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NUELIN SA 250 MG TABLETS - patient leaflet, side effects, dosage

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Sources: Original (products.mhra.gov.uk)

Patient leaflet - NUELIN SA 250 MG TABLETS

5. how to store nuelin sa

Keep out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the label or carton after EXP. The expiry date refers to the last day of that month.

Do not store above 25 °C.

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 informationwhat nuelin sa contains the active substance in nuelin sa is theophylline. each 175 mg tablet contains 175 mg theophylline. each 250 mg tablet contains 250 mg theophylline.

  • The other ingredients are lactose, cellulose acetate phthalate and magnesium stearate.

What Nuelin SA looks like and contents of the pack

Nuelin SA 175 mg & 250 mg Prolonged Release Tablets

Theophylline

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

Always take this medicine exactly as described in this leaflet or as your doctor, pharmacist or nurse has told you.

  • Keep this leaflet. You may need to read it again.
  • Ask your pharmacist if you need more information or advice.
  • If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.
  • You must talk to a doctor if you do not feel better or if you feel worse.

What is in this leaflet:

  • 1. What Nuelin SA is and what it is used for

  • 2. What you need to know before you take Nuelin SA

  • 3. How to take Nuelin SA

  • 4. Possible side effects

  • 5. How to store Nuelin SA

  • 6. Contents of the pack and other information

1. what nuelin sa is and what it is used for

Nuelin SA belongs to a family of medicines called bronchodilators. Bronchodilators are used to treat, and relieve the symptoms of diseases where the passages in your lungs are blocked.

Nuelin SA works by widening the air passages in your lungs which allows you to breathe more easily and feel less tight chested. You may take Nuelin SA if you have asthma or a chest disease such as chronic obstructive pulmonary disease (COPD) that makes you wheeze, cough or become short of breath.

You must talk to a doctor if you do not feel better or if you feel worse.

2. what you need to know before you take nuelin sado not take nuelin sa: if you are allergic to theophylline or other bronchodilators (such as xanthines), or any of the other ingredients of this medicine (listed in section 6).

  • if you are under 6 years of age
  • if you are a child and are taking medicines containing ephedrine (e.g. children’s cold and cough medicines)
  • if you have recently had a heart attack or have an increased heart rate.

Warnings and precautions

Check with your doctor or pharmacist before taking Nuelin SA:

  • if you suffer from asthma
  • if you have an irregular, or abnormally fast or slow heart beat
  • if you have a stomach or intestinal ulcer
  • if you suffer from epileptic seizures
  • if you have lung disease
  • if you have liver disease
  • if you have kidney disease
  • if you have very high blood pressure
  • if you have been told you have an overactive thyroid gland
  • if you have a disease called acute porphyria which may cause stomach pain, sickness, diarrhoea, seizures or mental disorders

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  • if you are an alcoholic
  • if you have a high fever, headache and chills that came on suddenly (acute febrile illness)
  • if you smoke.

If you have been told by your doctor that you have an intolerance to some sugars, check with your doctor or pharmacist before taking this medicine.

Other medicines and Nuelin SA

Tell your doctor or pharmacist if you are taking, have recently taken or might take any of the following medicines. It is very important that you do this, as your doctor or pharmacist may have to alter the dose of Nuelin SA that you take:

  • drugs to treat asthma or lung disease such as formoterol, and another xanthine called aminophylline
  • drugs to treat stomach or intestinal ulcers such as cimetidine, ranitidine or nizatidine
  • drugs to treat high blood pressure such as beta-blockers, diuretics, furosemide, diltiazem or verapamil
  • drugs to treat an overactive thyroid gland such as carbimazole
  • drugs to treat infections such as erythromycin, clarithromycin, enoxacin, imipenem, pefloxacin, pipemidic acid or other macrolide antibiotics, ciprofloxacin or norfloxacin
  • drugs to treat fungal infections such as fluconazole or thiabendazole
  • drugs to treat a joint disease called gout such as allopurinol or sulfinpyrazone
  • drugs to treat skin diseases
  • oral contraceptives (i.e. ‘the pill’)
  • drugs to treat irregular heart beat such as digoxin, mexiletine, propranolol, propafenone
  • drugs to treat depression such as fluvoxamine, viloxazine or lithium
  • a vaccine for preventing flu
  • drugs used to treat alcoholism such as disulfiram
  • interferon alfa, a drug used to treat several cancers
  • drugs to treat tuberculosis such as isoniazid or rifampicin
  • drugs to treat diseases of the small blood vessels such as pentoxifylline
  • drugs to prevent and treat epileptic seizures such as diazepam, phenytoin, carbamazepine, barbiturates (phenobarbital) or primidone
  • aminoglutethimide, a drug used to treat a disease called Cushings Syndrome
  • St John’s Wort (Hypericum perforatum), a herbal remedy used to treat depression
  • drugs used as an anaesthetic such as ketamine or halothane
  • doxapram, a drug used to stimulate breathing in patients who struggle to breathe for themselves.
  • other medicines suchs as methotrexate, sulfinpyrazone, ticlopidine or ritonavir
  • alcohol

Please tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Nuelin with food and drink

Nuelin SA should always be taken after you have eaten.

Pregnancy, breast-feeding and fertility

Pregnancy

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.

Breast-feeding

Nuelin SA is excreted in breast milk, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Nuelin SA may affect your ability to drive or use machinery especially when taken with other medicines or alcohol.

Nuelin SA contains lactose

3. how to take nuelin sa

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

The recommended dose is:

Adults:

Nuelin SA 175 mg tablets: The usual dose is one tablet taken twice a day.

If necessary, this may be increased to two tablets twice a day.

Nuelin SA 250 mg tablets: The usual dose is one tablet taken twice a day.

If necessary, this may be increased to two tablets twice a day.

Elderly:

Your doctor or pharmacist will tell you exactly how much to take. The dose you take may be lower than the usual adult dose.

While you are taking this medicine, your doctor may ask you to have check-ups. These are to make sure that your medicine is working properly and that the dose you are taking is right for you.

Use in children and adolescents

Children (aged 6–12 years):

Nuelin SA 175 mg tablets: The usual dose is one tablet taken twice a day.

Nuelin SA 250 mg tablets: The usual dose is half to one tablet taken twice a day. Remember: Nuelin SA should always be taken after you have eaten. Nuelin SA tablets should be swallowed whole. Do not crush or chew the tablets. To get the correct dose, the 250 mg tablets may have to be broken in half along the line down the middle. Your doctor or pharmacist will tell you how to do this.

If you take more Nuelin SA than you should

Do not take more Nuelin SA than you should. If you accidentally take too much, immediately contact your doctor or nearest hospital casualty department.

Taking too much Nuelin SA can have very serious effects. You may feel or be sick, have stomach pains, and vomit blood. Your heart may beat faster or you may shake uncontrollably. Severe cases of overdose may cause you to have a fit, go into a coma, or die.

If you forget to take Nuelin SA

Do not take a double dose to make up for a forgotten dose. Take your next dose as planned.

If you stop taking Nuelin SA

Do not stop taking Nuelin SA without first talking to your doctor or pharmacist. If you have any further questions about the use of this medicine, ask your doctor, pharmacist or nurse.

4. possible side effects

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

Tell your doctor or pharmacist if:

  • you are allergic to theophylline or any of the ingredients listed in section 6.
  • you notice your heart beating irregularly, or abnormally fast or slow, or have low blood pressure
  • you have a fit (convulsions)
  • you feel sick or are sick
  • you have cramp, pain or a burning sensation in your stomach, or get acid reflux

Sources: Original (products.mhra.gov.uk)