Lanthanum 500 Mg Chewable Tablets
Fosrenol® 500 mg chewable tablets
(lanthanum carbonate)
PATIENT INFORMATION LEAFLET
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
- 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 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.
This medicine is available using the above name but will be referred to as Fosrenol throughout the following leaflet. Also available in other strengths.
What is in this leaflet:
1. What Fosrenol is and what it is used for
2. What you need to know before you take Fosrenol
3. How to take Fosrenol
4. Possible side effects
5. How to store Fosrenol
6. Contents of the pack and other information
1. WHAT FOSRENOL IS AND WHAT IT IS USED FOR
Fosrenol is used to lower the phosphate level in the blood of adult patients with chronic kidney disease.
Patients who have kidneys that do not work properly are not able to control the level of phosphate in the blood. The amount of phosphate in the blood then rises (your doctor may call this hyperphosphataemia).
Fosrenol is a drug which reduces the body's absorption of phosphate from food by binding with it in your digestive tract. Phosphate which has bonded to Fosrenol cannot be absorbed through the intestinal wall.
2. WHAT YOU NEED TO KNOW BEFOREYOU TAKE FOSRENOL
Do not take Fosrenol
- if you are allergic to lanthanum carbonate hydrate or any of the other ingredients of this medicine (listed in section 6).
- if you have too little phosphate in your blood (hypophosphataemia).
Warnings and precautions
Talk to your doctor or pharmacist before taking Fosrenol if you know that you have, or have had, any of the following conditions:
- stomach ulcer;
- ulcerative colitis;
- Crohn's disease;
- blockage of the bowel;
- reduced liver or kidney function.
If you have reduced kidney function your doctor may decide to check the level of calcium in your blood from time to time. If you have too little calcium, you may then be given extra calcium.
If you have previously had abdominal surgery, or infection or inflammation of the abdomen/bowel (peritonitis) inform your doctor.
If you need to have an x-ray, please inform your doctor that you are taking Fosrenol as it may affect the results.
Other medicines and Fosrenol
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.
Fosrenol can affect how certain drugs are absorbed from your digestive tract. If you are taking chloroquine (for rheumatism and malaria), ketoconazole (for fungal infections), tetracycline or doxycycline antibiotics they should not be taken within 2 hours before or after taking Fosrenol.
It is not recommended that you take oral floxacin antibiotics (including ciprofloxacin) within 2 hours before or 4 hours after taking Fosrenol.
If you are taking levothyroxine (for an underactive thyroid) it should not be taken within 2 hours before or after taking Fosrenol. Your doctor may want to monitor the levels of thyroid-stimulating hormone (TSH) in your blood more closely.
Fosrenol with food and drink
Fosrenol should be taken with, or immediately after food. See section 3 for instructions on how to take Fosrenol.
Pregnancy and breast-feeding
Fosrenol should not be taken during pregnancy. 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.
As it is not known whether the drug can be transferred to a child in breast-milk, you should not breast-feed whilst taking Fosrenol. If you are breastfeeding, ask your doctor or pharmacist for advice before taking any medicines.
Driving and using machines
Dizziness and vertigo (a feeling of dizziness or “spinning”) are uncommon side effects reported by patients taking Fosrenol. If you experience these side effects it may affect your ability to drive or operate machinery.
Fosrenol contains Glucose
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
3. HOW TO TAKE FOSRENOL
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
You should take Fosrenol with, or immediately after food. The tablets must be chewed completely and not swallowed whole. To aid with chewing the tablets may be crushed. Additional fluid is not necessary.
Your doctor will tell you how many tablets you must take with each meal (your daily dose will be divided between meals). The number of tablets that you take will depend on:
- Your diet (the amount of phosphate in the food you eat)
- Your blood phosphate level.
To start with, the daily dose of Fosrenol will usually be 1 tablet with each meal (3 tablets per day).
Every 2-3 weeks your doctor will check the level of phosphate in your blood and may increase your dose until the level of phosphate in your blood is acceptable.
Fosrenol works by binding phosphate from the food in your gut. It is very important to take Fosrenol at every meal. If you change your diet, contact your doctor as you may need to take extra Fosrenol. Your doctor will tell you what to do in this case.
If you take more Fosrenol than you should
If you take too many tablets contact your doctor to assess the risk and obtain advice. Symptoms of overdose may be nausea and headaches.
If you forget to take Fosrenol
It is important to take Fosrenol with every meal.
If you forget to take your Fosrenol tablets, then take the next dose with your next meal. Do not take a double dose to make up for a forgotten dose.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Side effects such as nausea and vomiting are more likely if you take Fosrenol before your meal. You should always take it during or immediately after your food.
Very Common side effects (may affect more than 1 in 10 people):
- Nausea, vomiting, diarrhoea, stomach pain, headache, itching, rash.
Common side effects (may affect up to 1 in 10 people):
- Constipation, heartburn, flatulence.
- Hypocalcaemia (too little calcium in your blood) is also a common side effect; the symptoms of which can include tingling in the hands and feet, muscle and abdominal cramps or spasms of the facial and feet muscles.
Please inform your doctor if you experience constipation. This can be an early symptom of a blockage in your intestine.
Uncommon side effects (may affect up to 1 in 100 people):
- Tiredness; feeling of discomfort; chest pain; weakness; swollen hands and feet; body pain; dizziness; vertigo; belching; inflammation of the stomach and intestines (gastroenteritis); indigestion; irritable bowel syndrome; dry mouth; tooth disorders; inflammation of the gullet or mouth; loose stools; increases in certain liver enzymes, parathyroid hormone; aluminium, calcium and glucose in the blood; increased or reduced phosphate level in the blood; thirst; weight decrease; joint pain; muscle pain; weakness and thinning of the bones (osteoporosis); lack of and increased appetite; inflammation of the larynx; loss of hair; increased sweating; taste disturbance and increased white blood cell count.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any 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.
5. HOW TO STORE FOSRENOL
Keep this medicine out of the sight and reach of children.
This medicinal product does not require any special storage conditions.
Do not use this medicine after the expiry date which is stated on the carton and the bottle label. The expiry date refers to the last day of that month.
Medicines should not be disposed of 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 Fosrenol contains
The active substance is 500 mg lanthanum (as lanthanum carbonate hydrate).
Each tablet contains 500 mg of lanthanum (as lanthanum carbonate hydrate).
The other ingredients are dextrates (hydrated), colloidal anhydrous silica and magnesium stearate.
What Fosrenol looks like and contents of the pack
Fosrenol is a white, round, bevelled-edged flat chewable tablet debossed with ‘S405/500' on one side of the tablet.
The tablets are supplied in plastic bottles -a multipack containing 90 (2 packs of 45) chewable tablets.
MANUFACTURER AND PRODUCT LICENCE NUMBER
Manufactured by
Hamol Limited, Thane Road, Nottingham, Nottinghamshire NG90 2DB, UK. Wasdell Packaging Limited, Units 6, 7, 8, Euro Way Industrial Estate, Blagrove, Swindon, SN5 8YW, UK.
Procured from within the EU by Product Licence holder
Star Pharmaceuticals Ltd., 5 Sandridge Close, Harrow, Middlesex HA1 1XD.
Repackaged by Servipharm Ltd.
POM
PL 20636/2810
Leaflet revision and issue date (Ref) 20.05.16[2]
Fosrenol is a trademark of Shire International Licensing BV.
Lanthanum 500 mg chewable 20.05.16[12°
tablets
(lanthanum carbonate)
PATIENT INFORMATION LEAFLET
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
- 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 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.
This medicine is available using the above name but will be referred to as Lanthanum throughout the following leaflet. Also available in other strengths.
What is in this leaflet:
1. What Lanthanum is and what it is used for
2. What you need to know before you take Lanthanum
3. How to take Lanthanum
4. Possible side effects
5. How to store Lanthanum
6. Contents of the pack and other information
1. WHAT LANTHANUM IS AND WHAT IT IS USED FOR
Lanthanum is used to lower the phosphate level in the blood of adult patients with chronic kidney disease.
Patients who have kidneys that do not work properly are not able to control the level of phosphate in the blood. The amount of phosphate in the blood then rises (your doctor may call this hyperphosphataemia).
Lanthanum is a drug which reduces the body's absorption of phosphate from food by binding with it in your digestive tract. Phosphate which has bonded to Lanthanum cannot be absorbed through the intestinal wall.
2. WHAT YOU NEED TO KNOW BEFOREYOU TAKE LANTHANUM
Do not take Lanthanum
- if you are allergic to lanthanum carbonate hydrate or any of the other ingredients of this medicine (listed in section 6).
- if you have too little phosphate in your blood (hypophosphataemia).
Warnings and precautions
Talk to your doctor or pharmacist before taking Lanthanum if you know that you have, or have had, any of the following conditions:
- stomach ulcer;
- ulcerative colitis;
- Crohn's disease;
- blockage of the bowel;
- reduced liver or kidney function.
If you have reduced kidney function your doctor may decide to check the level of calcium in your blood from time to time. If you have too little calcium, you may then be given extra calcium.
If you have previously had abdominal surgery, or infection or inflammation of the abdomen/bowel (peritonitis) inform your doctor.
If you need to have an x-ray, please inform your doctor that you are taking Lanthanum as it may affect the results.
Other medicines and Lanthanum
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.
Lanthanum can affect how certain drugs are absorbed from your digestive tract. If you are taking chloroquine (for rheumatism and malaria), ketoconazole (for fungal infections), tetracycline or doxycycline antibiotics they should not be taken within 2 hours before or after taking Lanthanum.
It is not recommended that you take oral floxacin antibiotics (including ciprofloxacin) within 2 hours before or 4 hours after taking Lanthanum.
If you are taking levothyroxine (for an underactive thyroid) it should not be taken within 2 hours before or after taking Lanthanum. Your doctor may want to monitor the levels of thyroid-stimulating hormone (TSH) in your blood more closely.
Lanthanum with food and drink
Lanthanum should be taken with, or immediately after food. See section 3 for instructions on how to take Lanthanum.
Pregnancy and breast-feeding
Lanthanum should not be taken during pregnancy. 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.
As it is not known whether the drug can be transferred to a child in breast-milk, you should not breast-feed whilst taking Lanthanum. If you are breastfeeding, ask your doctor or pharmacist for advice before taking any medicines.
Driving and using machines
Dizziness and vertigo (a feeling of dizziness or “spinning”) are uncommon side effects reported by patients taking Lanthanum. If you experience these side effects it may affect your ability to drive or operate machinery.
Lanthanum contains Glucose
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
3. HOW TO TAKE LANTHANUM
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
You should take Lanthanum with, or immediately after food. The tablets must be chewed completely and not swallowed whole. To aid with chewing the tablets may be crushed. Additional fluid is not necessary.
Your doctor will tell you how many tablets you must take with each meal (your daily dose will be divided between meals). The number of tablets that you take will depend on:
- Your diet (the amount of phosphate in the food you eat)
- Your blood phosphate level.
To start with, the daily dose of Lanthanum will usually be 1 tablet with each meal (3 tablets per day).
Every 2-3 weeks your doctor will check the level of phosphate in your blood and may increase your dose until the level of phosphate in your blood is acceptable.
Lanthanum works by binding phosphate from the food in your gut. It is very important to take Lanthanum at every meal. If you change your diet, contact your doctor as you may need to take extra Lanthanum. Your doctor will tell you what to do in this case.
If you take more Lanthanum than you should
If you take too many tablets contact your doctor to assess the risk and obtain advice. Symptoms of overdose may be nausea and headaches.
If you forget to take Lanthanum
It is important to take Lanthanum with every meal.
If you forget to take your Lanthanum tablets, then take the next dose with your next meal. Do not take a double dose to make up for a forgotten dose.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Side effects such as nausea and vomiting are more likely if you take Lanthanum before your meal. You should always take it during or immediately after your food.
Very Common side effects (may affect more than 1 in 10 people):
- Nausea, vomiting, diarrhoea, stomach pain, headache, itching, rash.
Common side effects (may affect up to 1 in 10 people):
- Constipation, heartburn, flatulence.
- Hypocalcaemia (too little calcium in your blood) is also a common side effect; the symptoms of which can include tingling in the hands and feet, muscle and abdominal cramps or spasms of the facial and feet muscles.
Please inform your doctor if you experience constipation. This can be an early symptom of a blockage in your intestine.
Uncommon side effects (may affect up to 1 in 100 people):
- Tiredness; feeling of discomfort; chest pain; weakness; swollen hands and feet; body pain; dizziness; vertigo; belching; inflammation of the stomach and intestines (gastroenteritis); indigestion; irritable bowel syndrome; dry mouth; tooth disorders; inflammation of the gullet or mouth; loose stools; increases in certain liver enzymes, parathyroid hormone; aluminium, calcium and glucose in the blood; increased or reduced phosphate level in the blood; thirst; weight decrease; joint pain; muscle pain; weakness and thinning of the bones (osteoporosis); lack of and increased appetite; inflammation of the larynx; loss of hair; increased sweating; taste disturbance and increased white blood cell count.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any 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.
5. HOW TO STORE LANTHANUM
Keep this medicine out of the sight and reach of children.
This medicinal product does not require any special storage conditions.
Do not use this medicine after the expiry date which is stated on the carton and the bottle label. The expiry date refers to the last day of that month.
Medicines should not be disposed of 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 Lanthanum contains
The active substance is 500 mg lanthanum (as lanthanum carbonate hydrate).
Each tablet contains 500 mg of lanthanum (as lanthanum carbonate hydrate).
The other ingredients are dextrates (hydrated), colloidal anhydrous silica and magnesium stearate.
What Lanthanum looks like and contents of the pack
Lanthanum is a white, round, bevelled-edged flat chewable tablet debossed with ‘S405/500' on one side of the tablet.
The tablets are supplied in plastic bottles -a multipack containing 90 (2 packs of 45) chewable tablets.
MANUFACTURER AND PRODUCT LICENCE NUMBER
Manufactured by
Hamol Limited, Thane Road, Nottingham, Nottinghamshire NG90 2DB, UK. Wasdell Packaging Limited, Units 6, 7, 8, Euro Way Industrial Estate, Blagrove, Swindon, SN5 8YW, UK.
Procured from within the EU by Product Licence holder
Star Pharmaceuticals Ltd., 5 Sandridge Close, Harrow, Middlesex HA1 1XD.
Repackaged by Servipharm Ltd.
POM
PL 20636/2810
Leaflet revision and issue date (Ref) 20.05.16[2]