Preblacon Xl 4 Mg Prolonged-Release Capsules Hard
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Read all of this leaflet carefully before you start using 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.
• The full name of this medicine is Preblacon XL 4mg Prolonged-release Capsules, hard but within the leaflet it will be referred to Preblacon capsules.
What is in this leaflet:
J What Preblacon capsules are and what they are used for
2| What you need to know before you take 3| How to take 3 Possible side effects 3 How to store
3 Contents of the pack and other information
3 What Preblacon capsules are and what they are used for
The active substance in Preblacon capsules is tolterodine. Tolterodine belongs to a class of medicinal products called antimuscarinics.
Preblacon capsules are used for the treatment of the symptoms of overactive bladder syndrome.
If you have overactive bladder syndrome, you may find that you:
• are unable to control urination
• need to rush to the toilet with no advance warning and/or go to the toilet frequently.
3 What you need to know before you take
Do not take Preblacon capsules if you
•are allergic to tolterodine or any of the other ingredients of this medicine (listed in section 6).
• are unable to pass urine from the bladder (urinary retention)
• have an uncontrolled narrow-angle glaucoma (high pressure in the eyes with loss of eyesight that is not being adequately treated)
• suffer from myasthenia gravis (excessive weakness of the muscles)
• suffer from severe ulcerative colitis (ulceration and inflammation of the colon)
• suffer from a toxic megacolon (acute dilatation of the colon).
Warnings and precautions:
Talk to your doctor or pharmacist before taking Preblacon capsules if you:
• have difficulties in passing urine and/or a poor stream of urine
• have a gastro-intestinal disease that affects the passage and/or digestion of food
• suffer from kidney problems (renal insufficiency)
• have a liver condition
• suffer from neurological disorders that affect your blood pressure, bowel or sexual function (any neuropathy of the autonomic nervous system)
• have a hiatus hernia (herniation of an abdominal organ)
• ever experience decreased bowel movements or suffer from severe constipation (decreased gastro-intestinal motility)
• have a heart condition such as:
- an abnormal heart tracing (ECG)
- a slow heart rate (bradycardia)
- relevant pre-existing cardiac diseases such as: cardiomyopathy (weak heart muscle), myocardial ischaemia (reduced blood flow to the heart), arrhythmia (irregular heartbeat) and heart failure
• have abnormally low levels of potassium (hypokalaemia), calcium (hypocalcaemia) or magnesium (hypomagnesaemia) in your blood.
Other medicines and Preblacon capsules
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Tolterodine, the active substance of Preblacon capsules, may interact with other medicinal products.
It is not recommended to use Preblacon capsules in combination with:
• some antibiotics (containing e.g. erythromycin, clarithromycin)
• medicinal products used for the treatment of fungal infections (containing e.g. ketoconazole, itraconazole)
• medicinal products used for the treatment of HIV.
Preblacon capsules should be used with caution when taken in combination with:
• medicines that affect the passage of food (containing e.g. metoclopramide and cisapride)
• medicines for the treatment of irregular heartbeat (containing e.g. amiodarone, sotalol, quinidine, procainamide)
• other medicines with a similar mode of action to Preblacon capsules (antimuscarinic properties) or medicines with an opposite mode of action to Preblacon capsules (cholinergic properties). The reduction in gastric motility caused by antimuscarinics may affect the absorption of other drugs. Ask your doctor if you are unsure.
Preblacon capsules with food and drink
Preblacon capsules can be taken before, after or during a meal.
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.
Pregnancy
You should not use Preblacon capsules when you are pregnant. Tell your doctor immediately if you are pregnant, think you are pregnant or are planning to become pregnant.
Breast-feeding
It is not known if tolterodine, the active substance of Preblacon capsules is excreted in the mother's breast milk. Breast-feeding is not recommended during administration of Preblacon capsules.
Driving and using machines
Preblacon capsules may make you feel dizzy, tired or affect your sight. If you experience any of these effects then you should not drive your car or operate heavy machinery.
Preblacon capsules contains lactose
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
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^ How to take
Dosage
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
The prolonged-release hard capsules are for oral use and should be swallowed whole.
Do not chew the capsules.
Adults
The recommended dose is one 4mg prolonged-release hard capsule daily.
Patients with liver or kidney problems
In patients with liver or kidney problems your doctor may reduce your dose to 2mg Preblacon capsules daily.
Use in children and adolescents
Preblacon capsules is not recommended for children.
If you take more Preblacon capsules than you should
If you or somebody else takes too many prolonged-release capsules, contact your doctor or pharmacist immediately. Symptoms in case of overdose include hallucinations, excitation, a heartbeat faster than usual, dilation of the pupil and inability to urinate or breathe normally.
If you forget to take Preblacon capsules
If you forget to take a dose at the usual time, take it as soon as you remember unless it is almost time for your next dose. In that case, omit the forgotten dose and follow the normal dose schedule. Do not take a double dose to make up for a forgotten dose.
If you stop taking Preblacon capsules
Your doctor will tell you how long your treatment with Preblacon capsules will last.
Do not stop treatment early because you do not see an immediate effect. Your bladder will need some time to adapt. Finish the course of prolonged-release capsules prescribed by your doctor. If you have not noticed any effect by then, talk to your doctor.
The benefit of the treatment should be re-evaluated after 2 or 3 months. Always consult your doctor if you are thinking of stopping the treatment.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
You should see your doctor immediately or go to the casualty department if you experience symptoms of angioedema, such as:
• swollen face, tongue or pharynx
• difficulty to swallow
• hives and difficulty in breathing.
You should also seek medical attention if you experience a hypersensitivity reaction (for example itching, rash, hives, difficulty breathing). This occurs uncommonly (occurs in less than 1 in 100 patients).
Tell your doctor immediately or go to the casualty department if you notice any of the following:
• chest pain, difficulty breathing or getting tired easily (even at rest), difficulty breathing at night, swelling of the legs.
These may be symptoms of heart failure. This occurs uncommonly (occurs in less than 1 in 100 patients).
The following side effects have been observed during treatment with Preblacon capsules with the following frequencies.
Very common side effects (occurs in more than 1 in 10 patients) are
• Dry mouth.
Common side effects (occurs in less than 1 in 10 patients) are
• Facial pain/pressure, congested or runny nose (Sinusitis)
• Sleepiness
• Dry eyes
• Difficulty with digestion (dyspepsia)
• Abdominal pain
• Painful or difficult urination
• Extra fluid in the body causing swelling (e.g. in the ankles)
• Dizziness
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• Headache
• Blurred vision
• Constipation
• Excessive amounts of air or gases in the stomach or the intestine
• Diarrhoea
• Tiredness.
Uncommon side effects (occurs in less than 1 in 100 patients) are
• Allergic reactions
• Nervousness
• Palpitations
• Inability to empty the bladder
• Vertigo
• Heart failure
• Irregular heartbeat
• Chest pain
• Sensation of pins and needles in the fingers and toes
• Memory impairment.
Additional reactions reported include severe allergic reactions, confusion, hallucinations, increased heart rate, flushed skin, heart burn, vomiting, angioedema, dry skin and disorientation. There have also been reports of worsening symptoms of dementia in patients being treated for dementia.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. 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.
How to store
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/carton. The expiry date refers to the last day of that month. Do not store above 25°C. HDPE bottle: Shelf life after first opening is 200 days. 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.
Contents of the pack and other information
What Preblacon capsules contains
The active substance in Preblacon XL 4mg prolonged-release capsules, hard is 4mg of tolterodine tartrate, equivalent to 2.74mg of tolterodine.
The other ingredients are: Lactose monohydrate, cellulose microcrystalline, poly (vinyl acetate), povidone, silica, sodium laurilsulfate, sodium docusate, magnesium stearate, hydroxypropylmethylcellulose. Capsule composition: indigo carmine (E132), titanium dioxide (E171), gelatin.
Inner tablet coating: ethylcellulose, triethyl citrate, methacrylic acid-ethyl acrylate copolymer and 1,2-Propylene glycol.
What Preblacon capsules look like and contents of the pack
Preblacon XL 4mg Prolonged-release Capsules, hard are hard prolonged-release capsules designed for once daily dosing.
Preblacon XL 4mg Prolonged-release Capsules, hard are light blue-opaque-light blue opaque.
Blister packs containing: 28 prolonged-release capsules.
Marketing authorisation holder
Actavis Group PTC ehf.
Reykjavikurvegi 76-78, 220 HafnarfjorSur, Iceland
Manufacturer
Pharmathen S.A ,
6, Dervenakion Str., 153 51 Pallini Attiki, Greece
Pharmathen International S.A
Sapes Industrial Park, Block 5, 69300 Rodopi, Greece
This leaflet was last revised in December 2014
If you would like a leaflet with larger text, please contact
01271 385257. ^
vactavfs
Actavis, Barnstaple, EX32 8NS, UK