MELKINE 1.5 MG TABLETS - patient leaflet, side effects, dosage

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1. what melkine 1.5 mg is and what it is used for

Melkine 1.5 mg is an emergency contraceptive that can be used within 72 hours (3 days) of unprotected sex or if your usual method of contraception has failed.

It is about the following cases:

o No contraception was used during the sexual intercourse

o The contraception measure was used incorrectly, for example as if a condom was penetrated, slipped away or used in a wrong way, if vaginal pessary or diaphragm changed position, burst, was broken or taken out ahead of time, in the case of a failed interruption during coitus interruptus (e.g. sperm ejaculated in vagina or on external genitalia).

o Melkine 1.5 mg contains a synthetic hormone-like substance called levonorgestrel. It prevents about 85% of expected pregnancies when you take it within 72 hours of having unprotected sex. It will not prevent a pregnancy every time and is more effective if you take it as soon as possible after unprotected sex. It is better to take it within 12 hours rather than delay until the third day.

Melkine 1.5 mg is thought to work by:

o stopping your ovaries from releasing an egg;

o preventing sperm from fertilising any egg that may have already released; or

o stopping a fertilised egg from attaching itself to your womb lining.

Melkine 1.5 mg can only prevent you from becoming pregnant if you take it within 72 hours of having unprotected sex. It does not work if you are already pregnant. If another unprotected intercourse takes place after the use of Melkine 1.5 mg (also if this is during the same menstrual cycle), the tablet will not exert its contraceptive effect and there is again the risk of pregnancy.

This tablet is only for emergency contraception, not for a regular contraception as it is less effective than the regular contraceptive tablet.

2. what you need to know before you take

Melkine 1.5 mg

Do not take Melkine 1.5 mg

• – if you are allergic (hypersensitive) to Melkine or any of the other ingredients of this medicine (listed in section 6)

Warnings and precautions

If any of the following applies to you, talk to your doctor before taking Melkine 1.5 mg as emergency contraception may not be suitable for you. Your doctor may prescribe another type of emergency contraception for you.

– If you are pregnant or think that you may already be pregnant. This medicine will not work if you are already pregnant. If you are already pregnant, Melkine 1.5 mg cannot terminate pregnancy, so Melkine 1.5 mg is not an ‘‘abortion tablet’’.

You may already be pregnant if:

• – your period is more than 5 days late, or you have experienced unusual bleeding when your next period is due;

• – you have had unprotected sex more than 72 hours ago and since your last period.

The use of Melkine 1.5 mg is not advised if:

• – you have a disease of your small bowel (such as Crohn’s disease) that inhibits the absorption of the drug;

• – you have severe liver problems;

– you have a history of ectopic pregnancy (where the baby develops somewhere outside the womb)

• – you have a history of salpingitis (inflammation of the Fallopian tubes).

3. how to take melkine 1.5 mg

Always use this medicine exactly as described in the leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

o Take the tablet as soon as possible, preferably within 12 hours and no later than 72 hours (3 days) after having unprotected sex.

You can take Melkine 1.5 mg at any time during your menstrual cycle assuming you are not already pregnant or think you may be pregnant. Do not chew but swallow the tablet whole with water. Do not delay taking the tablet. The tablet works better the sooner you take it after having unprotected sex.

o If you are already using a regular method of contraception, such as the contraceptive tablet, you can continue to take this at your regular times.

If another unprotected intercourse takes place after the use of Melkine 1.5 mg (also if this is during the same menstrual cycle), the tablet will not exert its contraceptive effect and there is again the risk of pregnancy.

Use in children and adolescents

This medicine is not recommended for use in children and only intended for use in women who had a first menstrual bleeding. Limited data are available in women under 16 years of age.

What to do if you are sick (vomit)

If you are sick (vomit) within three hours of taking the tablet, you should immediately take another tablet.

After you have taken Melkine 1.5 mg

After you have taken Melkine1.5 mg, if you want to have sex, and are not using the contraceptive tablet, you should use condoms or a cap plus spermicide until your next menstrual period. This is because Melkine 1.5 mg will not work if you have unprotected sex again, before your next period is due.

After taking Melkine 1.5 mg, you are advised to make an appointment to see your doctor about three weeks later to make sure that Melkine 1.5 mg has worked. If your period is more than 5 days late or is unusually light or heavy, you should contact your doctor as soon as possible. If you do become pregnant even after taking this medicine, it is important that you see your doctor.

Your doctor can also tell you about long-term methods of contraception which are more effective in preventing you from getting pregnant.

If you continue to use regular hormonal contraception such as the contraceptive tablet and you do not have a bleed in your tablet-free period, see your doctor to make sure you are not pregnant.

Your next period after you took Melkine 1.5 mg

After the use of Melkine 1.5 mg, your period is usually normal and will start at the usual day; however sometimes, it will start a few days earlier or later. If your period starts more than 5 days later than expected, an ‘‘abnormal’’ bleeding occurs at that time or if you think you might be pregnant, you should check whether you are pregnant by pregnancy test.

If you take more Melkine 1.5 mg than you should

Although there have been no reports of serious harmful effects after taking too many tablets at once, you may feel sick, actually be sick (vomit) or have vaginal bleeding. You should ask your doctor, pharmacist, practice nurse or family planning clinic for advice, especially if you have been sick, as the tablet may not have worked properly.

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

4. possible side effects

Like all medicines, Melkine 1.5 mg can cause side effects, although not everybody gets them.

Possible side effects are listed below according to how common they are:

Very common side effects (may affect more than 1 in every 10 users):

o Feeling sick (Nausea)

o You might have some irregular bleeding until your next period

o You might have lower abdominal pain

o Tiredness

o Headache

Common side effects (may affect up to 1 in 10 users):

o Being sick (vomiting). If you are sick, read the section ‘‘What to do if you are sick (vomit).

o Your period may be different. Most women will have a normal period at the expected time but some may have their period later or earlier than normal. You may also have irregular bleeding or spotting until your next period. If your period is more than 5 days late or is unusually light or heavy, you should contact your doctor as soon as possible.

oYou might have tender breasts, diarrhoea or feel dizzy after taking this medicine.

Very rare side effects (may affect up to 1 in 10,000 users): o Rash, urticaria, pruritus, swelling of the face, pelvic pain, painful period. If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

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:. By reporting side effects you can help provide more information on the safety of this medicine.

5. how to store melkine 1.5 mg

Keep this medicine out of the sight and reach of children.

Do not use Melkine 1.5 mg after the expiry date which is stated on the pack and blister. The expiry date refers to the last day of the month.

This medicinal product does not require any special storage condition.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

6. contents of the pack and other information

What Melkine 1.5 mg contains

The active substance is levonorgestrel. Each tablet contains 1.5 mg of levonorgestrel.

The other ingredients are cellulose microcrystalline, lactose monohydrate, poloxamer 188, croscarmellose sodium and magnesium stearate.

What Melkine 1.5 mg looks like and contents of the pack Each pack contains one complete treatment of one round, white tablet, of approximate 6 mm of diameter and marked ‘‘C’’ on one side and ‘‘1’’ on the other.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder:

Laboratorios Leon Farma, S.A.

Pol. Ind. Navatejera

C/ La Vallina s/n, 24008– Navatejera, Leon

Spain

Manufacturer:

Laboratorios Leon Farma, S.A.

Pol. Ind. Navatejera

C/ La Vallina s/n, 24008– Navatejera, Leon

Spain

This leaflet was last approved in February 2016

532849–01