{"id":6664,"date":"2021-01-11T13:38:27","date_gmt":"2021-01-11T13:38:27","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6664"},"modified":"2021-06-11T15:22:56","modified_gmt":"2021-06-11T15:22:56","slug":"cervarix","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/cervarix\/","title":{"rendered":"Cervarix uses, dose and side effects"},"content":{"rendered":"\n<p> injection,&nbsp;suspension&nbsp;in&nbsp;the vial&nbsp;<br>Human papillomavirus vaccine [Type 16, 18] (&nbsp;Recombinant&nbsp;, with&nbsp;adjuvant&nbsp;,&nbsp;adsorbed).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Cervarix is \u200b\u200band what it is used for<\/h2>\n\n\n\n<p>Cervarix is a vaccine intended to protect against diseases caused by&nbsp;infection&nbsp;with human papillomavirus (HPV) by the age of 9.<br><\/p>\n\n\n\n<p>These diseases include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cervical cancer (cancer of the lower part of the uterus) and anal cancer,<\/li><li>precursors to cancer of the uterus,&nbsp;vulva&nbsp;,&nbsp;vagina&nbsp;or anus (changes in genital or anal cells in the cervix,&nbsp;vulva&nbsp;,&nbsp;vagina&nbsp;and anus that are at risk of developing into cancer).<\/li><\/ul>\n\n\n\n<p>The types of human papillomavirus (HPV) included in the vaccine (HPV types 16 and 18) cause approximately 70% of cases of cervical cancer, 90% of cases of cancer of the rectal opening, 70% of HPV-related cell changes that are precursors to cancer in external parts of the genitals and vagina and 78% of HPV-related cell changes that are precursors to cancer of the rectal opening.&nbsp;Other types of HPV can also cause genital and rectal cancer.&nbsp;Cervarix does not protect against all types of human papillomavirus.<br><\/p>\n\n\n\n<p>When a woman or man is vaccinated with Cervarix, the body&#8217;s immune system produces&nbsp;antibodies&nbsp;to HPV 16 and 18.<br><\/p>\n\n\n\n<p>Cervarix is \u200b\u200bnot contagious and therefore cannot cause HPV-related diseases.<br><\/p>\n\n\n\n<p>Cervarix is \u200b\u200bnot used to treat HPV-related diseases that already exist at the time of vaccination.<br><\/p>\n\n\n\n<p>Cervarix should be used in accordance with official guidelines.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before you get Cervarix<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Cervarix should not be given:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to active substances or any of the other ingredients of this vaccine (listed in section 6).&nbsp;Signs of an&nbsp;allergic reaction&nbsp;include itchy skin rash, difficulty breathing and swelling of the face or tongue.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Cervarix<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have a bleeding disorder or bruise easily<\/li><li>if you have a disease that weakens the immune system,&nbsp;<br>such as an&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;.<\/li><li>if you have a severe&nbsp;infection&nbsp;with a high fever.&nbsp;It may then be necessary to postpone the vaccination until you have recovered.&nbsp;A milder&nbsp;infection&nbsp;such as a cold should not cause a problem, but talk to a doctor first.<\/li><\/ul>\n\n\n\n<p>Fainting can occur (mainly in adolescents) after, or even before, any needle injection.&nbsp;Therefore, tell your doctor or nurse if you or your child have fainted from a previous&nbsp;injection&nbsp;.<br><\/p>\n\n\n\n<p>As with all vaccines, Cervarix may not provide complete protection to everyone who is vaccinated.<br><\/p>\n\n\n\n<p>Cervarix does not provide protection against disease caused by&nbsp;HPV 16 or 18&nbsp;infection&nbsp;in those who have already been infected with HPV 16 or 18 at the time of vaccination.<br><\/p>\n\n\n\n<p>Vaccination can protect against cervical cancer, but does not replace routine Pap smears.&nbsp;You should continue to follow your doctor&#8217;s instructions for regular cell sample checks (&nbsp;screening&nbsp;for cell changes in the cervix caused by HPV) as well as preventive and protective measures.<br><\/p>\n\n\n\n<p>Cervarix does not protect against all types of human papillomavirus.&nbsp;Preventive measures against exposure to HPV and sexually transmitted diseases should therefore continue to be taken.<br><\/p>\n\n\n\n<p>Cervarix does not protect against diseases not caused by human papillomavirus.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Cervarix<\/h2>\n\n\n\n<p>Cervarix can be given concomitantly with a combined&nbsp;booster vaccine&nbsp;containing&nbsp;diphtheria&nbsp;(d), tetanus (T) and pertussis [acellular] (pa) with \/ without polio [inactivated] (IPV) (dTpa, dTpa-IPV vaccine), with a combined&nbsp;hepatitis&nbsp;A and&nbsp;hepatitisB vaccine (Twinrix) or a&nbsp;hepatitis&nbsp;B vaccine (Engerix-B) or with a tetanus-conjugated&nbsp;meningococcal&nbsp;group A, C, W-135, Y vaccine (MenACWY-TT).&nbsp;When the vaccines are given at the same visit, however, different injection sites (other body part, eg opposite arm) must be used.<br><\/p>\n\n\n\n<p>Cervarix may not have an optimal effect if used in combination with medicines that inhibit the immune system.<br><\/p>\n\n\n\n<p>In&nbsp;clinical trials&nbsp;, oral contraceptives (eg&nbsp;birth control pills&nbsp;)&nbsp;did not reduce the&nbsp;protection given by Cervarix.<br><\/p>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken or might take any other medicines or have recently received any other vaccine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant, if you become pregnant during the vaccination series or if you are trying to become pregnant, it is recommended that you postpone or interrupt the vaccination until after the end of the pregnancy.<br><\/p>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this vaccine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Cervarix is \u200b\u200bunlikely to affect your ability to drive or use machines.&nbsp;But do not drive or use machines if you feel unwell.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cervarix contains sodium chloride<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol&nbsp;sodium&nbsp;(23 mg) per&nbsp;dose&nbsp;, ie essentially &#8216;sodium-free&#8217;.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to give Cervarix<\/h2>\n\n\n\n<p><strong>How the vaccine should be given<\/strong><\/p>\n\n\n\n<p>Your doctor or nurse will give you Cervarix as an&nbsp;injection&nbsp;into the upper arm muscle.<br><\/p>\n\n\n\n<p><strong>How much should be given<\/strong><\/p>\n\n\n\n<p>Cervarix is \u200b\u200bintended for use from the age of 9 years.<br><\/p>\n\n\n\n<p>The total number of&nbsp;injections&nbsp;you will be given depends on your age at the time of the first injection:<br><\/p>\n\n\n\n<p><strong><em>If you are 9-14 years old<\/em><\/strong><br><\/p>\n\n\n\n<p>You will receive 2 injections:<br><\/p>\n\n\n\n<p>First injection: on the selected date<\/p>\n\n\n\n<p>Second injection: given between 5 and 13 months after the first&nbsp;injection,&nbsp;a<br><\/p>\n\n\n\n<p><strong><em>If you are 15 years or older<\/em><\/strong><br><\/p>\n\n\n\n<p>You will receive 3 injections:<br><\/p>\n\n\n\n<p>First injection: on the selected date<\/p>\n\n\n\n<p>Second injection: 1 month after the first&nbsp;injection,&nbsp;a<\/p>\n\n\n\n<p>Third injection: 6 months after first&nbsp;injection&nbsp;a<br><\/p>\n\n\n\n<p>The dosing schedule may be changed if necessary.&nbsp;Talk to your doctor for more information.<br><\/p>\n\n\n\n<p>If the first&nbsp;dose&nbsp;is given with Cervarix, it is recommended that you continue the entire vaccination series with Cervarix (and no other HPV vaccine).<br><\/p>\n\n\n\n<p>Cervarix is \u200b\u200bnot recommended for use under 9 years of age.<br><\/p>\n\n\n\n<p>The vaccine should not be given into a vein.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you miss a dose<\/h2>\n\n\n\n<p>It is important that you follow the instructions from the doctor \/ nurse regarding return visits for future&nbsp;doses&nbsp;.&nbsp;Consult your doctor if you forget to come on time.<br><\/p>\n\n\n\n<p>If you do not complete the vaccination series (two or three&nbsp;injections&nbsp;depending on your age at the time of vaccination), you risk not getting the best response and protection from your vaccination.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this vaccine can cause&nbsp;side effects&nbsp;, although not everybody gets them.<br><\/p>\n\n\n\n<p>The following&nbsp;adverse reactions&nbsp;have been reported in clinical trials:<br><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Very common (&nbsp;side effects&nbsp;that may occur with more than 1 in 10 vaccine doses):<ul><li>pain or discomfort at the injection site<\/li><li>redness&nbsp;or swelling at the injection site<\/li><li>headache<\/li><li>pain, soreness or weakness in the muscles that is not caused by exercise<\/li><li>fatigue.<\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>Common (&nbsp;side effects&nbsp;that may occur in less than 1 in 10 but in more than 1 in 100 vaccine doses):<ul><li>gastrointestinal disorders such as nausea, vomiting, diarrhea, and abdominal pain<\/li><li>itching, red skin rash, hives (&nbsp;hives&nbsp;)<\/li><li>joint pain<\/li><li>fever (38 \u00b0 C or more).<\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>Uncommon (&nbsp;side effects&nbsp;that may occur in less than 1 in 100 but in more than 1 in 1,000 vaccine doses):<ul><li>upper respiratory tract infection (&nbsp;infection&nbsp;of the nose, throat or trachea)<\/li><li>dizziness<\/li><li>other symptoms at the injection site such as local hardening, tingling or loss of sensation.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>Side effects&nbsp;reported after Cervarix approval:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>allergic reactions recognized by:<ul><li>rash that itches on hands and feet<\/li><li>swelling of eyes and face<\/li><li>difficulty breathing and swallowing<\/li><li>sudden drop in blood pressure and loss of consciousness.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>These reactions normally occur before leaving the care facility.&nbsp;If your child gets any of these symptoms, contact a doctor immediately.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>swelling of&nbsp;glands&nbsp;in the throat, armpit or groin<\/li><li>fainting which sometimes occurs together with tremors or stiffness.<\/li><\/ul>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Cervarix<\/h2>\n\n\n\n<p>Keep this vaccine out of the reach and sight of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Store in a refrigerator (2 \u00b0 C &#8211; 8 \u00b0 C).<\/p>\n\n\n\n<p>Do not freeze.<\/p>\n\n\n\n<p>Store in the original package.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>&#8211;<\/td><td>The active substance is:<br>Human papillomavirus&nbsp;<sup>1<\/sup>&nbsp;type 16 L1&nbsp;protein&nbsp;<sup>2, 3, 4<\/sup>Human papillomavirus&nbsp;<sup>1<\/sup>&nbsp;type 18 L1&nbsp;protein&nbsp;<sup>2, 3, 4<\/sup><\/td><td><br><br>20 micrograms20 micrograms<\/td><\/tr><tr><td>&nbsp;<\/td><td><sup>1<\/sup>&nbsp;Human papillomavirus = HPV<\/td><td><br><\/td><\/tr><tr><td>&nbsp;<\/td><td><sup>2&nbsp;<\/sup>adjuvants&nbsp;AS04 containing:3-O-desacyl-4&#8242;-monophosphoryl lipid A (MPL)&nbsp;<sup>3<\/sup><\/td><td><br>50 micrograms<\/td><\/tr><tr><td>&nbsp;<\/td><td><sup>3&nbsp;<\/sup>adsorbed&nbsp;on aluminum hydroxide, hydrated (Al (OH)&nbsp;<sub>3<\/sub>&nbsp;) 0.5 milligrams Al&nbsp;<sup>3+<\/sup>&nbsp;(total)<br><sup>4<\/sup>&nbsp;L1&nbsp;protein&nbsp;in the form of non-infectious virus-like particles produced by&nbsp;recombinant DNA&nbsp;technology in an expression system consisting of baculovirus with Hi-5 Rix4446 cells from the insect&nbsp;<em>Trichoplusia ni<\/em><\/td><\/tr><tr><td>&#8211;<\/td><td>The other ingredients are sodium chloride (NaCl), sodium dihydrogen phosphate dihydrate (NaH&nbsp;<sub>2<\/sub>&nbsp;PO&nbsp;<sub>4<\/sub>&nbsp;\u00b7 2 H&nbsp;<sub>2<\/sub>&nbsp;O) and water for injections.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Injection,&nbsp;suspension.<br><\/p>\n\n\n\n<p>Cervarix is \u200b\u200ba milky, white&nbsp;suspension.<br><\/p>\n\n\n\n<p>Cervarix single-dose bottles (0.5 ml) are supplied in packs of 1, 10 and 100 pieces.<br><\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>GlaxoSmithKline Biologicals SA<\/p>\n\n\n\n<p>Rue de l&#8217;Institut 89<\/p>\n\n\n\n<p>B-1330 Rixensart, Belgium<br><\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgique \/&nbsp;<\/strong><strong>Belgi\u00eb \/&nbsp;<\/strong><strong>Belgien<\/strong>GlaxoSmithKline Pharmaceuticals sa \/ nvTel: + 32 10 85 52 00<\/td><td><strong>Lithuania<\/strong>GlaxoSmithKline Lithuania UABTel: +370 5 264 90 00info.lt@gsk.com<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>The GlaxoSmithKlein \u0415\u041e\u041e\u0414Tel.&nbsp;+ 359 2 953 10 34<\/td><td><strong>Luxembourg \/ Luxemburg<\/strong>GlaxoSmithKline Pharmaceuticals sa \/ nvTel: + 32 10 85 52 00<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>GlaxoSmithKline sroTel: + 420 2 22 00 11 11cz.info@gsk.com<\/td><td><strong>Hungary<\/strong>GlaxoSmithKline Kft.Tel .: + 36-1-2255300<\/td><\/tr><tr><td><strong>Denmark<\/strong>GlaxoSmithKline Pharma A \/ STel: + 45 36 35 91 00dk-info@gsk.com<\/td><td><strong>Malta<\/strong>GlaxoSmithKline (Malta) LtdTel: + 356 21 238131<\/td><\/tr><tr><td><strong>Germany<\/strong>GlaxoSmithKline GmbH &amp; Co.&nbsp;KGTel: + 49 (0) 89 360448701produkt.info@gsk.com<\/td><td><strong>The Netherlands<\/strong>GlaxoSmithKline BVTel: + 31 (0) 30 69 38 100nlinfo@gsk.com<\/td><\/tr><tr><td><strong>Eesti<\/strong>GlaxoSmithKline Eesti O\u00dcTel: +372 667 6900estonia@gsk.com<\/td><td><strong>Norway<\/strong>GlaxoSmithKline ASTel: + 47 22 70 20 00<\/td><\/tr><tr><td><strong>Greece<\/strong>GlaxoSmithKline AEBET\u03b7\u03bb: + 30 210 68 82 100<\/td><td><strong>Austria<\/strong>GlaxoSmithKline Pharma GmbH.Tel: + 43 (0) 1 970 750at.info@gsk.com<\/td><\/tr><tr><td><strong>Spain<\/strong>GlaxoSmithKline, SATel: + 34 902 202 700es-ci@gsk.com<\/td><td><strong>Poland<\/strong>GSK Services Sp.&nbsp;z ooTel .: + 48 (22) 576 9000<\/td><\/tr><tr><td><strong>France<\/strong>GlaxoSmithKline LaboratoryTel: + 33 (0) 1 39 17 84 44diam@gsk.com<\/td><td><strong>Portugal<\/strong>GlaxoSmithKline &#8211; Pharmaceutical Products, Lda.Tel: + 351 21 412 95 00FI.PT@gsk.com<\/td><\/tr><tr><td><strong>Croatia<\/strong>GlaxoSmithKline dooTel .: + 385 (0) 1 6051999<\/td><td><strong>Romania<\/strong>GlaxoSmithKline (GSK) SRLTel: +40 (0) 21 3028 208<\/td><\/tr><tr><td><strong>Ireland<\/strong>GlaxoSmithKline (Ireland) LtdTel: + 353 (0) 1 495 5000<\/td><td><strong>Slovenia<\/strong>GlaxoSmithKline dooTel: + 386 (0) 1 280 25 00medical.x.si@gsk.com<\/td><\/tr><tr><td><strong>Iceland<\/strong>Vistor hf.Phone: +354 535 7000<\/td><td><strong>Slovak Republic<\/strong>GlaxoSmithKline Slovakia sroTel: + 421 (0) 2 48 26 11 11recepcia.sk@gsk.com<\/td><\/tr><tr><td><strong>Italy<\/strong>GlaxoSmithKline SpATel: + 39 (0) 45 9218111<\/td><td><strong>Finland \/ Finland<\/strong>GlaxoSmithKline OyPuh \/ Tel: + 358 10 30 30 30finland.tuoteinfo@gsk.com<\/td><\/tr><tr><td><strong>\u039a\u03cd\u03c0\u03c1\u03bf\u03c2<\/strong>GlaxoSmithKline (Cyprus) Ltd:\u0397\u03bb: + 357 22 39 70 00gskcyprus@gsk.com<\/td><td><\/td><\/tr><tr><td><strong>Latvia<\/strong>GlaxoSmithKline Latvia SIATel: + 371 67312687lv-epasts@gsk.com<\/td><td><strong>United Kingdom<\/strong>GlaxoSmithKline UKTel: + 44 (0) 800 221 441customercontactuk@gsk.com<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Cervarix is a vaccine intended to protect against diseases caused by infection with human papillomavirus (HPV) by the age of 9.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2203,2200],"tags":[7467,7473,7472,7470,7471,2212,7469,7468],"class_list":["post-6664","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-cervarix","tag-cervarix-dosage","tag-cervarix-dose","tag-cervarix-side-effects","tag-cervarix-uses","tag-medicine","tag-what-cervarix-is-used-for","tag-what-is-cervarix"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6664","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=6664"}],"version-history":[{"count":3,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6664\/revisions"}],"predecessor-version":[{"id":11523,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6664\/revisions\/11523"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6664"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6664"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6664"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}