Dicycloverine Hydrochloride 20 mg Tablets

Dicycloverine Hydrochloride 20 mg Tablets

Each tablet contains 20 mg dicycloverine hydrochloride.

Excipient(s) with known effect

Each tablet contains 75.80 mg lactose monohydrate.

For the full list of excipients, see section 6.1.

Tablet

White to off white, round, biconvex tablets, engraved with “20” on one side and plain on the other.

Smooth muscle antispasmodic primarily indicated for treatment of functional conditions involving smooth muscle spasm of the gastrointestinal tract.

Posology

Adults and children over 12 years: 1 tablet three times a day before or after meals.

Method of administration Oral.

Hypersensitivity to dicycloverine hydrochloride or any of the excipients listed in Section 6.1.

Products containing dicycloverine hydrochloride should be used with caution in any patient with or suspected of having glaucoma or prostatic hypertrophy.

Use with care in patients with hiatus hernia associated with reflux oesophagitis because anticholinergic drugs may aggravate the condition.

Dicycloverine Hydrochloride 20 mg Tablets contain lactose. Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucosegalactose malabsorption should not take this medicine.

None stated.

Epidemiological studies in pregnant women with products containing dicycloverine hydrochloride (at doses up to 40mg/day) have not shown that dicycloverine hydrochloride increases the risk of foetal abnormalities if administered during the first trimester of pregnancy. Reproduction studies have been performed in rats and rabbits at doses of up to 100 times the maximum recommended dose (based on 60mg per day for an adult person) and have revealed no evidence of impaired fertility or harm to the foetus due to dicycloverine hydrochloride. Since the risk of teratogenicity cannot be excluded with absolute certainty for any product, the drug should be used during pregnancy only if the benefit outweighs the risk.

It is not known whether dicycloverine is secreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when dicycloverine is administered during breast-feeding.

None stated.

Side-effects seldom occur with dicycloverine tablets. However, in susceptible individuals, dry mouth, thirst and dizziness may occur. On rare occasions, fatigue, sedation, blurred vision, rash, constipation, anorexia, nausea and vomiting, headache and dysuria have also been reported. Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme

Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

Symptoms of Dicycloverine overdosage are headache, dizziness, nausea, dry mouth, difficulty in swallowing, dilated pupils and hot dry skin. Treatment may include emetics, gastric lavage and symptomatic therapy if indicated.

Pharmacotherapeutic group: Drugs for functional gastrointestinal disorders, ATC code: A03AA07

Mechanism of action

Dicycloverine hydrochloride relieves smooth muscle spasm of the gastrointestinal tract.

Animal studies indicate that this action is achieved via a dual mechanism; (1) a specific anticholinergic effect (antimuscarinic at the ACh-receptor sites) and (2) a direct effect upon smooth muscle (musculotropic)

After a single oral 20mg dose of dicycloverine hydrochloride in volunteers, peak plasma concentration reached a mean value of 58ng/ml in 1 to 1.5 hours. 14C labelled studies demonstrated comparable bioavailability from oral and intravenous administration. The principal route of elimination is via the urine.

None stated.

Povidone K30

Maize Starch

Calcium Hydrogen Phosphate Anhydrous

Lactose Monohydrate (140 M)

Magnesium Stearate

None stated.

2 years

Store below 25°C.

Blisters of opaque PVC/PVDC lidded with aluminium foil.

Each blister contains 14 tablets.

Pack size: 84 tablets.

None stated.

Creo Pharma Limited

Felsted Business Centre,

Felsted,

Essex,

CM6 3LY,

United Kingdom

PL 31862/0025

16/10/2018

16/10/2018