Tuesday, September 6, 2016

MOVIPREP






MOVIPREP
powder for oral solution in sachets


For a list of active substances please see section 6.



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 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 MOVIPREP is and what it is used for

  • 2. Before you take MOVIPREP

  • 3. How to take MOVIPREP

  • 4. Possible side effects

  • 5. How to store MOVIPREP

  • 6. Further information




What Moviprep Is And What Is It Used For


MOVIPREP is a lemon flavoured powder contained in four sachets. There are two large sachets ('Sachet A') and two small sachets ('Sachet B'). You need all these for one treatment.


You are taking MOVIPREP to make your bowels clean so that they are ready for examination. MOVIPREP works by emptying the contents of your bowels, so you should expect to have watery bowel movements.




Before You Take Moviprep



Do not take MOVIPREP if you suspect or your doctor suspects:


  • you are allergic (hypersensitive) to macrogol 3350 or any of the other ingredients of MOVIPREP.

  • you have an obstruction in your intestine (gut).

  • you have a perforated gut wall.

  • you have a disorder of stomach emptying.

  • you have paralysis of the gut (often occurs after an operation to the abdomen).

  • you suffer from phenylketonuria. This is an hereditary inability of the body to use a particular amino acid. MOVIPREP contains a source of phenylalanine.

  • your body is unable to produce enough glucose-6-phosphate dehydrogenase.

  • you have toxic megacolon (a severe complication of acute colitis).



Take special care with MOVIPREP


If you are in poor health or have a serious medical condition, you should be particularly aware of the possible side effects listed in section 4. Contact your doctor or pharmacist if you are concerned.


You should tell your doctor before taking MOVIPREP if you have any of the following:


  • you need to thicken fluids in order to swallow them safely.

  • a tendency to regurgitate swallowed drink, food or acid from the stomach.

  • kidney disease.

  • heart failure.

  • dehydration.

  • acute flare of inflammatory bowel disease (Crohn's disease or ulcerative colitis).

MOVIPREP should not be given to patients with impaired consciousness without medical supervision.




Taking other medicines


If you are taking other medicines take them at least one hour before taking MOVIPREP or at least one hour afterwards because they may be flushed through your digestive system and not work so well.


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




Taking MOVIPREP with food and drink


Do not take any solid food from when you start to take MOVIPREP until after the examination.




Pregnancy and breast-feeding


There are no data on the use of MOVIPREP during pregnancy or lactation and it should only be used if considered essential by the physician. So if you are pregnant or breastfeeding talk to your doctor before taking MOVIPREP.


Ask your doctor or pharmacist for advice before taking any medicine.




Driving and using machines


MOVIPREP does not affect your ability to drive or use machines.




Important information about some of the ingredients of MOVIPREP


This medicinal product contains 56.2 mmol of absorbable sodium per litre. To be taken into consideration by patients on a controlled sodium diet.


This medicinal product contains 14.2 mmol of potassium per litre. To be taken into consideration by patients with reduced kidney function or patients on a controlled potassium diet.


Contains a source of phenylalanine. May be harmful for people with phenylketonuria.





How To Take Moviprep


Always take MOVIPREP exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. The usual dose is 2 litres of solution, which is made up as follows:


This pack contains 2 clear bags each containing two pairs of sachets: Sachet A and Sachet B. Each pair of sachets (A and B) is to be dissolved in one litre of water. This pack is therefore sufficient to make up 2 litres of MOVIPREP solution.


Before you take MOVIPREP, please read carefully the following instructions. You need to know:


  • When to take MOVIPREP

  • How to prepare MOVIPREP

  • How to drink MOVIPREP

  • What you should expect to happen


When to take MOVIPREP


You should have been given instructions about when to take MOVIPREP by your doctor or nurse. Your treatment with MOVIPREP must be completed before your clinical examination and can be taken:




either


divided as 1 litre of MOVIPREP in the evening before and 1 litre in the early morning of the day of the examination,




or


2 litres in the evening before the examination,



Important: Do not take any solid food from when you start to take MOVIPREP until after the examination.




How to prepare MOVIPREP


  • Open one clear bag and remove the sachets A and B.

  • Add the contents of BOTH sachet A and sachet B to a 1 litre container.

  • Pour 1 litre of water into the container and stir until all the powder has dissolved and the MOVIPREP solution is clear or slightly hazy. This may take up to 5 minutes.



How to drink MOVIPREP


Drink the first litre of the MOVIPREP solution over one to two hours. Try to drink a glassful every 10-15 minutes.


When you are ready, make up and drink the second litre of MOVIPREP solution made up with the contents of the sachets A and B from the remaining bag.


During the course of this treatment, you are recommended to drink a further one litre of clear liquid to prevent you feeling very thirsty and becoming dehydrated. Water, clear soup, fruit juice (without pulp), soft drinks, tea or coffee (without milk) are all suitable. These drinks can be taken at any time you choose.




What you should expect to happen


When you start drinking the MOVIPREP solution, it is important that you stay close to a toilet. At some point, you will start to experience watery bowel movements. This is quite normal and indicates that the MOVIPREP solution is working. The bowel movements will stop soon after you have finished drinking.


If you follow these instructions, your bowel will be clear, and this will help you to have a successful examination.




If you take more MOVIPREP than you should


If you take more MOVIPREP than you should you may develop excessive diarrhoea, which can lead to dehydration. Take generous amounts of fluid, especially fruit juices. If you are worried contact your doctor or pharmacist.




If you forget to take MOVIPREP


If you forget to take MOVIPREP take the dose as soon as you realize you have not taken it. If this is several hours after the time when you should have taken it, contact your doctor or pharmacist for advice. It is important that you complete your preparation at least an hour before your procedure.


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





Children



MOVIPREP should not be taken by children aged below 18 years.





MOVIPREP Side Effects


Like all medicines, MOVIPREP can have side effects although not everybody gets them.


It is normal to get diarrhoea when you take MOVIPREP.


Very common side effects (i.e. occurring in more than 1 in 10 patients who received the treatment) are: Abdominal pain, abdominal distension, tiredness, soreness of the anus, thirst, and nausea.


Common side effects (i.e. occurring in less than 1 in 10 but more than 1 in 100 patients who received the treatment) are: Hunger, problems sleeping, dizziness, vomiting, indigestion and chills.


Uncommon side effects (i.e. occurring in less than 1 in 100 but more than 1 in 1,000 patients who received the treatment) are: Headache, discomfort, difficulties swallowing, change to the levels of salts in the blood: decreased bicarbonate, increased or decreased calcium; increased or decreased chloride; decreased phosphorus and changes to tests of liver function.


These reactions usually only occur for the duration of the treatment. Should they persist, consult your doctor.


Allergic reactions may occur.


If you experience any of the following, stop your intake of MOVIPREP and contact your doctor immediately. You should not take any more MOVIPREP until you have checked with your doctor.


  • rash or itching

  • swelling of your face, ankles or other part of your body

  • palpitations

  • extreme fatigue

  • shortness of breath

If you do not have a bowel movement within 6 hours of taking MOVIPREP, stop the intake and contact your doctor immediately.


If any of the side effects become serious, or if you notice any of the side effects not listed in this leaflet, please tell your doctor.




Storing Moviprep


Keep out of the reach and sight of children.


Do not use MOVIPREP after the expiry date which is stated on the carton and sachets.


The expiry date refers to the last day of the month.


Keep MOVIPREP sachets at room temperature (not above 25°C).


After you have dissolved MOVIPREP in the water, the solution may be stored (keeping covered) at room temperature (not above 25°C). It may also be stored in the fridge (2°C -8°C). Do not keep it for more than 24 hours.


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 protect the environment.




Further Information



Sachet A contains these active substances:


  • Macrogol (also known as polyethylene glycol) 3350 - 100 g

  • Sodium sulphate anhydrous - 7.500 g

  • Sodium chloride - 2.691 g

  • Potassium chloride - 1.015 g


Sachet B contains these active substances:


  • Ascorbic acid - 4.700 g

  • Sodium ascorbate - 5.900 g

The concentration of electrolyte ions when both sachets are made up to one litre of solution is as follows:


  • Sodium - 181.6 mmol/l (of which not more than 56.2 mmol is absorbable)

  • Sulphate - 52.8 mmol/l

  • Chloride - 59.8 mmol/l

  • Potassium - 14.2 mmol/l

  • Ascorbate - 29.8 mmol/l

Other ingredients are:


Lemon flavouring (containing maltodextrin, citral, lemon oil, lime oil, xanthan gum, vitamin E), aspartame (E951) and acesulfame potassium (E950) as sweeteners.



What MOVIPREP looks like and contents of the pack


This pack contains 2 clear bags each containing two pairs of sachets: Sachet A and Sachet B. Each pair of sachets (A and B) is to be dissolved in one litre of water.


MOVIPREP powder for oral solution in sachets is available in pack sizes of 1, 10, 40, 80, 160 and 320 packs of a single treatment. Not all pack sizes may be marketed.




Marketing Authorisation Holder and Manufacturer



Marketing Authorisation Holder:



Norgine BV

Hogehilweg 7

1101CA Amsterdam ZO

The Netherlands



Manufacturer:



Norgine Limited

New Road

Hengoed

Mid Glamorgan

CF82 8SJ

United Kingdom




The medicinal product is authorised in the Member States of the EEA under the following names:


  • Austria - MOVIPREP - MA NUMBER: 1-26774

  • Belgium - MOVIPREP - MA NUMBER: 3035 IE 4 F 0

  • Denmark - MOVIPREP - MA NUMBER: 39417

  • Finland - MOVIPREP - MA NUMBER: 22236

  • France - MOVIPREP - MA NUMBER: 6.109.595.6

  • Germany - MOVIPREP - MA NUMBER: 65776.00.00

  • Ireland - MOVIPREP - PA: 1336/01/01

  • Italy - MOVIPREP -

  • Luxembourg - MOVIPREP -

  • Netherlands - MOVIPREP - MA NUMBER: RVG 34072

  • Spain - MOVIPREP - MA NUMBER: 68125

  • Sweden - MOVPREP - MA NUMBER: 23881

  • United Kingdom - MOVIPREP - PL: 20142/0005



This leaflet was last approved in April 2007.







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