Flucloxacillin 500mg Capsules
Package leaflet: Information for the patient
FLUCLOXACILLIN 250MG CAPSULES FLUCLOXACILLIN 500MG CAPSULES
Flucloxacillin
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
- Keep this leaflet. Y ou may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
WHAT IS IN THIS LEAFLET_
1. What your medicine is and what it is used for
2. What you need to know before you take your medicine
3. How to take your medicine
4. Possible side effects
5. How to store your medicine
6. Contents of the pack and other information
1. What your medicine is and what it is used for
Flucloxacillin is an antibiotic used to treat infections by killing the bacteria that can cause them. It belongs to a group of antibiotics called “penicillins”.
Flucloxacillin is used to treat:
- chest infections
- ear infections
- heart infections
- meningitis
- blood infections
- kidney, bladder or urethra (the tube
- throat or nose infections
- skin and soft tissue infections
- bone and joint infections
- digestive system infections
which carries urine from the bladder) infections
Flucloxacillin can also be used to prevent infections during major surgery, particularly heart or orthopaedic surgery.
2. What you need to know before you take your medicine
Do not take this medicine if:
- You are allergic to flucloxacillin or any other penicillin antibiotics (see symptoms in section 4).
- You are allergic to any of the other ingredients of this medicine (listed in section 6).
- You have suffered previously from liver problems (e.g. jaundice) after taking flucloxacillin.
Warnings and precautions
Talk to your doctor or pharmacist before taking this medicine if:
- You suffer from kidney problems, as you may require a lower dose than normal
- You suffer from liver problems, as this medicine could cause them to worsen
- You are 50 years of age or older
- You have other serious illnesses (apart from the infection this medicine is treating)
- Y ou are taking this medicine for a long time as regular tests of liver and kidney function are advised
- You are on a sodium-restricted diet.
Other medicines and Flucloxacillin Capsules
Tell your doctor or pharmacist before taking this medicine if you are taking any other medicines, especially:
- Probenecid or sulfinpyrazone (used to treat gout)
- Methotrexate (a chemotherapy drug)
- The contraceptive pill as antibiotics can make these less effective (you will need to use extra precautions such as condoms while taking flucloxacillin and for a full 7 days after you finish taking it)
- Oral typhoid vaccine (antibiotics can make this less effective)
- Sugammadex (used with general anaesthetics)
- Piperacillin (an antibiotic taken by injection)
- Warfarin (medicine to prevent blood clotting)
Some medicines may affect the way others work. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This means medicines you have bought yourself as well as medicines on prescription from a doctor.
Pregnancy and breast-feeding
If you are pregnant or breast feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Your medicine contains sodium
This medicinal product contains approximately 52.3mg sodium per g. To be taken into consideration by patients on a controlled sodium diet.
3. How to take your medicine
Always take this medicine exactly as your doctor or pharmacist has told you. Their directions may differ from the information contained in this leaflet. The pharmacist’s label should tell you how much to take and how often. Check with your doctor or pharmacist if you are not sure.
Take this medicine when your stomach is empty. This means an hour before food or 2 hours after food. It is important that you take your medicine at the right times.
The dose will depend on the patient and will be decided by your doctor. However, the usual doses for each age group are:
Adults (including the elderly)
- The usual dose is 250mg four times a day
- Bone or heart infection: Up to 8g daily, in divided doses at six to eight hours apart.
- Surgical prophylaxis: 1 to 2g IV at induction of anaesthesia followed by 500mg every six hours for up to 72 hours.
Use in children and adolescents
Children (10-18 years of age): 250mg four times daily Children (2-10 years of age): 125mg four times daily Children under 2 years of age: 62.5mg four times daily
Patients with kidney problems
If you suffer from severe kidney failure your doctor will give you lower or fewer doses.
If you take more of your medicine than you should
If you (or somebody else) accidentally takes too much of your medicine, speak to your doctor or pharmacist immediately.
If you forget to take your medicine
If you forget to take a dose, take it as soon as you remember, then carry on as before. Do not take a double dose to make up for a forgotten dose.
If you stop taking your medicine
Keep taking your medicine until your doctor tells you to stop. Do not stop taking it just because you feel better. If you stop taking the medicine, your infection may return or get worse. If you are still unwell after taking all the medicine, go and see your doctor.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. If they occur, they are likely to be temporary, and not serious. However, some may be serious and need medical attention.
STOP taking Flucloxacillin Capsules and contact your doctor immediately if you experience:
- allergy or hypersensitivity including itchy rash, itching, sore mouth or eyes, swelling of the face, lips, throat or tongue or breathing problems
- severe, possibly bloody, diarrhoea
- jaundice (yellow colour in the skin and whites of the eyes), hepatitis (liver inflammation) -sometimes these effects on the liver can be delayed for up to 2 months after finishing treatment.
- severe skin rash with flushing, fever, blisters or ulcers (Stevens-Johnson syndrome)
- severe rash with reddening, peeling and swelling of the skin that looks like a burn (toxic epidermal necrolysis).
Tell your doctor if you notice any of the following effects:
Common (may affect up to 1 in 10 people):
- diarrhoea, stomach upset and feeling sick - should be mild and wear off after a few days.
Very rare (may affect up to 1 in 10,000 people):
- difficulty passing water or blood in the urine (may be a sign of inflammation of the kidney)
- unusual bleeding or bruising, anaemia (may be caused by changes in the numbers of blood cells)
- joint or muscle pains or fever (may develop 2 days after starting treatment).
Check with your doctor if you have any problems while taking this medicine, even if you think the problems are not connected with the medicine, or are not listed in this leaflet.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the yellow card scheme at www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.
KEEP THIS MEDICINE OUT OF THE SIGHT AND REACH OF CHILDREN
Do not use this medicine after the expiry date which is stated on the label after EXP. The expiry date refers to the last day of that month.
Securitainers: Store below 25oC. Store in the original package. Keep the container tightly closed in order to protect from light and moisture.
Blister packs: Store below 25oC. Do not open the foil pouch until ready to use the product. Once opened the foil pouch may be discarded. Store the product in the outer carton in order to protect from light and moisture.
Return any left-over medicine to the pharmacist. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
6. Contents of the pack and other information
What Flucloxacillin Capsules contain
The active substance is flucloxacillin as flucloxacillin sodium.
The other ingredients are sodium starch glycolate, magnesium stearate, red iron oxide (E172), yellow iron oxide (E172), black iron oxide (E172), titanium dioxide (E171) and gelatin.
Please see further information on sodium in section 2.
What Flucloxacillin Capsules look like and contents of the pack
. The capsules . The capsules
The 250mg capsules are opaque caramel and grey, printed with ‘FXN 250’ in black ink contain a granular off-white powder.
The 500mg capsules are opaque caramel and grey, printed with ‘FXN 500’ in black ink contain a granular off-white powder.
Both strengths are available in the following pack sizes:
Securitainers are available in pack sizes of 15, 18, 20, 21, 28, 30, 50, 100, 250 & 500 capsules.
Blister packs are available in pack sizes of 15, 18, 20, 21, 28, 30, 50, 100, 250 & 500 capsules.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
Athlone Laboratories Limited, Ballymurray, Co. Roscommon, Ireland.
Distributed by: **
PL30464/0117 PL30464/0118
This leaflet was last revised in August 2014.
**Kent Pharmaceuticals Limited, Repton Road, Measham, DE12 7DT, UK Teva UK Limited, Eastbournce, BN22 9AG Actavis Barnstaple, EX32 8NS, UK
leafletTEVAUK.doc / IB.C.I.3.a CMD + QRD + excipient guideline - August 2014 4