FAMULTRAN 40 mg. 30 tablets

WHAT FAMULTRAN AND WHAT IT IS USED
Famotidine block specific type receptors in the gastric mucosa (histamine H2-blocker) and thereby inhibit the secretion of stomach acid. Reduces the amount of gastric juice and the hydrogen ion concentration therein. It has some protective effect on the gastric mucosa. It has been a long, allowing it to be taken in larger intervals. Famultran apply to:
Treatment of duodenal ulcer and prevention of recurrence.
Treatment of benign gastric ulcer;
Treatment of gastro-oesophageal reflux disease (burning sensation, weight acid in the esophagus, belching); prevention of relapse of symptoms, sores and ulcers in gastroesophageal reflux disease ezofagsalna
Conditions of significantly increased production of hydrochloric acid, incl. syndrome Zollinger- Ellison;


2. Before you take FAMULTRAN
2.1 Do not take Famultran
if you are allergic (hypersensitive) to famotidine or any of the other ingredients of Famultran; If you suffer from allergic reactions to other drugs in the same group H2-blockers /;
if you are pregnant or breast-feeding
Do not use in children and adolescents because there is not enough experience for its safe use.
Ask your doctor if you are unsure of the above-described

Take special care with Famultran
If you have stomach ulcers for many years and complaints have exacerbated appeared again have or do not respond to treatment. Before starting treatment with this product should be excluded malignant disease of the stomach;
If you have had allergic reactions to drugs of this class, for example. those containing ranitidine, cimetidine.
If you have kidney disease (vzh.t.3).


2.2 Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Famultran does not alter the effect of warfarin, theophylline, phenytoin, diazepam, propranolol, aminopyrine and antipyrine.
Reducing the acidity of gastric juice, famotidine can reduce the absorption of ketoconazole with concomitant administration.
It is not recommended to be administered concomitantly with products that reduce the acidity of gastric juice, etc. antacids. It is the interval between doses can be not less than two hours.


2.3 Taking Famultran with food and drink
Famultran can be taken with meals, as there is evidence that food increases its absorption.
It is not recommended during treatment with Famultran to consume alcohol as it irritates the lining of the esophagus and stomach and thus can reduce the performance of the product.

2.4 Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine.
The product is not used during pregnancy as there are no data on its safety to the fetus and newborn.
Famotidine passes into breast milk, so the drug should not be used during breastfeeding. If treatment is necessary, breast feeding should be discontinued during the treatment.


2.5 Driving and using machines
This product does not adversely affect the ability to drive and use machines.


2.6 Important information about some of the ingredients of Famultran
Famultran contains milk sugar (lactose). If you are understood by your doctor that you have an intolerance to some sugars, contact him before taking this medicine.
The content of wheat starch can cause diarrhea in patients suffering from celiac enteropatiya.Patsienti with allergy to wheat / non-celiac / should not take this product.



3. HOW TO TAKE FAMULTRAN
Always take Famultran just as you have been told your lekar.Ako not sure about something, ask your doctor or pharmacist.
For the treatment of duodenal ulcer - a recommended dose of 40 mg at bedtime for 4 weeks; can be administered, and 20 mg twice daily. Supportive treatment - 20 mg in the evening before bedtime.
For treatment of benign gastric ulcer active - 40 mg at bedtime for 4 weeks;
For the treatment of gastroesophageal reflux disease - 20 mg twice daily for 6 weeks; ulceration at - 20-40 mg twice daily for 12 weeks;
For the treatment of conditions associated with a significantly increased formation of hydrochloric acid - initial dose of 20 mg every 6 hours, at the discretion of the physician, and higher (up to 160 mg per 6 hours).
The duration of treatment with Famultran must be determined by a physician Vashtshiya.

Patients with kidney disease
When kidney disease (levels of creatinine clearance below 30 ml / min) daily dose is 20 mg or the interval between doses increased to 36-48 hours. Consult your doctor before you start taking this medicine.

Patients with liver disease
No need dose adjustment.

Children and adolescents
Not recommended treatment with famotidine, lack of experience with the use of this medicine in children and adolescents.

Elderly
In elderly patients do not require dosage adjustment.

If you take more than the amount Famultran
If you accidentally you take more than the prescribed dose, contact your doctor or pharmacist immediately. Take the remaining tablets or this leaflet with you to know metsinskiya staff exactly what medications you take.
There are no reported overdoses even at doses of 640 mg daily. In case of
overdose accepted amount of product must be eliminated from the stomach
the patient to be under control and appropriate treatment.

If you forget to take Famultran
Do not take a double dose to make up for a missed dose. Take the normal dose as soon as possible after you identify gaps and take your normal dose the next day.


4. POSSIBLE SIDE EFFECTS
Like all medicines, Famultran can cause side effects, although not everybody gets them. When taking this medicine, you can get some of those described below side effects. If this happens, tell your doctor.
When treated with the product may occur following side effects:
General disorders: Very Rare: slight fever, fatigue, weight loss.
Cardiac disorders: very rare - heart rhythm disorders.
Gastrointestinal disorders: Rare: diarrhea, constipation; very rare - vomiting, nausea, loss of appetite, feeling of discomfort in the abdomen, dry mouth.
Blood and lymphatic system: very rare - a decrease in the number or lack of white blood cells, reduction in blood pdochitsi (thrombocytopenia)
Disorders of the musculoskeletal system and connective tissue disorders: Very Rare: muscle cramps (involuntary muscle contractions), arthralgia
Nervous system disorders: Rare: headache, dizziness; lot Rare: numbness and tingling / paresthesia /.
Psychiatric disorders: very rare - reversible psychotic disorders such as hallucinations, confusion, agitation, depression and anxiety, insomnia.
Svrahchuvstvietlnost- urticaria, pruritus in the area of the genitals.
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.


5. How to store FAMULTRAN
Keep out of reach of children.
Do not use Famultran after the expiry date stated on the carton. Keep the medicine at a temperature below 25 ° C.
Do not use Famultran if you notice that the tablets have changed in appearance or show other signs of deterioration. Ask your pharmacist for advice.
Medicines should not be disposed of in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.


6. FURTHER INFORMATION
What Famultran
Famultran 20 mg tablets
Active substance in one tablet 20 mg of famotidine
Famultran 40 mg tablets
Active substance in one tablet 40 mg of famotidine
Other ingredients are: corn starch, lactose monohydrate, copovidone, povidone, cellulose, microcrystalline, crospovidone, magnesium stearate, Opadry White OY-B-28920-, Eurocert Sunset Yellow E110.