PACKAGE LEAFLET: INFORMATION FOR THE USER Flukloxacillin Mylan 500 mg film-coated tablets Flukloxacillin Mylan 750 mg film-coated tablets flucloxacillin Read all of this leaflet carefully before you start taking this medicine. Keep this leaflet. You may need to read it again. If you have any further questions, ask your doctor or pharmacist. This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. 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. In this leaflet: 1. What Flukloxacillin Mylan is and what it is used for 2. Before you use Flukloxacillin Mylan 3. How to take Flukloxacillin Mylan 4. Possible side effects 5. How to store Flukloxacillin Mylan 6. Further information 1. WHAT FLUKLOXACILLIN MYLAN IS AND WHAT IT IS USED FOR The active substance in Flukloxacillin Mylan, flucloxacillin, is a penicillin (antibacterial medicine) that prevents the bacteria from building up a normal cell wall. Without a functioning cell wall the bacteria dies quickly. Flukloxacillin Mylan differs from ordinary penicillin in that it is stable to an enzyme (beta-lactamase), which is able to break down ordinary penicillin. Flukloxacillin Mylan is used for infections in skin and soft tissue as well as infections in bones, joints and lungs. 2. BEFORE YOU USE FLUKLOXACILLIN MYLAN Do not take Flukloxacillin Mylan if you are allergic (hypersensitive) to flucloxacillin, penicillin or any of the other ingredients of Flukloxacillin Mylan (see section 6 where other ingredients are listed). Take special care with Flukloxacillin Mylan - if you are allergic (hypersensitive) to cephalosporines (another group of antibacterial medicine) you should consult your doctor before using Flukloxacillin Mylan Stop taking Flukloxacillin Mylan and immediately contact a doctor if you have any of the following symptoms (angioedema): swelling of the face, tongue or throat difficulties in swallowing nettle rash and breathing difficulties. Taking other medicines Please tell your doctor or pharmacists if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This is because some medicines can affect or be affected by Flukloxacillin Mylan, for example, some medicines for tumours and disorders of the immune system (methotrexate), gout (probenecide) and some blood thinning medicines (warfarin). 1 The effect of the oral contraceptive pill may be affected. Taking Flukloxacillin Mylan with food and drink Flukloxacillin Mylan is most effective if taken between meals. Pregnancy and breast-feeding Ask your doctor or pharmacist for advice before taking any medicine. There are no known risks when used during pregnancy. However, Flukloxacillin Mylan should only be taken on the advice of your doctor. Flucloxacillin passes into breast milk but probably does not affect the breastfeeding baby. However, consult your doctor if you use Flukloxacillin Mylan more than just temporarily when you are breastfeeding. Driving and using machines No known effect on the ability to drive or operate machines. Important information about some of the ingredients of Flucloxacillin Pharmachem Flukloxacillin Mylan 500 mg contains 29 mg sodium per tablet and Flukloxacillin Mylan 750 mg contains 44 mg sodium per tablet. This should be taken into consideration by patients on a low salt diet. 3. HOW TO TAKE FLUKLOXACILLIN MYLAN Always take Flukloxacillin Mylan exactly as your doctor has told you. Ask your doctor or pharmacist if you are unsure. The tablet can be divided into equal halves Even if you feel better after a few days it is important that you take all the Flukloxacillin Mylan prescribed for you by your doctor. Otherwise some bacteria could survive, grow and cause a new outbreak of the infection. If you have taken more Flukloxacillin Mylan than you should If you or someone else has taken too much Flukloxacillin, call a doctor straight away. The most likely signs of an overdose of Flukloxacillin are nausea, vomiting, diarrhoea, muscle twitch, cramps and coma. If you forget to take Flukloxacillin Mylan Do not take a double dose to compensate for the forgotten tablet. If you have any further questions on the use of this medicine, ask your doctor or pharmacist. 4. POSSIBLE SIDE EFFECTS Like all medicines, Flukloxacillin Mylan can cause side effects, although not everybody gets them. Flukloxacillin Mylan may in rare cases affect the white blood cells, reducing defence against infections. If you get an infection with symptoms such as high temperature with severely impaired general condition or high temperature with local infection symptoms such as a sore throat/pharynx/mouth or difficulties in passing urine, you should contact a doctor as soon as possible for a blood test to rule out any deficiency in white blood cells (agranulocytosis). It is important that you give information about your medication at this time. 2 Common (affects 1 to 10 users in 100): Stomach trouble, mainly nausea or diarrhoea, and skin rash. Uncommon (affects 1 to 10 users in 1,000): Nettle rash, altered blood picture (eosinophilia). Rare ( affects 1 to 10 users in 10,000): Severe allergic reaction (anaphylactic reaction), altered blood picture (agranulocytosis), colitis, effect on the liver. In the event of long-term or severe diarrhoea you should contact a doctor. Itching in the genital area may be caused by a fungal overgrowth. A white coating in the mouth, mainly on the tongue may also be caused by a fungal infection. 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. 5. HOW TO STORE FLUKLOXACILLIN MYLAN Keep out of the reach and sight of children. This medicinal product does not require any special storage conditions. Do not use Flukloxacillin Mylan after the expiry date which is stated on the carton and blister after “EXP”. The expiry date refers to the last date of that month. 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. 6. FURTHER INFORMATION What Flukloxacillin Mylan contains 1 tablet contains: The active substance is: flucloxacillin sodium monohydrate equivalent to flucloxacillin 500 mg and 750 mg respectively The other ingredients are: Microcrystalline cellulose, povidone, magnesium stearate, collodial, anhydrous silica, croscarmellose sodium, titanium dioxide (E171), hypromellose, macrogol, ethylcellulose and carnauba wax. What Flukloxacillin Mylan looks like and package sizes 500 mg: White, oval, biconvex, film-coated tablet of 18 x 5 mm with “F 500” on one side and a breakline on the other side. 750 mg: White, oval, biconvex, film-coated tablet of 19,5 x 5,3 mm with “F 750” on one side and a breakline on the other side. Blister packs containing 16, 20, 30, 50 or 100 tablets HDPE bottles containing: 20, 30, 50 or 100 tablets The HDPE bottle contains 0.5 g silica gel as desiccant. The bottle is sealed with aluminium foil. Marketing authorisation holder and manufacturer Mylan AB Box 23033 3 104 35 Stockholm Sweden This package leaflet was last approved on 2012-07-24 4