{"id":8159,"date":"2021-03-06T09:33:55","date_gmt":"2021-03-06T09:33:55","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8159"},"modified":"2021-04-29T13:39:52","modified_gmt":"2021-04-29T13:39:52","slug":"engerix-b","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/engerix-b\/","title":{"rendered":"Engerix B &#8211; Vaccine Hepatitis B uses, dose and side effects"},"content":{"rendered":"\n<p> 10 micrograms \/ 0.5 ml,\u00a0injection\u00a0,\u00a0suspension\u00a0in prefilled\u00a0syringe\u00a0<br>Vaccine\u00a0Hepatitis\u00a0B (rDNA) (\u00a0adsorbed\u00a0) (HBV)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Engerix-B is and what it is used for<\/h2>\n\n\n\n<p>Engerix-B is a vaccine used against&nbsp;infection&nbsp;by&nbsp;hepatitis&nbsp;B. It can also help protect against&nbsp;infection&nbsp;by&nbsp;hepatitis&nbsp;D.<br><\/p>\n\n\n\n<p>This vaccine can be given to newborns, children, and adolescents up to 15 years of age.<br><\/p>\n\n\n\n<p>Hepatitis&nbsp;B is an infectious disease of the liver caused by a&nbsp;virus.&nbsp;Some people have the&nbsp;hepatitis&nbsp;B&nbsp;virus&nbsp;in their bodies but cannot get rid of it.&nbsp;They carry the&nbsp;virus&nbsp;and can still infect other people.&nbsp;The disease is spread by the&nbsp;virus&nbsp;entering the body through contact with body fluids, usually blood, from an infected person.<br><\/p>\n\n\n\n<p>If the mother is a carrier of the&nbsp;virus, she can transmit it to her newborn baby at birth.&nbsp;The virus&nbsp;can also be transmitted from a carrier by e.g.&nbsp;unprotected sex if you share injection needles with other people or with medical equipment that has not been properly sterilized.<br><\/p>\n\n\n\n<p>The most common signs of the disease are headache, fever, nausea, and jaundice (yellow skin and yellow eyes), but about 3 out of 10 patients get no symptoms.&nbsp;Among those infected with&nbsp;hepatitis&nbsp;B, 1 in 10 adults and up to 9 in 10 newborns will become carriers of the&nbsp;virus&nbsp;and probably later develop serious liver disease and in some cases liver cancer.<br><\/p>\n\n\n\n<p><strong>How Engerix-B works<\/strong><br><\/p>\n\n\n\n<p>Engerix-B contains small amounts of the &#8220;outer shell&#8221; of the&nbsp;hepatitis&nbsp;B&nbsp;virus.&nbsp;These outer parts are not contagious and can not make you sick.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>When you receive the vaccine, the body&#8217;s immune system is activated and prepares to protect you against these types of viruses in the future.<\/li><li>Engerix-B does not protect if you have already been infected with the&nbsp;hepatitis&nbsp;B&nbsp;virus.<\/li><li>Engerix-B only protects you against being infected with the&nbsp;hepatitis&nbsp;B&nbsp;virus.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before you get Engerix-B<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Engerix-B should not be given:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic (hypersensitive) to Engerix-B or any of the other ingredients of this vaccine (listed in section 6)<\/li><li>if you have a high body temperature (fever).<\/li><\/ul>\n\n\n\n<p>Engerix-B should not be given if any of the above apply to you.&nbsp;If you are not sure, talk to your doctor or pharmacist before taking Engerix-B.&nbsp;Tell your doctor or pharmacist if you have any&nbsp;allergies&nbsp;or if you have ever experienced any health problems after vaccination.<\/p>\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 Engerix-B if you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>is on&nbsp;dialysis&nbsp;due to kidney problems or if you have a disease that can affect the immune system.<\/li><\/ul>\n\n\n\n<p>People on&nbsp;dialysis, who have had liver problems for a long time or who are carriers of&nbsp;hepatitis&nbsp;C or are&nbsp;HIV-&nbsp;positive can still be vaccinated with Engerix-B by a doctor, as a&nbsp;hepatitis&nbsp;B&nbsp;infection&nbsp;can be serious in these people.&nbsp;For more information on kidney problems and&nbsp;dialysis, see section 3.<br><\/p>\n\n\n\n<p>If you are not sure if any of the above applies to you, talk to your doctor before being vaccinated with Engerix-B.<br><\/p>\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 have fainted from a previous&nbsp;injection.<br><\/p>\n\n\n\n<p>Like other vaccines, Engerix-B may not give you full protection against&nbsp;hepatitis&nbsp;B. Several factors such as&nbsp;old age, gender, obesity, smoking, and some long-term problems reduce your&nbsp;immune response&nbsp;to the vaccine.&nbsp;If any of these apply to you, your doctor may decide to take a blood sample or give you another&nbsp;dose&nbsp;of Engerix-B, to ensure that you have received protection.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Engerix-B<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>Engerix-B can be given at the same time as most other vaccines that are usually given routinely.&nbsp;The doctor ensures that the vaccines are given separately and at different injection sites.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Engerix-B is unlikely to affect your ability to drive or use machines.&nbsp;However, do not drive or use machines if you feel unwell.<br><\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Engerix-B contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol&nbsp;sodium&nbsp;(23 mg) per&nbsp;dose, ie essentially &#8216;sodium-free&#8217;.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How Engerix-B is given<\/h2>\n\n\n\n<p><strong>How the vaccine is given<\/strong><\/p>\n\n\n\n<p>Your doctor will give you the recommended&nbsp;dose of&nbsp;one of Engerix-B.<br><\/p>\n\n\n\n<p>Engerix-B said:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>by&nbsp;injection&nbsp;into the upper arm muscle in children and adolescents<\/li><li>by&nbsp;injection&nbsp;into the upper part of the outer thigh muscle in infants and young children.<\/li><li>by&nbsp;injection&nbsp;under the skin if you get bruises easily or if you have any bleeding disorders.<br><\/li><\/ul>\n\n\n\n<p><strong>How much vaccine is given<\/strong><\/p>\n\n\n\n<p>You will receive several&nbsp;injections&nbsp;with Engerix-B.&nbsp;Once you have received all the&nbsp;doses&nbsp;in the series, you can expect protection against&nbsp;hepatitis&nbsp;B for a long time.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Newborns, children, and adolescents up to the age of 15 usually receive the vaccine 10 micrograms \/ 0.5 ml.<\/li><\/ul>\n\n\n\n<p>There are several different schemes for how Engerix-B can be given.&nbsp;The doctor chooses what is most suitable for you.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Schedule 1 &#8211; for newborns, children, and adolescents up to 15 years<\/strong><\/td><\/tr><tr><td>First&nbsp;injection&nbsp;one<\/td><td>&#8211; as agreed<\/td><\/tr><tr><td>Second&nbsp;injection&nbsp;one<\/td><td>&#8211; 1 month after the first&nbsp;injection&nbsp;a<\/td><\/tr><tr><td>Third&nbsp;injection&nbsp;one<\/td><td>&#8211; 6 months after the first&nbsp;injection&nbsp;a<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Schedule 2 &#8211; newborns, children, and adolescents up to 15 years<\/strong><\/td><\/tr><tr><td>First&nbsp;injection&nbsp;one<\/td><td>&#8211; as agreed<\/td><\/tr><tr><td>Second&nbsp;injection&nbsp;one<\/td><td>&#8211; 1 month after the first&nbsp;injection&nbsp;a<\/td><\/tr><tr><td>Third&nbsp;injection&nbsp;one<\/td><td>&#8211; 2 months following the first&nbsp;injection&nbsp;a<\/td><\/tr><tr><td>Fourth&nbsp;injection&nbsp;one<\/td><td>&#8211; 12 months after the first&nbsp;injection,&nbsp;a<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li>With Schedule 2, Engerix-B can be given to newborns at the same time as other childhood vaccines that are usually given routinely.<\/li><li>This schedule can also be used if you are vaccinated because you have recently been exposed to&nbsp;hepatitis&nbsp;B, as it provides faster protection.<\/li><\/ul>\n\n\n\n<p>You must follow the instructions from the doctor\/nurse regarding return visits for future&nbsp;doses.&nbsp;Talk to your doctor if you have any questions about how many vaccinations you should receive.<br><\/p>\n\n\n\n<p><strong>Vaccination and childbirth<\/strong><\/p>\n\n\n\n<p>If you have&nbsp;hepatitis&nbsp;B and have recently given birth, Schedule 1 or 2 can be used to vaccinate your child.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Your doctor may also decide to give your child immunoglobulins against&nbsp;hepatitis B (human&nbsp;antibodies&nbsp;) at the same time as the first&nbsp;injection.&nbsp;This provides additional protection against&nbsp;hepatitis&nbsp;B for your child.&nbsp;They are given in another place on the body.<\/li><\/ul>\n\n\n\n<p><strong>Kidney problems and&nbsp;dialysis<\/strong><\/p>\n\n\n\n<p>If your child has kidney problems or is on&nbsp;dialysis, the doctor may decide to take a blood sample or give&nbsp;you&nbsp;an extra&nbsp;dose&nbsp;of the vaccine, to ensure that your child has received protection.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all vaccines, this vaccine can cause&nbsp;side effects, although not everybody gets them.<\/p>\n\n\n\n<p>The following&nbsp;side effects&nbsp;may occur with this vaccine:<br><\/p>\n\n\n\n<p><strong>Allergic reactions<\/strong><\/p>\n\n\n\n<p>If you get an&nbsp;allergic reaction, contact a doctor immediately.&nbsp;The characters can be:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>facial swelling<\/li><li>low&nbsp;blood pressure<\/li><li>breathing difficulties<\/li><li>blue skin<\/li><li>unconsciousness.<\/li><\/ul>\n\n\n\n<p>These signs generally begin very soon after you have received an&nbsp;injection.&nbsp;Contact your doctor immediately if this occurs after you leave the clinic.<br><\/p>\n\n\n\n<p><strong>Other&nbsp;side effects&nbsp;can be:<\/strong><br><\/p>\n\n\n\n<p><strong>Very common<\/strong>&nbsp;(these may occur with more than 1 in 10 vaccine doses)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>headache<\/li><li>pain and&nbsp;redness&nbsp;at the injection site<\/li><li>feeling tired<\/li><li>irritability.<\/li><\/ul>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(these may occur in up to 1 in 10 vaccine doses)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drowsiness<\/li><li>nausea (feeling sick) or vomiting (getting sick)<\/li><li>diarrhea or abdominal pain<\/li><li>loss of appetite<\/li><li>high body temperature (fever)<\/li><li>general malaise<\/li><li>swelling at the injection site<\/li><li>injection site reactions, e.g.&nbsp;induration.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(these may occur with up to 1 in 100 vaccine doses)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>dizziness<\/li><li>muscle aches<\/li><li>flu-like symptoms.<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may occur in up to 1 in 1,000 vaccine doses)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>swollen&nbsp;glands<\/li><li>hives, rash, and&nbsp;itching<\/li><li>joint pain<\/li><li>tingling and crawling.<\/li><\/ul>\n\n\n\n<p><strong>Side effects&nbsp;that have been reported since the launch of Engerix-B include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>easy to get bruises and not being able to stop a bleed if you were to cut yourself<\/li><li>low&nbsp;blood pressure<\/li><li>inflammation&nbsp;of the blood vessels<\/li><li>sudden swelling of the face around the mouth and throat (&nbsp;angioneurotic edema&nbsp;)<\/li><li>paralysis of the muscles (paralysis)<\/li><li>neuritis&nbsp;(&nbsp;neuritis&nbsp;) that can cause loss of sensation or numbness, including transient neuritis causing pain, weakness, and paralysis of the arms and legs, often progressing to the chest and face (&nbsp;Guillain-Barr\u00e9 syndrome&nbsp;),&nbsp;optic nerve disease(&nbsp;optic&nbsp;neuritis&nbsp;), and&nbsp;multiple sclerosis&nbsp;(MS)<\/li><li>problems with moving arms and legs (&nbsp;neuropathy&nbsp;)<\/li><li>brain inflammation (&nbsp;encephalitis&nbsp;)<\/li><li>degenerative&nbsp;brain disease (&nbsp;encephalopathy&nbsp;)<\/li><li>meningitis&nbsp;(&nbsp;meningitis&nbsp;)<\/li><li>cramps<\/li><li>decreased sensitivity to pain or touch (&nbsp;hypesthesia&nbsp;)<\/li><li>dark violet or red-violet skin lumps (&nbsp;lichen&nbsp;planus)<\/li><li>red or dark violet spots on the skin<\/li><li>joint pain and stiff joints (&nbsp;arthritis&nbsp;)<\/li><li>muscle weakness.<\/li><\/ul>\n\n\n\n<p>In very premature babies (born week 28 or earlier in pregnancy) there may be longer breaks between breaths than normal for 2-3 days after vaccination.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Engerix-B<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Keep this vaccine out of the reach and sight of children.<\/li><li>Do not use this medicine after the expiry date which is stated on the label and carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/li><li>Store in a refrigerator (2 \u00b0 C &#8211; 8 \u00b0 C).<\/li><li>Do not freeze.<\/li><li>Store in the original package.<\/li><li>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.<\/li><\/ul>\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<ul class=\"wp-block-list\"><li>The active substance is the &#8220;outer shell&#8221; of the&nbsp;hepatitis&nbsp;B&nbsp;virus.&nbsp;Each&nbsp;dose contains 10 micrograms \/ 0.5 ml of the&nbsp;protein&nbsp;produced by the outer shell&nbsp;adsorbed&nbsp;on hydrated aluminum hydroxide.<\/li><li>The other ingredients are sodium chloride, disodium phosphate dihydrate, sodium dihydrogen phosphate, and water for injections.<\/li><\/ul>\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<ul class=\"wp-block-list\"><li>Engerix-B is a cloudy, white&nbsp;solution for injection.<\/li><li>The vaccine 10 micrograms \/ 0.5 ml is supplied in pre-filled syringes in pack sizes of 1 or 10 pieces, with or without needles.<\/li><li>Not all pack sizes may be marketed.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>GlaxoSmithKline AB, Box 516, 169 29 Solna<\/p>\n\n\n\n<p>Tel: 08-638 93 00<\/p>\n\n\n\n<p>Email: info.produkt@gsk.com<br><\/p>\n\n\n\n<p><strong>Manufacturer:<\/strong><\/p>\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<\/p>\n\n\n\n<p>Belgium<br><\/p>\n\n\n\n<p><strong>This medicinal product has been authorized in the EEA Member States under the following names:<\/strong><\/p>\n\n\n\n<p>Austria, Denmark, Finland, Iceland, Norway, <\/p>\n\n\n\n<p>Belgium, Luxembourg, Spain: Engerix B Junior<\/p>\n\n\n\n<p>France, Ireland, Italy: Engerix-B-10<\/p>\n\n\n\n<p>Germany: Engerix-B Children<\/p>\n\n\n\n<p>Greece: Engerix<\/p>\n\n\n\n<p>Netherlands: Engerix-B Junior<\/p>\n\n\n\n<p>Portugal, United Kingdom: Engerix B<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Engerix-B is a vaccine used against infection by hepatitis B. It can also help protect against infection by hepatitis D.<\/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":[2205,2200],"tags":[4209,4213,4211,4212,1214,2213,2356,4204,4208,4205,4207,4210,4206],"class_list":["post-8159","post","type-post","status-publish","format-standard","hentry","category-e","category-medicines","tag-engerix-b","tag-engerix-b-dose","tag-engerix-b-side-effects","tag-engerix-b-uses","tag-hepatitis-b","tag-medicines","tag-vaccine","tag-vaccine-hepatitis-b","tag-vaccine-hepatitis-b-dose","tag-vaccine-hepatitis-b-side-effects","tag-vaccine-hepatitis-b-uses","tag-what-is-engerix-b","tag-what-is-vaccine-hepatitis-b"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8159","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=8159"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8159\/revisions"}],"predecessor-version":[{"id":10518,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8159\/revisions\/10518"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}