Country: যুক্তরাজ্য
ভাষা: ইংরেজি
সূত্র: MHRA (Medicines & Healthcare Products Regulatory Agency)
Tizanidine hydrochloride
Niche Generics Ltd
M03BX02
Tizanidine hydrochloride
2mg
Oral tablet
Oral
No Controlled Drug Status
Valid as a prescribable product
BNF: 10020200; GTIN: 5060020123207
WHAT IS IN THIS LEAFLET: 1. What Tizanidine is and what it is used for 2. What you need to know before you take Tizanidine 3. How to take Tizanidine 4. Possible side effects 5. How to store Tizanidine 6. Contents of the pack and other information 1.WHAT TIZANIDINE IS AND WHAT IT IS USED FOR ■ Tizanidine belongs to a group of medicines called skeletal muscle relaxants. ■ Your medicine is used to relieve the stiffness and restriction of muscles resulting from multiple sclerosis, injury or diseases of the spinal cord. 2.WHAT YOU NEED TO KNOW BEFORE YOU TAKE TIZANIDINE DO NOT TAKE TIZANIDINE: ■ If you are allergic to tizanidine or to any of the ingredients of this medicine (listed in section 6) ■ if you have severely impaired liver function ■ if you are taking medicines such as fluvoxamine (for depression) or ciprofloxacin (an antibiotic) (see also 'Other medicines and Tizanidine' below) WARNINGS AND PRECAUTIONS Talk to your doctor or pharmacist before taking Tizanidine: ■ if you have kidney problems. In this situation your doctor may adjust your dose ■ if you have heart problems such as coronary artery disease. Regular clinical laboratory and ECG monitoring is recommended during treatment with tizanidine ■ if you have liver problems. Liver function tests should be monitored monthly for the first four months of treatment in all patients and in those who develop symptoms suggestive of liver dysfunction or where jaundice occurs ■ if you have low blood pressure CHILDREN AND ADOLESCENTS Tizanidine is not recommended for use in children and adolescents. OTHER MEDICINES AND TIZANIDINE Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This is especially important if you are taking any of the following; ■ Any medicine to treat an abnormal heart rhythm, such as amiodarone, mexiletine or propafenone ■ Cimetidine (for indigestion and digestive ulcers) ■ Some antibiotics known as fluoroquinolones, such as enoxacin, pefloxacin or norfloxacin ■ Rofeco সম্পূর্ণ নথি পড়ুন
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Tizanidine 2 mg Tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains: 2 mg tizanidine (as 2.288 mg tizanidine hydrochloride) Excipient with known effect: 100 mg of lactose, anhydrous For the full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Tablet. Tizanidine tablets are white, round tablets. Tizanidine 2 mg tablets are marked ‘N 62’ on one side. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Treatment of spasticity associated with multiple sclerosis or with spinal cord injury or disease. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology The effect of tizanidine on spasticity is maximal within 2-3 hours of dosing and it has a relatively short duration of action. The timing and frequency of dosing should therefore be tailored to the individual, and tizanidine should be given in divided doses, up to 3-4 times daily, depending on the patient’s needs. There is considerable variation in response between patients so careful titration is necessary. Care should be taken not to exceed the dose producing the desired therapeutic effect. It is usual to start with a single dose of 2 mg increasing by 2 mg increments at no less than half-weekly intervals. The optimum therapeutic response is generally achieved with a daily dose of between 12 and 24 mg, administered in 3 or 4 equally spaced doses. Single doses should not exceed 12 mg. The total daily dose should not exceed 36 mg. Adverse events (see section 4.8) may occur at therapeutic doses but these can be minimised by slow titration so that in the large majority of patients they are not a limiting factor. Discontinuing therapy If therapy needs to be discontinued, particularly in patients who have been receiving high doses for long periods, the dose should be decreased slowly (see section 4.4). Elderly Experience in the elderly is limited and use of tizanidine is not recommended unless the benefit of treatment clearly outweighs the risk. Pharmacokinetic data suggest t সম্পূর্ণ নথি পড়ুন