PHENOXYMETHYLPENICILLIN 250 MG / 5ML ORAL SOLUTION, TENKICIN 250 MG / 5ML ORAL SOLUTION - patient leaflet, side effects, dosage

WHAT YOU NEED TO KNOW BEFORE

YOU TAKE

PHENOXYMETHYL­PENICILLIN

ORAL SOLUTION

Do not take Phenoxymethyl­penicillin Oral Solution if:

• You ever had a bad reaction or allergic reaction to any Phenoxymethyl­penicillin or Cephalosporin-type antibiotic. An example of a Cephalosporin-type antibiotic is Cefradine.
• You are allergic to any of the ingredients contained in this medicine.
• You are taking methotrexate (a cytotoxic drug used to treat cancers and psoriasis)

Take special care with your medicine if:

• You suffer from any stomach problems, e.g. vomiting
• You suffer from any kidney problems
• You suffer from allergies and/or asthma

Taking other medicines

Your medicine may interfere with other medicines that you may be taking. Please inform your doctor or pharmacist if you are taking, or have recently taken any other medicines even those not prescribed.

Talk to your doctor or pharmacist or nurse before taking:

• Anticoagulants (e.g. warfarin – to prevent blood clots)
• Sulfinpyrazone or Probenecid (medicines used to treat gout)
• Oral Typhoid vaccine (penicillin can stop this from working)
• Some other antibiotics (Tetracycline, Erythromycin, Chloramphenicol and Neomycin)

Taking with food and drink

Take your medicine on an empty stomach either half an hour before a meal or at least three hours after a meal. Guar gum can cause reduced absorption of phenoxymethyl­penicillin. Your doctor will advise you about this.

Pregnancy and breast-feeding

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.

Sucrose

Phenoxymethyl­penicillin 125mg/5ml Oral Solution contains 2.80g of sucrose per 5ml dose. Phenoxymethyl­penicillin 250mg/5ml Oral

Solution contains 2.89g of sucrose per 5ml dose.

• This should be taken into account in patients with diabetes mellitus. May be harmful to teeth.
• If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Potassium

Phenoxymethyl­penicillin 125mg/5ml Oral Solution contains 14.2mg of potassium per 5ml dose.

Phenoxymethyl­penicillin 250mg/5ml Oral Solution contains 28.4mg of potassium per 5ml dose.

• This should be taken into account by patients with reduced kidney function or patients on a controlled potassium diet.

Sodium benzoate

• Sodium benzoate may increase jaundice (yellowing of the skin and eyes) in newborn babies (up to 4 weeks old). This medicine contains 16 mg sodium benzoate in each 5ml dose which is equivalent to 320mg/100ml bottle. Sodium
• This medicine contains less than 1 mmol sodium (23mg) per 5 ml dose, that is to say essentially “sodium free”.

Ponceau 4R (E124) and sunset yellow (E110) may cause allergic type reactions.

HOW TO TAKE

3 PHENOXYMETHYL­PENICILLIN ORAL . SOLUTION

How much of your medicine to take

Always take this medicine exactly as your doctor or pharmacist has told you, check with your doctor or pharmacist if you are not sure.

The dose will depend on the patient and will be decided by your doctor. The usual doses for each age group are as follows:

Adults including the elderly and children over 12 years

250mg to 500mg every six hours (one to two 5ml spoonfuls of 250mg/5ml)

Prophylactic use: 250mg twice daily is recommended for long term prophylaxis of rheumatic fever (one 5ml spoonful of 250mg/5ml)

Children

Infants (up to 1 year): 62.5mg every six hours 1 – 5 years: 125mg every six hours (one 5ml spoonful of 125mg/5ml)

6 – 12 years: 250mg every six hours (one 5ml spoonful of 250mg/5ml or two 5ml spoonfuls of 125mg/5ml)

When to take your medicine

Phenoxymethyl­penicillin should be given in divided doses (4 times a day) or as directed by your doctor. Take your medicine on an empty stomach either half an hour before a meal or at least three hours after a meal.

How long to take your medicine for

Keep taking this medicine until your doctor tells you to stop. Do not stop taking it just because you feel better.

If you take more Phenoxymethyl­penicillin Oral Solution than you should

If you accidentally take too much Phenoxymethyl­penicillin Oral Solution, contact your doctor or pharmacist who will recommend what action you should take.

If you forget to take Phenoxymethyl­penicillin Oral Solution

If you do forget to take a dose of Phenoxymethyl­penicillin Oral Solution at the correct time, take it as soon as you remember, then carry on as before. Do not take a double dose to make up for a forgotten dose.

If you stop taking your medicine

If you stop taking the medicine before your doctor tells you to stop, your condition may re-occur or get worse. If you have any further questions on the use of this medicine, ask your doctor or pharmacist or nurse.

4.

POSSIBLE SIDE EFFECTS

Blood

• problems with blood clotting (unusual bleeding or bruising)
• infections or fever (may be caused by low white blood cells)
• anaemia (may cause lack of energy or tiredness)

Kidney

• kidney problems, which might cause blood in the urine or reduced amounts of urine

Liver

• jaundice – yellowing of skin or whites of the eyes

If any of the side effects get serious, or if you notice any side effect not listed in this leaflet, you should contact your doctor or pharmacist.

Reporting of side effects

If you get any side effects, talk to your doctor or 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 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.

HOW TO STORE

5 PHENOXYMETHYL­PENICILLIN ORAL . SOLUTION

KEEP OUT OF THE SIGHT AND REACH OF CHILDREN

Expiry Date

Do not use your medicine after the expiry date stated on the label. The expiry date refers to the last day of the month.

Storage Conditions

Store in the original package. Keep the bottle tightly closed.

Dry powder: Store in a dry place below 25°C. Protect from light.

Reconstituted solution: Store up to 7 days in a refrigerator.

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.

If your doctor tells you to stop your treatment, return any left over to the pharmacist. Only keep it if your doctor tells you to.

6

CONTENTS OF THE PACK AND

. OTHER INFORMATION

What Phenoxymethyl­penicillin Oral Solution contains

Each 5ml spoonful of oral solution contains 125mg or 250mg of phenoxymethyl­penicillin as phenoxymethyl­penicillin potassium. It also contains sodium benzoate, saccharin sodium, trusil orange flavour, orange colour (containing sunset yellow (E110) and ponceau 4R (E124)) and sucrose.

What Phenoxymethylpenicillin Oral Solution looks like and contents of the pack

Dry powder: an off white pale pink granular powder.

Reconstituted solution: a clear orange solution with an orange odour and flavour.

Phenoxymethyl­penicillin Oral Solution is available in size 100ml on reconstitution.

The product licence holder and manufacturer is: Athlone Laboratories Limited, Ballymurray, Co. Roscommon, Ireland.

Your medicine is distributed by:

Almus Pharmacueticals, 43 Cox Lane, Chessington, KT9 1SN, UK

PL 06453/0024 and PL 06453/0025

This leaflet was last revised January 2021

A0136/Lt4 A0137/Lt4 P772/1

• pins and needles or numbness

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

STOP taking the medicine and tell your doctor IMMEDIATELY if you experience any of the following:

• an allergic reaction – symptoms may include: shortness of breath, skin rash or itching, hives, swelling of the skin (especially of the lips, face or tongue), chills or fever, painful joints
• severe peeling/blistering of the skin
• seizures
• profuse watery diarrhoea usually with blood and mucus, stomach pain and fever

The following are the more common effects. Tell your doctor or pharmacist if they worry you.

• stomach pain or cramps, nausea (feeling sick), vomiting (being sick) and diarrhoea

The following are other possible side effects: Mouth

• sore mouth

black hairy tongue

• sore throats

• teeth may appear stained, usually returning to normal with brushing (this has been reported in children).

Skin