Magnesium 4mmol Chewable Tablets

• 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 only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor, or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
• The name of this medicine is Magnesium 4mmol Chewable Tablets but it will be referred to as “Magnesium Chewable Tablets” throughout the rest of this leaflet.

1. What Magnesium Chewable Tablets is and what it is used for
2. What you need to know before you take Magnesium Chewable Tablets
3. How to take Magnesium Chewable Tablets
4. Possible side effects
5. How to store Magnesium Chewable Tablets
6. Contents of the pack and other information

• if you are allergic or intolerant to any of the ingredients (listed in section 6)
• if you have hyperphosphataemia (high levels of phosphate in your blood)
• if you have kidney disease

Talk to your doctor or pharmacist before taking Magnesium Chewable Tablets if you have ever had an operation on your bowel.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

This is because Magnesium Chewable Tablets can affect the way some other medicines work. Also some other medicines can affect the way Magnesium Chewable Tablets works.

In particular, you must allow a time interval of 2-3 hours between taking Magnesium Chewable Tablets and the following medicines:

• Cellulose sodium phosphate, used to prevent kidney stones
• EDTA, used in hospital for high calcium levels
• Flourides, used for preventing tooth decay
• Tetracyclines, antibiotics to treat infections

You must allow a time interval of 3-4 hours between taking Magnesium Chewable Tablets and the following medicines:

• Aminoquinolines, medicines to treat malaria
• Quinidine and quinidine derivatives, medicines to treat heart rhythm disorders
• Nitrofurantoin, Nitroxoline, antibiotics to treat infections
• Penicillamine, medicine used to treat severe rheumatoid arthritis and used in Wilson's disease
• Iron, to treat anaemia
• Bisphosphonates, to treat osteoporosis e.g. alendronate, risedronate
• Eltrombopag, to correct bleeding deficiency

The following medicines may cause magnesium deficiency, your doctor may decide to adjust your daily dose of magnesium:

• Aminoglycosides, antibiotics used to treat infections e.g. gentamicin, streptomycin and neomycin
• Certain medicines used to treat cancer such as cisplatin and EGF-receptor antagonists such as cetuximab and erlotinib
• Ciclosporins, medicines used to suppress the body’s immune system e.g. following an organ transplant
• Water tablets (Diuretics), medicines used to treat blood pressure or heart failure e.g. thiazide, furosemide, bumetanide
• Proton Pump Inhibitors, medicines used to treat high acid in the stomach or oesophagus. e.g. omeprazole, pantoprazole
• Amphotericin B, antibiotic that fights fungal infections in the body
• Rapamycin, medicine used to suppress the body’s immune system e.g. following an organ transplant
• Pentamidine, medicine to treat infections such as pneumonia
• Foscarnet, an antiviral medication
• Digoxin, a medicine to treat heart rhythm disturbance and heart failure

The effectiveness and safety of Magnesium Chewable Tablets has not been properly studied in pregnant women although magnesium salts are routinely used to treat preeclampsia (a rise in blood pressure, and protein in the urine during pregnancy). Magnesium Chewable Tablets should only be used in pregnancy if your doctor has decided that the benefits of treatment outweigh any potential risks. Magnesium Chewable Tablets can be used during breast-feeding. Based on long-term experience, no effects from magnesium on male and female fertility are expected.

Magnesium Chewable Tablets has no or negligible influence on the ability to drive and use machines.

This medicine contains 25 mg sorbitol in each chewable tablet.

Sorbitol is a source of fructose. If your doctor has told you that you (or your child) have an intolerance to some sugars or if you have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disorder in which a person cannot break down fructose, talk to your doctor before you (or your child) take or receive this medicine.

This medicinal product contains sucrose. May be harmful to the teeth. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

This medicine contains 12.64 mg sodium (main component of cooking/table salt) in each chewable tablet. This is equivalent to 0.6 % of the recommended maximum daily dietary intake of sodium for an adult.

Contact a doctor or healthcare professional immediately. Symptoms are given in section 4.

Take one as soon as you remember and continue to take the remainder of the doses as directed. Do not take a double dose to make up for a forgotten tablet.

If you get any side effects, talk to your doctor or pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

• Each tablet contains 4mmol (97.2mg) of the active substance magnesium (as magnesium glycerophosphate, with quantity: 777.6 mg).
• The other ingredients are sorbitol (E420), povidone K30, cellulose, microcrystalline (E460), citric acid, sucralose, lemon flavour (including flavouring preparation, maltodextrin, sucrose, gum arabic, glyceryl triacetate, alpha-tocopherol), croscarmellose sodium and stearic acid (E570).

Magnesium Chewable Tablets are white to off white round, flat tablets.

Tablets are packed in white HDPE bottles with a LDPE cap and a desiccant placed inside the cap, in pack size of 50 chewable tablets.