Consumer Medicine Information
30 mg tablets
What is in this leaflet
This leaflet answers some common questions about ACUPAN tablets. However,
it does not contain all the available information. It does not take the place of
talking to your doctor or pharmacist. If you have any questions about
ACUPAN that are not answered by this leaflet, ask your doctor or
All medicines have risks and benefits. Your doctor has weighed the risks of you
taking ACUPAN against the benefits before prescribing it to you. If you are
worried about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with your medicine as you may want to read it again.
What ACUPAN is used for
The name of your medicine is ACUPAN. ACUPAN belongs to a group of
medicines called analgesics, commonly known as pain killers or pain relievers. It
contains nefopam hydrochloride as the active ingredient. Nefopam hydrochloride
interrupts the pain messages being sent to your brain, and it also acts in your
brain to stop pain messages being felt. This means that ACUPAN does not stop
the pain from happening, but you will not be able to feel the pain as much.
ACUPAN is used to relieve both short term pain and long lasting pain (for
example pain after an operation, dental pain, joint or muscle pain or after an
injury). ACUPAN should not be used to treat the pain from a heart attack.
Ask your doctor if you have any questions about why this medicine has
been prescribed for you.
Your doctor may have prescribed ACUPAN for another purpose.
Before you take ACUPAN
When you must not take it
Do not take ACUPAN if you have an allergy to:
Any medicine containing nefopam
Any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include:
Shortness of breath
Wheezing or difficulty breathing
Swelling of the face, lips, tongue, or other parts of the body
Rash, itching, or hives on the skin.
Do not use this medicine for the treatment of a heart attack.
Do not use this medicine if you:
have a history of epilepsy (fits)
are taking a medicine called a monoamine oxidase inhibitor (MAOI) to
Do not give this medicine to a child under 12 years old.
Safety and effectiveness in children younger than 12 years have not been
Do not use ACUPAN after the expiry date printed on the pack has passed
or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
Before you start to take ACUPAN
Tell your doctor if you:
have allergies to any other medicines, foods, preservatives or dyes
have any heart problems
have an eye condition called glaucoma
have any liver or kidney problems, including difficulty passing urine
are pregnant or plan to become pregnant
If you are not sure whether to start taking this medicine, talk to your doctor.
Taking Other Medicines
Tell your doctor or pharmacist if you are taking any other medicines,
including any that you buy without a prescription from your pharmacy,
supermarket or health-food shop.
Some medicines may be affected by ACUPAN. These include:
Monoamine oxidase inhibitors (known as MAOIs) for depression
Tricyclic antidepressants for depression
Anticholinergics for relief of stomach cramps or spasms
Sympathomimetic agents (e.g. pseudoephedrine)
Alcohol and other central nervous system depressants.
You may need different amounts of your medicines, or you may need to take
different medicines. Your doctor or pharmacist has more information on
medicines to be careful with or to avoid while taking ACUPAN.
How to take ACUPAN
Carefully follow all directions given to you by your doctor or pharmacist.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the pack ask your doctor or
pharmacist for help.
How much to take
Adults: The usual dose is 1 – 3 tablets three times a day. The recommended
starting dose is 2 tablets three times a day.
ACUPAN may be taken with or without food. Your doctor will prescribe the
correct dose for you.
Take ACUPAN only as directed by your doctor or pharmacist. Do not
change the dose or stop taking ACUPAN unless your doctor tells you to do
If you forget to take your medicine
If you miss a dose and remember within an hour of the missed dose, take it right
away. If you do not remember until later, skip the missed dose and go back to
taking it as you would normally.
Do not take more than one dose at the same time to make up for the
While you are taking ACUPAN
Things you must do
Tell all doctors, dentists and pharmacists who are treating you that you are
Tell your doctor immediately if you become pregnant while taking
Do not drive or operate heavy machinery until you know how ACUPAN
ACUPAN may cause blurred vision or make you feel drowsy, dizzy, light-headed
or less alert than usual.
ACUPAN may cause a dry mouth in some people. For temporary relief chew
sugarless gum, suck on an ice cube or use a saliva substitute.
Talk to your dentist if a dry mouth continues.
Continued dry mouth may increase the chance of dental disease, including tooth
decay, gum disease and fungal infections.
Things you must not do
Do not give ACUPAN to anyone else even if they have the same condition
Do not take ACUPAN to treat any other complaints unless your doctor tells
All medicines can cause unwanted side effects. Sometimes they are serious,
most of the time they are not.
Talk to your doctor if any of the following side effects occur and they worry
More common: Nausea, nervousness, dry mouth, lightheadedness and difficulty
Less common: Vomiting, blurred vision, drowsiness, sweating, insomnia,
headache, confusion, seeing, feeling or hearing things that are not there, rapid
heartbeat and worsening of chest pain.
Rarely a temporary harmless pink discolouration of the urine may occur.
Tell your doctor immediately, or go to the Emergency Department at your
nearest hospital if you notice any of the following:
Signs of allergy such as rash or hives, swelling of the face, lips, tongue or throat,
wheezing or difficulty breathing or swallowing.
These symptoms are usually rare but may be serious and need urgent medical
Tell your doctor or pharmacist if you notice anything else that is making
you feel unwell.
Other side effects not listed above may also occur in some people.
If you take too much (Overdose)
Immediately telephone your doctor or the National Poisons Information
Centre (0800 POISON or 0800 764 766) for advice, or go to the Emergency
Department your nearest hospital if you think that you or anyone else may
have taken too much ACUPAN. Do this even if there are no signs of
discomfort or poisoning.
You may need urgent medical attention. Symptoms of an overdose include
agitation, seeing, feeling or hearing things that are not there, fits or seizures, fast
heartbeat and coma.
After taking ACUPAN
Keep ACUPAN in a cool dry place where the temperature stays below 25°C.
Do not store it or any other medicine in the bathroom or near a sink. Do not
leave it on a window sill or in the car.
Keep all medicines where children cannot reach them.
A locked cupboard at least 1.5 metres above the ground is a good place to store
If your doctor tells you to stop taking this medicine, or it has passed its expiry
date, ask your pharmacist what to do with any tablets left over.
What it looks like
ACUPAN are white, round tablets with APN marked on one side. It comes in a
blister pack containing 90 tablets.
Each ACUPAN tablet contains nefopam hydrochloride as the active ingredient.
ACUPAN also contains the following inactive ingredients:
Calcium hydrogen phosphate
Hydrogenated vegetable oil
Pregelatinised maize starch
Colloidal silicon dioxide
ACUPAN contains no preservatives, sugar, gluten or lactose.
iNova Pharmaceuticals (New Zealand) Limited
c/- Simpson Grierson
88 Shortland Street,
Telephone: Toll-free 0508 375 394
Date of Preparation
29 January 2018