Rotarix Caution For Usage

Incompatibilities: This medicinal product must not be mixed with other medicinal products.
Instructions for Use and Handling: The vaccine is presented as a clear, colourless liquid, free of visible particles, for oral administration.
The vaccine is ready to use (no reconstitution or dilution is required).
The vaccine is to be administered orally without mixing with any other vaccines or solutions.
The vaccine should be inspected visually for any foreign particulate matter and/or abnormal physical appearance. In the event of either being observed, discard the vaccine.
Any unused vaccine or waste material should be disposed of in accordance with local requirements.
Instructions for administration of the vaccine in squeezable tube: Read the instructions for use all the way through before starting to give the vaccine.
A. What needs to be done before giving Rotarix: Check the expiry date.
Check the tube has not been damaged nor is already open.
Check the liquid is clear and colourless, without any particles in it.
If there is anything abnormal, do not use the vaccine: The vaccine is given orally - straight from the tube.
It is ready to use - there is no need to mix it with anything.
B. Get the tube ready: 1. Pull off the cap: Keep the cap - it is needed to pierce the membrane.
Hold the tube upright.
2. Repeatedly flick the top of the tube until it is clear of any liquid: Clear any liquid from the thinnest section of the tube by flicking just below the membrane.
3. Position the cap to open the tube: Keep the tube held upright.
Hold the side of tube.
There is a small spike inside the top of the cap - in the centre.
Turn the cap upside down (180°).
4. To open the tube: There is no need to twist. Press the cap down to pierce the membrane.
Then lift off the cap.
C. Check the tube has opened correctly: 1. Check the membrane has been pierced.
There should be a hole at the top of the tube.
2. What to do if the membrane has not been pierced: If the membrane has not been pierced return to B as previously mentioned and repeat steps 2, 3 and 4.
D. Give the vaccine: Once the tube is open check the liquid is clear, without any particles in it.
If there is anything abnormal, do not use the vaccine.
Give the vaccine straight away.
1. Position the child to give the vaccine: Seat the child leaning slightly backwards.
2. Administer the vaccine: Squeeze the liquid gently into the side of the child's mouth - towards the inside of their cheek.
There may be a need to squeeze the tube a few times to get all of the vaccine out - it is okay if a drop remains in the tip of the tube.
Instructions for administration of the vaccine in oral applicator: 1. Remove the protective tip cap from the oral applicator.
2. The vaccine is for oral administration only. The child should be seated in a reclining position. Administer orally (i.e. into the child's mouth towards the inner cheek) the entire content of the oral applicator.
3. Do not inject.