Hepatitis A vaccine


Generic Medicine Info
Indications and Dosage
Intramuscular
Active immunisation against hepatitis A
Adult: As inactivated hepatitis A virus (GBM strain) vaccine containing 160 ELISA units per 0.5 mL: Primary immunisation: 0.5 mL as a single dose. Booster dose: 0.5 mL 6-12 months (may be given up to 36 months) after the initial dose. As inactivated hepatitis A virus (HM 175 strain) vaccine containing 1,440 ELISA units per 1 mL: Primary immunisation: 1 mL as a single dose. Booster dose: 1 mL 6-12 months (may be given up to 36 months) after the initial dose. As inactivated hepatitis A virus (CR 326F strain) vaccine containing 25 international units per 0.5 mL: Primary immunisation: 1 mL as a single dose. Booster dose: 1 mL 6-18 months after the initial dose. Recommendations may vary between individual products or local immunisation guidelines (refer to latest local guidelines).
Child: As inactivated hepatitis A virus (GBM strain) vaccine containing 80 ELISA units per 0.5 mL: 1-15 years Primary immunisation: 0.5 mL as a single dose. Booster dose: 0.5 mL 6-36 months (may be given up to 84 months) after the initial dose. As inactivated hepatitis A virus (GBM strain) vaccine containing 160 ELISA units per 0.5 mL: ≥16 years Same as adult dose. As inactivated hepatitis A virus (HM 175 strain) vaccine containing 720 ELISA units per 0.5 mL: 1-15 years Primary immunisation: 0.5 mL as a single dose. Booster dose: 0.5 mL 6-12 months (may be given up to 36 months) after the initial dose. As inactivated hepatitis A virus (HM 175 strain) vaccine containing 1,440 ELISA units per 1 mL: ≥16 years Same as adult dose. As inactivated hepatitis (CR 326F strain) vaccine containing 25 units per 0.5 mL: 1-17 years Primary immunisation: 0.5 mL as a single dose. Booster dose: 0.5 mL 6-18 months after the initial dose. Recommendations may vary between individual products or local immunisation guidelines (refer to specific local guidelines).
Contraindications
Hypersensitivity to hepatitis A containing vaccines.
Special Precautions
Patient with thrombocytopenia or bleeding disorder; history of febrile convulsions or neurological disorders. Patient receiving anticoagulant therapy. Delay vaccination in patients with acute severe febrile illness or during periods of severe immunosuppression (e.g. patients receiving chemotherapy or radiation therapy or other immunosuppressive treatment including high-dose corticosteroids) if appropriate. Carefully review product labelling prior to administration, available products may differ by concentration and appropriate ages. Current international guidelines recommend that doses should be given from the same brand or manufacturer; however, administration of whichever hepatitis A vaccine available may be given if this is not possible or the previous vaccine is unknown. Children. Pregnancy and lactation.
Adverse Reactions
Significant: Syncope, anaphylactoid or hypersensitivity reactions, shoulder injury related to vaccine administration (e.g. bursitis, tendinopathy), bleeding or haematoma (particularly in patients with bleeding disorder).
Gastrointestinal disorders: Nausea, diarrhoea, vomiting, abdominal pain.
General disorders and administration site conditions: Fatigue, lethargy, malaise, fever (≥38.5°C), inj site reactions (e.g. pain, erythema, swelling, induration).
Metabolism and nutrition disorders: Decreased appetite, anorexia.
Musculoskeletal and connective tissue disorders: Myalgia, arthralgia, stiffness.
Nervous system disorders: Headache, dizziness, drowsiness.
Psychiatric disorders: Insomnia; irritability, crying (particularly in children).
Respiratory, thoracic and mediastinal disorders: URTI, rhinitis, pharyngitis.
Skin and subcutaneous tissue disorders: Urticaria, rash.
Monitoring Parameters
Monitor for anaphylactic reactions and syncope for 15 minutes after administration.
Drug Interactions
Therapeutic effect may be decreased with immunosuppressants (e.g. alkylating agents, antimetabolites, cytotoxic drugs, high dose corticosteroids).
Action
Description:
Mechanism of Action: Hepatitis A vaccine is an inactivated virus vaccine. It induces active immunity to hepatitis A virus (HAV) by stimulating immune responses as presented by the production of antibodies against HAV.
Storage
Store between 2-8°C. Do not freeze. Protect from light. Storage recommendations may vary among countries and individual products (refer to specific product guidelines).
MIMS Class
Vaccines, Antisera & Immunologicals
ATC Classification
J07BC02 - hepatitis A, inactivated, whole virus ; Belongs to the class of hepatitis viral vaccines.
References
Anon. Hepatitis A Virus Vaccine Inactivated. AHFS Clinical Drug Information [online]. Bethesda, MD. American Society of Health-System Pharmacists, Inc. https://www.ahfscdi.com. Accessed 19/04/2024.

Avaxim 160 U, Suspension for Injection in Pre-filled Syringe (Sanofi-Aventis [Malaysia] Sdn. Bhd.). National Pharmaceutical Regulatory Agency - Ministry of Health Malaysia. https://www.npra.gov.my. Accessed 19/04/2024.

Avaxim 80 U, Suspension for Injection in Pre-filled Syringe (Sanofi-Aventis [Malaysia] Sdn. Bhd.). National Pharmaceutical Regulatory Agency - Ministry of Health Malaysia. https://www.npra.gov.my. Accessed 19/04/2024.

Avaxim Junior, Suspension for Injection in Pre-filled Syringe (Sanofi Pasteur). MHRA. https://products.mhra.gov.uk. Accessed 19/04/2024.

Avaxim, Suspension for Injection in Pre-filled Syringe (Sanofi Pasteur Europe). MHRA. https://products.mhra.gov.uk. Accessed 19/04/2024.

Buckingham R (ed). Hepatitis A Vaccines. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 19/04/2024.

GlaxoSmithKline NZ Ltd. Havrix 1,440 EU/mL, Havrix Junior 720 EU/0.5 mL Suspension for Injection data sheet 01 March 2023. Medsafe. http://www.medsafe.govt.nz. Accessed 19/04/2024.

Havrix 1,440 Adult/720 Junior Suspension for Injection (Glaxosmithkline Pharmaceutical Sdn. Bhd.). National Pharmaceutical Regulatory Agency - Ministry of Health Malaysia. https://www.npra.gov.my. Accessed 19/04/2024.

Havrix Injection, Suspension (GlaxoSmithKline Biologicals SA). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed. Accessed 19/04/2024.

Havrix Junior Monodose Vaccine Suspension for Injection in a Pre-filled Syringe (SmithKline Beecham Ltd). MHRA. https://products.mhra.gov.uk. Accessed 19/04/2024.

Havrix Monodose Vaccine Suspension for Injection in a Pre-filled Syringe (SmithKline Beecham Ltd). MHRA. https://products.mhra.gov.uk. Accessed 19/04/2024.

Hepatitis A Vaccine. UpToDate Lexidrug, Lexi-Drugs Multinational Online. Waltham, MA. UpToDate, Inc. https://online.lexi.com. Accessed 19/04/2024.

Joint Formulary Committee. Hepatitis A Vaccine. British National Formulary [online]. London. BMJ Group and Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 19/04/2024.

Vaqta Adult, Suspension for Injection (Merck Sharp & Dohme [UK] Limited). MHRA. https://products.mhra.gov.uk. Accessed 19/04/2024.

Vaqta Paediatric, Suspension for Injection (Merck Sharp & Dohme [UK] Limited). MHRA. https://products.mhra.gov.uk. Accessed 19/04/2024.

Disclaimer: This information is independently developed by MIMS based on Hepatitis A vaccine from various references and is provided for your reference only. Therapeutic uses, prescribing information and product availability may vary between countries. Please refer to MIMS Product Monographs for specific and locally approved prescribing information. Although great effort has been made to ensure content accuracy, MIMS shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2024 MIMS. All rights reserved. Powered by MIMS.com
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