PHENOXYMETHYLPENICILLIN 250 MG FILM-COATED TABLETS, PENICILLIN VK TABLETS 250 MG - patient leaflet, side effects, dosage

WHAT YOU NEED TO KNOW BEFORE YOU TAKE

2 PHENOXYMETHYL­PENICILLIN . FILM-COATED TABLETS

Do not take Phenoxymethyl­penicillin Film-Coated Tablets if:

• You are allergic to phenoxymethyl­penicillin, or other ‘penicillins’ antibiotics or medicines.
• You are allergic to any of the other ingredients in Phenoxymethyl­penicillin Film-Coated Tablets (see section 6 Contents of the pack and other information).

Warnings and precautions

Talk to your doctor, pharmacist or nurse before taking Phenoxymethyl­penicillin Film-Coated Tablets if:

• You have bronchial asthma or suffer from a tendency to develop allergic conditions such as hayfever or eczema.
• You have any problems with your kidneys.
• You have suffered severe diarrhoea following previous treatment with antibiotics.
• You have a severe illness.
• You have persistent diarrhoea, are feeling or being sick, or are suffering from any gut disorder which may affect the way your body absorbs the medicine.
• You are on a low potassium diet. Each Phenoxymethyl­penicillin Film-Coated tablet contains 28mg of potassium. This potassium content needs to be taken into consideration by patients with kidney problems or patients on a controlled potassium diet.
• You are on long term treatment with Penicillin. Your doctor will have to monitor your progress when taking this medicine.
• You are pregnant or thinking of becoming pregnant You are breast-feeding.

Other medicines and Phenoxymethyl­penicillin Film-Coated Tablets

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. In particular tell your doctor if you are using the following:

• Uricosuric drugs (medicines used to treat gout and other conditions which require lowering of blood uric acid levels e.g. probenecid and sulfinpyrazone).
• Anticoagulants (medicines that prevent the clotting of blood e.g. warfarin, coumarin and phenindione).
• Potassium-sparing diuretics (medicines used to treat high blood pressure, water retention, or some heart, liver or kidney conditions e.g. amiloride).
• Any other antibiotics (such as tetracycline, erythromycin, chloramphenicol, sulphonamide).
• Methotrexate (a medicine used to treat cancer, psoriasis and rheumatoid arthritis).
• Guar gum (a medicine used to treat some types of diabetes).
• Neomycin (anti-fungal).
• Phenoxymethyl­penicillin Film-Coated Tablets may reduce the efficacy of oral contraceptives (“the pill”). Your doctor or pharmacist will be able to advise you on whether additional contraceptive measures are necessary whilst taking Phenoxymethyl­penicillin Film-Coated Tablets, such as using a condom or a diaphragm with spermicide.

Please tell your doctor or pharmacist if you have recently been given or are due to receive a typhoid vaccination.

You should also note that if you test your urine for glucose using a non-enzymatic test, Phenoxymethyl­penicillin Film-Coated Tablets may give a false positive result. Please ask your pharmacist for advice on this.

Pregnancy and breast-feeding

No effects have been shown, however, you should not take Phenoxymethyl­penicillin Film- Coated Tablets unless your doctor has prescribed it to you.

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 any medicine.

Driving and using machines

This medicine is not expected to affect your ability to drive or use machinery.

Phenoxymethyl­penicillin Film-Coated Tablets contain potassium.

This medicine contains 28 mg potassium per tablet. To be taken into consideration by patients with reduced kidney function or patients on a controlled potassium diet.

HOW TO TAKE

3 PHENOXYMETHYL­PENICILLIN . FILM-COATED TABLETS

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

Each dose should be swallowed with a drink of water, at least 30 minutes before food. Try to space the doses as evenly as possible throughout the day.

The recommended dose is:

Adults:

The recommended dose for adults is 250mg or 500mg (i.e. one or two tablets) every 6 hours. This may vary depending on the type of infection you have. If you have poor kidney function the dose may be lowered.

Use in children and adolescents:

For children aged 6 – 12 years of age the recommended dose is 250mg (i.e. one tablet) every 6 hours. For children aged 1 – 5 years of age the recommended dose is 125mg (i.e. half a tablet) every 6 hours.

How long to take your medicine for:

Your doctor will tell you how long to take your medicine for based on the type of infection you have.

Keep taking this medicine until your doctor tells you to stop. Do not stop taking it just because you feel better. If you stop taking this medicine, your condition may re-occur or get worse.

If you take more Phenoxymethyl­penicillin Film-Coated Tablets than you should

Always take your medicine as recommended by your doctor. A large overdose may cause nausea (feeling sick), vomiting (being sick) and diarrhoea. Rarely seizures (fits) may occur. If you (or someone else) take too much medicine, or if you think a child has swallowed any of the tablets, tell your doctor immediately or go to your local hospital emergency department. Please take this leaflet, any remaining tablets and the container with you to the hospital or doctor so that they know which tablets were swallowed.

If you forget to take Phenoxymethyl­penicillin Film-Coated Tablets

If you miss a dose, take another as soon as you remember and then carry on as before. Do not take a double dose to make up for a forgotten dose.

If you stop taking Phenoxymethyl­penicillin Film-Coated Tablets

Keep taking your medicine until the course is finished. Do not stop taking your tablets just because you feel better – if you stop too soon the infection may start up again.

When you have finished Phenoxymethyl­penicillin Film-Coated Tablets If your symptoms persist, tell your doctor.

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

4.

POSSIBLE SIDE EFFECTS

Like all medicines Phenoxymethyl­penicillin Film-Coated Tablets can cause side effects, although not everybody gets them.

Tell your doctor if you think your medicine is making you feel unwell or if you get any of the following side effects:

The following side effects are rare, however if you think you are having an allergic reaction stop taking your tablets and tell your doctor immediately or go to your local hospital emergency department as severe allergic reactions may require emergency treatment.

• An allergic reaction which may occur as:

• – a rash on your skin (which might be severe).

• – sudden wheeziness, breathing difficulties or tightness of the chest.

• – swelling of your eyes, lips, throat or tongue.

• – skin lumps and hives (“nettle rash”).

• – fever or joint pain.

• – dizziness.

• – allergic reactions may also cause effects to the blood and kidneys.

Other reported side effects:

• Diarrhoea (which may contain blood)

Should the diarrhoea be persistent and severe, stop taking your tablets and tell your doctor immediately or go to your local hospital emergency department.

• Fits or convulsions (usually following high doses or if you suffer from severe kidney damage).
• Numbness or tingling of the hands and feet.
• Vomiting or nausea (a feeling of sickness).
• Inflammation of the tongue or mouth.
• Thrush or discharge from the vagina.
• Blood disorders. Symptoms of blood disorders include tiredness, sore throat, fever, unexplained bruising and bleeding, bruising easily and susceptibility to infection.
• Soft stools.

HOW TO STORE

5 PHENOXYMETHYL­PENICILLIN . FILM-COATED TABLETS

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

Do not use Phenoxymethyl­penicillin Film-Coated Tablets after the expiry date which is stated on the carton or blister strip. The expiry date refers to the last day of that month.

Do not store above 25°C. Store in the original packaging.

Do not use Phenoxymethyl­penicillin Film-Coated Tablets if you notice any visible signs of deterioration. 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 Phenoxymethyl­penicillin Film-Coated Tablets contain:

The active substance is phenoxymethyl­penicillin.

Each tablet contains 250 mg of phenoxymethyl­penicillin (as phenoxymethyl­penicillin potassium).

The other ingredients are magnesium stearate, talc (E553b), macrogol 6000, povidone (E1201) and maltodextrin. The tablet coating contains titanium dioxide (E171), talc (E553b), and hypromellose (E464).

What Phenoxymethylpenicillin Film-Coated Tablets look like and contents of the pack

Phenoxymethyl­penicillin Film-Coated Tablets 250mg are round and slightly cream in colour. The tablets are marked with PVK 250 and a notch on one side.

Phenoxymethyl­penicillin Film-Coated Tablets come in blister packs of 10, 14, 20, 21, 28 or 30 tablets.

Your pharmacist will give you the appropriate pack size with the correct number of tablets in accordance with your doctor’s instruc­tions.

Not all pack sizes may be marketed.

Marketing Authorisation Holder and

Manufacturer:

The Marketing Authorisation Holder and Manufacturer is Sandoz GmbH, Biochemiestrasse 10, A-6250 Kundl, Tyrol, Austria.

Distributed by:

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

This leaflet was revised in 02/2014.

PL 04520/0005.0d

A0178/Lt2