Thursday, September 22, 2016

Temazepam 10mg / 5ml Oral Solution (Rosemont Pharmaceuticals Ltd)






Temazepam 10mg/5ml Oral Solution



  • 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 your pharmacist.

  • This medicine has been prescribed only 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 these side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.




In this leaflet



  • 1. What is Temazepam Oral Solution and what is it used for

  • 2. Before you take Temazepam Oral Solution

  • 3. How to take Temazepam Oral Solution

  • 4. Possible side effects

  • 5. How to store Temazepam Oral Solution

  • 6. Further information





What is Temazepam Oral Solution and what is it used for



Temazepam belongs to a group of medicines known as Hypnotics. These are medicines which are used to help sleep. It may also be used in a hospital as pre-medication before minor surgery or investigative procedures.





Before you take Temazepam Oral Solution




Do not take Temazepam and tell your doctor if:



  • you have a severe respiratory ailment


  • you have ever had an unusual reaction to benzodiazepines (e.g. Diazepam, Temazepam) or to any of the ingredients listed in section 6 'Further information'


  • you have liver problems


  • you have been told that you have a condition where you tend to stop breathing temporarily while you are asleep (sleep apnoea)


  • you have long term fatigue and muscle weakness.


  • you have any long term mental illness such as obsessions or phobias (irrational fears)


  • you suffer from anxiety with or without depression, as temazepam may cause you to think more about suicide


  • you suffer from glaucoma.




Take special care with Temazepam



Before you take temazepam tell your doctor if:



  • you have a personality disorder (e.g. schizophrenia)

  • you have had an addiction to alcohol or drugs

  • you have kidney problems.

  • You have recently suffered a loss of bereavement as the medicine may affect the way you react to this.




Taking other medicines



Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines bought without a prescription, including herbal medicines.



In particular tell your doctor if you are taking any of the following medicines:



  • Narcotic painkillers (e.g. codeine, morphine)

  • Anti-depressants

  • Medicines to treat epilepsy

  • Medicines that help you relax and sleep

  • Anti-histamines (used to treat allergy) that cause drowsiness

  • Monoamine oxidase inhibitors (used to treat depression such as phenelzine).

  • Medicines to treat virus infections (including HIV, for example, ritonavir or zidovudine)

  • Medicines to treat high blood pressure (for example, moxonidine)

  • Disulfiram (used to treat alcoholism)

  • Lofexidine (used to treat drug dependence)

  • Nabilone (used to treat nausea and vomiting)

  • Medicines to treat mental illness (for example, clozapine)

  • Medicines that help you sleep

  • Medicines that relax your muscles (for example, baclofen or tizanidine)

  • Medicines used to treat Parkinson’s disease (for example, levodopa).

If you are having a general anaesthetic you should tell the doctor you are taking temazepam.



If you are to receive this medicine as a pre-medication before surgery or investigative procedures, you should ensure that someone is with you to accompany you home.



At high dosages taken for a long period of time, it is possible that you may become dependent on the medication. If this occurs you might experience withdrawal symptoms if the treatment stops too suddenly. If this is the case your doctor will advise you to cut down gradually.



You may develop tolerance to the effects of temazepam, this means you may notice that your medicine is less effective at relieving your symptoms.





Taking Temazepam with food and drink



You should not drink alcohol while taking temazepam. This is because alcohol can change the way the temazepam works.





Pregnancy and Breast-feeding



Do not take this medicine if you are pregnant, might become pregnant, or are breast-feeding.



If your doctor has decided that you should receive this medicine during late pregnancy or during labour, your baby might have a low body temperature, floppiness and breathing and feeding difficulties. If this medicine is taken regularly in late pregnancy, your baby may develop withdrawal symptoms.





Driving and using machines



Temazepam can cause side effects such as sleepiness, dizziness, confusion, reduced alertness, poor muscle coordination and blurring of vision. If you do get any of these side effects do not drive or use machinery.





Important information about what is in Temazepam Oral Solution:



This medicine contains:



  • This product contains sorbitol. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.


  • This product also contains 10% ethanol (alcohol), i.e. up to 395mg per dose, equivalent to 10ml of beer, 4ml of wine per dose. Speak to the doctor before taking this medicine if you have an addiction to alcohol, liver disease, epilepsy, you are pregnant or breast-feeding or if this medicine has been prescribed for a child.





How to take Temazepam Oral Solution



Take this medicine as your doctor or pharmacist has told you. Look on the label and ask the doctor or pharmacist if you are not sure.




Taking this medicine



  • This medicine contains 10mg of temazepam in each 5ml

  • Take this medicine by mouth

The usual doses are given below. These may be changed by you doctor:





Adults



Insomnia



  • 5 - 20ml before going to bed

Pre-medication



  • 10 - 20ml half an hour to one hour before surgery or investigative procedures.




Children



Insomnia



  • This medicine should not be used to treat insomnia in children

Pre-medication



  • 0.5ml/Kg one hour before surgery or investigative procedures




Elderly or patients with disease of the blood vessels i.e. hardening of the arteries:



  • 2.5 - 7.5ml



The medicine should only be taken for a maximum of 4 weeks at a time.



Your doctor may advise you to take this medicine only when necessary.




If you take more temazepam than you should



Talk to your doctor or go to your nearest hospital straight away.



Common symptoms of temazepam overdose are drowsiness, loss of co-ordination of movement, confusion and slurred speech. Occasionally low blood pressure (symptoms such as tiredness, light-headedness and fainting), breathing problems and coma may occur.





If you forget to take Temazepam Oral Solution



Do not take a double dose (two doses at the same time) to make up for a forgotten dose. Wait until the next dose is due then take only that dose.





If you stop taking Temazepam Oral Solution



You should only stop taking this medicine when your doctor tells you.



Do not stop it abruptly. If the medicine is stopped quickly the following symptoms may occur:- nervousness, sleeplessness, depression, irritability, sweating, diarrhoea, confusion, psychosis, fits, headaches, muscle pain, restlessness, anxiety, tension, tingling in the hands or feet, hallucinations, an increased sensitivity to light, noise or physical contact, shaking or feeling detached from yourself or your surroundings.



If you have any further questions on the use of this medicine, ask your doctor or pharmacist.






Possible side effects



Along with its wanted effects, a medicine may cause some side effects. The following have been reported with Temazepam:



Common side effects are drowsiness, sleepiness, blurring of vision, unsteadiness, numbed emotions, reduced alertness, dizziness, muscle weakness, slurred speech, difficulty in breathing, poor muscle coordination and fatigue. These side effects are more likely to occur if alcohol is taken with this medicine or if you are elderly. Rarely the following behavioural side effects may occur: aggressive outbursts, excitement, confusion, depression, feeling suicidal, restlessness, agitation, irritability, hallucinations, delusion, mental disorders, dry mouth, restless sleep, nightmares, increase in saliva, finding it hard to speak, incontinence, unusual shaking, hypersensitivity and inappropriate behaviour. In such cases your doctor will stop or change your treatment. Other side effects that may occur are low blood pressure, stomach upsets, changes in vision, skin rashes, headache, difficulty in passing urine, a feeling of dizziness or “spinning”, changes in sexual performance and jaundice (yellowing of the skin or whites of the eyes caused by liver or blood problems). Loss of memory may occur and in cases of loss or bereavement, there may be a difficulty in adjusting psychologically, whilst taking this medication. Temazepam may cause blood disorders and may require tests by your doctor. If you are worried about a symptom or you have a side effect that is not listed here, you should talk to your doctor or pharmacist.





How to store Temazepam Oral Solution



  • Keep out of the reach and sight of children.


  • The product should be stored between 4°C and 25°C and protected from light.


  • Take back to the pharmacy 3 months after you first open it.


  • The label on the bottle contains an expiry date (month, year). Do not use this product after that date.


  • If it is out of date or you no longer want it, take it back to the pharmacy.


  • Do not use Temazepam Oral Solution if you notice anything wrong with the medicine. Talk to your pharmacist.


  • Medicines should not be disposed of via waste water or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.




Further information




What Temazepam Oral Solution contains



  • The active ingredient is temazepam


  • The other ingredients are ethanol, propylene glycol, peppermint oil, caramel E150, tris (hydroxymethyl) methylamine, citric acid monohydrate, patent blue V E131, glycerol, sorbitol solution 70% and purified water.




What Temazepam Oral Solution looks like and contents of the pack



A clear green liquid with an odour of peppermint.



It comes in a brown glass bottle holding 200ml or 300ml of solution.





Marketing Authorisation Holder and Manufacturer




Rosemont Pharmaceuticals Ltd

Yorkdale Industrial Park

Braithwaite Street

Leeds

LS11 9XE

UK





This leaflet was last approved in December 2007



P0357






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