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Regurin® XL 60mg prolonged-release capsule, hard

(trospium chloride)

Patient Information 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.

•    The name of this medicine is Regurin XL 60mg prolonged-release capsule, hard but will be referred to as Regurin XL throughout the remainder of this leaflet.

In this leaflet:

1)    What Regurin XL is and what it is used for

2)    Before you take Regurin XL

3)    How to take Regurin XL

4)    Possible side effects

5)    How to store Regurin XL

6)    Further information

1)    WHAT REGURIN XL IS AND WHAT IT IS USED FOR

Regurin XL is a medicine used for the relaxation of the muscles of the bladder. It is used for the treatment of symptoms associated with involuntary loss of urine (wetting) and/or increased frequency of urination and/ or urgency of urination in patients with an overactive bladder.

2)    BEFORE YOU TAKE REGURIN XL Do not take Regurin XL

-    If you have ever had an allergic reaction to trospium chloride or any of the other ingredients of Regurin XL (An allergic reaction can be a rash, itchiness or shortness of breath.). For the list of ingredients in Regurin XL, please see section 6.

-    If you suffer from any of the following:

•    urinary retention, i.e. blockage of the urinary tract,

•    the eye condition narrow-angle glaucoma,

•    abnormal/faster than normal heart beats,

•    myasthenia gravis (a disorder that causes muscle fatigue),

•    a severe gastro-intestinal condition, such as toxic megacolon,

•    problems with your kidneys,

•    severe problems with your liver.

Take special care with Regurin XL

If you suffer from any of the following:

•    any type of stomach or bowel obstruction,

•    difficulties in passing urine and/or a poor stream of urine (male prostate disorders),

•    neuropathy, i.e. nerve damage,

•    a hernia of the diaphragm with inflammation of the oesophagus due to reflux of gastric acid (hiatus hernia associated with reflux oesophagitis). This is usually associated with heartburn which worsens on bending or lying down,

•    an overactive thyroid,

•    any heart conditions, such as coronary artery disease or congestive heart failure,

•    any liver problems.

Talk to your doctor before starting your treatment with Regurin XL if you think any of these might apply to you.

Patients with liver disorders

You should talk to your doctor if you have a liver disorder. Patients with severe liver disorders should not take this medicine.

Patients with kidney disorders

You should talk to your doctor if you have a kidney disorder. Patients with kidney disorders should not take this medicine.

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.

Inform your doctor in particular if you are taking any of the following medicines:

-    certain antidepressants e.g. amitryptiline or imipramine

-    some medicines for the treatment of asthma that may accelerate the heart rate (e.g. salbutamol)

-    other medicines with anticholinergic action (such as those used to treat Parkinson's disease, asthma and stomach cramps)

-    metoclopramide - medicine used for nausea and vomiting

-    medicines containing guar, colestipol or colestyramine.

Please note that this information may also apply to medicines that you have used recently.

Pregnancy and breast-feeding

Since there is no experience with trospium chloride during pregnancy and breast feeding, Regurin XL should be taken during pregnancy and breast-feeding only if your doctor considers it absolutely necessary.

Driving and using machines

Regurin XL can cause blurred vision. If you experience this, do not drive or use any tools or machines.

Important information about some of the ingredients of Regurin XL

This medicine contains sucrose. If you know that you have an intolerance to certain sugars, please take Regurin XL only after consultation with your doctor.

Please always take Regurin XL as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

Usual dose unless otherwise prescribed by your doctor

Unless otherwise prescribed by your doctor, the usual daily dose is one Regurin XL prolonged-release capsule.

Method of administration

Swallow one prolonged-release capsule whole with a glass of water.

Take the capsule at least one hour before a meal on an empty stomach.

Duration of administration

Your doctor will determine the duration of treatment. The need for continued treatment should be checked at regular intervals of 3 - 6 months.

Patients with a kidney disorder should consult their doctor and not take this medicine.

Patients with a liver disorder should consult their doctor before taking this medicine.

If you take more Regurin XL than you should

If you have taken too much Regurin XL you should contact your doctor or go to the nearest hospital casualty department immediately.

If you forget to take Regurin XL

If you forget to take a capsule, take your capsule as soon as you remember, but do not take more than one capsule in one day. Do not take a double dose to make up for a forgotten capsule.

If you stop taking Regurin XL

Your symptoms may return if you stop taking Regurin XL before recommended by your doctor. Therefore, you should take Regurin XL for as long as prescribed by your doctor. Please consult your doctor if you wish to stop treatment.

4)    POSSIBLE SIDE EFFECTS

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

The following “very rare” side effects below are important and will require immediate action if you experience them. You should stop taking Regurin XL and see your doctor immediately if the following symptoms occur:

•    swelling of the face, tongue and windpipe which can cause great difficulty in breathing

•    a sudden allergic reaction with shortness of breath, rash, wheezing and drop of blood pressure.

The following side effects have been reported for Regurin XL prolonged-release capsules, hard in clinical trials:

Very common side effects, affects more than 1 user in 10

•    dryness of the mouth.

Common side effects, affects 1 to 10 users in 100

•    constipation, nausea, abdominal pain, indigestion,

•    dry eyes, dry nose.

Uncommon side effects, affects 1 to 10 users in 1,000

•    flatulence

Rare side effects, affects 1 to 10 users in 10,000

•    difficulty emptying the bladder, urinary retention,

•    fast heart rate, palpitations,

•    difficulty seeing objects close-up,

•    rash,

•    general feeling of weakness.

Very rare side effects, affects less than 1 user in 10,000

•    urinary tract infection,

•    headache.

The following side effects have also been reported for trospium (trospium is the active ingredient of Regurin XL; it is not known if these side effects will also occur with the capsules that you have been prescribed):

Difficulty in breathing, diarrhoea, chest pain, slight to moderate increase of certain liver values (serum transaminases), fast irregular heartbeat, joint or muscle pains, dizziness.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any 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 REGURIN XL

What Regurin XL looks like and contents of the pack

Regurin XL 60mg prolonged-release capsules, hard consist of an opaque orange cap and an opaque white body imprinted with “SAN 60” and containing white to off-white pellets.

Regurin XL is available in blister strip packs and bottle packs containing 30 or 100 capsules.

Manufacturer

Madaus GmbH, 51101 Cologne, Germany

It is procured from within the EU by Product Licence holder:

MPT Pharma Ltd, Westgate Business Park, Unit 5-7 Tintagel Way, Aldridge, Walsall, WS9 8ER. UK

Repackaged by: MPT Pharma Ltd.

PL: 33532/0437    _POM

Leaflet dated 12^th March 2015 Leaflet coded XXXXXXXXXX

Regurin® is a registered trademark of MADAUS GmbH

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.

•    The name of this medicine is Kenporurin XL 60mg prolonged-release capsules, hard but will be referred to as Kenporurin XL throughout the remainder of this leaflet.

In this leaflet:

1)    What Kenporurin XL is and what it is used for

2)    Before you take Kenporurin XL

3)    How to take Kenporurin XL

4)    Possible side effects

5)    How to store Kenporurin XL

6)    Further information

1)    WHAT KENPORURIN XL IS AND WHAT IT IS USED FOR

Kenporurin XL is a medicine used for the relaxation of the muscles of the bladder. It is used for the treatment of symptoms associated with involuntary loss of urine (wetting) and/or increased frequency of urination and/ or urgency of urination in patients with an overactive bladder.

2)    BEFORE YOU TAKE KENPORURIN XL Do not take Kenporurin XL

-    If you have ever had an allergic reaction to trospium chloride or any of the other ingredients of Kenporurin XL (An allergic reaction can be a rash, itchiness or shortness of breath.). For the list of ingredients in Kenporurin XL, please see section 6.

-    If you suffer from any of the following:

•    urinary retention, i.e. blockage of the urinary tract,

•    the eye condition narrow-angle glaucoma,

•    abnormal/faster than normal heart beats,

•    myasthenia gravis (a disorder that causes muscle fatigue),

•    a severe gastro-intestinal condition, such as toxic megacolon,

•    problems with your kidneys,

•    severe problems with your liver.

Take special care with Kenporurin XL

If you suffer from any of the following:

•    any type of stomach or bowel obstruction,

•    difficulties in passing urine and/or a poor stream of urine (male prostate disorders),

•    neuropathy, i.e. nerve damage,

•    a hernia of the diaphragm with inflammation of the oesophagus due to reflux of gastric acid (hiatus hernia associated with reflux oesophagitis). This is usually associated with heartburn which worsens on bending or lying down,

•    an overactive thyroid,

•    any heart conditions, such as coronary artery disease or congestive heart failure,

•    any liver problems.

Talk to your doctor before starting your treatment with Kenporurin XL if you think any of these might apply to you.

Patients with liver disorders

You should talk to your doctor if you have a liver disorder. Patients with severe liver disorders should not take this medicine.

Patients with kidney disorders

You should talk to your doctor if you have a kidney disorder. Patients with kidney disorders should not take this medicine.

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.

Inform your doctor in particular if you are taking any of the following medicines:

-    certain antidepressants e.g. amitryptiline or imipramine

-    some medicines for the treatment of asthma that may accelerate the heart rate (e.g. salbutamol)

-    other medicines with anticholinergic action (such as those used to treat Parkinson's disease, asthma and stomach cramps)

-    metoclopramide - medicine used for nausea and vomiting

-    medicines containing guar, colestipol or colestyramine.

Please note that this information may also apply to medicines that you have used recently.

Pregnancy and breast-feeding

Since there is no experience with trospium chloride during pregnancy and breast feeding, Kenporurin XL should be taken during pregnancy and breast-feeding only if your doctor considers it absolutely necessary.

Driving and using machines

Kenporurin XL can cause blurred vision. If you experience this, do not drive or use any tools or machines.

Important information about some of the ingredients of Kenporurin XL

This medicine contains sucrose. If you know that you have an intolerance to certain sugars, please take Kenporurin XL only after consultation with your doctor.

Please always take Kenporurin XL as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

Usual dose unless otherwise prescribed by your doctor

Unless otherwise prescribed by your doctor, the usual daily dose is one Kenporurin XL prolonged-release capsule.

Method of administration

Swallow one prolonged-release capsule whole with a glass of water.

Take the capsule at least one hour before a meal on an empty stomach.

Duration of administration

Your doctor will determine the duration of treatment. The need for continued treatment should be checked at regular intervals of 3 - 6 months.

Patients with a kidney disorder should consult their doctor and not take this medicine.

Patients with a liver disorder should consult their doctor before taking this medicine.

If you take more Kenporurin XL than you should

If you have taken too much Kenporurin XL you should contact your doctor or go to the nearest hospital casualty department immediately.

If you forget to take Kenporurin XL

If you forget to take a capsule, take your capsule as soon as you remember, but do not take more than one capsule in one day. Do not take a double dose to make up for a forgotten capsule.

If you stop taking Kenporurin XL

Your symptoms may return if you stop taking Kenporurin XL before recommended by your doctor. Therefore, you should take Kenporurin XL for as long as prescribed by your doctor. Please consult your doctor if you wish to stop treatment.

4) POSSIBLE SIDE EFFECTS

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

The following “very rare” side effects below are important and will require immediate action if you experience them. You should stop taking Kenporurin XL and see your doctor immediately if the following symptoms occur:

•    swelling of the face, tongue and windpipe which can cause great difficulty in breathing

•    a sudden allergic reaction with shortness of breath, rash, wheezing and drop of blood pressure.

The following side effects have been reported for Kenporurin XL prolonged-release capsules, hard in clinical trials:

Very common side effects, affects more than 1 user in 10

•    dryness of the mouth.

Common side effects, affects 1 to 10 users in 100

•    constipation, nausea, abdominal pain, indigestion,

•    dry eyes, dry nose.

Uncommon side effects, affects 1 to 10 users in 1,000

•    flatulence

Rare side effects, affects 1 to 10 users in 10,000

•    difficulty emptying the bladder, urinary retention,

•    fast heart rate, palpitations,

•    difficulty seeing objects close-up,

•    rash,

•    general feeling of weakness.

Very rare side effects, affects less than 1 user in 10,000

•    urinary tract infection,

•    headache.

The following side effects have also been reported for trospium (trospium is the active ingredient of Kenporurin XL; it is not known if these side effects will also occur with the capsules that you have been prescribed): Difficulty in breathing, diarrhoea, chest pain, slight to moderate increase of certain liver values (serum transaminases), fast irregular heartbeat, joint or muscle pains, dizziness.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any 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.

What Kenporurin XL looks like and contents of the pack

Kenporurin XL 60mg prolonged-release capsules, hard consist of an opaque orange cap and an opaque white body imprinted with “SAN 60” and containing white to off-white pellets.

Kenporurin XL is available in blister strip packs and bottle packs containing 30 or 100 capsules.

Manufacturer

Madaus GmbH, 51101 Cologne, Germany

It is procured from within the EU by Product Licence holder:

MPT Pharma Ltd, Westgate Business Park, Unit 5-7 Tintagel Way, Aldridge, Walsall, WS9 8ER. UK

Repackaged by: MPT Pharma Ltd.    pom

PL: 33532/0437 Kenporurin XL 60mg prolonged-release capsules, hard

Leaflet dated 12^th March 2015 Leaflet coded XXXXXXXXXX

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.

•    The name of this medicine is Trosempt XL 60mg prolonged-release capsules, hard but will be referred to as Trosempt XL throughout the remainder of this leaflet.

In this leaflet:

1)    What Trosempt XL is and what it is used for

2)    Before you take Trosempt XL

3)    How to take Trosempt XL

4)    Possible side effects

5)    How to store Trosempt XL

6)    Further information

1)    WHAT TROSEMPT XL IS AND WHAT IT IS USED FOR

Trosempt XL is a medicine used for the relaxation of the muscles of the bladder. It is used for the treatment of symptoms associated with involuntary loss of urine (wetting) and/or increased frequency of urination and/ or urgency of urination in patients with an overactive bladder.

2)    BEFORE YOU TAKE TROSEMPT XL Do not take Trosempt XL

-    If you have ever had an allergic reaction to trospium chloride or any of the other ingredients of Trosempt XL (An allergic reaction can be a rash, itchiness or shortness of breath.). For the list of ingredients in Trosempt XL, please see section 6.

-    If you suffer from any of the following:

•    urinary retention, i.e. blockage of the urinary tract,

•    the eye condition narrow-angle glaucoma,

•    abnormal/faster than normal heart beats,

•    myasthenia gravis (a disorder that causes muscle fatigue),

•    a severe gastro-intestinal condition, such as toxic megacolon,

•    problems with your kidneys,

•    severe problems with your liver.

Take special care with Trosempt XL

If you suffer from any of the following:

•    any type of stomach or bowel obstruction,

•    difficulties in passing urine and/or a poor stream of urine (male prostate disorders),

•    neuropathy, i.e. nerve damage,

•    a hernia of the diaphragm with inflammation of the oesophagus due to reflux of gastric acid (hiatus hernia associated with reflux oesophagitis). This is usually associated with heartburn which worsens on bending or lying down,

•    an overactive thyroid,

•    any heart conditions, such as coronary artery disease or congestive heart failure,

•    any liver problems.

Talk to your doctor before starting your treatment with Trosempt XL if you think any of these might apply to you.

Patients with liver disorders

You should talk to your doctor if you have a liver disorder. Patients with severe liver disorders should not take this medicine.

Patients with kidney disorders

You should talk to your doctor if you have a kidney disorder. Patients with kidney disorders should not take this medicine.

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.

Inform your doctor in particular if you are taking any of the following medicines:

-    certain antidepressants e.g. amitryptiline or imipramine

-    some medicines for the treatment of asthma that may accelerate the heart rate (e.g. salbutamol)

-    other medicines with anticholinergic action (such as those used to treat Parkinson's disease, asthma and stomach cramps)

-    metoclopramide - medicine used for nausea and vomiting

-    medicines containing guar, colestipol or colestyramine.

Please note that this information may also apply to medicines that you have used recently.

Pregnancy and breast-feeding

Since there is no experience with trospium chloride during pregnancy and breast feeding, Trosempt XL should be taken during pregnancy and breast-feeding only if your doctor considers it absolutely necessary.

Driving and using machines

Trosempt XL can cause blurred vision. If you experience this, do not drive or use any tools or machines.

Important information about some of the ingredients of Trosempt XL

This medicine contains sucrose. If you know that you have an intolerance to certain sugars, please take Trosempt XL only after consultation with your doctor.

Please always take Trosempt XL as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

Usual dose unless otherwise prescribed by your doctor

Unless otherwise prescribed by your doctor, the usual daily dose is one Trosempt XL prolonged-release capsule.

Method of administration

Swallow one prolonged-release capsule whole with a glass of water.

Take the capsule at least one hour before a meal on an empty stomach.

Duration of administration

Your doctor will determine the duration of treatment. The need for continued treatment should be checked at regular intervals of 3 - 6 months.

Patients with a kidney disorder should consult their doctor and not take this medicine.

Patients with a liver disorder should consult their doctor before taking this medicine.

If you take more Trosempt XL than you should

If you have taken too much Trosempt XL you should contact your doctor or go to the nearest hospital casualty department immediately.

If you forget to take Trosempt XL

If you forget to take a capsule, take your capsule as soon as you remember, but do not take more than one capsule in one day. Do not take a double dose to make up for a forgotten capsule.

If you stop taking Trosempt XL

Your symptoms may return if you stop taking Trosempt XL before recommended by your doctor. Therefore, you should take Trosempt XL for as long as prescribed by your doctor. Please consult your doctor if you wish to stop treatment.

4)    POSSIBLE SIDE EFFECTS

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

The following “very rare” side effects below are important and will require immediate action if you experience them. You should stop taking Trosempt XL and see your doctor immediately if the following symptoms occur:

•    swelling of the face, tongue and windpipe which can cause great difficulty in breathing

•    a sudden allergic reaction with shortness of breath, rash, wheezing and drop of blood pressure.

The following side effects have been reported for Trosempt XL prolonged-release capsules, hard in clinical trials:

Very common side effects, affects more than 1 user in 10

•    dryness of the mouth.

Common side effects, affects 1 to 10 users in 100

•    constipation, nausea, abdominal pain, indigestion,

•    dry eyes, dry nose.

Uncommon side effects, affects 1 to 10 users in 1,000

•    flatulence

Rare side effects, affects 1 to 10 users in 10,000

•    difficulty emptying the bladder, urinary retention,

•    fast heart rate, palpitations,

•    difficulty seeing objects close-up,

•    rash,

•    general feeling of weakness.

Very rare side effects, affects less than 1 user in 10,000

•    urinary tract infection,

•    headache.

The following side effects have also been reported for trospium (trospium is the active ingredient of Trosempt XL; it is not known if these side effects will also occur with the capsules that you have been prescribed): Difficulty in breathing, diarrhoea, chest pain, slight to moderate increase of certain liver values (serum transaminases), fast irregular heartbeat, joint or muscle pains, dizziness.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any 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 TROSEMPT XL

What Trosempt XL looks like and contents of the pack

Trosempt XL 60mg prolonged-release capsules, hard consist of an opaque orange cap and an opaque white body imprinted with “SAN 60” and containing white to off-white pellets.

Trosempt XL is available in blister strip packs and bottle packs containing 30 or 100 capsules.

Manufacturer

Madaus GmbH, 51101 Cologne, Germany

It is procured from within the EU by Product Licence holder:

MPT Pharma Ltd, Westgate Business Park, Unit 5-7 Tintagel Way, Aldridge, Walsall, WS9 8ER. UK

Repackaged by: MPT Pharma Ltd.    pom

PL: 33532/0437 Trosempt XL 60mg prolonged-release capsules, hard

Leaflet dated 12^th March 2015 Leaflet coded XXXXXXXXXX

•    Keep out of the sight and reach of children.

•    Do not use Trosempt XL after the expiry date which is stated on the blister and the container after EXP. The expiry date refers to the last day of that month.

•    This medicinal product does not require any special storage conditions.

•    If your capsules become discoloured or show any sign of deterioration, return them to 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 Trosempt XL contains

The active substance is: Trospium chloride.

Each prolonged-release capsule contains 60mg trospium chloride.

The other ingredients are: sucrose, maize starch, methyl acrylate-methyl methacrylate-methacrylic acid-copolymer, sodium dodecyl sulphate, ammonium hydroxide, medium chain triglycerides, oleic acid, ethylcellulose, titanium dioxide (E171), hypromellose, macrogol 400, polysorbate 80, triethyl citrate, talc, gelatin, yellow iron oxide (E172), red iron oxide (E172), shellac and propylene glycol.