Read all of this leaflet carefully before you start taking this medicine.

-    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. Do not

symptoms are the same as yours

-    If any of the side effects get serious, or you notice any side effects not listed in this leaflet please tell your doctor or pharmacist

-    In this leaflet Carnitor 1 g Oral Solution is called Carnitor solution.

In this leaflet:

1.    What Carnitor solution is and what it is used for

2.    Before you take Carnitor solution

3.    How to take Carnitor solution

4.    Possible side effects

5.    How to store Carnitor solution

_6. Further information____________

1.    What Carnitor solution is and what it is used for Carnitor solution contains levocarnitine which is a type of protein. It is used to treat primary and secondary carnitine deficiency in adults and children over 12 years of age.

Carnitine deficiency occurs when the body has a shortage of levocarnitine. Carnitor solution makes up for your bodies lack of levocarnitine and helps give your body more energy.

2.    Before you take Carnitor solution Do not take Carnitor solution:

■ if you are allergic to levocarnitine or any of the

ingredients are listed in section 6 of this leaflet.

If this applies to you, do not take Carnitor solution.

Tell your doctor before you take Carnitor solution if:

-    you have severe kidney problems or kidney disease and are having dialysis

-    you are diabetic and taking insulin, or any other drug to treat your diabetes

-    you are taking anticoagulant medicine, such as warfarin, or any other drug to reduce blood clotting.

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

Taking other medicines

Tell your doctor if you are taking anticoagulant medicine, such as warfarin, or any other drug to reduce blood clotting. Your doctor may need to your blood clots.

Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including those obtained without a prescription.

Pregnancy and breast-feeding

Tell your doctor if you are pregnant, think you may be pregnant or if you become pregnant while taking

not you should continue to take your medicine. If you wish to breastfeed, ask your doctor for advice.

Driving and using machines

You can drive or use machines whilst taking Carnitor solution.

Important information about some of the ingredients in Carnitor solution

This product contains methyl hydroxybenzoate (E219) and propyl hydroxybenzoate (E217) which may cause immediate or delayed allergic reactions.

3. How to take Carnitor solution has told you.

How much Carnitor solution should you take

Your doctor will carefully calculate the amount of Carnitor solution that you should take and may vary it depending on your response to the treatment. Your doctor may take blood and urine samples to check the amount of the drug in your body.

Method of administration

Carnitor solution is for oral use. It can be drunk

directly or diluted further with water or fruit juices.

Primary and secondary carnitine deficiency

The usual dose of Carnitor solution is 200 mg per kg of your body weight per day. This should be taken over 2-4 doses. Higher doses of up to 400 mg per kg of your body weight per day may be necessary. Your doctor will tell you exactly how much to take and when to take it.

Maintenance therapy for haemodialysis patients If significant benefit was gained by a first course of Carnitor injection then ongoing therapy of 1g per day of Carnitor solution may be taken. On the day of dialysis Carnitor solution must be taken at the end of the session.

If you take more Carnitor solution than you should

If you take too much Carnitor solution, contact your doctor or immediately go to

the nearest hospital casualty department.

If you forget to take Carnitor solution

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

If you stop taking Carnitor solution Do not stop taking the medicine without first talking to your doctor.

If you have any further questions about taking this medicine, please ask your doctor or pharmacist.

4. Possible side effects

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

Side effects are:

-    Mild stomach upsets such as stomach cramps and diarrhoea, or you may feel or be sick for a short time

-    For people also taking anticoagulant medicine, such as warfarin, tests may show your blood is taking longer than usual to clot.

-    Drug-related body odour. Your doctor may reduce your dose to help lessen or stop the odour.

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