SPASMOMEN Film-coated tablet Ref.[51156] Active ingredients: Otilonium

Source: Medicines Authority (MT)  Revision Year: 2021  Publisher: A. Menarini Industrie Farmaceutiche Riunite Srl, Via Sette Santi 3, 50131 Florence, Italy

4.3. Contraindications

Hypersensitivity to the active substance or to any of the excipients listed in section 6.1.

4.4. Special warnings and precautions for use

To be used with caution in subjects with glaucoma, prostatic hypertrophy and pyloric stenosis. This medicinal product contains lactose. Patients with rare hereditary problems of galactose intolerance, total lactase deficiency or glucose-galactose malabsorption should not take this medicine.

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

4.5. Interaction with other medicinal products and other forms of interaction

No interaction studies of otilonium bromide with other products were performed.

At the recommended dose of 40 mg 2 or 3 times daily, the effect of Otilonium bromide on total time of gastrointestinal transit seems to be not significant.

4.6. Fertility, pregnancy and lactation

Pregnancy

There are no or limited amount of data from the use of Otilonium Bromide in pregnant women. Animal studies do not indicate direct or indirect harmful effects with respect to reproductive toxicity (see section 5.3).

As a precautionary measure, it is preferable to avoid the use of Spasmomen during pregnancy, unless absolutely necessary and under close medical supervision.

Breast-feeding

It is unknown whether Otilonium Bromide is excreted in human milk.

A risk to the newborns/infants cannot be excluded.

Spasmomen should only be recommended to breast-feeding mothers if absolutely necessary and under close medical supervision.

Fertility

There are no data on the effect of Otilonium Bromide on human fertility. No effects on fertility have been observed in animal studies with female and male rats (see section 5.3).

4.7. Effects on ability to drive and use machines

Spasmomen has no or negligible influence on the ability to drive and use machines.

4.8. Undesirable effects

Undesirable effects are described in accordance with their system organ class and based on their estimated frequency from post-authorisation studies and spontaneous reporting.

Frequencies are defined as follows: very common (≥1/10); common (≥1/100 to <1/10); uncommon (≥1/1,000 to <1/100); rare (≥1/10,000 to <1/1,000); very rare (<1/10,000); not known (frequency cannot be estimated from the available data).

System organ classification Frequency Undesirable effects
Skin and subcutaneous tissue
disorders
Not known Angioedema*
Urticaria*
Gastrointestinal disorders Not known Dry mouth
Nausea

* Undesirable effects coming from post-marketing experience

Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via ADR Reporting Website: www.medicinesauthority.gov.mt/adrportal.

6.2. Incompatibilities

Not applicable.

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