Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
HYOSCINE BUTYLBROMIDE
DKSH MALAYSIA SDN BHD
HYOSCINE BUTYLBROMIDE
20 Tablet Tablets; 100 Tablet Tablets
Delpharm Reims
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ 1 BUSCOPAN _® _ TABLET Hyoscine butylbromide (10 mg) WHAT IS IN THIS LEAFLET 1. What Buscopan ® is used for 2. How Buscopan ® works 3. Before you use Buscopan ® 4. How to use Buscopan ® 5. While you are using it 6. Side effects 7. Storage and Disposal of Buscopan ® 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT BUSCOPAN ® IS USED FOR Buscopan ® are used to relieve cramps in the muscles of your: • Stomach • Gut (intestine) • Bladder and the tubes that lead to the outside of your body (urinary system) HOW BUSCOPAN ® WORKS Buscopan ® contain a medicine called “Hyoscine-N-butylbromide”. This belongs to a group of medicines called “antispasmodics”. Hyoscine works by relaxing the muscle found in the walls of the stomach, and bowel. This type of muscle is called smooth muscle or involuntary muscle. It normally contracts and relaxes without our conscious control and we are not normally aware of it. However, if the muscles go into spasm, this can cause pain. Hyoscine stops the spasms in the smooth muscle, allowing it to relax. This reduces the painful spasms and cramps. BEFORE YOU USE BUSCOPAN ® _-When you must not use it _ Do not take Buscopan ® if: • You are allergic (hypersensitive) to hyoscine butylbromide or any of the other ingredients (listed in Product Description) • You have something called ‘myasthenia gravis’ (a very rare muscle weakness problem). • You have a very enlarged bowel (megacolon). If you are not sure, talk to your doctor or pharmacist before taking this medicine. _-Before you start to use it _ Take special care with Buscopan ® Check with your doctor or pharmacist before taking your medicine if: • You have a very fast heart rate or other heart problems • You have glaucoma (an eye problem) • You have difficulty or pain passing water (urine) such as men with prostate problems • You have a suspected or confirmed blockage of the bowel (symptoms include severe a Baca dokumen lengkap
0057-07 20180129 B uscopan ® Composition 1 sugar- coated tablet contains 10 mg hyoscine -N -b utylbromide Description Round, white, biconvex, sugar -coated tablets Properties Buscopan ® exerts a spasmolytic action on the smooth muscle of the gastro- intestinal, biliary and genito-urinary tracts. As a quaternary ammonium derivative, hyoscine- N-butylbromide does not enter the central nervous system. Therefore, anticholinergic side effects at the central nervous system do not occur. Peripheral anticholinergic action results f rom a ganglion- blocking action within the visceral wall as well as from an anti -muscarinic activity. Pharmacokinetics Absorption As a quaternary ammonium compound, hyoscine- N-butylbromide is highly polar and hence only partially absorbed following oral (8%) or rectal (3%) administration . After oral administration of single doses of hyoscine butylbromide in the range of 20 to 400 mg, mean peak plasma concentrations between 0.11 ng/mL and 2.04 ng/mL were found at approximately 2 hours . In the same dose range, the observed mean AUC 0 -tz-values varied from 0.37 to 10.7 ng h/mL . The median absolute bioavailabilities of different dosage forms, i.e. coated tablets, suppositoires and oral solution, containing 100 mg of hyoscine butylbromide each were found to be l ess than 1%. Distribution Because of its high affinity for muscarinic recept ors and nicotinic receptors, hyoscine butylbromide is mainly distributed on muscle cells of the abdominal and pelvic area as well as in the intramural ganglia of the abdominal organs . Protein binding in the human plasma occurs at 8- 13% and in a 4.4% human serum albumin solution at 3- 11%. Animal studies demonstrate that hyoscine butylbromide does not pass the blood- brain barrier, but no clinical data to this eff ect is available. Hyoscine butylbromide (1 mM) has been observed to interact with the choline transport (1.4 nM) in epithelial cells of human placenta in vitro . Metabolism and elimination Following oral administration of single doses in the rang Baca dokumen lengkap