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Boxs Herbals Rheumatox Relief

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LEAFLET TEXT: Dimensions: 200mm X 120mm Colours: Black

1.    WHAT THIS PRODUCT IS AND WHAT IT IS USED FOR

Napiers Joint Ability Herbal Remedy is a traditional herbal remedy containing Extracts of White Willow bark, Black Cohosh root, Scullcap herb, Yarrow herb and Burdock root. For full details see Section 6.

Napiers Joint Ability Herbal Remedy is a traditional herbal medicinal product used for the symptomatic relief of backache, rheumatic or muscular pain, and general aches and pains in the muscles and joints, based on traditional use only.

2.    BEFORE YOU TAKE THIS PRODUCT

Do not take this product if you:

•are under 18 years old

•    are pregnant or breastfeeding

•    could become pregnant unless contraception is used.

•    are allergic to any of the ingredients or to plants of the Asteraceae (Compositae) family

•    if you are taking medicines known

to interact with alcohol eg. metronidazole

•    are allergic (hypersensitive) to salicylates or to other NSAIDs (eg. have a history of serious allergic reactions (angiodema), difficulty in breathing or wheezing or chronic urticaria (raised itchy rash) in response to salicylates or other NSAIDs.

•    have asthma

•    have active liver disease or a history of liver damage, severe kidney disorders, blood clotting disorders, gastric or duodenal ulcer, peptic ulcer or have a glucose-6-phosphate dehydrogenase deficiency.

•    are currently receiving treatment for or have a history of an oestrogen dependant tumour.

Important information about some of the ingredients in this medicine

This product contains 10.3% v/v ethanol (alcohol), i.e. up to 412 mg per 5 ml dose, equivalent to 10.3 ml beer or 4.29 ml wine. Harmful for people suffering from alcoholism or liver-disease. If you are in a high risk group (patients with liver disease or epilepsy) you should consider the alcohol content before taking this product.

This product contains 0.38 ml of sucrose, 0.056 ml of glucose and 0.03 ml of sorbitol per 5 ml dose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Important additional information

Women of childbearing potential should use effective contraception.

This product is not intended to be used in cases of acute arthritis as this condition requires medical advice.

If you develop signs and symptoms suggestive of liver dysfunction. (Fatigue, anorexia, yellowing of the skin and eyes or sever upper stomach pain with nausea and vomiting or dark urine) immediately stop the use of this product and consult your doctor.

If you have a family history of an oestrogen dependent tumour and/or are taking oestrogens, please consult your doctor before taking this product.

Taking other medicines:

One of the active ingredients, Willow bark, may increase the effects of anti-coagulants such as courmarin derivatives.

Do not take this product with other salicylates or NSAIDs unless your doctor says it is safe to do so.

If you are taking these medicines or any other medicines including any bought without a prescription, consult your doctor or qualified healthcare practitioner before taking this medicine._

Driving and using machines

This product contains alcohol. If affected, do not drive or use machines.

3. HOW TO TAKE THIS PRODUCT

For oral use only.

Adult and the Elderly:

One 5 ml teaspoonfuls three times a day.

Do not exceed the stated dose.

If joint pain accompanied by swelling of joint, redness or fever are present, a doctor should be consulted.

If your symptoms get worse or persist for more than 4 weeks during the use of this medicinal product, speak to your doctor, pharmacist or qualified healthcare practitioner.

If you take too much (overdose).

If you take more than the recommended dose, speak to a doctor, pharmacist or qualified healthcare practitioner and take this leaflet with you.

An overdose of this product may result in alcohol intoxication: the amount of alcohol in a full bottle (8.24 g in 100 ml; 16.48 g in 200 ml: equivalent to 0.34 or 0.68 large glasses of wine respectively or 0.82 or1.65 glasses of beer, respectively) may result in intoxication and should be treated accordingly.

(See Section 2).

If you forget to take this product

Continue to take your usual dose at the usual time.

Do not take a double dose. It does not matter if you miss a dose.


If you have any questions, or are unsure of anything, please speak to your doctor, pharmacist or qualified healthcare practitioner.

4. POSSIBLE SIDE EFFECTS

Allergic reactions such as rash (including widespread rash) itching, hives, asthma, and gastrointestinal symptoms such as nausea, vomiting, stomach pain, indigestion, heartburn and diarrhoea have been reported with Willow bark. The frequency is not known.

In rare cases Black Cohosh may cause liver reactions (including hepatitis, jaundice and disturbances in liver function tests). Skin reactions (hives, itching, widespread rash), accumulation of fluid in the face and other parts of the body, and gastrointestinal symptoms (i.e. stomach pain, bloating and fullness, diarrhoea), weight gain and increase in liver enzymes have also been reported. The frequency is not known.

Allergic skin reactions have also been reported with Yarrow herb and anaphylactic shock (serious allergic reaction which causes difficulty in breathing or dizziness) has been reported with Burdock root. The frequency is not known.

If other adverse reactions not mentioned above occur, a doctor or a qualified health care practitioner should be consulted.

Making medicines safer

You can help to make medicines safer by reporting

any side-effects to the Yellow Card Scheme at

www.mhra.gov.uk/yellowcard

Alternatively you can get a paper Yellow Card form

from your doctor's surgery or a pharmacy, or call

freephone 0808100 3352 (available 10am-2pm

Monday to Friday).


5.    HOW TO STORE THIS PRODUCT

Do not use this product after the expiry date. The expiry date is printed on the label and on the bottom of the carton.

Do not store above 25SC. Store in the original container.

There are no special precautions for disposal.

Keep this product out of the reach and sight of children.

6.    FURTHER INFORMATION

Each 5 ml contains:

1ml of extract (as liquid extract) from White Willow Bark (Salixalba L.) (1:1) (equivalent to 1 gm White Willow)

Extraction Solvent: Water

0.075ml of extract (as liquid extract) from Black

Cohosh Root (Cimicifuga racemosa Nutt.) (1:1)

(equivalent to 75 mg Black Cohosh) Extraction

Solvent: Ethanol 90% v/v

0.15 ml of extract (as liquid extract) from

Scullcap (Scutellaria laterifolia L.) (1:1)

(equivalent to 150 mg Scullcap)

Extraction solvent: Water 0.5ml of extract (as liquid extract) from Yarrow Herb (Achilliea millefolium L.) (1:1) (equivalent to 500 mg Yarrow)

Extraction Solvent: Water 0.5ml of extract (as liquid extract) from Burdock Root (Articum lappa L.) (1:1) (equivalent to 500 mg Burdock Root)

Extraction Solvent: Water

Also contains glucose liquid, syrup (sucrose), glycerol. Cardamon tincture. Compound. (Cardamom oil. Caraway oil. Cinnamon oil. Beetroot powder, glycerol, ethanol and water). Nutmeg oil. Clove oil. Cinnamon oil. Liquorice liquid extract (liquorice root, ethanol, water). Ethanol, Caramel (E150a), Sorbitol and Water.

Traditional Herbal Registration holder:

Highland Herbs Limited,

10 Payne Street,

Glasgow, G40LF

Product manufacturers:

Potters Ltd, Wigan WN5 0JZ

Traditional Herbal Registration number: THR 43751/006 [THRIogo]

Leaflet revised 20/08/2014

What is White Willow?

While Willow is a tree native to the British Isles. An extract from the bark is used to make this medicine.

What is Black Cohosh?

Black Cohosh is a flowering herb native to eastern North America and now grown in the British Isles. An extract from the root is used to make this medicine.

What is Scullcap?

Scullcap is a flowering herb native to North America and used in Britain since the 1800s. An extract from the leaves and flowering tops is used to make this medicine.

What is Yarrow?

Yarrow is a flowering herb native to the British Isles. An extract from the leaves and flowering tops is used in this medicine.

What is Burdock?

Burdock is a herb native to the British Isles used for both medicinal and culinary uses. An extract from the root is used to make this medicine.

Further Enquiries

A copy of this leaflet in large format print is available.

If you would like more information about this product please contact:

Napiers the Herbalists,

10 Payne Street,

Glasgow, G40LF Telephone: 0845 0021860


PATIENT INFORMATION LEAFLET

NAPIERS JOINT ABILITY HERBAL REMEDY

with extracts of White Willow bark, Black Cohosh root, Scullcap herb, Yarrow herb and Burdock root. Please read this leaflet carefully before you start taking this product.

It contains important information for you about this product that may affect you.

Keep this leaflet. You may wish to read it again.

You must contact a doctor or qualified healthcare practitioner if your symptoms do not improve or worsen during the use of this medicinal product. If any side effects become serious, or if you notice side effects not listed in here, please tell your doctor or pharmacist.

What is in this leaflet?

1.    What this product is and what it is used for.

2.    Before you take this product

3.    How to take this product

4.    Possible side effects

5.    How to store this product

6.    Further information

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