Pro-Banthine tablets

• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist or nurse.
• This medicine has been prescribed for you. 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 you doctor or pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

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

• an allergy to propantheline bromide or any of the other ingredients of Pro-Banthine (see Section 6)
• an obstruction in your gut (gastrointestinal tract), or it is inflamed or does not function normally. These may show themselves as abdominal pain, bloating, reflux or fever
• a partial or complete blockage of the bowel that leads to constipation or bloating of the stomach (paralytic ileus)
• toxic megacolon (a very dilated colon accompanied by bloating and sometimes fever, abdominal pain or shock)
• a hiatus hernia (a condition in which a portion of the stomach protrudes upward into the chest, through an opening in the diaphragm)
• pyloric stenosis (a narrowing of the outlet from your stomach which delays food passing out of your stomach and may lead to vomiting)
• severe ulcerative colitis (ulcers and inflammation in the large bowel), as Pro-Banthine tablets may worsen the condition
• any obstruction in your urinary tract
• a muscle weakening disease such as myasthenia gravis or weakness of the intestinal muscles
• heart problems following severe bleeding
• an enlarged prostate gland
• an eye disease called closed angle glaucoma.

Talk to your doctor or pharmacist or nurse before taking Pro-Banthine if any of the following conditions applies to you:

• pregnancy, likely to become pregnant or are breast-feeding
• elderly
• diarrhoea, especially if you have a colostomy (opening of the colon by surgery) or ileostomy (opening of the small intestine by surgery)
• severe heart disease, especially if an increase in heart rate is undesirable, or an irregular heart beat, heart failure, reduced heart function or any other heart problem (coronary heart disease, congestive heart failure, cardiac arrhythmias)
• gastrointestinal reflux
• a fever
• ulcerative colitis (ulcers and inflammation in the large bowel) as taking Pro-Banthine tablets may result in life-threatening complications of other intestinal conditions
• autonomic neuropathy (a disease of the nervous system affecting the bladder muscles, the heart, the digestive tract, and the genital organs)
• liver or kidney problems
• an overactive thyroid gland
• high blood pressure

Pro-Banthine should be used with caution in elderly patients and patients with Down’s syndrome.

These tablets may induce fever and heat stroke in patients in hot weather due to decreased sweating.

These tablets are not recommended for children.

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

In particular, tell your doctor or pharmacist if you are taking any of the following medicines, because Pro-Banthine may interact with them:

• nefopam (a pain killer): the risk of side effects may increase if you take Pro-Banthine tablets
• paracetamol: its absorption may be reduced by Pro-Banthine tablets
• medicines to reduce high blood pressure: Pro-Banthine tablets may increase the risk of side effects
• anti-diabetic medicines: your insulin requirement may be reduced if you take Pro-Banthine tablets
• antidepressants: Pro-Banthine tablets may increase the risk of side effects
• disopyramide (to treat irregular heartbeat): Pro-Banthine tablets may increase the risk of side effects
• ketoconazole (to treat fungal infections): Pro-Banthine tablets may reduce its absorption
• nitrofurantoin (to treat infections): Pro-Banthine tablets may enhance its absorption
• antihistamines: Pro-Banthine tablets may increase the risk of side effects
• antimuscarinic drugs such as belladonna alkaloids (to affect the nervous system): Pro-Banthine tablets may increase the risk of side effects
• haloperidol (to treat psychosis): Pro-Banthine tablets may reduce its effects
• clozapine or phenothiazines (to treat psychosis): Pro-Banthine tablets may increase the risk of side effects
• digoxin (to treat heart failure): taking Pro-Banthine tablets with slow-dissolving digoxin tablets may cause increased digoxin levels in your blood
• domperidone (to treat nausea and vomiting): Pro-Banthine tablets may reduce its effects on gastrointestinal activity
• amantadine (to treat Parkinson’s disease and some viral infections): Pro-Banthine tablets may increase the risk of side effects
• levodopa (to treat Parkinson’s disease): Pro-Banthine tablets may reduce its absorption
• memantine (to treat dementia in Alzheimer’s disease): the effects of Pro-Banthine tablets may be enhanced by memantine
• metoclopramide (to treat nausea, vomiting and migraine): Pro-Banthine tablets may reduce its effects on gastrointestinal activity
• nitrates (to treat angina): Pro-Banthine tablets may reduce the effects of sublingual nitrate tablets (failure to dissolve under the tongue owing to dry mouth)
• parasympathomimetics (drugs that are used to affect the nervous system e.g. stimulating digestive secretions; slowing the heart; constricting the pupils; dilating blood vessels): Pro-Banthine tablets may reduce the effects of these drugs.

If you are not sure which medicines you are already taking, please ask your doctor or pharmacist.

Tell your doctor if you are pregnant, think you may be pregnant or planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Do not breast-feed if you are taking Pro-Banthine tablets unless told to by your doctor.

Ask your doctor or pharmacist for advice before taking any medicine.

Do not drive or use machinery as Pro-Banthine tablets may make you feel drowsy or cause blurred vision.

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this product.

This medicine contains less than 1 mmol sodium (23 mg) per 15 mg tablet, that is to say essentially ‘sodium-free’.

The dosage is the same as stated for adults, but the elderly should take special care when taking Pro-Banthine tablets because they are more susceptible to the side effects.

Pro-Banthine tablets are not recommended for use in children.

If you accidentally take more tablets than you should, or you suspect that a child has swallowed the tablets, contact your doctor straight away or go to your nearest hospital casualty department immediately. Take this leaflet and the pack of tablets along with you, if you can.

Symptoms of excessive overdosage are restlessness, hallucinations, confusion, fits, circulatory failure (signs of circulatory failure include pain or discomfort in the chest, shortness of breath, cold hands or feet, numbness or tingling in hands or feet), slow or shallow breathing, muscle paralysis and coma.

If you forget to take your tablets, take your next dose as soon as you remember unless it is time for your next dose. Do not take a double dose to make up for a forgotten dose. If in doubt about what you should do, please contact your doctor or pharmacist or nurse.

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet.

You can also report side effects directly via the Yellow Card Scheme at 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.

The active substance in each tablet is propantheline bromide 15mg.

The other ingredients in the tablet are: lactose monohydrate, talc, corn (maize) starch, magnesium stearate and light liquid paraffin.

The sugar coating contains: sucrose, calcium carbonate, saccharin sodium, titanium dioxide (E171), magnesium carbonate light, castor oil virgin, talc, ferric oxide red (E172), ferric oxide yellow (E172) and carnauba wax (see also end of Section 2 for lactose and sucrose).

Pro-Banthine Tablets are unmarked, pink, sugar-coated tablets.

The tablets are supplied in blister packs containing 100 or 112 tablets or in bottles containing 1000 or 5000 tablets. Not all pack sizes may be marketed.