FOSRENOL®
Fosrenol tablets are only available on a
Lanthanum carbonate hydrate 500 mg, 750 mg, 1000 mg Chewable Tablets Before you take FOSRENOL
Consumer Medicine Information What is in this leaflet When you must not take FOSRENOL Please read this leaflet before you start Do not take FOSRENOL if: taking FOSRENOL.
• you are hypersensitive (allergic) to
• you have too little phosphate in your
This information is not intended to replace
Before you start to take FOSRENOL
the advice of your health care professional.
You must tell your doctor if:
All medicines have risks and benefits. Your
doctor has weighed the risks of you taking
• you have reduced liver function. It is
possible that your liver will not be able
expect it will have for you. If you have any
to "clean" FOSRENOL from your body
concerns about taking FOSRENOL, ask your doctor or pharmacist. Keep this leaflet with the medicine. You
• you have or have had a stomach ulcer
• you have or have had a blockage of the
What FOSRENOL is used for
surgery, or infection or inflammation of
“Phosphate” and is needed for building
strong teeth and bones as well as keeping
phosphate can build up in the blood. This
If you have not told your doctor about
used to lower the amount of phosphate in
any of the above, tell them before you start taking FOSRENOL.
absorbing the phosphate from the food you
Taking other medicines
digestive tract to be eliminated in your stool.
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, even any that you buy without a prescription from your How to take it pharmacy, supermarket or health food shop. FOSRENOL tablets must be chewed completely and not swallowed whole.
those who have difficulty chewing you can
FOSRENOL can affect the uptake of certain medicines from the gut. Such medicines When to take it should be taken at least 2 hours before or 2 hours after taking FOSRENOL. The
from the food in your gut. It is very important to take FOSRENOL during or immediately after every meal. If you eat
• ketoconazole (against fungal infections)
• thyroxine (used for deficiency of thyroid
doctor will tell you what to do in this case.
How long to take it Quinolone antibiotics such as ciprofloxacin and norfloxacin should be taken at least two hours before or four hours after FOSRENOL. If you forget to take it
It is important to take FOSRENOL with every meal.
How to take FOSRENOL If you forget to take your FOSRENOL, Always take FOSRENOL exactly as your then take the next dose with your next doctor has instructed you. meal. Do not take a double dose to make up for forgotten doses.
pharmacist if you are unsure as to how you
If you take too much (Overdose) Immediately telephone your doctor or How much to take the Poisons Information Centre (telephone 13 11 26) for advice, or go to
Your doctor will tell you how many tablets
Accident and Emergency at the nearest
you must take with each meal (your daily
hospital, if you think that you or anyone
dose will be divided between three meals).
else may have taken too much
The number of tablets that you take will
FOSRENOL. Do this even if there are no
To start with, the daily dose of FOSRENOL
will usually be 1 tablet with each meal (3
While you are taking FOSRENOL
tablets per day). Your doctor will then check
the level of phosphate in your blood and
Things you must do
may then increase this dose to a level that
Keep all of your doctor’s appointments
Dizziness and vertigo (a feeling of dizziness
so your progress can be checked.
or “spinning”) are uncommon side effects
reported by some patients taking Fosrenol.
Tell all doctors, dentists and
If you experience these side effects it may
pharmacists who are treating you that you are having treatment with FOSRENOL. Remind them if any new
medicines are about to be started, or if you
Side effects Tell your doctor or pharmacist as soon as possible if you do not feel well whilst If you need to have an x-ray of your you are taking FOSRENOL stomach or abdomen, please tell your doctor that you are taking Fosrenol as it may affect the results of the x-ray.
side effects. Sometimes they are serious, most of the time they are not. You may
need medical attention if you get some of
breastfeeding. It is uncertain whether or
not FOSRENOL can affect the unborn child.
Do not be alarmed by the following list of
If it is necessary for you to receive this
side effects. You may not experience
medicine, your doctor will discuss the risks
any of them. Tell your doctor if you notice any of the If pregnancy occurs during your following and they worry you: treatment, you must immediately inform your doctor. Things you must not do Do not use any other medicines while taking FOSRENOL unless you have discussed this with your doctor or pharmacist. This includes medicines you Do not use FOSRENOL to treat any complaint other than directed by your doctor. It may not be safe to use You should always take FOSRENOL during or immediately after your food. FOSRENOL should only be used by the person for whom it was prescribed. Do
Hypocalcaemia (too little calcium in your
not administer FOSRENOL to someone
blood) is also a common side effect. The
else even if they have the same condition as you. It may not be safe for
tingling in the hands and feet, muscle and
abdominal cramps or spasms of the facial
Things to be careful of
doctor if you have any of the symptoms described above.
Product description What FOSRENOL looks like
in the following strengths and pack sizes:
• thinning of the bones (osteoporosis)
‘S405/500’ on one side (45 tablets per
round, flat bevelled edge tablets embossed
on one side with ‘S405’ above ‘750’ (15
Tell your doctor if you notice anything
tablets per bottle; 6 bottles per carton).
else that is making you feel unwell.
Other side effects not listed above may also
round, flat bevelled edge tablets embossed
on one side with ‘S405’ above ‘1000’ (15
tablets per bottle; 6 bottles per carton).
After using FOSRENOL Ingredients Storage Keep your medicine in the original pack
substance in form of lanthanum carbonate
until it is time to take it. Keep FOSRENOL where children cannot reach it. A locked cupboard at least one Keep your medicine in a cool, dry place Supplier where the temperature stays below 25°C. Do not store FOSRENOL or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car. Heat and dampness can destroy some Do not take FOSRENOL after the expiry date stated on the bottle label. Disposal Ask your pharmacist what to do with any unwanted medicine that is left over or if the expiry date has passed.
FOSRENOL 500 mg, 2 bottles of 45 tablets
FOSRENOL 750 mg, 6 bottles of 15 tablets AUST R 106962 FOSRENOL 1000 mg, 6 bottles of 15 tablets AUST R 106964 FOSRENOL® is a registered trademark of Shire Pharmaceutical Contracts Ltd, UK.
Management of Constipation: Considerations for clinical practice Slide Resource CME/CE Quiz 1. The prevalence of constipation in the general population of the USA is approximately. a. 2. Primary chronic constipation is b. Generally a result of insuffi cient dietary fi berc. A condition with multifactorial etiology 3. Which of the following is not thought to be involved in the
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