Suprax 200mg Tablets

• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

1. What Suprax is and what it is used for
2. What you need to know before you take Suprax
3. How to take Suprax
4. Possible side effects
5. How to store Suprax
6. Contents of the pack and other information

• You are allergic to cefixime, any other cephalosporin antibiotics including penicillin or to any of the other ingredients of this medicine (listed in section 6).
  Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of the lips, face, throat and tongue.

Do not take this medicine if the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Suprax.

Talk to your doctor or pharmacist before taking Suprax if:

• You have ever had colitis
• You have kidney problems.

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking this medicine.

Severe skin problems such as Toxic Epidermal Necrolysis (TEN), Stevens-Johnson Syndrome (SJS), Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) and Acute Generalised Exanthematous Pustulosis (AGEP) have been reported with cefixime (see section 4). If you develop severe skin reactions or any of the reactions listed in section 4, stop treatment immediately and contact your doctor or healthcare professional.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines you buy without a prescription, including herbal medicines. This is because Suprax can affect the way some other medicines work. Also, some medicines can affect the way Suprax works.

In particular, tell your doctor if you are taking the following:

• Medicines to thin the blood such as warfarin

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.

This medicine can cause symptoms including fits (convulsions), feeling confused, feeling less alert or aware of things than usual, unusual muscle movements or stiffness. If you experience any of these effects don’t drive or use machinery.

If you require any tests (such as blood or urine tests) while taking this medicine, please make sure your doctor knows that you are taking Suprax.

If you have too much of this medicine, talk to your doctor straight away.

If you forget to take a dose, take it as soon as you remember it. However, if it is nearly time for the next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose.

Do not stop taking this medicine without talking to your doctor. You should not stop taking Suprax just because you feel better. This is because the infection may come back or get worse again.

• You have an allergic reaction. The signs may include: a rash, joint pain, swallowing or breathing problems, swelling of your lips, face, throat or tongue.
• SJS/TEN symptoms may include blistering, peeling or bleeding on any part of the skin (including the lips, eyes, mouth, nose, genitals, hands or feet). Also, flu-like symptoms such as fever, chills or aching muscles.
• DRESS symptoms may include flu-like symptoms and a widespread rash with a high body temperature and enlarged lymph nodes. Abnormal blood test results may include increased levels of liver enzymes and an increase in a type of white blood cell (eosinophilia) and enlarged lymph nodes.
• AGEP symptoms may include a red, scaly, widespread rash with bumps under the skin (including your skin folds, chest, abdomen (including stomach), back and arms) and blisters accompanied by fever.
• Erythema multiforme symptoms include skin rash or skin lesions with a pink/red ring and a pale centre which may be itchy, scaly or filled with fluid. The rash may appear especially on the palms or soles of your feet.
• You get infections more easily than usual. This could be because of a blood disorder. This normally gets better after stopping the medicine.
• You bruise or bleed more easily than normal. This could be because of a blood disorder. This normally gets better after stopping the medicine.
• If your child gets nose bleeds, bleeding gums, chills, tiredness, pale skin (often with a yellow tinge), shortness of breath. This may be due to haemolytic anaemia.
• Changes in the way the kidneys are working or blood in your child’s urine.
• Fits (convulsions)
• A brain condition with symptoms including fits (convulsions), feeling confused, feeling less alert or aware of things than usual, unusual muscle movements or stiffness. This may be something called encephalopathy. This side effect is more likely if you have taken an overdose or you already have a problem with your kidneys.

• Severe watery diarrhoea that will not stop and you are feeling weak and have a fever. This may be something called ‘Pseudomembranous colitis’.

• Feeling sick (nausea) or being sick (vomiting)
• Stomach pains, indigestion or wind
• Headaches
• Feeling dizzy
• Feeling itchy in the genital or vaginal area

Suprax can cause blood clots or small changes to the way the liver and kidney work. This would be shown up in blood tests. This is not common and goes back to normal after stopping this medicine.

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: www.mhra.gov.uk/yellowcard 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.

• Each tablet contains 200mg of the active substance, cefixime.
• The other ingredients are microcrystalline cellulose, pregelatinised starch, calcium hydrogen phosphate dihydrate, magnesium stearate, hypromellose, macrogol 6000 and titanium dioxide (E171).

Suprax is available as an off-white, biconvex, film coated tablet engraved with ‘ORO’ on one side. Suprax is available in blister packs containing 1, 2, 7 or 14 tablets.

Not all pack sizes may be marketed.

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