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Bencard AG - Polvac Bäume Kombipackung, Injektionssuspension in Durchstechflaschen

Swissmedic Registration	65474	Sequence	01
Product name	Polvac Bäume Kombipackung	Description	Injektionssuspension in Durchstechflaschen
ATC-Classification	V01AA05	ATC-Description	Tree Pollen
Introduction of Sequence	14.10.2015

Composition

A): pollinis allergeni extractum 600 U. ut pollinis allergeni extractum (Alnus spp.) et pollinis allergeni extractum (Betula spp.) et pollinis allergeni extractum (Corylus spp.), tyrosinum, phenolum, natrii chloridum, glycerolum, dinatrii phosphas dodecahydricus et natrii dihydrogenophosphas dihydricus, aqua ad iniectabile q.s. ad suspensionem pro 1 ml corresp. natrium 3.72 mg. B): pollinis allergeni extractum 1600 U. ut pollinis allergeni extractum (Alnus spp.) et pollinis allergeni extractum (Betula spp.) et pollinis allergeni extractum (Corylus spp.), tyrosinum, phenolum, natrii chloridum, glycerolum, dinatrii phosphas dodecahydricus et natrii dihydrogenophosphas dihydricus, aqua ad iniectabile q.s. ad suspensionem pro 1 ml corresp. natrium 3.72 mg. C): pollinis allergeni extractum 4000 U. ut pollinis allergeni extractum (Alnus spp.) et pollinis allergeni extractum (Betula spp.) et pollinis allergeni extractum (Corylus spp.), tyrosinum, phenolum, natrii chloridum, glycerolum, dinatrii phosphas dodecahydricus et natrii dihydrogenophosphas dihydricus, aqua ad iniectabile q.s. ad suspensionem pro 1 ml corresp. natrium 3.72 mg.

Packungsbestandteile

Label

Galenic Form

Injektionssuspension in Durchstechflaschen

Excipiens

Active Agent	Dose
Pollinis Allergeni Extractum (Alnus spp., Betula spp., Corylus spp.)	1600 U

Inactive agents	Dose	additional_information
Disodium Phosphate Dodecahydrate
Glycerol
Sodium Chloride
Sodium Dihydrogenophosphate Dihydrate
Phenol	5 mg	conserv.
Tyrosine

Label

Galenic Form

Injektionssuspension in Durchstechflaschen

Excipiens

Active Agent
Pollinis Allergeni Extractum (Betula spp.)
Pollinis Allergeni Extractum (Corylus spp.)
Pollinis Allergeni Extractum 600 u. ut Pollinis Allergeni Extractum (Alnus spp.)

Inactive agents
Disodium Phosphate Dodecahydrate
Glycerol
Sodium Chloride
Sodium Dihydrogenophosphate Dihydrate
Phenol
Tyrosine

Label

Galenic Form

Injektionssuspension in Durchstechflaschen

Excipiens

Active Agent
Pollinis Allergeni Extractum (Betula spp.)
Pollinis Allergeni Extractum (Corylus spp.)
Pollinis Allergeni Extractum 1600 u. ut Pollinis Allergeni Extractum (Alnus spp.)

Inactive agents
Disodium Phosphate Dodecahydrate
Glycerol
Sodium Chloride
Sodium Dihydrogenophosphate Dihydrate
Phenol
Tyrosine

Label

Galenic Form

Injektionssuspension in Durchstechflaschen

Excipiens

Active Agent
Pollinis Allergeni Extractum (Betula spp.)
Pollinis Allergeni Extractum (Corylus spp.)
Pollinis Allergeni Extractum 4000 u. ut Pollinis Allergeni Extractum (Alnus spp.)

Inactive agents
Disodium Phosphate Dodecahydrate
Glycerol
Sodium Chloride
Sodium Dihydrogenophosphate Dihydrate
Phenol
Tyrosine

Package number	Package Size	EFP	CP	Category	SL	Out of trade (MedRef)
001	3	224.04	260.05	A	SL	Yes

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