Dosulepin Capsules 25mg
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Read all of this leaflet carefully before you start taking this medicine.
Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or pharmacist. This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
If any of the side effects becomes severe, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
In this leaflet:
t. What Dosulepin is and what it is used for
2. Before you take Dosulepin capsules
3. How to take Dosulepin
4. Possible side effects
5. How to store Dosulepin
6. Further information
1. WHAT DOSULEPIN IS AND WHAT IT IS USED FOR
Dosulepin belongs to a group of medicines called antidepressants. Dosulepin is used to treat depression and can also help reduce feelings of anxiety. This medicine will only be used when other medicines have been found to be unsuitable. Please ask your doctor or pharmacist if you need more information.
2. BEFORE YOU TAKE DOSULEPIN CAPSULES
Do not take Dosulepin capsules and speak to your doctor if:
* you know that you are allergic (hypersensitive) to dosulepin or any of the other ingredients (listed in section 6 of this leaflet) in Dosulepin capsules;
* you have an irregular heart beat or any other heart problems;
* you have liver problems;
* you have an eye condition known as glaucoma;
* you are a man that has prostate problems (difficulty in passing water);
* you have been diagnosed as having mania (feeling over-excited with unusual behaviour);
* you have fits (epilepsy).
Take special care with Dosulepin capusles if:
* you are going to have general or dental surgery. Tell your surgeon or dentist you are taking Dosulepin capsules. It may affect the anaesthetic used.
Thoughts of suicide and worsening of your depression or anxiety disorder
If you are depressed and/or have anxiety disorders you can sometimes have thoughts of harming or killing yourself. These may be increased when first starting antidepressants, since these medicines all take time to work, usually about two weeks but sometimes longer.
You maybe more likely to think like this:
If you have previously had thoughts about killing or harming yourself; If you are a young adult. Information from clinical trials has shown an increased risk of suicidal behaviour in adults aged less than 25 years with psychiatric conditions who were treated with an antidepressant, if you have thoughts of harming or killing yourself at any time, contact your doctor or go to a hospital straight away.
You may find it helpful to tell a relative or close friend that you are depressed or have an anxiety disorder, and ask them to read this leaflet. You might ask them to tell you if they think your depression or anxiety is getting worse, or if they are worried about changes in your behaviour.
Taking other medicines
You should tell your doctor if you are taking or have taken any of the following medicines as they may affect how your Dosulepin capsules work:
* A medicine used to treat depression called a mono-amine oxidase inhibitor (MAOI). You should not take Dosulepin capsules at the same time as MAOIs or within 14 days of stopping them.
* Other medicines used to treat depression called SSRIs (selective serotonin re-uptake inhibitors).
* Any medicines given to you for treating high blood pressure (hypertension).
* Any hayfever/allergy medicines which contains terfenadine or astemizole.
* Sotalol (a medicine for heart or blood pressure problems) or halofantrine (a medicine for malaria).
* Any medicines called barbiturates (e.g. phenobarbitone for fits, amylobarbitone for sleeplessness) or methylphenidate (used to treat behavioural problems).
* Any medicine containing an opioid (these include codeine, morphine, co-proxamol and co-dydramol).
* Medicines called sympathomimetic agents - these include ephedrine, pseudoephedrine, adrenaline and noradrenaline (these may be found in medicines used to treat heart problems and asthma as well as some decongestants and cough/cold remedies).
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Pregnancy and breast-feeding
If you are or think you might be pregnant or you plan to become pregnant, or if you are breast-feeding you must tell your doctor before you take this medicine. Your doctor will decide if you can take these capsules.
Driving and using machines
These capsules can make you feel drowsy. Do not drive, operate machinery or do anything that requires you to be alert until you know how the capsules will affect you. Feeling drowsy in the day can improve with time, but if drowsiness becomes a problem, you should tell your doctor.
If you drink alcohol with these capsules this can make the feeling of drowsiness worse.
SIZE : 210 X 140 (mm) Front Dt. 21/01/06
3. HOW TO TAKE DOSULEPIN
Your doctor will tell you how many capsules to take and when you should take them. This will also be on the carton label. Ask your pharmacist or doctor (or help if you are not sure how to take your capsules or if you want more information. The following information is given as a guide only:
The capsules should be swallowed whole with a drink of water. Do not chew the capsules as you may get a bitter taste in your mouth and a temporary numbness of your tongue.
Adults: The usual starting dose is 3 capsules a day. Your doctor may ask you to increase this. Your doctor will tell you whether to take the capsules as separate doses throughout the day or as a single dose each evening, usually a couple of hours before you go to bed. Normally, not more than 9 capsules should be taken each day.
Elderly: The usual starting dose is between t and 3 capsules a day.
It may take two to four weeks of treatment before you begin to see an improvement in your mood although you might feel there is an improvement in your anxiety symptoms before then. It is important that you keep taking these capsules until your doctor tells you to stop.
Dosulepin capsules are not recommended for children.
If you stop taking Dosulepin
Do not stop taking these capsules just because you feel better. If you stop taking the capsules too soon, your condition may get worse. If your doctor wants you to stop taking these capsules, your doctor will ask you to stop gradually.
Other side effects you may also experience are:
• drowsiness;
• increased sweating;
• skin rashes;
• tremor (shaking);
• changes in sexual function;
• low blood pressure, which may cause dizziness
or fainting.
Rare side effects (that affect less than 1 person in 1000) are:
• changes in the blood and changes in hormone levels (these will be found if you have blood tests);
• severe mood changes such as extreme excitability;
• fits.
An increased risk of bone fractures has been observed in patients taking these types of medicines.
If any of these side effects becomes severe, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
5. HOW TO STORE DOSULEPIN
Keep these capsules in the original container, and in a safe place (preferably a locked cupboard) where children cannot see or reach them. Your medicine could seriously harm them.
Do not take this product after the 'use by1 date shown on the carton.
If you forget to take Dosulepin
Do not worry. Simply leave out that dose completely and then take your next dose at the right time. Do not take a double dose to make up for a forgotten capsule. If you are unsure, check again with your doctor or pharmacist.
If you take more Dosulepin than you should
You should only ever take the number of capsules that your doctor has told you to take. Do not change the dose yourself. If you think your capsules are not working well enough, speak to your doctor to see if the dose can be increased.
These capsules may seriously harm you and may be life threatening if you take too many capsules. You should seek immediate help if a child takes any capsules or if you or anybody else accidentally takes too many capsules. Remember to take the pack with you, even if it is empty.
If your doctor decides to stop the treatment, you must return any left over capsules to your pharmacist. Only keep the capsules if your doctor tells you to.
6. FURTHER INFORMATION What Dosulepin contains
The active substance is dosulepin hydrochloride.
The other ingredients are maize starch and magnesium stearate.
The capsule shell contains gelatin, with small amounts of iron oxide, (El 72), titanium dioxide (El 71), ponceau 4R (E124).
What Dosulepin looks like and contents of the pack
Dosulepin capsules are red/brown.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Dosulepin capsules can cause side effects, although not everybody gets them.
If you get any of the following symptoms after taking these capsules, you should contact your doctor immediately:
• yellowing of the skin or whites of the eyes (jaundice);
• a fever (high temperature, sweating, shivering);
* discomfort around the right lower rih cage;
* hepatitis (damage to the liver causing dark urine, jaundice, nausea and feverj.
The most common side effects (that affect less than 1 person in 10) are:
• dry mouth;
• blurred vision;
* changes in heart beat;
* constipation and difficulty in passing water.
These side effects tend to improve with time.
Dosulepin capsules are available in a child resistant blister pack of 28.
Marketing Authorisation Holder and Manufacturer responsible for release:
Waymade PLC, trading as Sovereign Medical
Sovereign House
Miles Gray Road
Basildon
Essex
SS143FR
United Kingdom.
This leaflet was last approved in August 2010.
SIZE : 210 X 140 (mm) Back Dt. : 21/01/06