Preotact 100 micrograms powder and solvent for solution forinjection

Illustration Preotact 100 micrograms powder and solvent for solution forinjection
Substance(s) Parathyroid hormone
Admission country United Kingdom
Manufacturer Nycomed Danmark ApS
Narcotic No
ATC Code H05AA03
Pharmacological group Parathyroid hormones and analogues

Authorisation holder

Nycomed Danmark ApS

Patient’s Leaflet

What is it and how is it used?

Preotact is used to treat osteoporosis in women past menopause with high risk of fractures. Osteoporosis is a disease that causes bones to become thin and fragile. It is especially common in women after the menopause. The disease progresses gradually so you may not feel any symptoms at first. But if you have osteoporosis, it makes you more likely to break bones, especially in your spine, hips and wrists. It may also cause back pain, loss of height, and a curved back.

Preotact reduces the risk of breaking spinal bones because it increases your bone quality and strength.


What do you have to consider before using it?

Do not use Preotact:

  • if you are allergic (hypersensitive) to parathyroid hormone or any of the other ingredients of Preotact;
  • if you have had radiation therapy to the skeleton;
  • if you suffer from high calcium levels and other disturbances in the calcium-phosphor metabolism;
  • if you have other bone disease (including hyperparathyroidism or Paget?s disease);
  • if you have high levels of alkaline phosphatase;
  • if you suffer from severe kidney problems;
  • if you suffer from severe liver disease;
Measuring of the calcium levels in the blood and/or urine

Your doctor will check your response to treatment at regular intervals. He or she must perform blood and/or urine tests at month 1, 3 and 6 after starting your treatment with Preotact.

Take special care with Preotact:

Preotact should be used with caution if you suffer from kidney stones or have had kidney stones.

Specific populations:
Children and adolescents

Preotact should not be used in children or adolescents.


No special precautions.

Taking other medicines:

Please inform your doctor or pharmacist if you are taking or have recently taken any other medicines, even those not prescribed.

Preotact should be used with caution if you receive heart medicine.

Taking Preotact with food and drink

Food and drink have no influence on the effect of Preotact.

Pregnancy and breast-feeding

Do not use Preotact if you are pregnant or breast-feeding.

Driving and using machines:

No studies on the ability to drive or operate machines have been performed. If you feel dizzy, do not drive or operate any machines until you feel better.

Important information about some of the ingredients of Preotact:

This medicinal product contains less than 1 mmol sodium (23 mg) per dose. This means that it is essentially ?sodium-free?.


How is it used?

Always use Preotact exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.


The usual dose of Preotact is 100 micrograms given once a day.

Your doctor may advise you to take supplementary calcium and vitamin D. Your doctor will tell you how much you should take each day.

Method of administration

Preotact should be used with the Preotact pen.

When you place the cartridge in the Preotact pen, the solvent and the powder mix. The solution is then ready to be injected into the abdomen (under the skin). When not in use put the Preotact pen into the refrigerator.

Important information when using Preotact
  • Inject yourself with Preotact shortly after you have taken the Preotact pen out of the refrigerator
  • Put the Preotact pen back into the refrigerator immediately after you have used it. Never remove a cartridge in use from the pen.
  • DO NOT SHAKE the Preotact pen (neither before nor after injection) as it may destroy the effect of the active substance
  • Use a new injection needle for each injection and throw it away after each use.
  • Never store your Preotact pen with the needle attached.
  • Never share your Preotact pen with anyone.

For instructions on how to use the Preotact pen, please read the User Manual of the Preotact pen.

Duration of treatment

Keep using Preotact for as long as your doctor prescribes it for you ? normally no longer than 24 months.

If you use more Preotact than you should:

If, by accident, you inject more than one dose of Preotact in a day, contact your doctor or pharmacist.

If you forget to use Preotact:

If you forget to take Preotact (or cannot take Preotact at your usual time), take it as soon as possible on that day. Never take more than one injection in the same day. Do not take a double dose to make up for forgotten doses.

If you stop taking Preotact:

If you stop taking Preotact before finishing the treatment please inform you doctor.


What are possible side effects?

Like all medicines, Preotact can cause side effects, although not everybody gets them.

The most common side effects (in more than 10% of patients) are: increased level of calcium in the blood, increased level of calcium in the urine, and nausea.

Common side effects (in 1 to 10% of patients) are: back pain, constipation, decreased muscle strength, diarrhoea, dizziness, erythema at injection site, fast or irregular heart beats, headache, muscle cramps, pain in extremity, stomach upset, tiredness, and vomiting.

Uncommon side effects (in 0.1% to 1% of patients) are: abdominal pain, flu, increased level of uric acid in the blood, irritation of the skin at the injection site, loss of appetite, smell disturbance, and taste disturbance.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.


How should it be stored?

Keep out of the reach and sight of children.

Do not use Preotact after the expiry date which is stated on the cartridge after EXP and on the carton after EXP. The expiry date refers to the last day of that month.

Unused cartridge

  • Do not store above 25°C. Do not freeze.
  • Keep the cartridges in the outer carton in order to protect them from light

Cartridge in use

  • A cartridge in use (in the Preotact pen) should be stored in a refrigerator (2-8°C). Do not freeze.
  • A cartridge in use will keep for 28 days in refrigerator.
  • If for some reason you cannot store your Preotact pen (with the inserted cartridge) in a refrigerator for a number of days, it can be stored outside the refrigerator below 25°C - BUT ONLY FOR A TOTAL OF 7 DAYS during the 28-day use period.
  • If the Preotact solution in the cartridge is more than 28 days old, or if it has not been stored correctly, throw it away, even if the cartridge is not completely empty.
  • If the Preotact solution becomes cloudy or coloured throw the cartridge away.

Any unused product or waste material should be disposed of in accordance with local requirements.


Further information

What Preotact contains

Preotact is supplied in a dual-chamber cartridge. The first chamber contains the powder with the active substance and the second chamber contains the solvent.

  • The active substance is parathyroid hormone. Each cartridge contains 1.61 mg parathyroid hormone. When the powder and the solvent have been mixed, the solution for injection contains parathyroid hormone at a concentration of 1.4 mg/ml.
  • Other ingredients: The powder contains sodium chloride 0.4 %, mannitol, citric acid monohydrate, hydrochloric acid, and sodium hydroxide. The solvent contains metacresol and water for injections.
What Preotact looks like and contents of the pack

Preotact is a powder and solvent for solution for injection.
It is supplied in a dual-chamber cartridge which contains 1.61 mg parathyroid hormone as powder and 1.13 ml of solvent

Preotact is available in packs of 2 and 6 cartridges. Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Nycomed Danmark ApS
Langebjerg 1
DK-4000 Roskilde
Tlf: +45 46 77 11 11

For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder.

BelgiëBelgiqueBelgien Nycomed Belgium SCACVA Gentsesteenweg 615 B-1080 Bruxelles Brussel Brüssel TélTel 32 2 464 06 11 Nycomed Langebjerg 1 DK-4000 Roskilde Tel 45 46 77 11 11 LuxembourgLuxemburg Nycomed Belgium SCACVA Gentsesteenweg 615 B-1080 Bruxelles Brüssel Belgique Belgien TélTel 32 2 464 06 11 Magyarország Nycomed Langebjerg 1 DK-4000 Roskilde Dània Tel 45 46 77 11 11

eská republika Nycomed Langebjerg 1 DK-4000 Roskilde Dánsko Tel 45 46 77 11 11 Malta Nycomed Langebjerg 1 DK-4000 Roskilde Denmark Tel 45 46 77 11 11

Nederland Nycomed bv. Nikkelstraat 5 NL-4823 AE Breda Tel 31 76 548 16 00 Danmark Nycomed Danmark ApS Langebjerg 1 DK-4000 Roskilde Tlf 45 46 77 11 11

Deutschland Nycomed Pharma GmbH Molkestr 4 78467 Konstanz Tel 49 7531 3666 0 Eesti Nycomed SEFA AS Pirita tee 20T EE-10127 Tallinn Tel 372 6112 569 Norge Nycomed Pharma AS Drammensveien 852 NO-1372 Asker Tlf 47 6676 3030 Österreich Nycomed Pharma GmbH EURO Plaza, Gebäude F Technologiestrasse 5 A-1120 Wien Tel 43 18 15 02 02 Polska Nycomed Polska Sp.z.o.o. Dworkowa 3 PL-00-784 Warsaw Tel 48 2231 31880 Nycomed Hellas SA 196 Kifissias Avenue Halandri 152 31, Athens 30 210 6729570

España Nycomed Pharma , S.A C Alsasua 20 28023 Madrid Tlf 34 917 14 99 00 Portugal Nycomed Portugal Productos Farmaceuticos Lda Quinta da Fonte Edifício Gil Eanes 2770-192 Paço de Arcos Tlf 351 21 44 602 00

France Nycomed France SAS 28 rue Pages FR-92150 Suresnes Tel 33 1 42 04 85 50 România Nycomed România Strada Despot Vod nr.32A, Sect.2 Bucureti, Cod 020656-RO Tel 40212123848

Ireland Nycomed Products Ltd. 2051 Castle Drive Citywest Business Campus Dublin 24 Tel 353 0 1 6420021 Ísland Nycomed Langebjerg 1 DK-4000 Roskilde Danmörk Tel 45 46 77 11 11 Slovenija Nycomed Langebjerg 1 DK-4000 Roskilde Danska Tel 45 46 77 11 11 Slovenská republika Nycomed Langebjerg 1 DK-4000 Roskilde Dánsko Tel 45 46 77 11 11

Italia Nycomed Italy S.r.l. Via Libero Temolo 4 I-20126 Milano Tel 39 02 64 16 01 SuomiFinland Oy Leiras Finland Ab PLPB 1406 FIN-00101 Helsinki PuhTel 358 20 746 5000

Nycomed Langebjerg 1 DK-4000 Roskilde Tel 45 46 77 11 11 Sverige Nycomed AB Box 27264 SE-102 53 Stockholm Tel 46 8 731 28 00

Latvija Nycomed East Europe Vairoga 4 LV-1039 Riga Tel 371 784 0082 United Kingdom Nycomed UK Ltd. Three Globeside Business Park Fieldhouse Lane SL7 1HZ Marlow Buckinghamshire Tel 44 0 1628 646400

Austrijos bendroves "Nycomed Osteuropa
Marketing Service GmbH" atstovybe
Seimyniskiu 3
LT-09312 Vilnius
Tel: +370 521 09 070

This leaflet was last approved in MM/YYYY


Substance(s) Parathyroid hormone
Admission country United Kingdom
Manufacturer Nycomed Danmark ApS
Narcotic No
ATC Code H05AA03
Pharmacological group Parathyroid hormones and analogues



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