NOTICE 
 ANSM - Updated on: 20/07/2017 
 Name of the medicinal product 
 BETADINE SCRUB 4%, solution for skin application (foaming) 
 Povidone iodine 
 framed 
 Read this leaflet carefully before you start using this medicine. It contains important information for your treatment. 
 If you have any further questions, ask your doctor or pharmacist. 
 ·           This is an authorized and controlled medicinal product (see identification number on the outer packaging). 
 ·           This medication can be used in self-medication, ie without consultation or prescription from a doctor. 
 ·           This leaflet is designed to help you use this medicine. Keep it, you may need to reread it. 
 ·           If symptoms worsen or persist, consult a physician. 
 ·           If you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. 
 ·           Do not use this medication for children. 
 Review summary 
 In this notice : 
 1. WHAT IS BETADINE SCRUB 4%, solution for dermal application (foaming) AND WHAT IT IS USED FOR? 
 2. BEFORE YOU USE BETADINE SCRUB 4%, solution for skin application (foaming)? 
 3. HOW TO USE BETADINE SCRUB 4%, solution for skin application (foaming)? 
 4. WHAT ARE POSSIBLE SIDE EFFECTS? 
 5. HOW TO STORE BETADINE SCRUB 4%, solution for skin application (foaming)? 
 6. ADDITIONAL INFORMATION 
 1. WHAT IS BETADINE SCRUB 4%, solution for dermal application (foaming) AND WHAT IT IS USED FOR? 
 Pharmacotherapeutic group 
 ANTISEPTICS AND DISINFECTANTS. 
 Therapeutic indications 
 This medication is an antiseptic based on iodine. It is indicated for: 
 ·           Local topical treatment and cleansing of skin and mucous membranes, infected or at risk of becoming infected. 
 ·           Antiseptic washing of the hands of the nursing staff and the hands of the surgeon. 
 ·           Pre-operative antiseptic wash. 
 2. BEFORE YOU USE BETADINE SCRUB 4%, solution for skin application (foaming)? 
 List of information needed before taking the medication 
 Not applicable. 
 Cons-indications 
 Never use BETADINE SCRUB 4% solution for skin application (foaming) in the following cases: 
 ·           in case of repeated use, from the 2nd trimester of pregnancy and in case of breast-feeding, 
 ·           for the newborn less than 1 month, 
 ·           for the disinfection of medical and surgical equipment, 
 ·           in combination with mercury-derived antiseptics. 
 ·           in the case of a history of allergy to one of the constituents, in particular polyvidone. There are no cross-reactions with iodinated contrast media. 
 Reactions of intolerance ( anaphylactoid reactions ) to iodinated contrast media or seafood anaphylaxis do not constitute a contraindication to the use of Betadine Scrub 4%. 
 Precautions for use; special warnings 
 Take special care with BETADINE SCRUB 4%, solution for skin application (foaming): 
 Special warnings 
 The iodine contained in this medicinal product may pass through the skin, particularly in the case of repeated use or on certain fragile or fragile skin and pass into the general circulation ( see section 4 ). 
 Special attention is required during regular applications on injured skin in patients with renal insufficiency. 
 In the preparation of the operation, avoid sagging and maceration between the patient and the table cloth. Prolonged contact with undried solution may cause irritation and rarely severe burn-type skin reactions. 
 Use in children less than 2.5 years of age requires the advice of your doctor or pharmacist. 
 IN CASE OF DOUBT DO NOT HESITATE TO REQUEST THE NOTICE OF YOUR DOCTOR OR PHARMACIST. 
 Precautions for use 
 Rinse after use. 
 Interaction with other medicines 
 Taking or using other medicines 
 In order to avoid possible interactions between several medicines, you should systematically report any other treatment in progress to your doctor or pharmacist. 
 Interactions with food and beverages 
 Not applicable. 
 Interactions with Herbal Medicines or Alternative Therapies 
 Not applicable. 
 Use during pregnancy and lactation 
 Pregnancy 
 Due to the presence of iodine, use of this medication is contraindicated from the 2nd trimester, in case of repeated use . 
 It will only be used occasionally on the advice of your doctor. 
 feeding 
 Breast-feeding is contraindicated if repeated use of this medication is used. 
 Ask your doctor for advice before taking any medicine. 
 Sport 
 Not applicable. 
 Effects on ability to drive or use machines 
 Not applicable. 
 List of excipients with known effect 
 Not applicable. 
 3. HOW TO USE BETADINE SCRUB 4%, solution for skin application (foaming)? 
 Instructions for proper use 
 Not applicable. 
 Dosage, Mode and / or route (s) of administration, Frequency of administration and Duration of treatment 
 Administration mode 
 Dermal. 
 ·           Hygienic hand washing: the product is used purely at the rate of 4 ml poured on the wet hands. Scrub for 1 min and rinse thoroughly with water. 
 ·           Surgical handwashing: repeat this procedure for 3 to 5 minutes, on the hands and forearms. 
 ·           Washing of soiled wounds: use the product diluted to one third . Rinse thoroughly with water. 
 Preparation of the operation: 
 Preparation of the operation should be done less than two hours before surgery with 60 ml of pure product: 
 ·           Wet the head, hair and whole body under the shower. 
 ·           Perform antiseptic wash in four steps. Rub until foam discoloration: 
 1. Head and hair with 10 ml of Betadine Scrub 4%. Do not rinse. 
 2. Trunk and upper limbs with 10 ml Betadine Scrub 4%, insisting on the armpits and navel. Do not rinse. 
 3. The genital area and lower limbs with 10 ml of Betadine Scrub 4%, insisting on the genitalia, the infussed fold and between the toes. Do not rinse. 
 4. Then rinse thoroughly the entire body. 
 ·           Repeat the washing procedure using the same procedure, then dry with a clean towel and put on clean clothes. 
 If you feel that the effect of BETADINE SCRUB 4% is too strong or too weak, talk to your doctor or pharmacist. 
 Symptoms and Instructions for Overdose 
 In case of massive oral ingestion, contact a doctor immediately. 
 Instructions for omission of one or more doses 
 Not applicable. 
 Risk of withdrawal syndrome 
 Not applicable. 
 4. WHAT ARE POSSIBLE SIDE EFFECTS? 
 Description of adverse reactions 
 Like all medicines, BETADINE SCRUB 4% is likely to have side effects, although not everybody gets them. 
 ·           In case of repeated and prolonged use, there may be an iodine overload which can modify the functioning of the thyroid gland, especially in premature infants and infants. 
 ·           Local skin reactions may occur: burning-type caustic dermatitis in case of maceration and contact dermatitis. 
 ·           Exceptionally general allergy reactions: urticaria, angioedema, allergic shock, have been described with products containing polyvidone including Betadine Scrub 4%. 
 ·           In the case of use of large surfaces and in large burns, general effects have such that impairments of renal function have been observed. 
 Declaration of side effects 
 If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and network of Regional Centers of Pharmacovigilance. Website: www.ansm.sante.fr . 
 By reporting adverse reactions, you are helping to provide more information about the safety of the drug. 
 5. HOW TO STORE BETADINE SCRUB 4%, solution for skin application (foaming)? 
 Keep out of the reach and sight of children. 
 Expiration date 
 Do not use BETADINE SCRUB 4% after the expiry date stated on the vial after {EXP}. The expiry date refers to the last day of that month 
 After first opening the vial, this medication should be stored for up to 6 months at room temperature. 
 Storage conditions 
 Before opening, keep at a temperature not exceeding 25 ° C. 
 If necessary, warnings against visible signs of deterioration 
 Do not throw any medicines into drains or rubbish. Ask your pharmacist to remove any medications you are no longer using. These measures will help protect the environment. 
 6. ADDITIONAL INFORMATION 
 Full list of active substances and excipients 
 What is BETADINE SCRUB 4%, solution for skin application (foaming)? 
 The active substance is: 
 Povidone iodine ................................................ .................................................. .................................. 4.0 g 
 For 100 ml. 
 The other components are: 
 60% solution of ammonium salt of sulfuric ester of alkylphenoxypolyethylene ethane, bis (hydroxyethyl) lauramide, sodium hydroxide, purified water. 
 Pharmaceutical form and content 
 What is BETADINE SCRUB 4%, solution for skin application (foaming) and contents of the pack? 
 This medication is in the form of a solution for skin application. 
 Bottle of 30 ml, 50 ml, 125 ml, 250 ml, 500 ml, 1 liter or 5 l. 
 Name and address of the marketing authorization holder and the holder of the manufacturing authorization responsible for the release of the lots, if different 
 Holder 
 MEDA PHARMA 
 40-44 WASHINGTON STREET 
 75008 PARIS 
 exploiting 
 MYLAN MEDICAL SAS 
 40-44 Washington Street 
 75008 PARIS 
 Maker 
 MEDA MANUFACTURING 
 AVENUE JF KENNEDY 
 33700 MERIGNAC 
 Names of the medicinal product in the Member States of the European Economic Area 
 Not applicable. 
 Date of approval of the notice 
 The last date on which this leaflet was approved is {date}. 
 AMM under exceptional circumstances 
 Not applicable. 
 Internet Information 
 Detailed information on this medicine is available on the Afssaps website (France). 
 Information for health professionals only 
 Not applicable. 
 Other 
 Not applicable.