Monday 4 June 2012

Kaolin Mixture BP





1. Name Of The Medicinal Product



Kaolin Mixture BP


2. Qualitative And Quantitative Composition








Kaolin light




1.0gm/5ml




Sodium hydrogen carbonate




250mg/5ml



For full list of excipients see section 6.1



3. Pharmaceutical Form



Oral solution



An off-white suspension which separates on standing to form an off-white sediment and a slightly yellow/brown supernatant liquid.



4. Clinical Particulars



4.1 Therapeutic Indications



For relief of occasional diarrhoea and upset stomachs.



4.2 Posology And Method Of Administration



Oral.



Recommended doses and dosage schedules








Adults and children over 12 years:




10 – 20ml




Children 6 – 12 years:




5 – 10ml



The dose may be repeated after 4 hours if required.



Not recommended for children under 6 years.



Shake the bottle before use.



4.3 Contraindications



Hypersensitivity to light kaolin, sodium hydrogen carbonate or any of the other ingredients.



Contraindicated in renal or hepatic failure, hypocalcaemia, hypochlorhydria, or metabolic or respiratory alkalosis.



Kaolin is contraindicated in intestinal obstruction.



4.4 Special Warnings And Precautions For Use



If symptoms persist for longer than 3 days, consult a doctor, especially in children or if other medicines are co-prescribed. Diarrhoea may be a manifestation of a serious underlying disease.



Use extremely cautiously in congestive heart failure, kidney or liver disease, high blood pressure, and in patients receiving corticosteroids.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



Kaolin has adsorbent properties and will reduce the intestinal absorption of a number of drugs. These include digoxin and lincomycin.



Antacids may reduce the absorption of a number of drugs including: diflunisal, phenytoin, cimetidine, isoniazid, allopurinol, iron preparations, tetracyclines, phenothiazines, penicillamine, pivampicillin, atenolol, indomethacin, ketoprofen, metronidazole, ketoconazole, itraconazole, prednisolone, ciprofloxacin, ofloxacin, norfloxacin, rifampicin, azithromycin, fosinopril, dipyridamole, hydroxychloroquine, chloroquine, bisphosphonates.



The excretion of quinidine is reduced in alkaline urine and may occasionally increase plasma levels. The excretion of aspirin is increased in alkaline urine. Antacids should be avoided with dipyridamole.



4.6 Pregnancy And Lactation



The safety of kaolin mixture has not been established in these conditions. However, as with all other medicines, use during early pregnancy should be avoided.



4.7 Effects On Ability To Drive And Use Machines



No or negligible influence.



4.8 Undesirable Effects



Sodium hydrogen carbonate may cause stomach cramps and flatulence as a result of excess carbon dioxide production.



4.9 Overdose



Constipation may occur. Treatment is observation, and if necessary, any symptomatic and supportive measures.



Excessive administration of sodium hydrogen carbonate may lead to hypokalaemia and metabolic alkalosis, especially in patients with impaired renal function. Excessive doses of sodium salts may lead to sodium overloading and hyperosmolarity. Treatment of metabolic alkalosis and hypernatraemia consists of appropriate correction of fluid and electrolyte balance.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



A07B C02 - Intestinal adsorbants, other intestinal adsorbants.



Kaolin is adsorbent and when given orally, it adsorbs toxic and other substances from the alimentary tract and increases the bulk of the faeces.



5.2 Pharmacokinetic Properties



There is no systemic absorption and the orally administered dose is excreted in the faeces.



5.3 Preclinical Safety Data



No data of relevance to the prescriber, which is additional to that included in other sections of the SPC.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Magnesium carbonate light, peppermint oil, polysorbate 20, chloroform, purified water.



6.2 Incompatibilities



None known.



6.3 Shelf Life



200ml: 12 months unopened, 2 months after first opening.



6.4 Special Precautions For Storage



Store below 25°C.



6.5 Nature And Contents Of Container



200ml: glass bottle with plastic cap or white 28mm cap with Tamper Evident band and EPE/Saranex Liner.



6.6 Special Precautions For Disposal And Other Handling



None.



7. Marketing Authorisation Holder



Thornton & Ross Ltd



Linthwaite Laboratories



Huddersfield



HD7 5QH



8. Marketing Authorisation Number(S)



PL 00240/6494R



9. Date Of First Authorisation/Renewal Of The Authorisation



23/1/89, 23/1/94, 23/1/99



10. Date Of Revision Of The Text



11/05/2011



11 DOSIMETRY


Not Applicable



12 INSTRUCTIONS FOR PREPARATION OF RADIOPHARMACEUTICALS


Not Applicable




No comments:

Post a Comment