Patient leaflet - Dipentum 250 mg capsules,Olsalazine Sodium 250 mg capsules
1. WHAT DIPENTUM IS FOR AND WHAT IT IS USED FOR
Dipentum belongs to a group of medicines called aminosalicylates. Dipentum works by reducing pain and swelling (inflammation) in the intestine. It reduces the actions of substances in the body that cause inflammation.
Dipentum is used to treat an inflammation of your large intestine (colon) called ulcerative colitis. It is used for short-term (acute) attacks (called "flare-ups"), and at a lower dose to maintain the improvement (maintenance treatment) and keep away further "flare-ups".
If untreated, a severe attack of ulcerative colitis may cause death due to dehydration and bursting of the colon (peritonitis).
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE DIPENTUM
Do not take Dipentum if you:
- are allergic to olsalazine sodium or any of the other ingredients in this medicine (listed in section 6)
- have ever had an allergic reaction to any salicylates (e.g. aspirin and aspirin-containing products, including those bought over the counter)
- have severe kidney disease
If any of the above apply to you talk to your doctor or pharmacist.
Warning and precautions
Before you start taking Dipentum your doctor will do a blood test. This will be repeated every three months for the first year, every six months for the next four years and then once a year. This is to see how well your liver and kidneys are functioning.
You should also check for signs of worsening of allergies such as asthma.
Tell your doctor immediately if you develop unexplained bruising or bleeding accompanied with fever, dizziness, sore throat and mouth ulcers. You could have developed a blood disorder.
Children and adolescents
Do not take Olsalazine Sodium Capsules if you are under 12 years of age.
Other medicines and Olsalazine Sodium Capsules
Tell your doctor or pharmacist if you are taking, have recently taken or might have taken any of the following medicines:
- Aspirin or any other aspirin-containing medicines or salicylates
- Other drugs to treat ulcerative colitis
- Blood thinning agents such as warfarin or heparin or heparinoids
- Drugs that treat irritable bowel syndrome and cancer such as thioguanine and 6 mercaptopurine
- If you have recently had chickenpox vaccination (taking Dipentum may cause a greater risk of Reye's syndrome; a life threatening condition)
- Any other medicine, including medicines obtained without a prescription.
Dipentum with food and drink
Always take Dipentum with a glass of water after food.
Pregnancy, breast-feeding and fertility
If you are pregnant, or trying to become pregnant or breastfeeding, talk to your doctor before taking Dipentum.
Driving and using machines
If you experience dizziness and/or blurred vision whilst taking Dipentum, do not drive or use machinery.
3. HOW TO TAKE DIPENTUM
Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are unsure.
Important:
Your doctor will choose the dose that is right for you. Your dose will be shown clearly on the label that your pharmacist puts on your medicine. If it does not, or you are not sure, ask your doctor or pharmacist.
Remember: Your medicine should always be taken after food.
Adults, children over 12 and the elderly
Acute “flare-ups”
- The usual starting dose is two capsules twice a day (two in the morning, two in the evening at the end of a meal).
- Your doctor may increase your dose until your condition improves.
- You must not take more than twelve capsules a day or more than four capsules at a time
- If a "flare-up" is severe you are likely to be given additional medicines.
Maintenance treatment
- Once the "flare-up" is controlled your doctor may gradually reduce your dose to two capsules twice a day (two in the morning, two in the evening at the end of a meal).
- This is to prevent further "flare-ups”
- You may remain on this treatment, provided it remains effective, for a long period of time.
If you take more Dipentum than you should
Do not take more Dipentum than you should. If you have taken too much, immediately go to the nearest hospital casualty department or your doctor. Take your capsules and this leaflet with you.
Signs of taking too much Dipentum include nausea, vomiting and diarrhoea.
If you forget to take Dipentum
Do not take a double dose to make up for a forgotten dose. If you forget a dose take the next one as usual.
If you stop taking Dipentum
Do not stop taking Dipentum without first talking to your doctor even if your symptoms have improved.
If you have any further questions about 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.
Seek immediate medical help if you have any of the following symptoms (the frequency of these side effects is unknown):
- Swelling of face, lips, tongue or throat which may cause difficulty in swallowing/breathing
- Blood disorders (reduced number of blood cells) where you could have the following symptoms: bruise or bleed easily, have a persistent sore throat, mouth ulcers, dizziness and feeling tired and feverish
- Pancreatitis where you could have the following symptoms: severe stomach pain, fever, feeling sick/being sick
- Liver disease where you could have the following symptoms: feeling sick/being sick, loss of appetite, feeling generally unwell, itching and the whites of the eyes may become yellow.
Other possible side effects:
Common: may affect up to 1 in 10 people
- Headache
- Diarrhoea. It does not usually last very long, but taking your medicine at the end of a meal helps to reduce diarrhoea.
- Feeling sick
- Rash
- Joint pain
Uncommon: may affect up to 1 in 100 people
- Fever
- Being sick
- Indigestion
- Raised liver enzymes (tests your doctor may perform will show changed liver function)
- Itching and/or hives, a nettle-like rash
- Unusual hair loss
- Light sensitivity.
- Increased heart rate
- Shortness of breath
- Muscle pain
- Pins and needles
- Depression
- Dizziness
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25.04.24[8]
Not known: frequency cannot be estimated from the available data:
- Altered breakdown of blood cells in the liver which could result in jaundice (yellowing of skin/eyes)
- Stomach pain
- Inflammation of heart muscle
- Awareness of your heartbeat
- Inflammation of sac around heart muscle
- Pain in passing urine or blood in the urine
- Difficulty in breathing
- Blurred vision
- Loss of touch sensation/numbness
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 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 or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
5. HOW TO STORE DIPENTUM
Keep out of the sight and reach of children.
Do not use Dipentum after the expiry date on the carton. The expiry date refers to the last day of that month.
Do not store above 25oC. Store in the original package in a dry place.
Medicines should not be disposed of via wastewater or household waste. Return any medicine you no longer need to your pharmacist.
If your capsules show any signs of deterioration or discolouration, you should seek the advice of your pharmacist who will tell you what to do.
6. CONTENTS OF THE PACK AND OTHER INFORMATION
What Dipentum contains
Dipentum contain the active substance olsalazine sodium.
Each capsule contains 250 mg olsalazine sodium.
The other ingredients are:
magnesium stearate, caramel (E150) and titanium dioxide (E171) and iron oxide (E172) and gelatin
What Dipentum looks like
Dipentum are beige colour capsule and marked ‘DIPENTUM® 250 mg’ around the cap.
Dipentum comes in plastic bottles containing 100 capsules.
MANUFACTURER AND PRODUCT LICENCE HOLDER
Manufactured by Coripharma ehf, Reykjavikurvegur 78, IS-220 Hafnarfjorour, Iceland.
Procured from within the EU by Product Licence holder:
Star Pharmaceuticals Ltd., 5 Sandridge Close, Harrow, Middlesex HA1 1XD. Repackaged by Servipharm Ltd.
Leaflet revision and issue date (Ref) 25.04.24[8]
Dipentum is a registered trademark of Atnahs Pharma UK Ltd.
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