Astellas Pharma Ltd

Lovett House, Lovett Road, Staines, Middlesex, TW18 3AZ
Telephone: +44 (0)1784 419615
Fax: +44 (0)1784 419 401
Summary of Product Characteristics last updated on the eMC: 15/08/2008
SPC De-Noltab

When a pharmaceutical company changes an SPC or PIL, a new version is published on the eMC. For each version, we show the dates it was published on the eMC and the reasons for change.

Updated on 15/08/2008 and displayed until Current
Reasons for adding or updating:
  • Change to section 10 date of revision of the text
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.8 - Undesirable Effects
Date of revision of text on the SPC:   18-Jul-2008
Legal Category:   P
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company



4.5 Interaction with other Medicinal products and other forms of Interaction

The following sentence has been added -

No other medicines, food or drink, in particular antacids, milk, fruit or fruit juices, should be consumed within half an hour before or after a dose of De-Nol as they may influence its effect. 

4.8 Undesirable Effects

The original paragraph has been deleted and the following table has been added.

 

System Organ Class

Common

>1/100,

<1/10

Uncommon

>1/1000,

1/100

Very rare

<1/10,000, Not known (cannot be estimated from the available data)

Immune system disorders

 

 

anaphylactic reaction

Gastrointestinal disorders

blackening of the stool

nausea, vomiting, constipation, diarrhoea

 

Skin and subcutaneous tissue disorders

 

rash, pruritus

 

 

Updated on 09/07/2007 and displayed until 15/08/2008
Reasons for adding or updating:
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for Use
  • Change to section 4.8 - Undesirable Effects
  • Change to section 9 - Date of first Authorisation/renewal of the Authorisation
  • Change to section 10 date of revision of the text
Date of revision of text on the SPC:   07/2007
Legal Category:   P
Black Triangle (CHM):   NO

Free-text change information supplied by the pharmaceutical company

4.3 Contraindications
The following sentence has been added:
Hypersensitivity to the active substance(s) or to any of the excipients.
 
4.4 Special warnings and special precautions for use
The following has been added:
Prolonged use of high doses of bismuth compounds is not recommended because this has occasionally led to reversible encephalopathy.  It is, not advisable to take other bismuth-containing drugs concomitantly.
Contains approximately 2 mmol (approximately 40 mg) potassium per tablet.  To be taken into consideration by patients with reduced kidney function or patients on a controlled potassium diet.
 
 
4.8 Undesirable effects
This has been added to and now reads
Blackening of the stool usually occurs; nausea, vomiting, constipation, diarrhoea, anaphylaxis, rash and pruritis have been reported.
 
Updated on 06/01/2006 and displayed until 09/07/2007
Reasons for adding or updating:
  • Change to section 7 - Marketing Authorisation Holder
  • Change to section 10 (date of (partial) revision of the text
Updated on 22/07/2004 and displayed until 06/01/2006
Reasons for adding or updating:
  • Change to section 2 - qualitative and quantitative composition
  • Change to section 6.1 - List of Excipients
Updated on 30/12/2003 and displayed until 22/07/2004
Reasons for adding or updating:
  • Change to section 2 - qualitative and quantitative composition
  • Change to section 6.1 - List of Excipients
  • Change to section 10 (date of (partial) revision of the text
Updated on 25/07/2002 and displayed until 30/12/2003
Reasons for adding or updating:
  • Change to section 3 - pharmaceutical form
  • Change to section 4.3 - Contra-indications
  • Change to section 6. 4 - Special Precautions for Storage
  • Addition of Legal Category
Updated on 07/08/2001 and displayed until 25/07/2002
Reasons for adding or updating:
  • Correction of spelling/typing errors
Updated on 28/01/2000 and displayed until 07/08/2001
Reasons for adding or updating:
  • No reasons supplied
Updated on 06/09/1999 and displayed until 28/01/2000
Reasons for adding or updating:
  • No reasons supplied

Active Ingredients/Generics

 
   tri-potassium di-citrato bismuthate


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