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Abbott Healthcare Products Limited

Mansbridge Road, West End, Southampton, SO18 3JD
Telephone: +44 (0)2380 467 000
Fax: +44 (0)2380 465 350
Medical Information Direct Line: +44 (0)2380 467 000
Medical Information e-mail: medinfo.shl@abbott.com
Medical Information Fax: +44 (0)2380 474518

Before you contact this company: often several companies will market medicines with the same active ingredient. Please check that this is the correct company before contacting them. Why?

Summary of Product Characteristics last updated on the eMC: 03/01/2012
SPC Colofac Tablets 135mg

When a pharmaceutical company changes an SPC or PIL, a new version is published on the eMC. For each version, we show the dates it was published on the eMC and the reasons for change.

Updated on 03/01/2012 and displayed until Current
Reasons for adding or updating:
  • Change to section 5.2 - Pharmacokinetic Properties
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.6 - Pregnancy and Lactation
  • Change to section 4.9 - Overdose
Date of revision of text on the SPC:   19-Dec-2011
Legal Category:   POM, P
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company



4.2               Posology and method of administration

 

From:

Colofac Tablets/Mebeverine Tablets 135 mg/Fomac Tablets 135mg:

Adults (including the elderly):

One tablet three times a day, preferably 20 minutes before meals. After a period of several weeks, when the desired effect has been obtained, the dosage may be gradually reduced.

Paediatric Population

Mebeverine 135 mg tablets are not recommended for use in children and adolescents below 18, due to insufficient data on safety and efficacy.

Colofac IBS/Boots Pharmacy IBS Relief 135mg Tablets:

Adults (including the elderly):

One tablet three times a day, preferably 20 minutes before meals.

If symptoms persist for more than 2 weeks, consult your doctor.

Warning: Do not exceed the stated dose.

Paediatric Population

Mebeverine 135 mg tablets are not recommended for use in children and adolescents below 18, due to insufficient data on safety and efficacy.

 

To:

Colofac Tablets/Mebeverine Tablets 135 mg/Fomac Tablets 135mg:

For oral use.

The coated tablets should be swallowed with a sufficient amount of water (at least 100 ml water). They should not be chewed because of the unpleasant taste.

Duration of use is not limited.

If one or more doses are missed, the patient should continue with the next dose as prescribed; the missed dose(s) should not be taken in addition to the regular dose.

Adults (including the elderly):

One tablet three times a day, preferably 20 minutes before meals. After a period of several weeks, when the desired effect has been obtained, the dosage may be gradually reduced.

Paediatric Population

Mebeverine 135 mg tablets are not recommended for use in children and adolescents below 18, due to insufficient data on safety and efficacy.

Special Population

No posology studies in elderly, renal and/or hepatic impaired patients have been performed. No specific risk for elderly, renal and/or hepatic impaired patients could be identified from available post-marketing data. No dosage adjustment is deemed necessary in elderly, renal and/or hepatic impaired patients.

Colofac IBS/Boots Pharmacy IBS Relief 135mg Tablets:

For oral use.

The coated tablets should be swallowed with a sufficient amount of water (at least 100 ml water). They should not be chewed because of the unpleasant taste.

Duration of use is not limited.

If one or more doses are missed, the patient should continue with the next dose as prescribed; the missed dose(s) should not be taken in addition to the regular dose.

Adults (including the elderly):

One tablet three times a day, preferably 20 minutes before meals.

If symptoms persist for more than 2 weeks, consult your doctor.

Warning:  Do not exceed the stated dose.

Paediatric Population

Mebeverine 135 mg tablets are not recommended for use in children and adolescents below 18, due to insufficient data on safety and efficacy.

Special Population

No posology studies in elderly, renal and/or hepatic impaired patients have been performed. No specific risk for elderly, renal and/or hepatic impaired patients could be identified from available post-marketing data. No dosage adjustment is deemed necessary in elderly, renal and/or hepatic impaired patients.

 

 

4.6          Pregnancy and lactation

 

From:

No clinical data on exposed pregnancies are available.

Animal studies do not indicate direct or indirect harmful effects with respect to pregnancy, embryonal/foetal development, parturition or postnatal development (see section 5.3).

Caution should be exercised when prescribing to pregnant women.

There is insufficient information on the excretion of mebeverine in human or animal breast milk. Physico-chemical and available pharmacodynamic data on mebeverine point to excretion in breast milk and a risk to the suckling child cannot be excluded. Mebeverine should not be used during breast-feeding.

 

To:

Pregnancy

There are no or limited amounts of data from the use of mebeverine in pregnant women.  Animal studies are insufficient with respect to reproductive toxicity (see section 5.3).  Mebeverine is not recommended during pregnancy.

Lactation

It is unknown whether mebeverine or its metabolites are excreted in human milk.  The excretion of mebeverine in milk has not been studied in animals.  Mebeverine should not be used during breast-feeding.

Fertility

There are no clinical data on male or female fertility; however, animal studies do not indicate harmful effects of mebeverine (see section 5.3).

 

 

4.9               Overdose

 

From:

Theoretically CNS excitability may occur in cases of overdose. In cases where mebeverine was taken in overdose, symptoms were either absent or mild and usually rapidly reversible.

No specific antidote is known; gastric lavage and symptomatic treatment is recommended.

 

To:

Theoretically CNS excitability may occur in cases of overdose. In cases where mebeverine was taken in overdose, symptoms were either absent or mild and usually rapidly reversible. Observed symptoms of overdose were of a neurological and cardiovascular nature.

No specific antidote is known and symptomatic treatment is recommended.

Gastric lavage should only be considered in case of multiple intoxication or if discovered within about one hour. Absorption reducing measures are not necessary.

 

 

5.2               Pharmacokinetic properties

 

From:

Mebeverine is rapidly and completely absorbed after oral administration in the form of tablets or suspension. Mebeverine is not excreted as such, but metabolised completely. The first step in the metabolism is hydrolysis, leading to veratric acid and mebeverine alcohol. Both veratric acid and mebeverine alcohol are excreted into the urine, the latter partly as the corresponding carboxylic acid and partly as the demethylated carboxylic acid.

 

To:

Absorption:

Mebeverine is rapidly and completely absorbed after oral administration of tablets. 

Distribution:

No significant accumulation occurs after multiple doses.

Biotransformation:

Mebeverine hydrochloride is mainly metabolized by esterases, which split the ester bonds into veratric acid and mebeverine alcohol firstly.

The main metabolite in plasma is DMAC (demethylated carboxylic acid).

The steady state elimination half-life of DMAC is 2.45 h. During multiple dosing Cmax of

DMAC for the coated tablets with 135 mg is 1670 ng/ml and tmax is 1 h.

Elimination:

Mebeverine is not excreted as such, but metabolised completely; the metabolites are excreted nearly completely.  Veratric acid is excreted into the urine, mebeverine alcohol is also excreted into the urine, partly as the corresponding carboxylic acid (MAC) and partly as the demethylated carboxylic acid (DMAC).

 

Updated on 05/04/2011 and displayed until 03/01/2012
Reasons for adding or updating:
  • Change to section 7 - Marketing Authorisation Holder
  • Change to section 10 date of revision of the text
Date of revision of text on the SPC:   31-Mar-2011
Legal Category:   POM, P
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company



Section 7

 

The following has been updated as highlighted;

 

 

Abbott Healthcare Products Limited/Abbott Healthcare Products Limited trading as Boots Pharmacy

Mansbridge Road

West End

Southampton

SO18 3JD

Updated on 28/06/2010 and displayed until 05/04/2011
Reasons for adding or updating:
  • Change to section 5.3 - Preclinical Safety Data
Date of revision of text on the SPC:   08-Jun-2010
Legal Category:   POM, P
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company



Section 5.3:

 

 

From:

 

            Not applicable 

 

 

To:

 

During its development phase the entity mebeverine was extensively tested in several animal species in acute, (sub) chronic and reproduction investigations.

The oral LD50 ranged from 902 - 1995 mg/kg.

The main symptoms in the animals, after very high oral and parenteral doses, were indicative of central nervous involvement with behavioural excitation.

The dosages used in animal studies exceeded several times the dosages used for humans (40 mg/kg for animal dosing versus 6 mg/kg for humans).

No mutagenic or clastogenic effects were found in in vitro and in vivo studies with mebeverine.

 

Updated on 04/01/2010 and displayed until 28/06/2010
Reasons for adding or updating:
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for Use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.6 - Pregnancy and Lactation
  • Change to section 4.7 - Effects on Ability to Drive and Use Machines
  • Change to section 4.8 - Undesirable Effects
  • Change to section 4.9 - Overdose
Date of revision of text on the SPC:   12-Nov-2009
Legal Category:   POM, P
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company



Section 4.2

 

From:

 

Colofac Tablets/Mebeverine Tablets 135 mg/Fomac Tablets 135mg:

Adults (including the elderly) and children 10 years and over:

One tablet three times a day, preferably 20 minutes before meals. After a period of several weeks, when the desired effect has been obtained, the dosage may be gradually reduced.

 

Children under 10 years:  Not applicable.

 

Colofac IBS/Boots Pharmacy IBS Relief 135mg Tablets:

Adults (including the elderly) and children 10 years and over:

One tablet three times a day, preferably 20 minutes before meals.

If symptoms persist for more than 2 weeks, consult your doctor.

Warning:  Do not exceed the stated dose.

 

Children under 10 years:  Not applicable.

 

 

 

To:

 

Colofac Tablets/Mebeverine Tablets 135 mg/Fomac Tablets 135mg:

Adults (including the elderly):

One tablet three times a day, preferably 20 minutes before meals. After a period of several weeks, when the desired effect has been obtained, the dosage may be gradually reduced.

Paediatric Population

Mebeverine 135 mg tablets are not recommended for use in children and adolescents below 18, due to insufficient data on safety and efficacy.

Colofac IBS/Boots Pharmacy IBS Relief 135mg Tablets:

Adults (including the elderly):

One tablet three times a day, preferably 20 minutes before meals.

If symptoms persist for more than 2 weeks, consult your doctor.

Warning:  Do not exceed the stated dose.

Paediatric Population

Mebeverine 135 mg tablets are not recommended for use in children and adolescents below 18, due to insufficient data on safety and efficacy.

 

Section 4.3:

 

From:

 

Hypersensitivity to any component of the product.

 

To:

 

Hypersensitivity to the active substance or to any of the excipients.

 

Section 4.4:

 

From:

 

Colofac Tablets/Mebeverine Tablets 135 mg/Fomac 135 mg:

None.

 

Colofac IBS/Boots Pharmacy IBS Relief 135mg Tablets:

If this is the first time you have had these symptoms, consult your doctor before using any treatment.

If any of the following apply, do not use mebeverine.  It may not be the right treatment for you.  See your doctor as soon as possible.

            - you are aged 40 years or over

            - you have passed blood form the bowel

            - you are feeling sick or vomiting

            - you are looking pale and feeling tired

            - you are suffering from severe constipation

            - you have a fever

            - you have recently travelled abroad

            - you are or may be pregnant

            - you have abnormal vaginal bleeding or discharge

            - you have difficulty or pain passing urine

Consult your doctor if you have developed new symptoms, or if your symptoms worsen, or if they do not improve after 2 weeks treatment.

 

 

To:

 

Since Mebeverine coated tablets contain lactose, patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.

The coated tablets contain sucrose and should not be used by patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency.

Colofac IBS/Boots Pharmacy IBS Relief 135mg Tablets:

If this is the first time you have had these symptoms, consult your doctor before using any treatment.

If any of the following apply, do not use mebeverine.  It may not be the right treatment for you.  See your doctor as soon as possible.

            - you are aged 40 years or over

            - you have passed blood form the bowel

            - you are feeling sick or vomiting

            - you are looking pale and feeling tired

            - you are suffering from severe constipation

            - you have a fever

            - you have recently travelled abroad

            - you are or may be pregnant

            - you have abnormal vaginal bleeding or discharge

            - you have difficulty or pain passing urine

Consult your doctor if you have developed new symptoms, or if your symptoms worsen, or if they do not improve after 2 weeks treatment.

 

 

Section 4.5:

 

From:

 

None known.

 

To:

 

No interaction studies have been performed.

 

Section 4.6:

 

From:

 

Animal experiments have failed to show any teratogenic effects.  However, the usual precautions concerning the administration of any drug during pregnancy should be observed.

 

To:

 

No clinical data on exposed pregnancies are available.

Animal studies do not indicate direct or indirect harmful effects with respect to pregnancy, embryonal/foetal development, parturition or postnatal development (see section 5.3).

Caution should be exercised when prescribing to pregnant women.

There is insufficient information on the excretion of mebeverine in human or animal breast milk. Physico-chemical and available pharmacodynamic data on mebeverine point to excretion in breast milk and a risk to the suckling child cannot be excluded. Mebeverine should not be used during breast-feeding.

 

 

Section 4.7:

 

From:

 

None.

 

To:

 

No studies on the effects on the ability to drive and use machines have been performed.

 

 

Section 4.8:

 

From:

 

In very rare cases allergic reactions have been reported, in particular erythematous rash, urticaria and angioedema.

 

To:

 

Allergic reactions mainly but not exclusively limited to the skin have been observed (A frequency cannot be estimated from the available data.).

Immune system disorders:

Hypersensitivity

Skin and subcutaneous tissue disorders:

Urticaria, angioedema, erythematous rash

 

Section 4.9:

 

From:

 

On theoretical grounds it may be predicted that CNS excitability will occur in cases of overdosage.  No specific antidote is known; gastric lavage and symptomatic treatment is recommended.

 

To:

 

Theoretically CNS excitability may occur in cases of overdose. In cases where mebeverine was taken in overdose, symptoms were either absent or mild and usually rapidly reversible.

.No specific antidote is known; gastric lavage and symptomatic treatment is recommended.

 

 

Updated on 03/06/2009 and displayed until 04/01/2010
Reasons for adding or updating:
  • Change to section 10 date of revision of the text
Date of revision of text on the SPC:   01-May-2006
Legal Category:   POM, P
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company


Section 10: the revision date has changed from April 2004 to May 2006.
Updated on 29/09/2008 and displayed until 03/06/2009
Reasons for adding or updating:
  • Change to section 1 -Name of the Medicinal product
  • Change to section 7 - Marketing Authorisation Holder
Date of revision of text on the SPC:   01-Apr-2004
Legal Category:   POM, P
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company



Section 1 updated to include all registered names:

Colofac Tablets 135 mg, Mebeverine Tablets 135mg, Fomac Tablets 135 mg, Colofac IBS, Boots Pharmacy IBS Relief 135mg Tablets

Section 7 updated to include all trading styles:

Solvay Healthcare Limited/Solvay Healthcare Limited trading as Mansbridge Pharmaceuticals and Boots Pharmacy, Mansbridge Road, West End, Southampton, SO18 3JD.

 

Updated on 27/07/2005 and displayed until 29/09/2008
Reasons for adding or updating:
  • Change to section 9 - Date of Renewal of Authorisation
Updated on 16/05/2005 and displayed until 27/07/2005
Reasons for adding or updating:
  • Change to section 2 - qualitative and quantitative composition
  • Change to section 3 - pharmaceutical form
Updated on 14/09/2001 and displayed until 16/05/2005
Reasons for adding or updating:
  • Correction of spelling/typing errors
Updated on 05/07/2001 and displayed until 14/09/2001
Reasons for adding or updating:
  • Transferred from eMC version 1
Updated on 03/07/2001 and displayed until 05/07/2001
Reasons for adding or updating:
  • No reasons supplied
Updated on 01/11/2000 and displayed until 03/07/2001
Reasons for adding or updating:
  • No reasons supplied
Updated on 20/03/2000 and displayed until 01/11/2000
Reasons for adding or updating:
  • No reasons supplied
Updated on 06/09/1999 and displayed until 20/03/2000
Reasons for adding or updating:
  • No reasons supplied

Active Ingredients/Generics

 
   mebeverine hydrochloride