País: Regne Unit
Idioma: anglès
Font: MHRA (Medicines & Healthcare Products Regulatory Agency)
Penicillamine
Waymade Healthcare Plc
M01CC01
Penicillamine
125mg
Oral tablet
Oral
No Controlled Drug Status
Valid as a prescribable product
BNF: 10010300
WHAT PENICILLAMINE TABLETS ARE AND WHAT THEY ARE USED FOR The name of your medicine is Penicillamine 125mg Tablets or Penicillamine 250mg Tablets. Penicillamine belongs to a group of medicines called disease modifying anti-rheumatic drugs (DMARDS). Penicillamine works by reducing the body’s immune response and relieving pain, swelling and stiffness caused by rheumatoid arthritis. Penicillamine is also a chelating agent. This means that it binds to certain metals in your body, including lead and copper, to help to remove them from your body. PENICILLAMINE IS USED IN ADULTS AND CHILDREN TO TREAT: • serious, active rheumatoid arthritis, including Still’s disease in children • Wilson’s disease, a condition where the body cannot get rid of copper properly • a kidney problem called cystinuria • lead poisoning PENICILLAMINE IS USED IN ADULTS ONLY TO TREAT: • chronic active hepatitis – a type of liver disease Penicillamine is not a painkiller so you should not expect to feel better straight away. It will be a few weeks before your joints feel less stiff and painful. WHAT YOU NEED TO KNOW BEFORE YOU TAKE PENICILLAMINE TABLETS Your doctor will ask you to have a blood test and urine test before you start taking Penicillamine Tablets to check your blood count and kidney function. Your doctor will continue to test your blood and urine regularly while you are taking Penicillamine Tablets. If the tests show a low blood count or evidence of kidney damage, your doctor may decide to decrease your dose for a short time or stop your treatment completely. DO NOT TAKE PENICILLAMINE TABLETS IF YOU: • are allergic (hypersensitive) to penicillamine or any of the other ingredients in these tablets (See section 6, Contents of the pack and other information). Signs of an allergic reaction include rash, itching, swelling of the face, fainting and breathing problems. • have severe kidney problems • have lupus erythematosus (an auto-immune disorder) • have a history of suffering from blood disorders after taking penic Llegiu el document complet
1. NAME OF THE MEDICINAL PRODUCT Pendramine 125mg Tablets Penicillamine 125mg Tablets 1 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains 125mg D-Penicillamine. For excipients see section 6.1 3. PHARMACEUTICAL FORM Film-coated tablets. White, biconvex, oblong, film-coated tablets, plain on both sides containing 125mg D-penicillamine. 4.1 THERAPEUTIC INDICATIONS a) Severe, active rheumatoid arthritis, including juvenile forms b) Wilson's disease (hepatolenticular degeneration) in adults and children (0 to 18 years) c) Cystinuria-dissolution and prevention of cystine stones in adults and children (0 to 18 years) d) Lead poisoning in adults and children (0 to 18 years) e) Chronic active hepatitis in adults 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology Penicillamine should be taken on an empty stomach at least half an hour before meals, or on retiring. As the smallest available tablet is 125mg, this might not be suitable for very young children. A) RHEUMATOID ARTHRITIS _ _ _Adults:_ A dose of 125-250mg daily for the initial 4 week period. Increase by the same amount every 4 to 12 weeks until remission occurs. The minimum maintenance dose to achieve suppression of symptoms should be used and treatment should be discontinued if no benefit is obtained within 12 months. Improvement may not occur for some months. The usual maintenance dose is 500-750mg daily in divided dosages. A few patients may require up to 1500 mg_ _daily to obtain benefit. When clinical assessment shows that suppression of disease activity has been achieved, the dose should be kept at this maintenance level for six months, thereafter reducing the daily dosage by 125 to 250mg amounts every 12 weeks may be attempted. Relapse may occur following withdrawal or when an inadequate dose level is reached, usually within three months, but most patients respond to further courses of penicillamine. _ _ _Children: _The usual maintenance dose is 15 to 20mg/kg/day. The initial dose should be lower (2.5 to 5mg/kg/day) and increased every four wee Llegiu el document complet