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Bettamousse

Document: leaflet MAH BRAND_PLPI 19488-1155 change

S1155 LEAFLET Bettamousse 20151119 3. How to use Bettamousse

PACKAGE LEAFLET: INFORMATION FOR THE USER BETTAMOUSSE® 0.1% w/w CUTANEOUS FOAM (betamethasone valerate)

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 or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

•    In this leaflet, Bettamousse 0.1% w/w cutaneous foam will be called Bettamousse.

What is in this leaflet:

1.    What Bettamousse is and what it is used for

2.    What you need to know before you use Bettamousse

3.    How to use Bettamousse

4.    Possible side effects

5.    How to store Bettamousse

6.    Contents of the pack and other information.

1. What Bettamousse is and what it is used for

Bettamousse contains the active substance Betamethasone as valerate.

Bettamousse belongs to a group of medicines called corticosteroids (‘steroids' for short).

Bettamousse is used to treat skin disorders of the scalp such as psoriasis (raised red patches of skin covered in silvery scales) that may feel itchy, tight or sore. Bettamousse works by reducing inflammation (redness, itching and soreness). It is important to use this medicine to prevent damage to the skin and infections from developing.

2. What you need to know before you use Bettamousse

Do not use Bettamousse:

•    If you are allergic to betamethasone valerate or any of the other ingredients of this medicine (listed in section 6). Some of these ingredients (stearyl alcohol, cetyl alcohol and propylene glycol) may cause local skin reactions (e.g. contact dermatitis).

•    If you have any kind of infection of the scalp, unless this is already being treated

•    On a child under 6 years of age.

If any of the above applies to you, talk to your doctor or pharmacist.

Warnings and precautions

Talk to your doctor or pharmacist before using Bettamousse if:

•    You have any kind of skin infection

•    You have open wounds on your scalp

•    You are taking any other medicine, including medicines obtained without a prescription.

Children and adolescents

Do not give this medicine to children under the age of 6 years.

Other medicines and Bettamousse

Tell your doctor or pharmacist if you are taking, using, have recently taken or used or might take or use any other medicines.

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.

Driving and using machines

There are no known effects on driving or using machines.

Bettamousse contains Cetyl Alcohol and Stearyl Alcohol which may cause local skin reactions (e.g. contact dermatitis) Bettamousse contains propylene glycol which may cause skin irritation.'

Always use this medicine exactly as your doctor or pharmacist has told you. Your dose will be shown clearly on the label that your pharmacist puts on your medicine. Check with your doctor or pharmacist if you are not sure.

Remember:

   Use as little Bettamousse as possible for the shortest possible time

•    Avoid contact with your eyes. If Bettamousse gets into your eyes, rinse well with cold water. If your eyes continue to sting, contact your doctor

•    Avoid contact with the inside of your nose and mouth

•    Avoid contact with any open wounds.

The recommended dose is

Adults:

•    No more than a golfball sized amount of mousse

•    Massage into the affected areas of the scalp twice a day (in the morning and evening)

   If there is no improvement in your condition after 7 days, stop using Bettamousse and see your doctor again.

Use in children over 6 years of age:

•    The dose depends on their physical size

•    The usual dose for children is less than for adults. For example, for a child half the size of an adult, use no more than half a golf ball sized amount of mousse

•    Massage into the affected area of the scalp twice a day (in the morning and evening)

   Do not use Bettamousse for more than 5 to 7 days on children. If the symptoms have not improved see your doctor again

Do not use in children under 6 years of age As symptoms improve

For adults and children: Where there is some improvement in symptoms, Bettamousse can be applied just once a day. If the condition continues to get better, it may be possible to apply Bettamousse once every few days, to keep the symptoms from coming back.

Infections

If you have a skin infection your doctor will give you another medicine to treat the infection

Whilst you have an infection, your doctor may tell you to stop using Bettamousse.

If you are not sure about how much mousse to use, ask your doctor or pharmacist.

Instructions for use:

1. Remove the cap.

2. Turn the can upside down and squirt the required amount of mousse onto a clean saucer or something similar. The mousse melts when it touches your skin, so do not squirt it in to your hand.

3. Massage the mousse into the affected areas of your scalp, and not your hair. Allow your hair to dry naturally.

4. Wash your hands immediately after using the mousse.

5. Do not wash your hair straight after applying the mousse. Let the mousse work overnight or through the day.

Effects of using a high dose of Bettamousse for a long time:

*    Extra hair growth

*    Changes in skin colour

*    Irregular periods in women,

*    Water retention (bloated feeling)

*    Mood changes or sleep problems

*    Blurred vision or pain in the eye

*    Stomach upsets or discomfort

*    Acne

*    Headaches.

These effects are more likely to happen in children, and if dressings are applied to cover the scalp after Bettamousse has been applied. The frequency of these effects on prolonged use is unknown.

Reporting of side effects

If you get any side effects, talk to your doctor or 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 on the MHRA website: www.mhra.gov.uk/yellowcard.

By reporting side effects you can help provide more information on the safety of this medicine.

6. You can wash and dry your hair immediately before applying the mousse.

This product is flammable. Do not use Bettamousse near a naked flame or direct source of heat. Do not smoke while using or holding the can.

Medical check-ups

If you use this medicine for a long period of time, your doctor may ask you to have check-ups. These are to make sure that your medicine is working properly and that the dose you are taking is right for you.

If you use more Bettamousse than you should

Wash your scalp straight away and start again. It is unlikely that you will suffer side-effects from using too much on one occasion. If you are concerned, contact the nearest hospital casualty department or your doctor.

Using more than the recommended dose of Bettamousse for a long time can lead to a number of side effects (see section 4).

If you forget to use Bettamousse

Do not use a double dose to make up for a forgotten dose. Simply take the next dose as planned.

If you stop using Bettamousse

Do not stop using Bettamousse without first talking to your doctor.

Your condition may return after you stop using Bettamousse. If this happens, talk to your doctor as soon as possible.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines Bettamousse can cause side effects, although not everybody gets them.

Stop using Bettamousse and seek immediate medical advice if you have any of the following symptoms:

*    Headache

*    Stinging

*    Itching.

Uncommon: may affect up to 1 in 100 people

*    Infection of the skin

*    Thinning of the skin

*    Marking of the skin (such as dark spots or lines)

*    Red rash on the face

*    Bruising easily.

Rare: may affect up to 1 in 1,000 people

*    Sensitivity reactions such as itching, redness and stinging

*    Lighter or darker patches of skin

*    Hair loss

*    Infection of the hair follicles

*    Red spots on the skin.

Not known: frequency cannot be estimated from the available data

*    Worsening of the scalp condition, causing pus-filled ulcers to form

*    Acne

*    Purple stained skin

*    Rash around the mouth.

5. How to store Bettamousse

*    KEEP OUT OF THE SIGHT AND REACH OF CHILDREN.

*    Do not use after the expiry date printed on the carton label or can.

*    Do not store above 25°C. Do not refrigerate.

*    Pressurised container - protect from sunlight and do not expose to temperatures above 50°C. Do not pierce or burn container even when empty. Do not spray near a naked flame or any heat-generating material, and keep this can away from sources of ignition. Do not smoke when near this can.

*    When you have finished your treatment, dispose of the can safely. Never throw the can in a fire even if empty.

*    If the medicine becomes discoloured or shows any other signs of deterioration, you should seek the advice of your pharmacist who will tell you what to do.

*    Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Contents of the pack and other information

What Bettamousse contains

*    Bettamousse contains 0.1% w/w of the active ingredient, betamethasone as valerate, in a white foam.

*    Bettamousse also contain the following inactive ingredients: cetyl alcohol, stearyl alcohol, polysorbate 60, ethanol, purified water, propylene glycol, citric acid anhydrous, potassium citrate, and butane/propane mixture.

What Bettamousse looks like and contents of the pack

*    Pressurised container containing a white foam mousse.

*    It is available in cans of 100g of mousse.

Product Licence holder

Procured from within the EU and repackaged by the Product Licence holder: S&M Medical Limited, Chemilines House, Alperton Lane, Wembley, HA0 1DX.

Manufacturer

This product is manufactured by

*    Aerosol Service Italiana S.r.l, Via Del Maglio No. 6 23868 Valmedrera (Lecco), Italy.

*    Pharmasol Limited., North Way, Walworth Industrial Estate, Andover, Hampshire, SP10 5AZ, United Kingdom.

*    Recipharm Ltd., Ashton-under-Lyne, Lancashire, OL7 9RR, United Kingdom.

| POM| PL 19488/1155

Leaflet revision date: 19 November 2015

Bettamousse is a registered trade mark of CCL Pharmaceuticals Limited, UK.

S1155 LEAFLET Bettamousse 20151119

S1155 LEAFLET Betamethasone 20151119

PACKAGE LEAFLET: INFORMATION FOR THE USER BETAMETHASONE VALERATE 0.1% w/w CUTANEOUS FOAM

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 or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

•    In this leaflet, Betamethasone valerate 0.1 % w/w cutaneous foam will be called Betamethasone.

What is in this leaflet:

1.    What Betamethasone is and what it is used for

2.    What you need to know before you use Betamethasone

3.    How to use Betamethasone

4.    Possible side effects

5.    How to store Betamethasone

6.    Contents of the pack and other information.

1. What Betamethasone is and what it is used for

Betamethasone contains the active substance Betamethasone as valerate.

Betamethasone belongs to a group of medicines called corticosteroids (‘steroids' for short).

Betamethasone is used to treat skin disorders of the scalp such as psoriasis (raised red patches of skin covered in silvery scales) that may feel itchy, tight or sore. Betamethasone works by reducing inflammation (redness, itching and soreness). It is important to use this medicine to prevent damage to the skin and infections from developing.

2. What you need to know before you use Betamethasone

Do not use Betamethasone:

•    If you are allergic to betamethasone valerate or any of the other ingredients of this medicine (listed in section 6). Some of these ingredients (stearyl alcohol, cetyl alcohol and propylene glycol) may cause local skin reactions (e.g. contact dermatitis).

•    If you have any kind of infection of the scalp, unless this is already being treated

•    On a child under 6 years of age.

If any of the above applies to you, talk to your doctor or pharmacist.

Warnings and precautions

Talk to your doctor or pharmacist before using Betamethasone if:

•    You have any kind of skin infection

•    You have open wounds on your scalp

•    You are taking any other medicine, including medicines obtained without a prescription.

Children and adolescents

Do not give this medicine to children under the age of 6 years.

Other medicines and Betamethasone

Tell your doctor or pharmacist if you are taking, using, have recently taken or used or might take or use any other medicines.

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.

Driving and using machines

There are no known effects on driving or using machines.

Betamethasone contains Cetyl Alcohol and Stearyl Alcohol

which may cause local skin reactions (e.g. contact dermatitis)

Betamethasone contains propylene glycol which may cause skin irritation.'

3. How to use Betamethasone

Always use this medicine exactly as your doctor or pharmacist has told you. Your dose will be shown clearly on the label that your pharmacist puts on your medicine. Check with your doctor or pharmacist if you are not sure.

Remember:

   Use as little Betamethasone as possible for the shortest possible time

•    Avoid contact with your eyes. If Betamethasone gets into your eyes, rinse well with cold water. If your eyes continue to sting, contact your doctor

•    Avoid contact with the inside of your nose and mouth

•    Avoid contact with any open wounds.

The recommended dose is

Adults:

•    No more than a golfball sized amount of mousse

•    Massage into the affected areas of the scalp twice a day (in the morning and evening)

   If there is no improvement in your condition after 7 days, stop using Betamethasone and see your doctor again.

Use in children over 6 years of age:

•    The dose depends on their physical size

•    The usual dose for children is less than for adults. For example, for a child half the size of an adult, use no more than half a golf ball sized amount of mousse

•    Massage into the affected area of the scalp twice a day (in the morning and evening)

   Do not use Betamethasone for more than 5 to 7 days on children. If the symptoms have not improved see your doctor again

Do not use in children under 6 years of age As symptoms improve

For adults and children: Where there is some improvement in symptoms, Betamethasone can be applied just once a day. If the condition continues to get better, it may be possible to apply Betamethasone once every few days, to keep the symptoms from coming back.

Infections

If you have a skin infection your doctor will give you another medicine to treat the infection

Whilst you have an infection, your doctor may tell you to stop using Betamethasone.

If you are not sure about how much mousse to use, ask your doctor or pharmacist.

Instructions for use:

1. Remove the cap.

2. Turn the can upside down and squirt the required amount of mousse onto a clean saucer or something similar. The mousse melts when it touches your skin, so do not squirt it in to your hand.

3. Massage the mousse into the affected areas of your scalp, and not your hair. Allow your hair to dry naturally.


4. Wash your hands immediately after using the mousse.

5. Do not wash your hair straight after applying the mousse. Let the mousse work overnight or through the day.

6. You can wash and dry your hair immediately before applying the mousse.

This product is flammable. Do not use Betamethasone near a naked flame or direct source of heat. Do not smoke while using or holding the can.

Medical check-ups

If you use this medicine for a long period of time, your doctor may ask you to have check-ups. These are to make sure that your medicine is working properly and that the dose you are taking is right for you.

If you use more Betamethasone than you should

Wash your scalp straight away and start again. It is unlikely that you will suffer side-effects from using too much on one occasion. If you are concerned, contact the nearest hospital casualty department or your doctor.

Using more than the recommended dose of Betamethasone for a long time can lead to a number of side effects (see section 4).

If you forget to use Betamethasone

Do not use a double dose to make up for a forgotten dose. Simply take the next dose as planned.

If you stop using Betamethasone

Do not stop using Betamethasone without first talking to your doctor.

Your condition may return after you stop using Betamethasone. If this happens, talk to your doctor as soon as possible.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines Betamethasone can cause side effects, although not everybody gets them.

Stop using Betamethasone and seek immediate medical advice if you have any of the following symptoms:

*    Headache

*    Stinging

*    Itching.

Uncommon: may affect up to 1 in 100 people

*    Infection of the skin

*    Thinning of the skin

*    Marking of the skin (such as dark spots or lines)

*    Red rash on the face

*    Bruising easily.

Rare: may affect up to 1 in 1,000 people

*    Sensitivity reactions such as itching, redness and stinging

*    Lighter or darker patches of skin

*    Hair loss

*    Infection of the hair follicles

*    Red spots on the skin.

Not known: frequency cannot be estimated from the available data

*    Worsening of the scalp condition, causing pus-filled ulcers to form

Effects of using a high dose of Betamethasone for a long time:

*    Extra hair growth

*    Changes in skin colour

*    Irregular periods in women,

*    Water retention (bloated feeling)

*    Mood changes or sleep problems

*    Blurred vision or pain in the eye

*    Stomach upsets or discomfort

*    Acne

*    Headaches.

These effects are more likely to happen in children, and if dressings are applied to cover the scalp after Betamethasone has been applied. The frequency of these effects on prolonged use is unknown.

Reporting of side effects

If you get any side effects, talk to your doctor or 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 on the MHRA website: 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 BETAMETHASONE

*    KEEP OUT OF THE SIGHT AND REACH OF CHILDREN.

*    Do not use after the expiry date printed on the carton label or can.

*    Do not store above 25°C. Do not refrigerate.

*    Pressurised container - protect from sunlight and do not expose to temperatures above 50°C. Do not pierce or burn container even when empty. Do not spray near a naked flame or any heat-generating material, and keep this can away from sources of ignition. Do not smoke when near this can.

*    When you have finished your treatment, dispose of the can safely. Never throw the can in a fire even if empty.

*    If the medicine becomes discoloured or shows any other signs of deterioration, you should seek the advice of your pharmacist who will tell you what to do.

*    Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. CONTENTS OF THE PACK AND OTHER INFORMATION

What Betamethasone contains

*    Betamethasone contains 0.1% w/w of the active ingredient, betamethasone as valerate, in a white foam.

*    Betamethasone also contain the following inactive ingredients: cetyl alcohol, stearyl alcohol, polysorbate 60, ethanol, purified water, propylene glycol, citric acid anhydrous, potassium citrate, and butane/propane mixture.

What Betamethasone looks like and contents of the pack

*    Pressurised container containing a white foam mousse.

*    It is available in cans of 100g of mousse.

Product Licence holder

Procured from within the EU and repackaged by the Product Licence holder: S&M Medical Limited, Chemilines House, Alperton Lane, Wembley, HA0 1DX.

Manufacturer

This product is manufactured by

*    Aerosol Service Italiana S.r.l, Via Del Maglio No. 6 23868 Valmedrera (Lecco), Italy.

*    Pharmasol Limited., North Way, Walworth Industrial Estate, Andover, Hampshire, SP10 5AZ, United Kingdom.

*    Recipharm Ltd., Ashton-under-Lyne, Lancashire, OL7 9RR, United Kingdom.

I POM| PL 19488/1155

Leaflet revision date: 19 November 2015

S1155 LEAFLET Betamethasone 20151119

Acne

Purple stained skin Rash around the mouth.