Twinrix Syringe Hep A & B 1ml P/F


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Our Price $75.99
PBS $0.00
Concession $0.00
Safety Net $0.00

S8 Note - This prescription item is Schedule 8 and can only be supplied on a script from a registered doctor in Queensland. Any prescriptions from any other state cannot be filled and will be returned in the mail

Note: Private, PBS and our prices are available to the general public. Concession and Safety Net prices are only available to people with the appropriate concession or Safety Net cards. See Prescriptions for more details.


This prescription item requires a pre approved authority from the Government in order to get this item at the quoted price. Authority prescriptions need to be applied for by the doctor writing the script and can include reasons such as increased quantities due to dosage, increased repeats, use for a pre determined specified use, or the nature of the medication itself requiring specialist interaction. In the event that an authority is not granted on the script, the price will revert to the private price quoted for that item


This item contains more than one pack of a prescription product. Before this can be dispensed the doctor has to give approval. The prescription must be written for the total quantity or the prescription must be endorsed by your doctor "Regulation 24" otherwise we will be unable to dispense the increased amount. If you proceed with the order without approval, we will only send out one pack at the single pack price and refund the difference. Eg If your prescription is written out for 30 Tablets with 5 repeats and it does not have “Regulation 24 “ written on the script, the ONLY quantity we can dispense is 30 at one time. Further dispensing of this product could only occur after an appropriate length of time - usually 21 days but depends on dosage. In this example if you would like to obtain 180 Tablets then the doctor must endorse the prescription “Regulation 24” or the quantity must be written out for 180 and not 30. NB Conditions apply on the writing of a Regulation 24 prescription. Ask your doctor or pharmacist for details.

We can no longer accept signed authority forms from your doctor as permission to dispense more than one pack. Please contact our pharmacist for more information.

If you order this item as Private, NO PBS stickers will be issued. Once any prescription order has been sent the product cannot be returned for a refund even if your doctor changes your medication or you have an adverse reaction.

Twinrix Syringe Hep A & B 1ml P/F

Twinrix Syringe Hep A & B 1ml P/F

Product ID: 58814
Temporarily Low Stock Online
This Product Is Currently Available
In Store Only

Pharmacist Only Medicine

This product is a Pharmacist Only Medicine and requires pharmacist advice before we can dispatch this product. You must first place the order and then contact our pharmacists within 48 hours on 1300 367 283. The pharmacist will determine if this product is appropriate for you and if so, approve the order. In the event that you do not do this, the product will be deleted from your order and the balance of your order will be dispatched. This is not required if you have a doctor's prescription.


General Information

Consumer Medicine Information

In this leaflet, TWINRIX refers to both TWINRIX (720/20) and TWINRIX JUNIOR (360/10).


This leaflet answers some of the common questions about TWINRIX vaccine. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.

All medicines and vaccines have risks and benefits. Your doctor has weighed the possible risks of you or your child having TWINRIX against the expected benefits.

If you have any concerns about receiving TWINRIX talk to your doctor, nurse or pharmacist.

Keep this leaflet with this vaccine. You may need to read it again.


TWINRIX is a combination vaccine used to prevent hepatitis A and hepatitis B infection. The vaccine works by causing the body to produce its own protection (antibodies) against these diseases.

Hepatitis A and hepatitis B are infectious diseases, which cause the liver to be become inflamed (swollen). These diseases are caused by viruses - hepatitis A and hepatitis B viruses.

Hepatitis A
Symptoms of hepatitis A usually begin 3 to 6 weeks after coming into contact with the virus. These consist of nausea (feeling sick), fever, aches and pains. After a few days the skin and/or the whites of the eyes may beome yellowish (jaundice). The severity and type of symptoms can vary. Hepatitis A is often milder in young children. Most people recover completely but the illness is usually severe enough to keep adults off work for about a month.

The hepatitis A virus can be passed from person to person in food and drink, or by swimming in water contaminated by sewage. Hepatitis A is very common in many parts of the world and the risk of infection is greatest in those areas where hygiene and sanitation are poor. Vaccination is recommended for travellers to all developing countries, including people in the armed forces.

Hepatitis A occurs in Australia, but is not common. Some groups of people however are at a higher risk of exposure to the disease. Vaccination is recommended for these people:
nursing staff and healthcare workers in contact with patients in childrens wards, infectious diseases wards, emergency rooms and intensive care units
day-care centre staff particularly where children have not been toilet trained
staff and residents of homes for the intellectually disabled
sewerage workers
food handlers
homosexual men
people in contact with an infected person
people with chronic liver disease or liver transplants, or people who receive certain blood products.

Hepatitis B
The hepatitis B virus is found in body fluids such as blood, semen vaginal secretions, or saliva of infected people. You can catch the virus if it can enter your bloodstream. Ways this can happen are through:
injection (eg needlestick injury, or sharing needles for IV drug use)
sexual intercourse
sores, cuts or tiny wounds coming into contact with infected fluids (eg from a human bite, sharing razors or toothbrushes, or working with human blood or body fluids)
an infected mother passing the virus onto her baby during or shortly after birth.

Some people infected with hepatitis B may not look or feel sick yet others will get symptoms. Symptoms may not appear for 6 weeks to 6 months after infection. Sometimes people will only have mild flu-like symptoms, but other people can become very ill. They may be extremely tired, and have dark urine, pale faeces, yellowish skin and/or eyes (jaundice), and other symptoms possibly requiring hospitalisation. There is a risk of serious liver disease, such as cirrhosis (liver scarring) and liver cancer for all chronic hepatitis B carriers.

Some groups of people are at a higher risk of exposure to hepatitis B. Vaccination is recommended for these people:
some healthcare workers
abusers of injectable drugs
people with many sexual partners
homosexual men
haemodialysis patients or people who receive certain blood products
people with chronic liver disease or hepatitis C
people in contact with a hepatitis B carrier or an infected person
staff and residents of institutions for the intellectually disabled
inmates and prison staff at some correctional institutions
some travellers to areas where the incidence of hepatitis B is high

There is no specific treatment for hepatitis A or hepatitis B. Vaccination is the best way to protect against infection.

TWINRIX will not protect against hepatitis caused by other agents or viruses (such as hepatitis C or hepatitis E). If a person is already infected with hepatitis A or hepatitis B virus at the time of vaccination, TWINRIX may not prevent the disease in these people.


you have/ your child has had an allergic reaction to TWINRIX, or any ingredient contained in this vaccine (e.g. neomycin sulphate). The ingredients are listed at the end of this leaflet. Signs of an allergic reaction may include an itchy skin rash, shortness of breath and swelling of the face or tongue

If you have/ your child has had TWINRIX before and became unwell, tell your doctor, nurse or pharmacist before the vaccine is given
you have/ your child has had an allergic reaction to any other hepatitis A or hepatitis B vaccine
you have/ your child has a severe infection with a high temperature. A minor infection such as a cold should not be a problem, but talk to your doctor about this before being vaccinated
the expiry date printed on the pack has passed
the packaging is torn or shows signs of tampering

If you are not sure whether TWINRIX should be given, talk to your doctor or nurse. Do not give this vaccine to anyone else; your doctor has prescribed it specifically for you or your child.

you have/ your child has an allergy to baker's yeast
you are or think you may be pregnant or if you intend to become pregnant. Your doctor will discuss with you the possible risks and benefits of receiving TWINRIX during pregnancy
you are breast feeding. It is not known if TWINRIX passes into breast milk, however the vaccine is not expected to cause problems for breast-fed babies
you have/ your child has any medical conditions, such as:
- severe heart or lung disease
- a liver or kidney problem
- an immune deficiency condition (eg. HIV positive)
- a nervous system illness
- or a bleeding disorder
you have/ your child has allergies to any other medicines or substances, such as dyes, foods or preservatives
you have/ your child has received another vaccine recently, or are taking any prescription or OTC (over-the-counter) medicines. In particular mention if you are taking medicines which suppress the immune system, such as steroids or cyclosporin

Some vaccines may be affected by other vaccines or medicines. Your doctor or pharmacist will be able to tell you what to do if TWINRIX is to be given with another vaccine or medicine.


The doctor or nurse will give TWINRIX as an injection. If you have any concerns about how this vaccine is to be given, talk to your doctor or pharmacist.


The dose using TWINRIX (720/20) is 1mL.
The dose using TWINRIX JUNIOR (360/10) is 0.5 mL


TWINRIX will be injected into your upper arm muscle in adults and older children, and into the thigh muscle in infants. For some people with bleeding problems, the dose may need to be given under the skin (subcutaneously). Each dose of TWINRIX is for single use only. Any residual vaccine must be discarded.

The vaccine should never be given intravenously.


TWINRIX (720/20) is generally given as a total of three doses over 6 months. Each dose is given on a separate visit. The first dose will be given on an elected date. The remaining two doses will be given one month, and six months after the first dose.
First dose: at an elected date
Second dose: 1 month later
Third dose: 6 months after the first dose

For adults, TWINRIX (720/20) can also be given as a total of three doses over 3 weeks (a 0, 7, 21 day schedule). However, the body's immune response to this rapid schedule may be reduced compared to the above schedule. Therefore, this rapid schedule should only be used under special circumstances (e.g. adult travellers wanting to be vaccinated within one month of departure). A booster dose is recommended at 12 months.

Children (1 to 15 years inclusive)
TWINRIX (720/20) is generally given as a total of two doses 6 to 12 months apart. Each dose is given on a separate visit. The first dose will be given on an elected date. The second dose will be given 6 to 12 months after the first dose.
First dose: at an elected date
Second dose: 6 to 12 months after the first dose.

In children who are travelling to areas where there is a risk of exposure to hepatitis B, TWINRIX Junior (360/10) should be given as a total of 3 doses over 6 months ( a 0, 1, 6 month schedule).

It is important to return at the recommended times for follow up doses.

Your doctor will advise on the possible need for extra doses, and future booster dosing.


If you miss a scheduled dose, talk to your doctor and arrange another visit as soon as possible.



Keep your follow up visits with the doctor or clinic. It is important that the follow-up doses of TWINRIX are given at the correct times. This will ensure the best effect of the vaccine in protecting you against hepatitis A and hepatitis B.


Be careful driving or operating machinery until you know how TWINRIX affects you. TWINRIX should not normally interfere with your ability to drive a car or operate machinery. But in some people vaccination can cause dizziness or lightheadedness. Make sure you know how you react to TWINRIX before you drive a car or operate machinery, or do anything that could be dangerous if you feel dizzy or lightheaded.


Tell your doctor, nurse or pharmacist as soon as possible if you or your child do not feel well during or after a dose of TWINRIX. TWINRIX helps protect most people from hepatitis A and hepatitis B, but it may have unwanted side effects in a few people. All medicines and vaccines can have side effects. Most of the time they are not serious; however, sometimes they can be. Some side effects may need medical treatment.

Ask your doctor or pharmacist to answer any questions you may have.

Most unwanted effects with TWINRIX are mild and usually clear up within a few days. These effects, generally occur around the injection site (soreness, redness, swelling). Fatigue, headache, fever and generally feeling unwell have also been reported, as have feeling sick and vomiting.

MILD EVENTS that have been reported after hepatitis A or hepatitis B vaccination.
Tell your doctor if you notice any of the following that are troublesome or ongoing:
- soreness, redness, swelling, bruising, hard lump or itching around the injection site
- headache, fatigue, fever, dizziness, disturbed sleep, fainting
- feeling sick or vomiting, gut pain, diarrhoea, loss of appetite
- cough, sore throat, respiratory infections
- ringing in the ears, neck stiffness
- sweating, chills, flushing or generally feeling unwell
- muscle aches and pains, painful joints

MORE SERIOUS EVENTS that have been reported rarely after hepatitis A or hepatitis B vaccination.
Tell your doctor immediately if you notice any of the following:
- feelings of numbness, weakness and/ or fatigue in limbs, tingling in fingers or toes,
- generalised stiffness, visual changes, difficulty passing urine
- swollen glands, unusual bleeding, bleeding or bruising more easily than normal
- drooping eyelids or sagging facial muscles
- sudden headache, neck stiffness, dislike of bright lights, convulsions (fits)
As with all vaccines given by injection there is a very small risk of serious allergic reaction. This may occur days to weeks after vaccination. Contact your doctor immediately or go to the casualty department of your nearest hospital if any of the following happens:
- swelling of limbs, face, eyes, inside of nose, mouth or throat
- shortness of breath, breathing or swallowing difficulties
- hives, itching (especially of the hands or feet), reddening of skin (especially around the ears), or severe skin reactions
- unusual tiredness or weakness that is sudden and severe

Other side effects not listed above, can also occur during or soon after a dose of TWINRIX. Check with your doctor, nurse or pharmacist if you or your child have any other effects.

Do not be alarmed by this list of possible side effects. You or your child may not experience any.


TWINRIX is usually stored at the doctor's clinic or surgery, or at the pharmacy. But if you need to store TWINRIX always:
Keep TWINRIX in the refrigerator stored between +2°C and +8°C. THE PACK SHOULD NEVER BE FROZEN. FREEZING DESTROYS THE VACCINE.
Keep the vaccine out of the reach of children.
Keep TWINRIX in the original pack until it is time for it to be given.

Ask your pharmacist what to do with any left over TWINRIX that has expired or has not been used.



TWINRIX comes in prefilled syringes or glass vials. It is a white, slightly milky liquid.


The active ingredients of TWINRIX are killed hepatitis A virus and the surface protein of the hepatitis B virus (from genetically engineered yeast cells). The vaccine is not infectious, and will not give you hepatitis A or hepatitis B.

Two different vaccine strengths are available:
TWINRIX (720/20): 720 ELISA units of killed hepatitis A virus and 20 micrograms of the hepatitis B surface protein.
TWINRIX JUNIOR (360/10): 360 ELISA units of killed hepatitis A virus and 10 micrograms of the hepatitis B surface protein.

Inactive ingredients in the vaccine are: aluminium hydroxide, aluminium phosphate, sodium chloride, 2-phenoxyethanol, amino acids for injection, residual formaldehyde, neomycin sulphate, polysorbate 20, phosphate buffer, trometamol and water.

TWINRIX is made without any human blood or blood products, or any other substances of human origin. The manufacture of this product includes exposure to bovine derived materials. No evidence exists that any case of vCJD (considered to be the human form of bovine spongiform encephalopathy) has resulted from the administration of any vaccine product.


TWINRIX is only available if prescribed by a doctor.

TWINRIX (720/20) is available as:
Single dose vials in packs of 1 and 10 (AUST R 59290)
Prefilled syringes in packs of 1 and 10 (AUST R 59291)

TWINRIX JUNIOR (360/10) is available as:
Single dose vials in packs of 1 and 10 (AUST R 60883)
Prefilled syringes in packs of 1 and 10 (AUST R 60882)


GlaxoSmithKline Biologicals S.A
rue de l'Institut 89,
1330 Rixensart,


GlaxoSmithKline Australia Pty Ltd
1061 Mountain Highway
Boronia VIC 3155

Date of Preparation:
14 November 2003
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