Astellas Pharama Inc.
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The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse effects (risks) as well as efficacies (benefits). It is important to minimize adverse effects and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
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Brand name :
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Primperan Fine Granules 2%
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Dosage form:
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white fine granules
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Effects of this medicine
This medicine exhibits central and/or peripheral antiemetic actions, and regulates gastrointestinal motility.
It is usually used for the treatment of gastrointestinal symptoms such as nausea and vomiting associated with gastrointestinal diseases, as well as for acceleration of the intestinal passage of barium during an X-ray examination.
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Before using this medicine, be sure to tell your doctor and pharmacist
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If you ever experienced any allergic reaction (itch, rash etc.) to any medicine.
If you have suspected adrenal tumor (pheochromocytoma).
If you have bleeding or perforation (open holes) of the stomach or other intestines.
If you have persistent constipation due to blockage of the intestines (occlusion due to organic factor).
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If you are pregnant or breastfeeding.
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If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)
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Dosing schedule (How to take this medicine)
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Your dosing schedule prescribed by your doctor is << to be written by a healthcare professional>>
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For adults, take 0.5 to 1.5g (10 to 30mg of metoclopramide hydrochloride) per day in 2 to 3 divided doses, before meals. The daily dose may be adjusted according to your age and symptoms. Strictly follow the instructions of your doctor/pharmacist.
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If you realize that you have missed a dose, take the missed dose as soon as possible. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. DO NOT take double doses to make up for the missed dose.
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If you took too much of the medicine (more than ordered), check with your doctor/pharmacist.
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Do not stop taking the medicine without the instructions of your doctor.
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Precautions while taking this medicine
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Sleepiness or dizziness may occur after taking the medicine. Avoid driving a car, operating machinery, working at heights, etc.
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Possible adverse effects of this medicine
Common side effects are reported as below. If any of them occurs, check with your doctor/pharmacist: finger tremor (shaking), muscle stiffness, cervical and facial twitching (muscle contractions), oculogyric crisis, irritated feeling, amenorrhoea, lactation, gynaecomastia, rash, oedema, etc.
The symptoms described below are rarely seen as initial symptoms of the adverse effects indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
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pale face, cold sweat, dizziness when standing up [shock, anaphylactoid symptoms]
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spiking high fever, shaking of the hands and feet, muscle stiffness [neuroleptic malignant syndrome]
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decreased level of consciousness, having difficulty to think, impaired judgment [disturbance of consciousness]
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cramp or spasm[convulsions]
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involuntary muscle movements around the mouth, involuntary movement of the tongue in and out of the mouth, repeated movement disorder of the arms and legs such as flexing and stretching [tardive dyskinesia]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.
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Storage conditions and other information
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Keep out of the reach of infants and children. Store away from direct sunlight, heat and humidity.
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Discard the remainder. Do not store them.
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