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ALVERINE CITRATEProduct code SKU16201

Brand Name(s) : Spasmonal, Spasmonal Forte


ALVERINE CITRATE USES

What is it used for?

 Alverine is used to treat a number of problems.
 It is a direct relaxant of gut (intestinal) muscle, and is sometimes known as an antispasmodic drug.
 It is used to relax the muscles of the intestine and to treat symptoms of irritable bowel syndrome and related conditions.
 In general this drug is used to manage the symptoms of irritable bowel syndrome, a common intestinal condition which causes spasm and pain in the intestine, as well as stomach pain, persistent diarrhoea (sometimes alternating with periods of constipation) and wind (flatulence). It can also be used for painful diverticular disease of the colon (a condition of the large intestine), and to relieve period pains.
 Benefits of being on this drug include reducing the painful and troublesome symptoms of irritable bowel syndrome.

Listed below are the typical uses of alverine.

 Relief from the symptoms of irritable bowel syndrome as well as other related conditions such as diverticular disease of the colon (small pouches or bulges of tissue from the colon wall associated with symptoms such as pain or cramps in the lower gut, diarrhoea and/or constipation)
 Relief from period pains (dysmenorrhoea).

On occasion your doctor may prescribe this medicine to treat a condition not on the above list. Such conditions are listed below. None known.

HOW TO USE/TAKE

How often do I take it?

 Take this medication orally usually one- to three-times daily, with or without food.
 Use this medication regularly in order to get the most benefit from it.
 Remember to use it at the same time each day - unless specifically told otherwise by your doctor.
 It may take some time before the full benefit of this drug takes effect.
 Certain medical conditions may require different dosage instructions as directed by your doctor.

What dose?

 Dosage is based on your age, gender, medical condition, response to therapy, and use of certain interacting medicines.

Do I need to avoid anything?

 No. Consult your doctor or pharmacist for more details.

When can I stop?

 It is important to continue taking this medication even if you feel well, unless your doctor tells you to stop.

Details

ALVERINE CITRATE INTERACTIONS

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious, possibly fatal interactions may occur: none known.

Before using this medication, tell your doctor or pharmacist of all prescription and non-prescription/herbal products you may use, especially of:

 none known.

This information does not contain all possible interactions. Therefore, before using alverine, tell your doctor or pharmacist of all the products you use.


ALVERINE CITRATE SIDE EFFECTS

 Feeling sick (nausea)
 Headache
 Dizziness
 Itching
 Rash
 Jaundice (yellowing of the skin and eyes).

If any of these persist or you consider them severe then inform your doctor.

Tell your doctor immediately if you develop any of the following symptoms: yellowing of the skin or eyes (jaundice), indicating inflammation of the liver (hepatitis).

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the UK you may report side-effects to the MHRA


ALVERINE CITRATE OVERDOSE

Overdoses with this drug can cause low blood pressure (hypotension) and it may have other poisonous effects.

If you think you, or someone you care for, might have accidentally taken more than the recommended dose of alverine or intentional overdose is suspected, contact your local hospital, GP or if in the UK call NHS Direct on 0845 4647.

MISSED DOSE


If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.


ALVERINE CITRATE PRECAUTIONS

Before taking alverine, tell your doctor or pharmacist if you are allergic to it; or to other antispasmodic drugs; or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: paralytic ileus (lack of bowel movements, leading to blockage of the gut).

Before using this medication, tell your doctor or pharmacist your medical history, especially any of the following: severe constipation, having difficulty or pain when passing urine (water), recently had a fever, bloody stools, or have had abnormal vaginal bleeding or discharge.

Before having surgery, tell your doctor or dentist that you are taking this medication.

Does alcohol intake affect this drug?

 Alcohol intake is not known to affect alverine.

The elderly: alverine should be used with caution in the elderly as it may cause more side effects than in younger patients.

Pregnancy and breast-feeding - please ensure you read the detailed information below

PREGNANCY


Alverine is not safe to take if you are, or are planning to become, pregnant.

It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

BREAST FEEDING

Alverine is not safe to take if you are breastfeeding.

It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.


ALVERINE CITRATE WARNINGS

Alverine should be used with caution in: those aged 40 years or older, children, those producing bloody stools, patients with severe constipation or fever, people who have recently travelled abroad, those having difficulty or pain passing urine (water), women with abnormal vaginal bleeding or discharge, or who are pregnant or breastfeeding children.

It should not be used in: patients with paralytic ileus (lack of bowel movements, leading to blockage of the gut).

Also see list of precautions and interactions.

STORAGE


Store in a dry place below 25C.

ALVERINE CITRATE

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