ENTOCORT CR Capsule Ref.[27516] Active ingredients: Budesonide

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2019  Publisher: Tillotts Pharma UK Limited., Wellingore Hall, Wellingore, Lincolnshire, LN5 0HX, United Kingdom

4.1. Therapeutic indications

Crohn’s disease – Induction of remission in patients with mild to moderate active Crohn’s disease affecting the ileum and/or the ascending colon.

Microscopic colitis – Induction of remission in patients with active microscopic colitis

Maintenance of remission in patients with microscopic colitis.

4.2. Posology and method of administration

Posology

Adults

Active Crohn’s disease

The recommended daily dose for induction of remission is 9 mg once daily in the morning, for up to eight weeks. The full effect is usually achieved within 2–4 weeks.

When treatment is to be discontinued, the dose should normally be reduced for the last 2 to 4 weeks of therapy.

Active Microscopic colitis

The recommended dose is 9 mg once daily in the morning (corresponding to 3 capsules).

Maintenance of Microscopic colitis

The recommended dose is 6 mg once daily in the morning (corresponding to 2 capsules), or the lowest effective dose.

Paediatric population

There are limited data on the use of Entocort CR Capsules in children (see Sections 5.1 and 5.2). The available data are insufficient to support safety and efficacy in the paediatric population, therefore such use cannot be recommended until further data become available.

Older people

No special dose adjustment is recommended. However, experience with Entocort CR Capsules in older people is limited.

Method of administration

The capsules should be swallowed whole with water. The capsules must not be chewed.

4.9. Overdose

Reports of acute toxicity or death following overdosage of glucocorticosteroids are rare. Thus, acute overdosage with Entocort CR Capsules even in excessive doses, is not expected to lead to an acute clinical crisis. In the event of acute overdosage, no specific antidote is available. Treatment consists of supportive and symptomatic therapy.

Chronic overdosage may lead to systemic corticosteroid effects, such as Cushingoid features. If such changes occur, the dose of Entocort CR Capsules should be gradually reduced until treatment is discontinued, in accordance with normal procedures for the discontinuation of prolonged oral glucocorticosteroid therapy.

6.3. Shelf life

3 years.

6.4. Special precautions for storage

Do not store above 30°C.

Store in the original container in order to protect from light/moisture. Replace cap firmly after use. Keep this medicine out of the sight and reach of children.

6.5. Nature and contents of container

White polyethylene bottles of 50 or 100 capsules, having either a tamper-evident or child-resistant polypropylene screw cap, with an integral desiccant.

6.6. Special precautions for disposal and other handling

No special requirements. See section 4.2.

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

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