Colofac Tablets 135 mg

Mebeverine Tablets 135mg

Fomac Tablets 135 mg

Colofac IBS

Boots Pharmacy IBS Relief 135mg Tablets

Mebeverine hydrochloride 135mg.

For excipients, see section 6.1

Coated tablets.

Round white sugar coated tablets, with no superficial markings.

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

For the symptomatic treatment of irritable bowel syndrome and other conditions usually included in this grouping, such as: chronic irritable colon, spastic constipation, mucous colitis, spastic colitis. Colofac is effectively used to treat the symptoms of these conditions, such as: colicky abdominal pain and cramps, persistent, non-specific diarrhoea (with or without alternating constipation) and flatulence.

Colofac IBS/Boots Pharmacy IBS Relief 135mg Tablets:

For the symptomatic relief of Irritable Bowel Syndrome.

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.

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

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.

No interaction studies have been performed. .

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).

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

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

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.

Pharmacotherapeutic group: Synthetic anticholinergics, esters with tertiary amino group, ATC-Code: A03AA04

Mebeverine is a musculotropic antispasmodic with a direct action on the smooth muscle of the gastrointestinal tract, relieving spasm without affecting normal gut motility.

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).

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.

Lactose, starch (potato or maize), povidone, talc, magnesium stearate, sucrose, gelatin, acacia, carnauba wax.

Not applicable.

5 years.

Do not store above 30°C. Store in the original package.

Boxes containing 10, 15, 84 or 100 tablets in blister strips.

HDPE tamper-evident tablet container with snap on cap containing 500 tablets.

None.

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

Mansbridge Road

West End

Southampton

SO18 3JD

PL 00512/0044

14 March 1978/21 April 2005

19 December 2011

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

Colofac IBS/ Boots Pharmacy IBS Relief 135mg Tablets: P