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Reminyl 24mg Capsules 28 ( A)

IMPORTANT NOTE – A VALID AUSTRALIAN PRESCRIPTION IS REQUIRED BEFORE THIS ITEM CAN BE SHIPPED

Drug Name: galantamine
Private Price $48.39
PBS $37.30
Concession $5.20
Safety Net $0.00

S8 Note - This prescription item is Schedule 8 and can only be supplied on a script from a registered doctor in Queensland. Any prescriptions from any other state cannot be filled and will be returned in the mail

Note: Private, PBS and our prices are available to the general public. Concession and Safety Net prices are only available to people with the appropriate concession or Safety Net cards. See Prescriptions for more details.

GOVERNMENT AUTHORITY SCRIPT

This prescription item requires a pre approved authority from the Government in order to get this item at the quoted price. Authority prescriptions need to be applied for by the doctor writing the script and can include reasons such as increased quantities due to dosage, increased repeats, use for a pre determined specified use, or the nature of the medication itself requiring specialist interaction. In the event that an authority is not granted on the script, the price will revert to the private price quoted for that item

WARNING - MULTIPLE PACK PRESCRIPTION - PLEASE READ CAREFULLY

This item contains more than one pack of a prescription product. Before this can be dispensed the doctor has to give approval. The prescription must be written for the total quantity or the prescription must be endorsed by your doctor "Regulation 24" otherwise we will be unable to dispense the increased amount. If you proceed with the order without approval, we will only send out one pack at the single pack price and refund the difference. Eg If your prescription is written out for 30 Tablets with 5 repeats and it does not have “Regulation 24 “ written on the script, the ONLY quantity we can dispense is 30 at one time. Further dispensing of this product could only occur after an appropriate length of time - usually 21 days but depends on dosage. In this example if you would like to obtain 180 Tablets then the doctor must endorse the prescription “Regulation 24” or the quantity must be written out for 180 and not 30. NB Conditions apply on the writing of a Regulation 24 prescription. Ask your doctor or pharmacist for details.

We can no longer accept signed authority forms from your doctor as permission to dispense more than one pack. Please contact our pharmacist for more information.

If you order this item as Private, NO PBS stickers will be issued. Once any prescription order has been sent the product cannot be returned for a refund even if your doctor changes your medication or you have an adverse reaction.

Reminyl  24mg Capsules 28 ( A)

Reminyl 24mg Capsules 28 ( A)

Product ID: 51184
$48.39

Pharmacist Only Medicine

This product is a Pharmacist Only Medicine and requires pharmacist advice before we can dispatch this product. You must first place the order and then contact our pharmacists within 48 hours on 1300 367 283. The pharmacist will determine if this product is appropriate for you and if so, approve the order. In the event that you do not do this, the product will be deleted from your order and the balance of your order will be dispatched. This is not required if you have a doctor's prescription.

 

General Information

Consumer Medicine Information

What is in this leaflet

This leaflet answers some common questions about REMINYL prolonged release capsules. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.

All medicines have risks and benefits. Your doctor has weighed the risks of you taking REMINYL against the benefits this medicine is expected to have for you. If you have any concerns about taking REMINYL, ask your doctor or pharmacist. Keep this leaflet with your medicine. You may need to read it again. What REMINYL is used for REMINYL is used to treat mild to moderately severe dementia of the Alzheimer's type. The symptoms of Alzheimer's disease include confusion, memory loss or other changes in behaviour. As the disease progresses, patients find it more and more difficult to carry out their normal daily activities. The symptoms of Alzheimer's disease are thought to be due to a lack of acetylcholine, a substance which transmits messages between brain cells. REMINYL increases the amount of this substance to help improve or stabilise the symptoms and therefore slow the progress of Alzheimer's disease. Your doctor may have prescribed REMINYL for another reason. Ask your doctor if you have any questions about why this medicine has been prescribed for you. Before you take REMINYL When you must not take it

Do not take REMINYL if you have:
an allergy to REMINYL or any of the ingredients. See Product Description at the end of this leaflet for a list of ingredients.
severe liver and/or kidney disease.

Do not take REMINYL if the packaging is torn or shows signs of tampering. Do not use REMINYL beyond the expiry date (month and year) printed on the pack. Before you start to take it

You must tell your doctor if you are:
pregnant, or planning to become pregnant
breastfeeding, or planning to breastfeed
planning to undergo surgery which will require anaesthesia.

You must also tell your doctor if you have, or have had any of the following health problems:
liver and/or kidney disease
heart problems
stomach ulcers
brain disorders, such as Parkinson's disease, fits
breathing disorders, such as asthma, pneumonia
recent gut or bladder surgery
difficulties in passing urine
attacks of sudden abdominal pain

If you have not told your doctor or pharmacist about any of the above, tell them before you start taking or are given REMINYL.

Your doctor will advise you whether or not to take REMINYL or if you need to adjust the dose or alter your treatment. Since there may be other related conditions that REMINYL is not intended to treat, you should verify with your doctor that you are taking REMINYL for the treatment of mild to moderate Alzheimer's disease. Initial results from clinical trials in patients with mild cognitive impairment of various causes have shown a slightly higher mortality rate (higher death rate) in those taking REMINYL than those taking placebo (a pill without an active ingredient which is commonly used in clinical trials as a reference for comparison). The reason for this difference is currently not known and may just be due to chance. There is no evidence of increased risk of death in those with mild to moderately severe Alzheimer's disease taking REMINYL. Taking other medicines:

Tell your doctor or pharmacist if you are taking any other medicines, including medicines you can buy without a prescription from a pharmacy, supermarket or health food shop. In particular, tell your doctor or pharmacist if you are taking any of the following:
anticholinergic medicines (used to prevent travel sickness, relieve stomach cramps, spasms or diarrhoea)
cholinergic medicines (e.g. bethanecol and certain medicines used during surgery)
medicines used to treat Parkinson's disease
medicines for certain heart problems (such as digoxin, quinidine) or to help lower blood pressure (such as a class of medicine called beta blockers)
medicines used for breathing problems
certain medicines used to treat fungal infections (such as ketoconazole) or bacterial infections (such as erythromycin)
certain medicines used to relieve pain, swelling and other symptoms of inflammation, including arthritis
certain medicines used to treat depression (such as paroxetine, fluoxetine, fluvoxamine).

These medicines may be affected by REMINYL or may affect how well REMINYL works. Your doctor or pharmacist can tell you what to do if you are taking any of these medicines. Effects on driving and operating machinery
Alzheimer's disease may reduce your ability to drive or operate machines.
REMINYL may cause dizziness or drowsiness in some people, especially during initial treatment.
Discuss with your doctor whether it is safe for you to drive or operate machinery.

Taking REMINYL REMINYL prolonged release capsules should be taken once a day, preferably with food. Be sure to drink plenty of liquids during your treatment with REMINYL to keep yourself hydrated. Adults

The dose of REMINYL is gradually increased to the most suitable dose. The necessary dosage steps should be determined by your doctor to suit your needs.

The following scheme is an example of how your doctor may increase the dose:
Start with 8 mg a day.
After four weeks of treatment, raise the dose to 16 mg a day.
After at least another four weeks of treatment, raise the dose to 24 mg a day.

For long-term treatment, up to 24 mg a day is usually suitable but your doctor will determine the dose that is best for you. If treatment is discontinued for more than several days, tell your doctor. Your doctor will need to re-start your treatment at the lowest dose. This will minimise the chance of experiencing side effects. Children

REMINYL is not recommended for children. If you do not understand the instructions provided with this medicine, ask your doctor or pharmacist for help. If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking it as you would normally.
Do not take a double dose to make up for the dose you missed.

If you have missed more than one dose, or are not sure what to do, check with your doctor or pharmacist. If you have trouble remembering when to take your medicine, ask your pharmacist for some hints. If you have taken too much (overdose)

Immediately telephone your doctor or the Poisons Information Centre for advice, or go to Accident and Emergency at your nearest hospital. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention. Poisons Information Centre telephone numbers:
Australia: 13 11 26
New Zealand: 0800 764 766 or 0800 POISON

Keep these telephone numbers handy.

If you take too much REMINYL, you may experience vomiting or a feeling that you want to vomit, nausea, stomach cramps, excessive production of saliva, tears or sweat, dry mouth, loss of control of your bladder or bowels, a slow or fast heart beat, low blood pressure, dizziness, light-headedness, muscle weakness or twitching, fits, breathing difficulties, chest pain, hallucinations or you may collapse. While you are taking REMINYL Things you must do
Always follow your doctor's instructions carefully.
Tell your doctor if you become pregnant while taking REMINYL.
If you are about to start taking a new medicine, tell your doctor and pharmacist that you are taking REMINYL.

Things you must not do
Do not use REMINYL to treat any other complaint unless your doctor says so.
Do not give this medicine to anyone else, even if their symptoms seem similar to yours.

Side Effects All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some side effects. Do not be alarmed by this list of possible side effects. You may not experience any of them. Ask your doctor or pharmacist to answer any questions you may have. Tell your doctor if you experience any of the following and they worry you:
nausea, vomiting, diarrhoea, stomach pain or discomfort, indigestion, difficulty swallowing
low potassium levels in the blood - weakness, muscle cramps, numbness and tingling that begins in the lower extremities.
leg cramps, tingling in the hands or feet
ringing in the ears
dehydration (sometimes severe) - thirst , lack of fluids
hallucinations (seeing, feeling or hearing things that are not there)
mood changes such as agitation or aggressive feelings
feeling depressed or having thoughts of harming yourself
low blood pressure - dizziness, light-headedness
slow, fast or irregular heart beat
increased sweating
fever
skin rashes
trembling or shakiness
loss of appetite, weight loss
drowsiness, tiredness, weakness, feeling unwell, confusion, trouble sleeping, headache
falling (sometimes resulting in injury)
runny or blocked nose
urinary tract infection
high blood pressure
elevated liver enzymes
yellowing of the skin and eyes
light coloured bowel motions
dark coloured urine.

Some of these side effects occur mainly during the early stages of treatment, or when the dose of REMINYL is increased. They usually disappear gradually over time. For example, nausea and vomiting tend to pass after a few days. Some of these effects may be due to the Alzheimer's disease but always inform your doctor about any unwanted effect that has occurred while taking REMINYL. Tell your doctor immediately, or go to Accident and Emergency at your nearest hospital if you notice any of the following:
signs of allergy such as rash or hives on the skin; swelling of the face, lips, tongue or other parts of the body; wheezing or difficulty breathing.
vomiting blood or material that looks like coffee grounds
bleeding from the back passage, black sticky bowel motions (stools) or bloody diarrhoea
fainting, especially if you have a slow or irregular heart beat
fits (seizures)
pain or tightness in the chest
symptoms of stroke which can include collapsing, numbness or weakness of arms or legs, headache, dizziness and confusion, visual disturbance, difficulty swallowing, slurred speech and loss of speech

These may be serious side effects. You may need urgent medical attention. These are rare side effects.

Other side effects not listed above may also occur in some people. Tell your doctor if you notice any other effects. After taking REMINYL Storage

Keep REMINYL in the pack until it is time to take them.

Keep REMINYL in a cool dry place where the temperature is below 30 °C. Keep your medicines where children cannot reach them. A locked cupboard at least one-and-a-half metres (1.5 m) above the ground is a good place to store medicines. Do not store REMINYL, or any other medicine, in the bathroom or near a sink. Do not leave medicines in the car or on windowsills. Heat and dampness can destroy some medicines. Disposal

If your doctor tells you to stop taking REMINYL, or your medicine has passed its expiry date, ask your pharmacist what to do with any medicine which may be left over.

Product Description What it looks like

There are 3 different types of REMINYL prolonged release capsules. Each capsule contains a different amount of the active ingredient.
REMINYL 8 mg prolonged release capsules

White opaque capsules marked with 'G8', containing white to off-white pellets.
REMINYL 16 mg prolonged release capsules

Pink opaque capsules marked with 'G16', containing white to off-white pellets.
REMINYL 24 mg prolonged release capsules

Caramel opaque capsules marked with 'G24', containing white to off-white pellets. Reminyl prolonged release capsules are available in pack sizes of 28 capsules. Ingredients
the active ingredient of REMINYL is galantamine hydrobromide.

REMINYL prolonged release capsules contain either 8 mg, 16mg or 24 mg of galantamine. All capsules also contain opadry clear OY-7240, non-pareil beads, diethyl phthalate, ethylcellulose, hypromellose in a hard gelatin capsule. In addition, the 16 mg and 24 mg capsules contain red ferric oxide (172) and the 24 mg capsule also contains yellow ferric oxide (172). REMINYL prolonged release capsules do not contain gluten. Sponsor
JANSSEN-CILAG Pty Ltd
1-5 Khartoum Road North Ryde NSW 2113
Australia
Telephone: (02) 8875 3333

NZ Office: Auckland New Zealand
Telephone: 0800 800 806

The Australian Registration Numbers are:
REMINYL 8 mg capsules - AUST R 97883
REMINYL 16 mg capsules - AUST R 97885
REMINYL 24 mg capsules - AUST R 97887
This leaflet was prepared on 29 February 2008.

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Alternative Product(s)
There is generic brand to choose from in the table below. Generic Brands are less expensive brands that have been proven to have the same effect. Please select the desired brand.* *Some Doctor's will have "no substitution permitted" endorsed on the script. Please check your prescription as generics are not available in this case.
Product
Private
PBS
Conc.
SafetyNet
Galantyl 24mg Tablets 28
$119.39
-
-
$0.00