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PREDNISOLONE 20 MG / 100ML RECTAL SOLUTION, PREDENEMA - Patient leaflet, side effects, dosage

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Patient leaflet - PREDNISOLONE 20 MG / 100ML RECTAL SOLUTION, PREDENEMA

PATIENT INFORMATION LEAFLET

Prednisolone 20 mg/100 ml Rectal Solution (prednisolone sodium metasulphobenzoate)

Please read this leaflet carefully. It gives you a summary of the information about your medicine. If there is anything you do not understand, please ask your doctor or pharmacist (chemist) to explain it to you.

What is in Prednisolone 20 mg/100 ml Rectal Solution?

Prednisolone Rectal Solution is a single dose retention enema for application into the rectum. Each single dose, disposable enema contains a rectal solution of 20mg prednisolone, as prednisolone sodium metasulphobenzoate, in 100ml.

Prednisolone belongs to a group of medicines called corticosteroids which are used to reduce inflammation.

As well as the active ingredient, your medicine also contains disodium edetate, parahydroxyben­zoates (E214, E216, E218), and purified water.

Prednisolone Rectal Solution is supplied as a plastic bag containing the enema solution with an applicator nozzle and cap or alternatively with an extension tube attached to the nozzle (long-tube version) to enable easier self-administration.

The standard version is available in packs of 10 and the long tube version is available in packs of 7.

The Marketing Authorisation holder is

Chemidex Pharma Ltd., trading as Essential Generics, 7 Egham

Business Village, Crabtree Road, Egham, Surrey TW20 8RB.

and the manufacturer is Forest Laboratories UK Ltd.,Bexley DA5 1NX.

What is Prednisolone Rectal Solution used for?

It is used to treat ulcerative colitis (inflammation of the bowels).

If you are not sure why you have been given this medicine ask your doctor or pharmacist (chemist).

Before Administering Prednisolone Rectal Solution

This medicine is suitable for adults and children over 12 years of age.

Do not administer to younger children. Do not use but tell your doctor if you are pregnant or breast feeding or suffering from peritonitis (inflammation of the walls of the abdominal cavity), anal sinus infection, fistulae (an unnatural connection between the bowel and other body organ or to outside the body), intestinal obstruction or perforation of the bowel.

Talk to your doctor before taking Prednisolone Rectal Solution, if you have scleroderma (also known as systemic sclerosis, an autoimmune disorder) because daily doses of 15 mg or more may increase the risk of a serious complication called scleroderma renal crisis. Signs of scleroderma renal crisis include increased blood pressure and decreased urine production. The doctor may advise that you have your blood pressure and urine regularly checked.

Parahydroxyben­zoates may cause allergic type reactions in sensitive patients. If this applies to you contact your doctor before using this medicine.

Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Some medicines may increase the effects of Prednisolone 20 mg/100 ml Rectal Solution and your doctor may wish to monitor you carefully if you are taking these medicines (including some medicines for HIV: ritonavir, cobicistat)

Side effects where the frequency is not known:

Scleroderma renal crisis in patients already suffering from scleroderma (an autoimmune disorder). Signs of scleroderma renal crisis include increased blood pressure and decreased urine production.

Slow heart rate.

Reporting of side effects

If you get any side effects, talk to your doctor, 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:

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

How to administer Prednisolone Rectal Solution

This medicine is for rectal use only. The normal dose is one enema nightly for two to four weeks.

It may be administered at room temperature, or warmed in warm water before use. Holding the bag with the tube upwards, squeeze base of tube where it joins the bag. Remove cap and lubricate the nozzle. Lie in bed on your side with knees drawn up. Insert into rectum as far as the flange on the nozzle. Squeeze container gently until empty and discard bottle hygienically. Lie face downwards for a few minutes in order to retain thefluid before going to sleep in your usual position.

What if I miss a dose?

Do not worry if you miss your dose of Prednisolone Rectal Solution, if possible administer it as soon as you remember. Use your next dose at the usual time. Only use one dose per day.

After using your medicine

There are not normally problems after using this medicine but if any unwanted effects are noticed tell your doctor or pharmacist.

Storing your medicine

This medicine should be stored below 25°C and protected from light.

Do not use after the expiry date.

Date of last review of leaflet

PATIENT INFORMATION LEAFLET

Prednisolone 20 mg/100 ml Rectal Solution (prednisolone sodium metasulphobenzoate)

Please read this leaflet carefully. It gives you a summary of the information about your medicine. If there is anything you do not understand, please ask your doctor or pharmacist (chemist) to explain it to you.

What is in Prednisolone 20 mg/100 ml Rectal Solution?

Prednisolone Rectal Solution is a single dose retention enema for application into the rectum. Each enema bottle contains a rectal solution of 20mg prednisolone, as prednisolone sodium metasulphobenzoate, in 100ml.

Prednisolone belongs to a group of medicines called corticosteroids which are used to reduce inflammation.

As well as the active ingredient, your medicine also contains disodium edetate, parahydroxyben­zoates (E214, E216, E218), and purified water. Prednisolone Rectal Solution is supplied in a disposable plastic bottle. This ‘long tube’ version is supplied with a separate applicator which is screwed onto the bottle before use. This version may enable easier self-administration.

Long tube Prednisolone 20 mg/100 ml Rectal Solution is available in packs of 7 bottles with 7 screw-on applicators.

The Marketing Authorisation holder is

Chemidex Pharma Ltd., trading as Essential Generics, 7 Egham

Business Village, Crabtree Road, Egham, Surrey TW20 8RB.

and the manufacturer is Forest Laboratories UK Ltd.,Bexley DA5 1NX.

What is Prednisolone Rectal Solution used for?

Prednisolone Rectal Solution is used to treat ulcerative colitis (inflammation of the bowels).

If you are not sure why you have been given this medicine ask your doctor or pharmacist (chemist).

Before Administering Prednisolone Rectal Solution

This medicine is suitable for adults and children over 12 years of age.

Do not administer to younger children. Do not use but tell your doctor if you are pregnant or breast feeding or suffering from peritonitis (inflammation of the walls of the abdominal cavity), anal sinus infection, fistulae (an unnatural connection between the bowel and other body organ or to outside the body), intestinal obstruction or perforation of the bowel.

Talk to your doctor before taking Prednisolone Rectal Solution, if you have scleroderma (also known as systemic sclerosis, an autoimmune disorder) because daily doses of 15 mg or more may increase the risk of a serious complication called scleroderma renal crisis. Signs of scleroderma renal crisis include increased blood pressure and decreased urine production. The doctor may advise that you have your blood pressure and urine regularly checked.

Parahydroxyben­zoates may cause allergic type reactions in sensitive patients. If this applies to you contact your doctor before using this medicine.

Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Some medicines may increase the effects of Prednisolone 20 mg/100 ml Rectal Solution and your doctor may wish to monitor you carefully if you are taking these medicines (including some medicines for HIV: ritonavir, cobicistat)

Side effects where the frequency is not known:

Scleroderma renal crisis in patients already suffering from scleroderma (an autoimmune disorder). Signs of scleroderma renal crisis include increased blood pressure and decreased urine production.

Slow heart rate.

Reporting of side effects

If you get any side effects, talk to your doctor, 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:

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

How to administer Prednisolone Rectal Solution

This medicine is for rectal use only. The normal dose is one enema nightly for two to four weeks.

It may be administered at room temperature, or warmed in warm water before use. Holding the bottle upright, remove the cap and screw on the applicator nozzle firmly. Lubricate the nozzle. Lie in bed on your side with knees drawn up. Insert nozzle into rectum and squeeze the bottle gently until empty. Discard bottle hygienically. Lie face downwards for a few minutes in order to retain the fluid before going to sleep in your usual position.

What if I miss a dose?

Do not worry if you miss your dose of Prednisolone Rectal Solution, if possible administer it as soon as you remember. Use your next dose at the usual time. Only use one dose per day.

After using your medicine

There are not normally problems after using this medicine but if any unwanted effects are noticed tell your doctor or pharmacist.

Storing your medicine

Do not store above 25°C. In order to protect from light store the bottles in the carton. Do not use after the expiry date printed on the bottle and carton.

Date of last review of leaflet

March 2021

PATIENT INFORMATION LEAFLET

Prednisolone 20 mg/100 ml Rectal Solution (prednisolone sodium metasulphobenzoate)

Please read this leaflet carefully. It gives you a summary of the information about your medicine. If there is anything you do not understand, please ask your doctor or pharmacist (chemist) to explain it to you.

What is in Prednisolone 20 mg/100 ml Rectal Solution?

Prednisolone Rectal Solution is a single dose retention enema for application into the rectum. Each enema bottle contains a rectal solution of 20mg prednisolone, as prednisolone sodium metasulphobenzoate, in 100ml.

Prednisolone belongs to a group of medicines called corticosteroids which are used to reduce inflammation.

As well as the active ingredient, your medicine also contains disodium edetate, parahydroxyben­zoates (E214, E216, E218), and purified water. Prednisolone Rectal Solution is supplied in a disposable plastic bottle. This ‘long tube’ version is supplied with a separate applicator which is screwed onto the bottle before use. This version may enable easier self-administration.

Long tube Prednisolone 20 mg/100 ml Rectal Solution is available in packs of 7 bottles with 7 screw-on applicators.

The Marketing Authorisation holder is

Chemidex Pharma Ltd., trading as Essential Generics, 7 Egham

Business Village, Crabtree Road, Egham, Surrey TW20 8RB.

and the manufacturer is Forest Laboratories UK Ltd.,Bexley DA5 1NX.

What is Prednisolone Rectal Solution used for?

Prednisolone Rectal Solution is used to treat ulcerative colitis (inflammation of the bowels).

If you are not sure why you have been given this medicine ask your doctor or pharmacist (chemist).

Before Administering Prednisolone Rectal Solution

This medicine is suitable for adults and children over 12 years of age.

Do not administer to younger children. Do not use but tell your doctor if you are pregnant or breast feeding or suffering from peritonitis (inflammation of the walls of the abdominal cavity), anal sinus infection, fistulae (an unnatural connection between the bowel and other body organ or to outside the body), intestinal obstruction or perforation of the bowel.

Talk to your doctor before taking Prednisolone Rectal Solution, if you have scleroderma (also known as systemic sclerosis, an autoimmune disorder) because daily doses of 15 mg or more may increase the risk of a serious complication called scleroderma renal crisis. Signs of scleroderma renal crisis include increased blood pressure and decreased urine production. The doctor may advise that you have your blood pressure and urine regularly checked.

Parahydroxyben­zoates may cause allergic type reactions in sensitive patients. If this applies to you contact your doctor before using this medicine.

Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Some medicines may increase the effects of Prednisolone 20 mg/100 ml Rectal Solution and your doctor may wish to monitor you carefully if you are taking these medicines (including some medicines for HIV: ritonavir, cobicistat)

Side effects where the frequency is not known:

Scleroderma renal crisis in patients already suffering from scleroderma (an autoimmune disorder). Signs of scleroderma renal crisis include increased blood pressure and decreased urine production.

Slow heart rate.

Reporting of side effects

If you get any side effects, talk to your doctor, 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:

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

How to administer Prednisolone Rectal Solution

This medicine is for rectal use only. The normal dose is one enema nightly for two to four weeks.

It may be administered at room temperature, or warmed in warm water before use. Holding the bottle upright, remove the cap and screw on the applicator nozzle firmly. Lubricate the nozzle. Lie in bed on your side with knees drawn up. Insert nozzle into rectum and squeeze the bottle gently until empty. Discard bottle hygienically. Lie face downwards for a few minutes in order to retain the fluid before going to sleep in your usual position.

What if I miss a dose?

Do not worry if you miss your dose of Prednisolone Rectal Solution, if possible administer it as soon as you remember. Use your next dose at the usual time. Only use one dose per day.

After using your medicine

There are not normally problems after using this medicine but if any unwanted effects are noticed tell your doctor or pharmacist.

Storing your medicine

Do not store above 25°C. In order to protect from light store the bottles in the carton. Do not use after the expiry date printed on the bottle and carton.

Date of last review of leaflet

March 2021

102B/LBG/6–102B/LBT7/6

4

Frequently Asked Questions

What is Prednisolone used for in rectal solution form?

Prednisolone rectal solution is primarily used to treat inflammation and swelling in the rectum and lower intestinal tract, often related to conditions like ulcerative colitis or proctitis.

How does Prednisolone rectal solution work?

Prednisolone works by suppressing the immune response, which reduces inflammation and helps alleviate symptoms associated with various gastrointestinal disorders.

Who should not use Prednisolone rectal solution?

Individuals with a known allergy to prednisolone or any of the ingredients in the product should avoid using it. It's essential to consult your doctor if you have a history of certain infections, diabetes, or gastrointestinal issues.

How long can I use Prednisolone rectal solution?

The duration of treatment with Prednisolone rectal solution will depend on your specific medical condition. Always follow your doctor's advice on how long to use it.

What are the common side effects of Prednisolone rectal solution?

Common side effects may include local irritation, burning sensation, or discomfort in the rectal area. If you experience severe reactions or new symptoms, contact your healthcare provider immediately.

Can I use Prednisolone rectal solution during pregnancy?

Use of Prednisolone during pregnancy should be closely monitored by your healthcare provider. It's important to discuss potential risks and benefits before using it.

Can I drink alcohol while using Prednisolone rectal solution?

It is generally advisable to limit alcohol consumption while using prednisolone, as it may increase the risk of gastrointestinal issues and interfere with treatment.

How should I store Prednisolone rectal solution?

Store Prednisolone at room temperature away from direct sunlight and moisture. Keep it out of reach of children.

Can I take other medications while using Prednisolone rectal solution?

Yes, but always inform your doctor about all medications you are taking, including over-the-counter drugs and supplements, as they may interact with prednisolone.

What if I miss a dose of Prednisolone rectal solution?

If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up doses.

Is it safe to use Prednisolone long-term?

Long-term use of prednisolone can lead to side effects. Your doctor will monitor your health and adjust treatment as necessary based on your specific situation.

Can children use Prednisolone rectal solution?

Yes, but its use in children should be under strict medical supervision due to potential effects and necessary dosage adjustments.

Will using Prednisolone affect my immune system?

Yes, prednisolone can suppress the immune system. This may increase susceptibility to infections; discuss any concerns with your healthcare provider.

What should I do if I experience severe side effects from Prednisolone?

Seek immediate medical attention if you experience severe side effects such as excessive bleeding, severe allergic reactions, or signs of infection like fever or chills.

Can I stop using Prednisolone suddenly?

No; do not stop taking prednisolone suddenly without consulting your doctor, as this can lead to withdrawal symptoms or worsening of your condition.

Does diet affect how well Prednisolone works?

Yes, a healthy diet can support overall health while on medication. A high-salt diet can lead to fluid retention; consult your healthcare provider for dietary advice.

Are there alternatives to Prednisolone for treating inflammation?

Alternatives exist depending on your condition. Discuss with your doctor about other treatments available that might suit your needs better.

How soon can I expect relief after using Prednisolone rectal solution?

Some patients may experience relief within 24 hours; however, full benefits may take several days depending on individual response and condition severity.

Is there anything special I need to do when administering the rectal solution?

It’s important to follow proper administration techniques. Ensure cleanliness before use and position yourself comfortably for proper absorption; consult instructions provided by a doctor or pharmacist.