) Type 1 & Type 3

Oral Polio is a serious but preventable disease. In India, hundreds and thousands of infants and children used to get infected with polio virus and suffer from its serious consequences mainly paralysis.

DESCRIPTION :

Bio-Med’s Oral Polio Vaccine is prepared using attenuated Sabin Strain Polio viruses. The vaccine is clear light pink in liquid form and light pale yellow in frozen form. Bio-Med’s Oral Polio Vaccine conforms to Indian Pharmacopoeia.

[/vc_column_text][/vc_column][vc_column width=”1/3″ el_class=”block2″][vc_single_image image=”3892″ img_size=”medium” alignment=”center” el_class=”img”][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432424869{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block3″][vc_row_inner css=”.vc_custom_1512431727138{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]COMPOSITION :

Each dose of vaccine contains :

Particulars Quantity
Attenuated Sabin strain virus Type 1 106 CCID50
Attenuated Sabin strain virus Type 3 105.8 CCID50
MgCl2(Stabilizer) 1M
Kanamycin Sulphate (Preservative) 20mcg per dose

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block4″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″ el_class=”img”][vc_column_text]IMMUNIZATION SCHEME :

Poliomyelitis vaccine is indicated for prevention of Poliomyeltis against Type 1 & 3 polio Viruses, pulse polio program and in supplementary immunization activities(SIA’s) in children from 0-5 years of age. The doses and interval of Poliomyelitis vaccination should be according to National Policy.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block5″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]PRESENTATION :

Squeezable Plastic tube with VVM Label (20 dose). This is latest generation packing is superior in handling quality, leak proof and nozzle designed to deliver exact drops of vaccine.
In glass vial with VVM Label (20 dose) and sterile plastic dropper.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432458076{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block6″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″][vc_column_text]VVM ( Vaccine Vial Monitor) Label :

Bio-Med in an effort to improve product quality came up with the state of the art labeling of Oral Polio Vaccine with imported VACCINE VIAL TIME TEMPERATURE SENSITIVE INDICATOR for the first time in India.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block7″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]BENEFITS OF USING VVM (Vaccine Vial Monitor) :

Ensures efficacy with round the clock surveillance from the manufacturer to final user.
Improved confidence in the quality and reliability of the product.
Demonstrates compliance with handling rules / regulations.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block8″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″][vc_column_text]CONTRA- INDICATION :

Immunodeficiency- Individuals infected with human immunodeficiency virus (HIV) both asymptomatic and symptomatic should be immunized with the vaccine according to standard schedule. However the vaccine is contraindicated for those with primary immuno deficiency disease or suppressed immune response from medication such as leukemia, lymphoma or generalised malignancy.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432608841{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block9″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″][vc_column_text]DOSAGE AND ADMINISTRATION :

2 drops (0.1 ml) of the vaccine is administered orally.

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Vaccine is potent if stored at or below -20ºC until the expiry date indicated on the label.

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Categories
Human Products

Rabies Vaccine, Human I.P. Sure Rab™

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It is an inactivated, purified and lyophilized preparation of Pitman Moore strain of rabies virus. The virus is produced on VERO cell culture and inactivated by ß-propiolactone. Sure Rab™ is manufactured as per Indian Pharmacopoeia. The manufacturing facilities meets the requirement as per cGMP guidelines of revised schedule ‘M’ of the Drugs & Cosmetics Act, Government of India.

[/vc_column_text][/vc_column][vc_column width=”1/3″ el_class=”block2″][vc_single_image image=”3954″ img_size=”full” alignment=”center” el_class=”img”][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432424869{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block3″][vc_row_inner css=”.vc_custom_1512431727138{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]COMPOSITION :

Each single dose lyophilized vaccine contains : Inactivated, Rabies virus………………………≥2.5IU
Stabilizer: Polygeline, Sucrose, Salts

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block4″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_column_text]CONTRAINDICATIONS :

    • Post-exposure immunization – Given the fatal outcome of the declared rabies infection, there are no contraindication to post exposure vaccination.
    • Pre-exposure – Allergic (Hyper sensitive) to any of the vaccine component, in case of disease or febrile illness it is preferable to postpone vaccination.

[/vc_column_text][vc_single_image image=”3353″ img_size=”24×24″ el_class=”img”][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block5″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]PREGNANCY AND BREAST FEEDING :

  • No case of harm attributable to use of Rabies Vaccine during pregnancy have been observed to-date in mothers or children.
  • It is not known whether Rabies Vaccine passes into breast milk. No risk to the breast- feeding infant has been described to-date. It is advisable to carefully weigh expected benefits against potential risks prior to pre- exposure immunization during pregnancy and breast-feeding.

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The vaccine should be shaken gently and visually inspected for any foreign particulate matter and/or variation of physical aspect prior to administration. In the event of either of the above being observed, discard the vaccine. As with other vaccines, in rare cases anaphylactic shock may occur in susceptible individual. The mainstay in the treatment of severe anaphylaxis is the prompt use of adrenaline, which can be life saving. It should be used at the first suspicion of anaphylaxis. The vaccines should remain under observation for not less than 30 minutes for possibility of occurrence of rapid allergic reactions. Hydrocortisone & antihistamines should also be available in addition to supportive measures such as oxygen inhalation.

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Store between 2oC to 8oC (in the refrigerator). The shelf life of Product is 36 months from the date of manufacture if stored at recommended storage conditions.

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The corticosteroids and immunosuppressive treatment may lead to vaccination failure.

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 Single dose  vial with appropriate diluent ,disposable syringe and needle.

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Reconstitute the lyophilised vaccine, immediately prior to use with entire content of the vaccine diluent provided with the vaccine, gently agitate until lyophilisate is dissolved completely. Use aseptic technique to with draw the dose. In case of unforeseen delay, keep reconstituted Vaccine at 2º to 8ºC.  Reconstituted vaccine shall not be used after 6-8 hours of reconstitution. Dose for adult and infant/child is same. Current W.H.O. guidelines may be consulted for Rabies Vaccination/immunization.

 

VACCINATION GUIDELINES

Day 0 indicates date of first injection.

 

  1. Pre-exposure immunization

The vaccine is recommended for high risk professionals e.g. hunters, veterinarians, animal keeper/handler, butcher, rabies laboratory personnel, army professional, postmen, municipal workers, forest workers,  subjects staying or visiting in rabies endemic areas or at a continuous risk of exposure. A serological test is recommended (every 6 months) in subjects at risk of continuous exposure. For subject at frequent risk WHO recommends antibody titer estimation annually. If titers are below protective threshold of 0.5 IU/ml, one booster dose should be administered.

A booster injection should be administered after one year of first primary Pre-exposure immunization and subsequent booster every five years.

 

A.1 Administration by intramuscular route

Pre-exposure immunization consists of a series of three intramuscular injections of 1 ml each (in deltoid muscle or in the anterolateral region of the thigh in small children) on day 0, 7, 21 or 28. A few days variation is not important. It should not be given by intragluteal injection.

 

A.2 Administration by intradermal route

Pre-exposure immunization consists of a series of three intradermal injections of 0.1 ml each (side of the deltoid) on day 0, 7, 21 or 28. A few days variation is not important. Vaccine when given intradermally should raise a visible and palpable bleb in the skin and shall only be done where trained personnel is available e.g. hospitals / Rabies vaccination clinics. In the event that the dose is inadvertently given subcutaneously or intra-muscularly or in the event of spillage, a new dose should be given intradermally in nearby site.

 

  1. Post-exposure immunization in unimmunized or incompletely immunized subjects

As with all vaccines, SURE RABTM may not protect 100% of people vaccinated.

B.1 Administration by intramuscular route

Post-exposure immunization consists of intramuscular injections of 1 ml each (in deltoid muscle or in the anterolateral region of the thigh in small children) on day 0, 3, 7, 14, 28 & 90 (optional). It should not be given by intragluteal injection.

 

B.2 Administration by intradermal route

Post -exposure immunization consists of intradermal injections of 0.1 ml each at two locations (one in each upper deltoid region, left & right) on day 0, 3, 7 & 28 (Updated Thai Red Cross Schedule 2-2-2-0-2). Vaccine when given intradermally should raise a visible and palpable bleb in the skin and shall only be done where trained personnel is available e.g. hospitals / Rabies vaccination clinics.

 

  1. Post-exposure immunization for previously vaccinated subjects

Re-exposure following post-exposure treatment or if pre-exposure vaccination was performed (primary vaccination or booster within 5 years previously) administer two booster doses intramuscularly (1ml)/intradermally (0.1 ml at 1 site) on day 0 and day 3.  Treatment with rabies immunoglobulin is not necessary. This does not apply to immunodeficient subjects.

 

If pre or post exposure vaccination was performed more than 5 years before, if it is incomplete, in case of doubt, or in case of neural tissue vaccine used the subjects vaccination status is not considered as complete and a full post exposure treatment should be started.[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block8″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3352″ img_size=”24×24″][vc_column_text]SIDE EFFECT :

Ask for any active product, there may be more or less moderate and temporary side effects like :

Pain, induration, erythema, pruritis at the injection site.
Rare, transient, febrile reactions.
Rarely anaphylactic reactions, urticaria, rash may be encountered.

Pharmacovigiliance Programme of India (PvPI) has concluded relationship between anti-rabies vaccine and Erythema Multiforme.[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row][vc_column css=”.vc_custom_1514805463687{background-color: #e8e8e8 !important;}”][vc_column_text]

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Categories
Human Products

Peda Hib™

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(Haemophilus type b conjugate vaccine)

Peda Hib™ is a highly purified vaccine prepared from capsular polysaccharide (polyribitol phosphate) short named PRP, covalently bonded to tetanus toxoid protein. Addition of lactose and freeze-drying has resulted in a highly stable vaccine.
This vaccine induces ‘T’- cell dependent immune response in infants that is essential for appropriate initial humoral antibody response and priming for booster effects (anamnestic response) of subsequent vaccinations. Such immune response is lacking in vaccines prepared from unconjugated PRP. Peda Hib™ has been manufactured using the latest technology to remove contaminants eg. L.P.S. pyrogens to make it the least reactogenic but highly immunogenic vaccine. Thus Peda Hib™ is the latest generation vaccine of the best quality in its class.
Peda Hib™ conforms to I.P.

[/vc_column_text][/vc_column][vc_column width=”1/3″ el_class=”block2″][vc_single_image image=”3895″ img_size=”full” alignment=”center” el_class=”img”][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432424869{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block3″][vc_row_inner css=”.vc_custom_1512431727138{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]COMPOSITION :

Each Single dose of lyophilisate contains :

Particulars Quantity
Purified Polysaccharide of Haemophilus influenzae type b (PRP) 10 mcg
Tetanus Toxoid protein 20 mcg
Lactose (I.P.) (Stabilizer) 2 mg
Sucrose (I.P.) (Stabilizer) 42.5 mg
Thimerosal (I.P.) ( Preservative) 0.05 mg

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block4″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″ el_class=”img”][vc_column_text]INDICATIONS :

Peda Hib™ is indicated for the prevention in children from 6 weeks to 5 years age, of invasive diseases caused by Haemophilus influenzae type b e.g. Meningitis, cellulitis, epiglottitis. In no case can the tetanus protein contained in Peda Hib™ replace the routine tetanus vaccination.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block5″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]PRESENTATION :

One dose in glass vial with appropriate diluent.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432458076{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block6″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″][vc_column_text]DOSAGE AND ADMINISTRATION :

Reconstitute the lyophilisate with the entire content of the diluent provided. Shake gently for full reconstitution. Administer 0.5 ml by intramuscular injection.

(A) Before 6 moths : Peda Hib™ can be administered to infants from the age 1.5 month with three injection of one dose(0.5ml) at intervals of one or two months followed by a booster (4th injection) at 15-18 months.

(B) Between 6 to 12 Months : Two injections at interval of one or two months followed by a booster (3rd injection) at 15-18 month

(C) Between 1 to 5 years : One single injection[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block7″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]CONTRA- INDICATION :

  • Hypersensitivity to any of the component of the vaccine.
  • Acute infection or febrile illness.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block8″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3352″ img_size=”24×24″][vc_column_text]POSSIBLE SIDE EFFECT :

As in the case of any active product, there may be more or less moderate and temporary side effects. Mild local pain, redness, induration or fever may occur during the 48 hrs following injection.
D.P.T. vaccine causes more or less moderate temporary side effects, similar side effects may be observed when Peda Hib™ is administered after reconstituting with D.P.T. vaccine.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432608841{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block9″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″][vc_column_text]STORAGE :

The vaccine must be stored at 2° C -8°C . Shelf life of Peda Hib™ is 3 years from the date of manufacture.

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Categories
Human Products

Quadri Meningo™

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(Meningococcal Polysaccharide Vaccine)
(Group A, C, Y & W135)

Meningitis or Meningococcemia is caused by Neisseria meningitidis (Groups A, C, Y, W135) bacteria. It may be severe and life threatening. A variety of neurological and immunological complications are generally associated with the primary disease.

DESCRIPTION :

QUADRI MENINGO™  is to be used to protect against cerebrospinal meningitis  caused by Neisseria meningitidis (Group A, C, Y & W 135). Quadri Meningo™ conforms to the I.P.

[/vc_column_text][/vc_column][vc_column width=”1/3″ el_class=”block2″][vc_single_image image=”3890″ img_size=”full” alignment=”center” el_class=”img”][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432424869{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block3″][vc_row_inner css=”.vc_custom_1512431727138{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]COMPOSITION :

Each dose (0.5 ml) of vaccine contains :

Particulars Quantity
Purified Polysaccharide of Neisseria meningitidis Group A 50 mcg
Purified Polysaccharide of Neisseria meningitidis Group C 50 mcg
Purified Polysaccharide of Neisseria meningitidis Group Y 50 mcg
Purified Polysaccharide of Neisseria meningitidis Group W 135 50 mcg
Lactose I.P. (Stabilizer) 5 mg
Thimerosal I.P. (Preservative) 0.05 mg

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block4″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″ el_class=”img”][vc_column_text]INDICATIONS :

  • Hajj and Umrah pilgrims heading to Mecca, Saudi Arabia.
  • Children and adults exposed to infected patients.
  • Recommended for children above 18 months of age as routine immunization in endemic areas.
  • Travellers heading to disease prone areas should be vaccinated at least 15 days in advance.
  • Military recruits.
  • During epidemic, children between 3-18 months need to be vaccinated 3 months apart. Revaccination is recommended in children at high risk areas who were vaccinated below 4 years of age.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block5″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]PRESENTATION :

QUADRI MENINGO™ is available in single dose vial with syringe and 10 dose vial packing along with appropriate diluent.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432458076{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block6″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″][vc_column_text]DOSAGE AND ADMINISTRATION :

Reconstitute the lyophilisate with the entire content of the diluent provided with vaccine vaccine.   Inject 0.5 ml as S/C or I/M injection.

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CONTRA- INDICATION :

  • Hypersensitivity to any of the vaccine component.
  • Ongoing acute or chronic illness like fever, severe infection, persistent diarrhoea, vomiting.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block8″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3352″ img_size=”24×24″][vc_column_text]SIDE EFFECTS :

Reaction to vaccination generally consists of localized injection site reaction ( Pain , redness) , transient hyperthermia , headache,vomiting in children etc.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432608841{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block9″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″][vc_column_text]STORAGE :

Store at 2° C to 8° C in refrigerator.  Product is good to use for 24 months from the date of manufacture.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block10″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″][vc_column_text]OTHER INFORMATION :

W.H.O has recommended use of Quadrivalent Vaccine (containing A, C, Y & W 135)  in place of bivalent vaccine (containing only A, C ) specially in areas like India where group specific meningococci – causing the disease have not been identified.

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Categories
Human Products

Bio Typh™

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Typhoid Polysaccharide Vaccine

Typhoid fever is a contagious and severe disease due to a bacterium called Salmonella typhi. It mostly affects school-age children. Typhoid fever is a widespread disease that is easily transmitted.
It is present in all tropical regions, including our country where it affects most of the population. Each year, over 33 million people worldwide catch Typhoid fever and about 200,000 die.
Bio-Med successfully developed typhoid polysaccharide vaccine and launched it in November 1998. This is the first indigenously manufactured Vi antigen typhoid vaccine and is manufactured as per Indian Pharmacopoeia.

DESCRIPTION :

Bio Typh™ is a clear solution containing purified Vi capsular polysaccharide of Salmonella typhi for prevention of typhoid fever. It contains 25 mcg of Vi antigen per dose and is in liquid form.

[/vc_column_text][/vc_column][vc_column width=”1/3″ el_class=”block2″][vc_single_image image=”3898″ img_size=”full” alignment=”center” el_class=”img”][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432424869{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block3″][vc_row_inner css=”.vc_custom_1512431727138{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]COMPOSITION :

Each dose (0.5 ml) of vaccine contains :

Particulars Quantity
Vi polysaccharide of Salmonella typhi 25 mcg
Phenol I.P. (Preservative) max. 0.25%
Isotonic saline  q.s. 0.5 ml

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block4″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″ el_class=”img”][vc_column_text]INDICATION :

  • Children aged 2 years or more and adults.
  • Travellers proceeding to endemic areas.
  • Mela / fair visitors.
  • Vendors of unprotected food.
  • Settlers in poor hygienic areas.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block5″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]PRESENTATION :

  • Single dose vial (0.5ml)
  •  Prefilled syringe (0.5ml)
  •  5 dose vial
  • 10 dose vial

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432458076{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block6″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3353″ img_size=”24×24″][vc_column_text]DOSAGE AND ADMINISTRATION :

  • Inject 0.5 ml in adults and children over 2 years of age by intramuscular or       subcutaneous route.
  • Vaccine provides protection for a period of three years.
  • Reimmunization every three years under conditions of repeated or               continued exposure is recommended.
  • Prevention becomes effective 2-3 weeks after immunization.

 

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block7″][vc_row_inner el_class=”product-border”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″ el_class=”img”][vc_column_text]CONTRA- INDICATION :

  • Hypersensitivity to any constituent of the vaccine.
  • Pregnant and lactating women.
  • In the event of fever or severe infection,diarrhoea, dysentery,debilitating ailment,abdominal pain etc

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/3″ el_class=”block8″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3352″ img_size=”24×24″][vc_column_text]SIDE EFFECTS :

Mild local pain, redness, induration and mild fever may occur during the 48 hours following injection in few cases.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”product-box” css=”.vc_custom_1512432608841{padding-top: 35px !important;}”][vc_column width=”1/3″ el_class=”block9″][vc_row_inner css=”.vc_custom_1512429922882{margin-top: 0px !important;margin-bottom: 0px !important;}”][vc_column_inner][vc_single_image image=”3346″ img_size=”24×24″][vc_column_text]STORAGE :

Store between 20C – 80C. Do not freeze. Product is good for use within 30 months from the date of manufacture.

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