Selexid 200mg Tablets
Patient Information Leaflet
Selexid® 200mgTablets
(Pivmecillinam hydrochloride)
Read all of this leaflet carefully before you start taking 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. This includes any possible side effects not listed in this leaflet. See section 4.
The name of your medicine is Selexid 200mg Tablets but will be referred to as Selexid throughout the remainder of the leaflet.
What is in this leaflet:
1. What Selexid is and what it is used for
2. What you need to know before you take Selexid
3. How to take Selexid
4. Possible side effects
5. How to store Selexid
6. Contents of the pack and other information
1. What Selexid is and what it is used for
Selexid belongs to a group of medicines called penicillins. It is a type of antibiotic.
Selexid works by killing germs (bacteria) that cause infections.
If the infection is not treated, germs can continue to grow in your body. The infection will make you feel very unwell, and could even be life-threatening.
Selexid is used to treat:
• Infections of the bladder or tubes leading from the kidneys (urinary tract infections).
• Infections caused by a bacteria called Salmonella (salmonellosis).
You must talk to a doctor if you do not feel better or if you feel worse after completing your prescribed course of Selexid.
2. What you need to know before you take Selexid Do not take Selexid
• If you are allergic (hypersensitive) to pivmecillinam hydrochloride or any of the other ingredients of this medicine (listed in section 6).
• If you are allergic (hypersensitive) to other antibiotics such as penicillin or cephalosporins.
• If you know you have any condition that can make your food pipe become narrow.
• If you know you have any condition that may reduce the amount of a substance called carnitine in your body. Such conditions include primary carnitine deficiency or kidney dialysis.
Warnings and precautions
Talk to your doctor or pharmacist before taking Selexid:
• If you know that you have a condition called porphyria.
• If you are taking other medicines used to treat epilepsy, called valproic acid or valproate.
• If you are taking another antibiotic called pivampicillin.
• If you have recently taken a course of Selexid.
• If you have been taking Selexid for a long time already.
Tell your doctor or pharmacist if you have diarrhoea, fever or pain in the stomach after the use of Selexid.
If you take Selexid for a long time, your doctor may take regular blood tests. This is to check if your kidneys and liver are working properly.
Other medicines and Selexid
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes any medicines which you have bought without a prescription.
You must tell your doctor or pharmacist if you are taking any of the following medicines:
• Methotrexate: for arthritis or psoriasis. You may need to take a different dose of methotrexate.
• Probenecid: for gout. This may increase the effect of Selexid.
• Valproic acid or valproate: for epilepsy.
• Any other antibiotic: for treating an infection such as erythromycin or tetracycline.
This may have an effect on how Selexid works in your body. Selexid with food and drink
Selexid should be taken during or after a meal. Tablets must be swallowed whole with at least half a glass of fluid, while sitting or standing (see section 3 'How to take Selexid').
It is important to take your medicine with plenty of fluid. This will stop you getting mouth ulcers or ulcers in your food pipe. Please read section 4 of this leaflet so you can spot any signs this may be happening to you.
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.
Tell your doctor if you become pregnant while taking this medicine.
Driving and using machines
Usually your medicine may have very little effect on your ability to drive or use machines. Check with your doctor if you feel any side effect that may stop you from driving or using machines.
3. How to take Selexid
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
How much Selexid to take
Your doctor will tell you how many tablets to take, or give to your child. Your doctor will tell you how many times each day to take your medicine.
You should take the medicine at equally spaced times in the day.
Remember to always swallow the tablets whole during or immediately after a meal and with at least half a glass of fluid, while sitting or standing.
It is very important to take all the medicine your doctor has told you to take.
Urinary Tract Infections:
Adults and children weighing more than 40 kg:
• Acute infection: The usual starting dose is 2 tablets taken immediately. Then take one tablet every 8 hours. Continue until you have taken all 10 tablets in the pack.
• Repeated infection: The usual dose is 6-8 tablets each day. Take two tablets 3 or 4 times each day.
For other type of infections or for children weighing less than 40 kg:
Your doctor will prescribe the right dose for you.
If you take more Selexid than you should
Tell your doctor straight away. You may need to stop taking this medicine.
You may be sick, or feel sick, or get an upset stomach.
PP2/1420/V1
If you forget to take Selexid
If you forget to take your medicine, take it as soon as you remember. If you can, take it during or immediately after a meal, but always take it with half a glass of water, while sitting or standing. Then take the next dose at the usual time.
Do not take a double dose to make up for a forgotten tablet.
If you stop taking Selexid
It is very important to take all the medicine that your doctor has told you to take. You must finish this medicine even if you feel better. You must do this because otherwise you may feel ill again.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Important side effects to look out for:
You must get urgent medical help if you have any of the following symptoms. You may be having an allergic reaction:
• You have difficulty breathing.
• Your face or throat swell.
• Your skin develops a severe rash or areas of sudden swelling.
You must get urgent medical help if you have the following symptoms:
Severe diarrhoea caused by inflammation of the colon (large intestine).
Other possible side effects:
Common (may affect up to 1 in 10 people)
• Feeling sick (nausea).
• Diarrhoea
• Infection or inflammation of the vagina (Vulvovaginal mycotic infection).
Uncommon (may affect up to 1 in 100 people)
• Being sick (vomiting).
• Inflammation of the colon (large intestine), causing diarrhoea (usually with blood and mucus) and stomach pain.
• Stomach pain.
• Indigestion.
• Trouble chewing or swallowing your food.
This may be due to mouth ulcers, ulcers in your food pipe or inflammation of your food pipe, from taking the tablets with insufficient fluids.
• Bruising or bleeding more easily.
• Getting a fever or infections more often. This may be due to change in certain type of cells found in your body.
• Muscle weakness or muscle loss. This may be due to decrease in the amount of a substance called carnitine in your body.
• Headache.
• Dizziness.
• Light-headedness.
• Yellowing of the skin or eyes.
• Unusually dark urine.
• Small changes in blood test results. Your doctor can explain this more.
• Rash.
• Hives (urticaria)
• Itching skin (pruritus).
• Tiredness or lack of energy.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. 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 Selexid
Keep out of the sight and reach of children.
Do not use the tablets after the expiry date on the carton. The expiry date is the last day of that month. Do not store above 25°C. Store in a dry place.
Medicines should not be thrown away in waste water or in household waste. Please ask your pharmacist how to throw away any medicine you do not need anymore. If you do this you will help protect the environment.
6. Contents of the pack and other information
Selexid are round, white tablets, with an imprint of a lion on one side and “137” on the other.
Each tablet contains 200 milligrams of the active ingredient pivmecillinam hydrochloride.
Also contains: cellulose microcrystalline, hydroxypropylcellulose, magnesium stearate, hypromellose, simethicone and synthetic paraffin.
Selexid is available in blister packs of 10, 20, 30 and 100 tablets.
Manufactured by: Recipharm Strangnas AB, Mariefredsvagen 35 S-645 41 Strangnas, Sweden. Procured from within the EU. Product Licence Holder: Quadrant Pharmaceuticals Ltd,
Lynstock House, Lynstock Way, Lostock, Bolton BL6 4SA. Repackaged by Maxearn Ltd, Bolton BL6 4SA.
Selexid 200mg Tablets PL 20774/1420
Selexid is a registered trademark of LEO Pharma A/S Date of preparation 10th December 2015