Tuesday, October 18, 2016

Non-Drowsy Sudafed Decongestant Tablets (McNeil Products Ltd)





1. Name Of The Medicinal Product



Non-Drowsy Sudafed Decongestant Tablets



Sudafed Decongestant Tablets


2. Qualitative And Quantitative Composition



Non-Drowsy Sudafed Decongestant Tablets contain Pseudoephedrine hydrochloride 60.00 mg.



For full list of excipients, see section 6.1.



3. Pharmaceutical Form



Film-coated tablets.



Reddish-brown, round, biconvex film-coated tablets, with 'Sudafed' on one side.



4. Clinical Particulars



4.1 Therapeutic Indications



Non-Drowsy Sudafed Decongestant Tablets is a decongestant of the mucous membranes of the upper respiratory tract, especially the nasal mucosa and sinuses and is indicated for the symptomatic relief of conditions such as allergic rhinitis, vasomotor rhinitis, the common cold and influenza.



4.2 Posology And Method Of Administration



For oral use.



Adults and Children over 12 years



1 tablet every 4 - 6 hours up to 4 times a day.



Use in the Elderly



There have been no specific studies of Non-Drowsy Sudafed Decongestant Tablets in the elderly. Experience has indicated that normal adult dosage is appropriate.



Hepatic Dysfunction



Caution should be exercised when administering Non-Drowsy Sudafed Decongestant Tablets to patients with severe hepatic impairment.



Renal Dysfunction



Caution should be exercised when administering Non-Drowsy Sudafed Decongestant Tablets to patients with moderate to severe renal impairment.



4.3 Contraindications



Non-Drowsy Sudafed Decongestant Tablets is contraindicated in individuals with known hypersensitivity to the product or any of its excipients.



Non-Drowsy Sudafed Decongestant Tablets is contraindicated in individuals with severe hypertension or coronary artery disease.



Non-Drowsy Sudafed Decongestant Tablets is contraindicated in individuals who are taking or have taken monoamine oxidase inhibitors within the preceding two weeks. The concomitant use of pseudoephedrine and this type of product may occasionally cause a rise in blood pressure.



4.4 Special Warnings And Precautions For Use



Although pseudoephedrine has virtually no pressor effects in normotensive patients, Non-Drowsy Sudafed Decongestant Tablets should be used with caution in patients suffering mild to moderate hypertension. As with other sympathomimetic agents, Non-Drowsy Sudafed Decongestant Tablets should be used with caution in patients with hypertension, heart disease, diabetes, hyperthyroidism, elevated intraocular pressure and prostatic enlargement.



Caution should be exercised when using the product in the presence of severe hepatic impairment or moderate to severe renal impairment (particularly if accompanied by cardiovascular disease).



This product contains lactose. Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.



The following statements will appear on packs of this product:



Store below 30°C.



Store in the original package.



Warning: Do not exceed the stated dose.



Keep out of the reach and sight of children.



As with all medicines, if you are pregnant or currently taking any other medicine, consult your doctor or pharmacist before taking this product.



If symptoms persist consult your doctor.



Causes no drowsiness.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



Concomitant use of Non-Drowsy Sudafed Decongestant Tablets with tricyclic antidepressants, sympathomimetic agents (such as decongestants, appetite suppressants and amfetamine-like psychostimulants) or with monoamine oxidase inhibitors, which interfere with the catabolism of sympathomimetic amines, may occasionally cause a rise in blood pressure.



Because of its pseudoephedrine content, Non-Drowsy Sudafed Decongestant Tablets may partially reverse the hypotensive action of drugs which interfere with sympathetic activity including bretylium, betanidine, guanethedine, debrisoquine, methyldopa, alpha- and beta-adrenergic blocking agents.



4.6 Pregnancy And Lactation



Although pseudoephedrine has been in widespread use for many years without apparent ill consequence, there are no specific data on its use during pregnancy. Caution should therefore be exercised by balancing the potential benefit of treatment to the mother against any possible hazards to the developing foetus.



Systemic administration of pseudoephedrine, up to 50 times the human daily dosage in rats and up to 35 times the human daily dosage in rabbits, did not produce teratogenic effects.



Pseudoephedrine is excreted in breast milk in small amounts, but the effect of this on breast-fed infants is not known. It has been estimated that 0.5 – 0.7% of a single dose of pseudoephedrine ingested by a mother will be excreted in the breast milk over 24 hours.



4.7 Effects On Ability To Drive And Use Machines



None known.



4.8 Undesirable Effects



Serious adverse effects associated with the use of pseudoephedrine are rare. Symptoms of central nervous system excitation may occur, including sleep disturbances and rarely hallucinations have been reported.



Skin rashes with or without irritation have occasionally been reported. Urinary retention has been reported occasionally in men receiving pseudoephedrine, prostatic enlargement could have been an important predisposing factor.



4.9 Overdose



As with other sympathomimetic agents. Symptoms of overdose include irritability, restlessness, tremor, convulsions, palpitations, hypertension and difficulty in micturition.



Necessary measures should be taken to maintain and support respiration and control convulsions. Gastric lavage should be performed if indicated. Catheterisation of the bladder may be necessary. If desired, the elimination of pseudoephedrine can be accelerated by acid diuresis or by dialysis.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



ATC code: R01BA.



Pseudoephedrine has direct and indirect sympathomimetic activity and is an orally effective upper respiratory tract decongestant.



Pseudoephedrine is substantially less potent than ephedrine in producing both tachycardia and elevation in systolic blood pressure and considerably less potent in causing stimulation of the central nervous system.



5.2 Pharmacokinetic Properties



Pseudoephedrine is rapidly and completely absorbed after oral administration. After an oral dose of 180 mg to man, peak plasma concentrations of 500-900 ng/ml were obtained about 2 hours post dose. The plasma half-life was about 5.5 hours and was increased in subjects with alkaline urine and decreased in subjects with acid urine. The only metabolism was N-demethylation which occurred to a small extent. Excretion was mainly via the urine.



5.3 Preclinical Safety Data



The active ingredient of Non-Drowsy Sudafed Decongestant Tablets is a well-known constituent of medicinal products and its safety is well documented. The results of pre-clinical studies do not add anything of relevance for therapeutic purposes.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Lactose monohydrate



Pregelatinised maize starch



Cellulose microcrystalline



Magnesium Stearate



Silica colloidal



Film Coat:



Opadry OY-S-9473



Opadry OY-S-9473 contains:



Hypromellose



Red iron oxide (E172)



Talc



Polyethylene glycol 400



6.2 Incompatibilities



None known.



6.3 Shelf Life



3 years



6.4 Special Precautions For Storage



Store below 30°C.



Store in the original package to protect from moisture.



6.5 Nature And Contents Of Container



12 tablets in PVC/PVDC/Aluminium foil blister packs.



6.6 Special Precautions For Disposal And Other Handling



Not applicable.



7. Marketing Authorisation Holder



McNeil Products Limited



Foundation Park



Roxborough Way



Maidenhead



Berkshire SL6 3UG



United Kingdom



8. Marketing Authorisation Number(S)



PL 15513/0024



9. Date Of First Authorisation/Renewal Of The Authorisation



29th September 1998



10. Date Of Revision Of The Text



08 February 2010




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