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Orphenadrine Hydrochloride 50mg Tablets

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Document: leaflet MAH BRAND_PLPI 15814-0882 change

PACKAGE LEAFLET: INFORMATION FOR THE USER DISIPAL® 50mg TABLETS / ORPHENADRINE HYDROCHLORIDE 50mg TABLETS

(orphenadrine hydrochloride)

This product is available as any of the above names but will be referred to as Disipal Tablets throughout the remainder of this leaflet.

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 pass it on to others. It may harm them, even if their symptoms are the same as yours.

•    If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:

1.    What Disipal Tablets are and what they are used for

2.    Before you take Disipal Tablets

3.    How to take Disipal Tablets

4.    Possible side effects

5.    How to store Disipal Tablets

6.    Further information

1. WHAT DISIPAL TABLETS ARE AND WHAT THEY ARE USED FOR

The active ingredient in Disipal Tablets belongs to the group of medicines called anticholinergic agents. Disipal Tablets are used in the treatment of all forms of Parkinson’s disease, a condition which can cause uncontrollable trembling of the hands, and other difficulties of movement, for example in standing or walking. Anticholinergic agents are also used when other medicines have caused these problems.

2. BEFORE YOU TAKE DISIPAL TABLETS

Do not take Disipal Tablets. Tell your doctor if you:

•    are allergic (hypersensitive) to orphenadrine or any of the other ingredients of Disipal Tablets. (see list in section 6 ‘Further information’)

•    have increased pressure in the eye (glaucoma).

•    have an enlarged prostate.

•    are unable to pass water for any reason.

•    have a blockage in your digestive system or any stomach disorders.

•    suffer from a rare inherited disease where the breakdown of haemoglobin (a pigment in the red blood cells) is affected (porphyria).

•    suffer from involuntary movements of the face or body (tardive dyskinesia). Your doctor will take this into consideration before prescribing the tablets for you.

•    suffer from a rare hereditary problem of fructose and galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption or sucrase-isomaltase insufficiency.

Disipal Tablets should not be given to children.

Take special care with Disipal Tablets Tell your doctor if you:

•    suffer from heart disease

•    suffer from liver disorders

•    suffer from kidney disorders

•    have difficulties passing water

Taking other medicines

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

If you are taking other anticholinergic agents at the same time as Disipal Tablets, this can lead to an increase in dry mouth and difficulties in passing water. Your doctor or pharmacist will be able to advise you whether any of the medicines you are taking fall into this category.

Pregnancy and breast-feeding

Ask your doctor or pharmacist for advice before taking any medicine. Do not use Disipal Tablets during pregnancy or if you are breast-feeding, unless clearly necessary.

Driving and using machines

Do not drive or use any tools or machines if you feel dizzy or have blurred vision whilst taking Disipal Tablets.

Important information about some of the ingredients of Disipal Tablets

This medicine contains lactose and sucrose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine. The colours tartrazine (E102), sunset yellow (E110) and amaranth (E123) used in the sugar coat may cause allergic reactions (see section 6 for the list of ingredients).

3. HOW TO TAKE DISIPAL TABLETS

Always take Disipal Tablets exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure

Dosage

The usual dose for adults and the elderly is three tablets daily in divided doses. Your doctor may increase this dose, if necessary, by one tablet every two to three days up to a maximum of eight tablets in a day. Usually you will need long term treatment with Disipal Tablets.

Use in children

Disipal Tablets should not be given to children.

If you take more Disipal Tablets than you should

Taking more Disipal Tablets than have been prescribed could be dangerous. If you, or anyone else, should accidentally take more tablets than prescribed, you must phone your doctor or go to a hospital casualty department immediately.

If you forget to take Disipal Tablets

Take the forgotten dose as soon as you remember. If it is time for your next dose skip the dose you missed and just continue to follow the dosing schedule as usual. Do not take a double dose to make up for a forgotten one.

If you stop taking Disipal Tablets

If you are to stop taking Disipal Tablets then your doctor will make sure that the dose is gradually reduced over a number of days. You should not stop taking the tablets unless you have been told to do so by your doctor. If you have any further questions on the use of this product, ask your doctor or pharmacist.

Like all medicines, Disipal Tablets can cause side effects, although not everybody gets them. If you are elderly you may be more likely to get side effects.

Uncommon (fewer than 1 in 100 patients) allergic reactions may occur while on treatment with Disipal Tablets. Signs of allergy include: rash - wheezing - breathlessness - swollen eyelids, face or lips and in extreme cases collapse. If you get any of these symptoms soon after taking Disipal Tablets, do not take any more. Tell a doctor immediately and take the packaging and this leaflet with you.

Other possible side effects:

Common (fewer than 1 in 10 patients)

•    dry mouth, stomach upsets

•    dizziness

•    difficulty in seeing clearly

Uncommon (fewer than 1 in 100 patients)

•    rapid heart beat

•    changes of mood such as highly elevated mood, confusion, sleepiness, hallucinations, difficulty in sleeping, nervousness, seizure (fits)

•    difficulty in passing water

Rare (fewer than 1 in 1000 patients)

•    memory disturbance

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

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.

5. HOW TO STORE DISIPAL TABLETS

•    Keep out of the sight and reach of children.

•    Do not take Disipal Tablets after the expiry date printed on the package. The expiry date refers to the last day of that month.

•    Do not store above 25°C.

•    If the tablets become discoloured or show signs of any deterioration, you should seek the advice of your pharmacist.

•    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. FURTHER INFORMATION

What are Disipal Tablets?

Each Disipal tablet contains 50 mg orphenadrine hydrochloride. The tablets are white sugar coated with no markings.

Disipal Tablets also contain lactose monohydrate, potato starch, sucrose, talc, stearic acid, gelatin, polyvinyl acetate, shellac, carnauba wax, titanium dioxide E171 and acacia.

They are available in containers of 50 tablets or 100 tablets (2 x 50).

They are manufactured by Gerolymatos SA, 13 Asklipiou street, Kryoneri, Athens 145 68, Greece and procured from within the EU and repackaged by the product licence holder who is OPD Laboratories Limited, Colonial Way, Watford, Herts WD24 4PR.

PL No: 15814/0882 Disipal 50mg Tablets / Orphenadrine Hydrochloride 50mg Tablets |POM

Leaflet revision and issue date (Ref.) 28.04.2015.

Registered trademark of Astellas group of companies.

To request a copy of this leaflet in Braille, large print or audio please call 01923 332 796.

PACKAGE LEAFLET: INFORMATION FOR THE USER DISIPAL® 50mg TABLETS / ORPHENADRINE HYDROCHLORIDE 50mg TABLETS

(orphenadrine hydrochloride)

This product is available as any of the above names but will be referred to as Disipal Tablets throughout the remainder of this leaflet.

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 pass it on to others. It may harm them, even if their symptoms are the same as yours.

•    If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:

1.    What Disipal Tablets are and what they are used for

2.    Before you take Disipal Tablets

3.    How to take Disipal Tablets

4.    Possible side effects

5.    How to store Disipal Tablets

6.    Further information

1. WHAT DISIPAL TABLETS ARE AND WHAT THEY ARE USED FOR

The active ingredient in Disipal Tablets belongs to the group of medicines called anticholinergic agents. Disipal Tablets are used in the treatment of all forms of Parkinson’s disease, a condition which can cause uncontrollable trembling of the hands, and other difficulties of movement, for example in standing or walking. Anticholinergic agents are also used when other medicines have caused these problems.

2. BEFORE YOU TAKE DISIPAL TABLETS

Do not take Disipal Tablets. Tell your doctor if you:

•    are allergic (hypersensitive) to orphenadrine or any of the other ingredients of Disipal Tablets. (see list in section 6 ‘Further information’)

•    have increased pressure in the eye (glaucoma).

•    have an enlarged prostate.

•    are unable to pass water for any reason.

•    have a blockage in your digestive system or any stomach disorders.

•    suffer from a rare inherited disease where the breakdown of haemoglobin (a pigment in the red blood cells) is affected (porphyria).

•    suffer from involuntary movements of the face or body (tardive dyskinesia). Your doctor will take this into consideration before prescribing the tablets for you.

•    suffer from a rare hereditary problem of fructose and galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption or sucrase-isomaltase insufficiency.

Disipal Tablets should not be given to children.

Take special care with Disipal Tablets Tell your doctor if you:

•    suffer from heart disease

•    suffer from liver disorders

•    suffer from kidney disorders

•    have difficulties passing water

Taking other medicines

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

If you are taking other anticholinergic agents at the same time as Disipal Tablets, this can lead to an increase in dry mouth and difficulties in passing water. Your doctor or pharmacist will be able to advise you whether any of the medicines you are taking fall into this category.

Pregnancy and breast-feeding

Ask your doctor or pharmacist for advice before taking any medicine. Do not use Disipal Tablets during pregnancy or if you are breast-feeding, unless clearly necessary.

Driving and using machines

Do not drive or use any tools or machines if you feel dizzy or have blurred vision whilst taking Disipal Tablets.

Important information about some of the ingredients of Disipal Tablets

This medicine contains lactose and sucrose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine. The colours tartrazine (E102), sunset yellow (E110) and amaranth (E123) used in the sugar coat may cause allergic reactions (see section 6 for the list of ingredients).

3. HOW TO TAKE DISIPAL TABLETS

Always take Disipal Tablets exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure

Dosage

The usual dose for adults and the elderly is three tablets daily in divided doses. Your doctor may increase this dose, if necessary, by one tablet every two to three days up to a maximum of eight tablets in a day. Usually you will need long term treatment with Disipal Tablets.

Use in children

Disipal Tablets should not be given to children.

If you take more Disipal Tablets than you should

Taking more Disipal Tablets than have been prescribed could be dangerous. If you, or anyone else, should accidentally take more tablets than prescribed, you must phone your doctor or go to a hospital casualty department immediately.

If you forget to take Disipal Tablets

Take the forgotten dose as soon as you remember. If it is time for your next dose skip the dose you missed and just continue to follow the dosing schedule as usual. Do not take a double dose to make up for a forgotten one.

If you stop taking Disipal Tablets

If you are to stop taking Disipal Tablets then your doctor will make sure that the dose is gradually reduced over a number of days. You should not stop taking the tablets unless you have been told to do so by your doctor. If you have any further questions on the use of this product, ask your doctor or pharmacist.

Like all medicines, Disipal Tablets can cause side effects, although not everybody gets them. If you are elderly you may be more likely to get side effects.

Uncommon (fewer than 1 in 100 patients) allergic reactions may occur while on treatment with Disipal Tablets. Signs of allergy include: rash - wheezing - breathlessness - swollen eyelids, face or lips and in extreme cases collapse. If you get any of these symptoms soon after taking Disipal Tablets, do not take any more. Tell a doctor immediately and take the packaging and this leaflet with you.

Other possible side effects:

Common (fewer than 1 in 10 patients)

•    dry mouth, stomach upsets

•    dizziness

•    difficulty in seeing clearly

Uncommon (fewer than 1 in 100 patients)

•    rapid heart beat

•    changes of mood such as highly elevated mood, confusion, sleepiness, hallucinations, difficulty in sleeping, nervousness, seizure (fits)

•    difficulty in passing water

Rare (fewer than 1 in 1000 patients)

•    memory disturbance

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

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.

5. HOW TO STORE DISIPAL TABLETS

•    Keep out of the sight and reach of children.

•    Do not take Disipal Tablets after the expiry date printed on the package. The expiry date refers to the last day of that month.

•    Do not store above 25°C.

•    If the tablets become discoloured or show signs of any deterioration, you should seek the advice of your pharmacist.

•    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. FURTHER INFORMATION

What are Disipal Tablets?

Each Disipal tablet contains 50 mg orphenadrine hydrochloride. The tablets are white sugar coated with no markings.

Disipal Tablets also contain lactose monohydrate, potato starch, sucrose, talc, stearic acid, gelatin, polyvinyl acetate, shellac, carnauba wax, titanium dioxide E171 and acacia.

They are available in containers of 50 tablets or 100 tablets (2 x 50).

They are manufactured by PN Gerolymatos SA, 13 Asklipiou street, Kryoneri, Athens 145 68, Greece and procured from within the EU and repackaged by the product licence holder who is OPD Laboratories Limited, Colonial Way, Watford, Herts WD24 4PR.

PL No: 15814/0882 Disipal 50mg Tablets / Orphenadrine Hydrochloride 50mg Tablets |POM

Leaflet revision and issue date (Ref.) 28.04.2015.

Registered trademark of Astellas group of companies.

To request a copy of this leaflet in Braille, large print or audio please call 01923 332 796.