Sunday, October 9, 2016

Losec Infusion 40mg




P023853




Losec Infusion 40 mg



Powder for solution for infusion


omeprazole



Please read all of this leaflet carefully before you are given this medicine.


  • Keep this leaflet. You may need to read it again.

  • If you have any further questions, ask your doctor, nurse or pharmacist.

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



In this leaflet:


  • 1. What Losec Infusion is and what it is used for

  • 2. Before Losec Infusion is given to you

  • 3. How Losec Infusion is given to you

  • 4. Possible side effects

  • 5. How to store Losec Infusion

  • 6. Further information




What Losec Infusion is and what it is used for


Losec Infusion contains a medicine called omeprazole. This belongs to a group of medicines called ‘proton pump inhibitors’. They work by reducing the amount of acid that your stomach produces.



Losec Infusion is used when you are unable to have treatment by mouth. It is used to treat:


  • ‘Gastro-oesophageal reflux disease’ (GORD).

  • Ulcers in the upper part of the intestine (duodenal ulcer) or stomach (gastric ulcer). If you have had an ulcer in the past and need to keep taking a medicine called an NSAID (Non-Steroidal Anti-Inflammatory Drug), Losec Infusion can stop ulcers from forming or heal one that is already there.

  • Prevention of damage to the lungs caused by breathing in fluids from the stomach. This may occur during an operation.

  • Too much acid in the stomach, caused by a growth in the pancreas (Zollinger-Ellison syndrome).



Further information about ulcers and GORD


If you have ulcers or gastro-oesophageal reflux disease (GORD), this section contains information about your condition.



What is an ulcer?


An ulcer is a break or hole in the lining of the stomach or the gut.



What causes an ulcer?


  • Usually, there is a balance between the protection of the stomach or gut lining and the attack from stomach acid. Ulcers form when there is too much acid or not enough protection.

  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) may occasionally cause ulcers. If you have had an ulcer in the past, but need to keep taking an NSAID, your doctor may prescribe Losec Infusion to protect your stomach or gut.


What is gastro-oesophageal reflux disease (GORD)?


This is where acid from the stomach escapes into the food pipe (oesophagus). The food pipe does not have a protective lining. When acid gets into the food pipe, it can cause pain, inflammation and heartburn.



What should you do if you do not feel relief from your symptoms?


Talk to your doctor who will be able to review you and your treatment.



How can I help myself?


If you have gastro-oesophageal reflux disease or an ulcer, as well as being given Losec Infusion, the following may help:


  • Do not eat just before going to bed. Also, try raising the head of your bed by 20 cm.

  • Lose weight if needed and do not wear tight clothing.

  • Stop smoking.

  • Eat less fat and more protein.

  • Do not have caffeine, alcohol, tomatoes or hot spicy food - these can make your symptoms worse.




Before Losec Infusion is given to you



You must not be given Losec Infusion if:


  • You are allergic (hypersensitive) to omeprazole or any of the other ingredients of this medicine (listed in Section 6: Further information).

  • You are taking a medicine called atazanavir (used to treat HIV).

You must not be given Losec Infusion if any of the above apply to you. If you are not sure, talk to your doctor or nurse before you are given this medicine.




Take special care with Losec Infusion


Check with your doctor or nurse before you are given Losec Infusion if:


  • You have any liver problems. Your doctor may reduce your dose.



Taking other medicines


Please tell your doctor or nurse if you are taking, or have recently taken, any other medicines. This includes medicines that you buy without a prescription. This is because Losec Infusion can affect the way some medicines work and some medicines can have an effect on Losec Infusion.


You must not be given Losec Infusion if you are taking the following medicine:


  • Atazanavir (used to treat HIV).

Tell your doctor or nurse if you are taking any of the following medicines:


  • Ketoconazole, itraconazole or voriconazole (used to treat infections caused by a fungus).

  • Diazepam (used to treat anxiety, relax muscles or in epilepsy).

  • Phenytoin (used in epilepsy). If you are taking phenytoin, your doctor will need to monitor you when you start or stop having Losec Infusion.

  • Medicines that are used to thin your blood, such as warfarin or other vitamin K blockers. Your doctor may need to monitor you when you start or stop having Losec Infusion.

  • Digoxin (used for heart problems).

  • Tacrolimus (used in organ transplants).



Pregnancy and breast-feeding


Before you are given Losec Infusion, tell your doctor if you are pregnant, trying to get pregnant or breast-feeding. Your doctor will decide whether you can be given Losec Infusion during this time.




Driving and using machines


Losec Infusion is not likely to affect you being able to drive or use any tools or machines.





How Losec Infusion is given to you


  • Losec Infusion can be given to adults including the elderly.

  • It should not be given to children or young people under the age of 18.

  • The solution for infusion should not be used if there are small bits in it.

  • The solution for infusion should be used for one patient during one treatment.


Being given Losec Infusion


  • Losec Infusion will be given to you by a doctor who will decide how much you need.

  • The usual starting dose is 100 ml. It will be given to you slowly over 20 to 30 minutes.

  • The medicine will be given to you as an infusion (drip) into one of your veins.

  • If you are going to have an operation in hospital where you will have a general anaesthetic, Losec Infusion will be given one hour before the operation.



If you are given too much Losec Infusion


If you think you have been given too much Losec Infusion, talk to your doctor straight away.





Possible side effects


Like all medicines, Losec Infusion can cause side effects, although not everybody gets them. The side effects are usually mild and go away after a short time.



If you notice any of the following serious side effects, stop having Losec Infusion and tell a doctor or contact the casualty department at your nearest hospital straight away:


  • Swelling of the lips, tongue and throat, fever or wheezing (severe allergic reaction).

  • Reddening of the skin with blisters or peeling. There may also be severe blisters and bleeding in the lips, eyes, mouth, nose and genitals. This could be ‘Stevens- Johnson syndrome’ or ‘toxic epidermal necrolysis’.

These effects are rare, affecting less than 1 in 1,000 people.




Other side effects include:



Common (affects less than 1 in 10 people)


  • Headache.

  • Effects on your stomach or gut: stomach pain, constipation, diarrhoea, wind (flatulence).

  • Feeling sick (nausea) or being sick (vomiting).


Uncommon (affects less than 1 in 100 people)


  • Disturbed sleep (insomnia).

  • Dizziness

  • Tingling feelings such as ‘pins and needles’.

  • Feeling sleepy.

  • Spinning feeling (vertigo).

  • Feeling light-headed or faint.

  • Skin rash, lumpy rash (hives), itchy skin and dermatitis.

  • Changes in blood tests that show how well your liver is working.

  • Generally feeling unwell.


Rare (affects less than 1 in 1,000 people)


  • Dry or sore mouth.

  • An infection called ‘thrush’ which can affect the mouth or gullet and is caused by a fungus.

  • Taste changes.

  • Feeling anxious, confused or depressed.

  • Aggression.

  • Seeing, feeling or hearing things that are not there (hallucinations).

  • Skin rash on exposure to sunshine.

  • Blurred vision.

  • Hair loss (alopecia).

  • Painful swollen joints.

  • Aching muscles or muscle weakness.

  • Increased sweating.

  • Kidney problems.

  • Liver problems, including jaundice which can cause yellow skin, dark urine, and tiredness.

  • Severe liver problems leading to liver failure and inflammation of the brain.

  • Enlarged breasts in men.

  • Being unable to get an erection (impotence).

  • Low levels of sodium in the blood. This may cause weakness, being sick (vomiting) and cramps.

  • Blood problems such as reduced numbers of white cells or platelets. This can cause weakness, bruising or make infections more likely.


Eye sight (visual) problems that do not get better have been seen in a small number of very ill patients who have been given this medicine (omeprazole) by injection, particularly at high doses. However, it is not known if these problems are caused by omeprazole.


Do not be concerned by this list of possible side effects. You may not get any of them. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor, nurse or pharmacist.




How to store Losec Infusion


  • The doctor and hospital pharmacist are responsible for storing, using and disposing of Losec Infusion correctly.

  • Keep out of the reach and sight of children.

  • Do not use this medicine after the expiry date shown on the carton. The expiry date refers to the last day of that month.

  • When the infusion is made it should be used within 3 hours.

  • Any unused contents should be discarded.

  • Do not store above 25°C.

  • Keep the vial in the outer carton in order to protect it from light.



Further information



What Losec Infusion 40 mg contains


The active substance is omeprazole sodium. Each vial of powder for solution for infusion contains 42.6 mg of omeprazole sodium, equivalent to 40 mg of omeprazole.


Each vial also contains sodium hydroxide and disodium edetate.


Each vial is for one infusion.




What Losec Infusion 40 mg looks like and contents of the pack


Losec Infusion 40 mg comes in a vial. The vial contains a powder for solution for infusion.




Marketing Authorisation Holder and Manufacturer


The Marketing Authorisation for Losec Infusion 40 mg is held by



AstraZeneca UK Limited

600 Capability Green

Luton

LU1 3LU

UK


Losec Infusion 40 mg is manufactured by



AstraZeneca UK Limited

Silk Road Business Park

Macclesfield

Cheshire

SK10 2NA

UK



To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge:


0800 198 5000 (UK only)


Please be ready to give the following information:




Product name: Losec Infusion 40 mg


Reference number: 17901/0136



This is a service provided by the Royal National Institute of Blind People.



Leaflet prepared: February 2009


© AstraZeneca 2009


Losec is a trade mark of the AstraZeneca group of companies.


GI 07 0114c







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