Kraj: Wielka Brytania
Język: angielski
Źródło: MHRA (Medicines & Healthcare Products Regulatory Agency)
Carbidopa monohydrate; Levodopa
Organon Pharma (UK) Ltd
N04BA02
Carbidopa monohydrate; Levodopa
25mg ; 100mg
Modified-release tablet
Oral
No Controlled Drug Status
Valid as a prescribable product
BNF: 04090100; GTIN: 5013945002164
PACKAGE LEAFLET: INFORMATION FOR THE USER SINEMET ® CR 50 MG/200 MG PROLONGED-RELEASE TABLETS HALF SINEMET ® CR 25 MG/100 MG PROLONGED-RELEASE TABLETS (Carbidopa/levodopa) READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START TAKING THIS MEDICINE. • 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. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. • If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. IN THIS LEAFLET : 1 What Sinemet CR is and what it is used for 2 Before you take Sinemet CR 3 How to take Sinemet CR 4 Possible side effects 5 How to store Sinemet CR 6 Further information 1 WHAT SINEMET CR IS AND WHAT IT IS USED FOR Sinemet CR improves the signs of Parkinson’s disease. Parkinson's disease is a long- term illness where: • you become slow and unsteady • your muscles feel stiff • you may develop shaking or trembling (called ‘tremor’). If not treated, Parkinson's disease can make it hard for you to continue your normal daily activities. Sinemet CR contains two different medicines called: levodopa and carbidopa. • levodopa turns into a material called ‘dopamine’ in your brain. The dopamine helps to improve the signs of your Parkinson’s disease. • carbidopa belongs to a group of medicines called ‘aromatic amino acid decarboxylase inhibitors’. It helps levodopa work more effectively by slowing the speed at which levodopa is broken down in your body. 2 BEFORE YOU TAKE SINEMET CR DO NOT TAKE SINEMET CR IF: • you are allergic (hypersensitive) to carbidopa or levodopa or any of the other ingredients of Sinemet CR (listed in Section 6) • you have ever had skin cancer or you have any unusual moles which have not been examined by your doctor • you are taking certain medicines called ‘MAOIs’ (Monoamine Oxidase Inhibitors) used for Przeczytaj cały dokument
OBJECT 1 SINEMET CR AND HALF SINEMET CR Summary of Product Characteristics Updated 25-Oct-2017 | Merck Sharp & Dohme Limited 1. Name of the medicinal product SINEMET® CR 50 mg/200 mg Prolonged-Release Tablets HALF SINEMET® CR 25 mg/100 mg Prolonged-Release Tablets 2. Qualitative and quantitative composition Each tablet of 'Sinemet CR' contains carbidopa (equivalent to 50 mg of anhydrous carbidopa) and 200 mg levodopa. Each tablet of 'Half Sinemet CR' contains carbidopa (equivalent to 25 mg of anhydrous carbidopa) and 100 mg levodopa. 3. Pharmaceutical form Modified-release tablets. 'Sinemet CR': peach-coloured, oval shaped, biconvex tablets, one side deep-scored and the other marked '521'. 'Half Sinemet CR': pink-coloured, oval-shaped, biconvex tablets, plain one side and the other marked '601'. 4. Clinical particulars 4.1 Therapeutic indications Antiparkinson agent. Idiopathic Parkinson's disease, in particular to reduce off-period in patients who previously have been treated with levodopa/decarboxylase inhibitors, or with levodopa alone and who have experienced motor fluctuations. The experience is limited with 'Sinemet CR' and 'Half Sinemet CR' in patients who have not been treated with levodopa before. 4.2 Posology and method of administration 'Sinemet CR' and 'Half Sinemet CR' tablets contain a 1:4 ratio of carbidopa to levodopa ('Sinemet CR': carbidopa 50 mg/levodopa 200 mg, 'Half Sinemet CR' 25 mg/100 mg per tablet). The daily dosage of 'Sinemet CR' must be determined by careful titration. Patients should be monitored closely during the dose adjustment period, particularly with regard to appearance or worsening of nausea or abnormal involuntary movements, including dyskinesias, chorea and dystonia. ROUTE OF ADMINISTRATION: ORAL 'Sinemet CR' and 'Half Sinemet CR' may only be administered as whole tablets. So that the controlled release properties of the product can be maintained, tablets should not be chewed, crushed, or halved. Standard antiparkinson drugs, other than levodopa alone, may be continued whi Przeczytaj cały dokument