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S258 LEAFLET Vexol 20140428

PACKAGE LEAFLET: INFORMATION FOR THE USER

VEXOL 1% EYE DROPS SUSPENSION (rimexolone)

Using other medicines

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 using more than one eye preparation, wait 15 minutes between each application.

this in front of a mirror if


Your medicine is called Vexol 1% Eye Drops Suspension

but will be referred to as Vexol throughout the remainder of the

leaflet.


Read all of this leaflet carefully before you start using this medicine

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

   If you have any further questions, ask your doctor or your 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 get serious, or if you notice any side

effects not listed in this leaflet, please tell your doctor or pharmacist._

IN THIS LEAFLET:

1.    What Vexol is and what it is used for

2.    Before you use Vexol

3.    How to use Vexol

4.    Possible side effects

5.    How to store Vexol

6.    Further information


1. WHAT VEXOL IS AND WHAT IT IS USED FOR


Vexol belongs to a group of medicines known as corticosteroids.

It is used to prevent or treat eye inflammation following surgery of the eye and to treat inflammation of the eye surface and the front portion inside the eye (anterior segment).

It helps to relieve the symptoms of inflammation such as redness, soreness and swelling.


2. BEFORE YOU USE VEXOL


Do not use Vexol...

•    If you have any type of infection of the eye that is not being treated. Use of steroids may make infections worse.

•    If you have a red eye that has not been seen by a doctor.

•    If you are allergic to rimexolone or any of the other ingredients listed in section 6.

Ask your doctor for advice.

Vexol is not for use in CHILDREN.


Take special care...

•    If you have a disorder causing a thinning of the eye tissues, such as rheumatoid arthritis, Fuch's dystrophy or following a corneal transplant. Steroids may cause further thinning and possible perforation

•    Steroids applied to the eye may delay the healing of your eye wound.

You may still be able to use Vexol, but discuss it with your doctor

first.


Pregnancy and breast-feeding

If you are pregnant or might get pregnant, or if you are breastfeeding a baby, talk to your doctor before you use Vexol.


Driving and using machines

If your vision is blurred or your sight is affected in any way following the use of Vexol, you should not drive or operate machinery until your vision is clear.


Important information if you wear Contact Lenses

Wearing contact lenses is not advisable during treatment of an eye inflammation as it may make your condition worse.

Do not use the drops while wearing contact lenses. Wait at least 15 minutes after use before putting your lenses back in. There is a preservative in Vexol (benzalkonium chloride) that can discolour soft contact lenses and may cause eye irritation.


3. HOW TO USE VEXOL


The usual dose

This will depend on the reason for use.

Inflammation (red, painful eye)

Apply 1 drop in the affected eye 4 times a day or more often, if advised by your doctor.

Inflammation of the inside of the eye (Uveitis)

1st week - Apply 1 drop in the affected eye every hour while awake. 2nd week - Apply 1 drop every 2 hours while awake.

3rd week - Apply 1 drop 4 times a day.

4th week - Apply 1 drop twice daily for the first 4 days and then apply 1 drop once daily for the last 3 days.

Inflammation after eye surgery

Apply 1 drop in the affected eye 4 times a day, beginning 24 hours after your operation and continuing for the first 2 weeks afterwards.

Not for use in CHILDREN.

Remove the loose collar from the cap when the bottle is first opened.

Always use Vexol exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.


How to use

•    Wash your hands before you start.

   Shake the bottle well.

•    Twist off the bottle cap.

•    Hold the bottle pointing down, between your thumb and fingers.

•    Tilt your head back.

•    Pull down your lower eyelid with a finger, until there is a 'pocket' between the eyelid and your eye. The drop will go in here (picture 1).

•    Bring the bottle tip close to the eye. Do it helps.

   Do not touch your eye or eyelid, surrounding areas or other surfaces with the dropper. It could infect the drops.

   Gently press on the base of the bottle to release one drop at a time (picture 2).

   Do not squeeze the bottle, only a gentle press on the bottom is needed.

•    If you use drops in both eyes, repeat the steps for your other eye. Put the bottle cap firmly back on immediately after use.

   If a drop misses your eye, try again.

   If you forget to use Vexol, just use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your normal dosing schedule. Do not take a double dose to make up.

   If you use more Vexol than you should, it can be washed out with luke warm water.


* If treatment with Vexol is stopped...

A flare-up of inflammation may occur if treatment is discontinued early. Do not suddenly stop using the product without your doctor's advice. Your doctor may want to gradually reduce the amount you use to reduce the chance of unwanted effects.

If you have any further questions on the use of Vexol, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

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

*    You may experience some or all of the following effects in your eye(s):

Common (affect 1 to 10 people in 100):

Blurred vision, discharge, discomfort, pain, a feeling of something in your eye, increased pressure in the eye.

Uncommon (affect 1 to 10 people in 1000):

Redness of the eye or inside the eyelid, itching, dry eyes, swelling, watery eyes, sensitivity to light, irritation, crusting on the eyelids, serious infections, eye surface inflammation, scarring or other disorders.

Rare (1 to 10 users in 10,000): Swelling of the back of the eye, eyelid swelling.

Not known (cannot be estimated from the available data): Reduced vision.

*    You may also experience effects in other areas of your body including:

Uncommon (affect 1 in 10 people in 1000): Headache, low blood pressure, runny nose, redness or soreness of the throat, bad or unusual taste.

Rare (1 in 10 users in 10,000): Allergy.

Not known (cannot be estimated from the available data): Chest pain.

*    If Vexol is used for a long time this can lead to an increase in pressure inside the eye or the formation of cataracts, both of which can lead to decreased vision. It can also lead to infections, as your natural resistance to these is reduced.

If any of the side effects get serious, or you notice any side effects not listed in this leaflet, 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 VEXOL

*    KEEP OUT OF THE SIGHT AND REACH OF CHILDREN.

*    Do not store above 25°C. Do not Freeze. Discard 28 days after first opening.

*    Do not use after the expiry date printed on the carton label or bottle label.

*    If your doctor tells you to stop using this medicine, please take it back to the pharmacist for safe disposal. Only keep the medicine if your doctor tells you to.

*    If the medicine become discoloured or show any other signs of deterioration, you should seek the advice of your pharmacist who will tell you what to do.

*    Medicines should not be disposed of via waste water or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

*    Do not pass this medicine on to others. It may harm them, even if their symptoms are the same as yours.

6. FURTHER INFORMATION

What Vexol contains

*    Vexol contains 1.0% w/v (10mg/ml) of the active ingredient rimexolone.

*    Vexol also contain following inactive ingredients: benzalkonium chloride, mannitol, carbomer, polysorbate 80, disodium edetate, sodium chloride, sodium hydroxide, hydrochloric acid and purified water.

What Vexol looks like and contents of the pack

*    Vexol is a white suspension contained in a white plastic dropper bottle with a white plastic screw cap and temper evident closure.

*    Vexol are available in bottles containing 5 ml of suspension.

Product Licence holder

Procured from within the EU and repackaged by the Parallel Import

Product Licence holder: S&M Medical Ltd, Chemilines House,

Alperton Lane, Wembley, HA0 1DX.

Manufacturer

Vexol are manufactured by SA Alcon-Couvreur NV, Rijksweg 14, B-

2870 Puurs, Belgium.

| POM| PL No. 19488/0258

Leaflet revision date: 28th April 2014

Vexol is a registered trade mark of NV Organon, The Netherlands.

S258 LEAFLET Vexol 20140428


S258 LEAFLET Rimexolone 20140428

PACKAGE LEAFLET: INFORMATION FOR THE USER RIMEXOLONE 1% EYE DROPS SUSPENSION

Your medicine is called Rimexolone 1% Eye Drops Suspension but will be referred to as Rimexolone throughout the remainder of the leaflet.

Read all of this leaflet carefully before you start using this medicine

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

   If you have any further questions, ask your doctor or your 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 get serious, or if you notice any side

effects not listed in this leaflet, please tell your doctor or pharmacist._

IN THIS LEAFLET:

1.    What Rimexolone is and what it is used for

2.    Before you use Rimexolone

3.    How to use Rimexolone

4.    Possible side effects

5.    How to store Rimexolone

6.    Further information

1. WHAT RIMEXOLONE IS AND WHAT IT IS USED FOR

Rimexolone belongs to a group of medicines known as corticosteroids.

It is used to prevent or treat eye inflammation following surgery of the eye and to treat inflammation of the eye surface and the front portion inside the eye (anterior segment).

It helps to relieve the symptoms of inflammation such as redness, soreness and swelling.

Using other medicines

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 using more than one eye preparation, wait 15 minutes between each application.

Important information if you wear Contact Lenses

Wearing contact lenses is not advisable during treatment of an eye inflammation as it may make your condition worse.

Do not use the drops while wearing contact lenses. Wait at least 15 minutes after use before putting your lenses back in. There is a preservative in Rimexolone (benzalkonium chloride) that can discolour soft contact lenses and may cause eye irritation.

3. HOW TO USE RIMEXOLONE

The usual dose

This will depend on the reason for use.

Inflammation (red, painful eye)

Apply 1 drop in the affected eye 4 times a day or more often, if advised by your doctor.

Inflammation of the inside of the eye (Uveitis)

1st week - Apply 1 drop in the affected eye every hour while awake. 2nd week - Apply 1 drop every 2 hours while awake.

3rd week - Apply 1 drop 4 times a day.

4th week - Apply 1 drop twice daily for the first 4 days and then apply 1 drop once daily for the last 3 days.

Inflammation after eye surgery

Apply 1 drop in the affected eye 4 times a day, beginning 24 hours after your operation and continuing for the first 2 weeks afterwards.

Not for use in CHILDREN.

Remove the loose collar from the cap when the bottle is first opened.

Always use Rimexolone exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

this in front of a mirror if


2. BEFORE YOU USE RIMEXOLONE

Do not use Rimexolone...

•    If you have any type of infection of the eye that is not being treated. Use of steroids may make infections worse.

•    If you have a red eye that has not been seen by a doctor.

•    If you are allergic to rimexolone or any of the other ingredients listed in section 6.

Ask your doctor for advice.

Rimexolone is not for use in CHILDREN.

Take special care...

•    If you have a disorder causing a thinning of the eye tissues, such as rheumatoid arthritis, Fuch's dystrophy or following a corneal transplant. Steroids may cause further thinning and possible perforation

•    Steroids applied to the eye may delay the healing of your eye wound.

You may still be able to use Rimexolone, but discuss it with your doctor first.

Pregnancy and breast-feeding

If you are pregnant or might get pregnant, or if you are breastfeeding a baby, talk to your doctor before you use Rimexolone.

Driving and using machines

If your vision is blurred or your sight is affected in any way following the use of Rimexolone, you should not drive or operate machinery until your vision is clear.

How to use

•    Wash your hands before you start.

   Shake the bottle well.

•    Twist off the bottle cap.

•    Hold the bottle pointing down, between your thumb and fingers.

•    Tilt your head back.

•    Pull down your lower eyelid with a finger, until there is a 'pocket' between the eyelid and your eye. The drop will go in here (picture 1).

•    Bring the bottle tip close to the eye. Do it helps.

   Do not touch your eye or eyelid, surrounding areas or other surfaces with the dropper. It could infect the drops.

   Gently press on the base of the bottle to release one drop at a time (picture 2).

   Do not squeeze the bottle, only a gentle press on the bottom is needed.

•    If you use drops in both eyes, repeat the steps for your other eye. Put the bottle cap firmly back on immediately after use.

   If a drop misses your eye, try again.

   If you forget to use Rimexolone, just use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your normal dosing schedule. Do not take a double dose to make up.

   If you use more Rimexolone than you should, it can be

washed out with luke warm water.

* If treatment with Rimexolone is stopped...

A flare-up of inflammation may occur if treatment is discontinued early. Do not suddenly stop using the product without your doctor's advice. Your doctor may want to gradually reduce the amount you use to reduce the chance of unwanted effects.

If you have any further questions on the use of Rimexolone, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

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

*    You may experience some or all of the following effects in your eye(s):

Common (affect 1 to 10 people in 100):

Blurred vision, discharge, discomfort, pain, a feeling of something in your eye, increased pressure in the eye.

Uncommon (affect 1 to 10 people in 1000):

Redness of the eye or inside the eyelid, itching, dry eyes, swelling, watery eyes, sensitivity to light, irritation, crusting on the eyelids, serious infections, eye surface inflammation, scarring or other disorders.

Rare (1 to 10 users in 10,000): Swelling of the back of the eye, eyelid swelling.

Not known (cannot be estimated from the available data): Reduced vision.

*    You may also experience effects in other areas of your body including:

Uncommon (affect 1 in 10 people in 1000): Headache, low blood pressure, runny nose, redness or soreness of the throat, bad or unusual taste.

Rare (1 in 10 users in 10,000): Allergy.

Not known (cannot be estimated from the available data): Chest pain.

*    If Rimexolone is used for a long time this can lead to an increase in pressure inside the eye or the formation of cataracts, both of which can lead to decreased vision. It can also lead to infections, as your natural resistance to these is reduced.

If any of the side effects get serious, or you notice any side effects not listed in this leaflet, 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 RIMEXOLONE

*    KEEP OUT OF THE SIGHT AND REACH OF CHILDREN.

*    Do not store above 25°C. Do not Freeze. Discard 28 days after first opening.

*    Do not use after the expiry date printed on the carton label or bottle label.

*    If your doctor tells you to stop using this medicine, please take it back to the pharmacist for safe disposal. Only keep the medicine if your doctor tells you to.

*    If the medicine become discoloured or show any other signs of deterioration, you should seek the advice of your pharmacist who will tell you what to do.

*    Medicines should not be disposed of via waste water or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

*    Do not pass this medicine on to others. It may harm them, even if their symptoms are the same as yours.

6. FURTHER INFORMATION

What Rimexolone contains

*    Rimexolone contains 1.0% w/v (10mg/ml) of the active ingredient rimexolone.

*    Rimexolone also contain following inactive ingredients: benzalkonium chloride, mannitol, carbomer, polysorbate 80, disodium edetate, sodium chloride, sodium hydroxide, hydrochloric acid and purified water.

What Rimexolone looks like and contents of the pack

*    Rimexolone is a white suspension contained in a white plastic dropper bottle with a white plastic screw cap and temper evident closure.

*    Rimexolone are available in bottles containing 5 ml of suspension.

Product Licence holder

Procured from within the EU and repackaged by the Parallel Import

Product Licence holder: S&M Medical Ltd, Chemilines House,

Alperton Lane, Wembley, HA0 1DX.

Manufacturer

Rimexolone are manufactured by SA Alcon-Couvreur NV, Rijksweg

14, B-2870 Puurs, Belgium.

|~POMl PL No. 19488/0258

Leaflet revision date: 28th April 2014

S258 LEAFLET Rimexolone 20140428