Summary of medicine characteristics - DORMEASAN SLEEP VALERIAN-HOPS ORAL DROPS
Dormeasan Sleep Valerian-Hops oral drops
2 QUALITATIVE AND QUANTITATIVE COMPOSITION
1 ml of oral liquid contains:
0.5 ml of tincture from Valerian root (Valeriana officinalis L.) (1:10–11). Extraction solvent: Ethanol 58% V/V.
and
0.5 ml of tincture from Hop strobile (Humulus lupulus L.) (1:12–13). Extraction solvent: Ethanol 65% V/V.
1 ml is equivalent to 35 drops.
For full list of excipients see Section 6.1
3 PHARMACEUTICAL FORM
Oral liquid.
Green to brown, clear liquid.
4.1 Therapeutic indications
A traditional herbal medicinal product used for the temporary relief of sleep disturbances caused by the symptoms of mild anxiety based on traditional use only.
4.2 Posology and method of administration
For oral short term use only.
Adults and the elderly:
To aid sleep:
Take 30 drops in a little water or fruit juice half an hour before bedtime.
For relief of symptoms of mild anxiety:
During daytime: Take 10–20 drops in a little water or fruit juice once or twice a day.
Maximum daily recommended dose is 70 drops.
As treatment effects may not be apparent immediately, the product should be taken for 2–4 weeks continuously.
If symptoms worsen or do not improve after 4 weeks a doctor or qualified healthcare practitioner should be consulted.
Not for children or adolescents under 18 years.
4.3 Contraindications
Hypersensitivity to Valerian, Hops or any of the excipients in the product.
This product should not be used in children or adolescents under 18 years.
4.4 Special warnings and precautions for use
Do not exceed stated dose.
If symptoms worsen or do not improve after 4 weeks a doctor or qualified healthcare practitioner should be consulted.
This product contains 62 vol% ethanol (alcohol).
This corresponds to:
420 mg alcohol equivalent to 10.6 ml beer or 4.4 ml wine (30 drops)
140 mg alcohol equivalent to 3.5 ml beer or 1.5 ml wine (10 drops)
Harmful for those suffering from alcoholism. To be taken into account in pregnant, or breast-feeding women, children and high-risk groups such as patients with liver disease or epilepsy.
4.5 Interaction with other medicinal products and other forms of interaction Only limited data on pharmacological interactions with other medicinal products are available. Clinically relevant interactions with drugs metabolized by the CYP 2D6, CYP 3A4/5, CYP 1A2 or CYP 2E1 pathway has not been observed.
Combination with synthetic sedatives is not recommended.
Contains alcohol and should be avoided in patients taking other medicines known to interact with alcohol (e.g. metronidazole).
4.6 Pregnancy and lactation
The safety of this product during pregnancy and lactation has not been established, therefore the use of this product during pregnancy and lactation is not recommended.
4.7 Effects on ability to drive and use machines
May impair ability to drive and use machines. If affected do not drive or operate machinery. This product contains alcohol (See Section 4.4 for details of alcohol content).
4.8 Undesirable effects
Gastrointestinal symptoms such as nausea, vomiting, abdominal cramps and diarrhoea may occur. The frequency is not known.
If other adverse reactions not mentioned above occur, a doctor or a qualified healthcare practitioner should be consulted.
4.9 Overdose
4.9 OverdoseValerian root at a dose of approximately 20 g (equivalent to 93 doses) caused benign symptoms (fatigue, abdominal cramp, chest tightness, lightheadedness, hand tremor and mydriasis), which disappeared within 24 hours. If symptoms arise, treatment should be supportive.
After intake of very high doses of Valerian root over several years (daily consumption corresponding to approximately 30 g of the drug) withdrawal symptoms (delirium) have been reported.
No cases of overdose have been reported for Hops.
Overdose of this product may result in alcohol intoxication: the amount of alcohol in a full bottle (24.8 g in 50 ml: 49.6 g in 100 ml: equivalent to 1 or 2 large glasses of wine, respectively) may result in intoxication and should be treated accordingly.
5 PHARMACOLOGICAL PROPERTIES
5.1 Pharmacodynamic properties
Not required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended
5.2 Pharmacokinetic properties
Not required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended
5.3 Preclinical safety data
5.3 Preclinical safety dataNot required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended, unless necessary for the safe use of the product.
The preclinical toxicology data available are limited. Tests on reproductive toxicity, genotoxicity and carcinogenicity have not been performed.
6 PHARMACEUTICAL PARTICULARS
6 PHARMACEUTICAL PARTICULARS6.1 List of excipients
From tincture:
Ethanol
Water
6.2 Incompatibilities
Not applicable.
6.3 Shelf life
15 ml: 2 years
30 ml, 50 ml and 100 ml: 3 years
Use within 5 months of opening.
6.4 Special precautions for storage
This medicinal product does not require any special storage conditions.
6.5 Nature and contents of container
6.5 Nature and contents of containerBrown glass dropper bottles (Type III glass) with a twist-off cap.
Pack sizes: 15 ml
30 ml
50 ml
100 ml
Not all pack sizes may be marketed.
6.6 Special precautions for disposal No special requirements.