What is it and how is it used?
Mimpara works by controlling the levels of parathyroid hormone (PTH), calcium and phosphorous in your body. It is used to treat problems with organs called parathyroid glands. The parathyroids are four small glands in the neck, near the thyroid gland, that produce parathyroid hormone (PTH).
Mimpara is used:
In primary and secondary hyperparathyroidism too much PTH is produced by the parathyroids glands. “Primary” means that the hyperparathyroidism is not caused by any other condition and “secondary” means that the hyperparathyroidism is caused by another condition, e.g., kidney disease. Both primary and secondary hyperparathyroidism can cause the loss of calcium in the bones, which can lead to bone pain and fractures, problems with blood and heart vessels, kidney stones, mental illness and coma.
What do you have to consider before using it?
Do not take Mimpara:
Take special care with Mimpara:
Children under the age of 18 must not take Mimpara.
Before you start taking Mimpara, tell your doctor if you have or have ever had:
For additional information see section 4.
During treatment with Mimpara, tell your doctor:
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.
Please tell your doctor if you are taking the following medicines.
These can affect how Mimpara works:
Mimpara may affect how the following work:
Taking Mimpara with food and drink
Mimpara should be taken with or shortly after food.
Pregnancy and breast-feeding
Always tell your doctor if you are pregnant or planning to become pregnant. Mimpara has not been tested in pregnant women. In case of pregnancy, your doctor may decide to modify your treatment, as Mimpara might harm the unborn baby.
It is not known whether Mimpara is excreted in human milk. Your doctor will discuss with you if you should discontinue either breast-feeding or treatment with Mimpara.
If you are pregnant or planning to become pregnant ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
No studies on the effects on the ability to drive and use machines have been performed. Dizziness and seizures have been reported by patients taking Mimpara. If you experience these, your ability to drive or operate machinery may be affected.
If you have an intolerance to some sugars
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
How is it used?
Always take Mimpara exactly as your doctor has told you. You should check with your doctor or pharmacist if you are unsure. Your doctor will tell you how much Mimpara you must take.
Mimpara must be taken orally, with or shortly after food. The tablets must be taken whole and are not to be divided.
Your doctor will take regular blood samples during treatment to monitor your progress and will adjust your dose if necessary.
If you are being treated for secondary hyperparathyroidism
The usual starting dose for Mimpara is 30 mg (one tablet) once per day.
If you are being treated for parathyroid cancer or primary hyperparathyroidism
The usual starting dose for Mimpara is 30 mg (one tablet) twice per day.
If you take more Mimpara than you should
If you take more Mimpara than you should you must contact your doctor immediately. Possible signs of overdose include numbness or tingling around the mouth, muscle aches or cramps and seizures.
If you forget to take Mimpara
Do not take a double dose to make up for forgotten doses.
If you have forgotten a dose of Mimpara, you should take your next dose as normal.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
What are possible side effects?
Like all medicines, Mimpara can have side effects, although not everybody gets them.
If you start to get numbness or tingling around the mouth, muscle aches or cramps and seizures you should tell you doctor immediately.These may be signs that your calcium levels are too low (hypocalcaemia).
Very common side effects (seen in more than 1 in 10 people taking Mimpara):
Common side effects (seen in more than 1 in 100 people taking Mimpara):
Uncommon side effects (seen in more than 1 in 1000 people taking Mimpara):
Frequency not known
After taking Mimpara a very small number of patients with heart failure had worsening of their condition. Low blood pressure (hypotension) has also been seen in a very small number of these patients. As so few cases have been seen it is not known whether they are due to Mimpara, or not.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
How should it be stored?
Keep out of the reach and sight of children.
Do not use Mimpara after the expiry date which is stated on the outer carton and on the blister. The expiry date refers to the last day of that month.
(or) Do not use Mimpara after the expiry date which is stated on the outer carton and on the bottle.
This medicinal product does not require any special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.