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Gerard Laboratories

Gerard Laboratories
Unit 36, Baldoyle Industrial Estate, Grange Road, Baldoyle, Dublin 13,
Telephone: +353 1 832 2250
Fax: +353 1 466 1912
Medical Information Direct Line: +353 1800 272 272
Medical Information e-mail: sales@gerard-laboratories.ie


Summary of Product Characteristics last updated on medicines.ie: 19/07/2010
SPC Geramox 250mg & 500mg Capsules

Table of Contents

  • 1. NAME OF THE MEDICINAL PRODUCT
  • 2. QUALITATIVE AND QUANTITATIVE COMPOSITION
  • 3. PHARMACEUTICAL FORM
  • 4. CLINICAL PARTICULARS
  • 4.1 Therapeutic indications
  • 4.2 Posology and method of administration
  • 4.3 Contraindications
  • 4.4 Special warnings and precautions for use
  • 4.5 Interaction with other medicinal products and other forms of interaction
  • 4.6 Pregnancy and lactation
  • 4.7 Effects on ability to drive and use machines
  • 4.8 Undesirable effects
  • 4.9 Overdose
  • 5. PHARMACOLOGICAL PROPERTIES
  • 5.1 Pharmacodynamic properties
  • 5.2 Pharmacokinetic properties
  • 5.3 Preclinical safety data
  • 6. PHARMACEUTICAL PARTICULARS
  • 6.1 List of excipient(s)
  • 6.2 Incompatibilities
  • 6.3 Shelf life
  • 6.4 Special precautions for storage
  • 6.5 Nature and contents of container
  • 6.6 Special precautions for disposal and other handling
  • 7. MARKETING AUTHORISATION HOLDER
  • 8. MARKETING AUTHORISATION NUMBER(S)
  • 9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION
  • 10. DATE OF REVISION OF THE TEXT


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1. NAME OF THE MEDICINAL PRODUCT

250 mg

Geramox 250 mg Capsules, hard.

500 mg

Geramox 500 mg Capsules, hard.


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2. QUALITATIVE AND QUANTITATIVE COMPOSITION

250 mg

Each capsule contains Amoxicillin Trihydrate equivalent to 250 mg amoxicillin (anhydrous).

500 mg

Each capsule contains Amoxicillin Trihydrate equivalent to 500 mg amoxicillin (anhydrous).

For a full list of excipients, see section 6.1.


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3. PHARMACEUTICAL FORM

Capsules, hard (capsule).

250 mg

Red cap with yellow body size 2 hard gelatin capsules marked “AX250” and “G” in black ink, containing a white to off white granular powder

500 mg

Red cap with a yellow body size OE hard gelatin capsules marked “AX500” and “G” in black ink, containing a white to off white granular powder.


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4. CLINICAL PARTICULARS

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4.1 Therapeutic indications

In the treatment of infections due to organisms sensitive to Amoxicillin and in the oral prophylaxis of endocarditis related to dental procedures, and acute uncomplicated gonorrhoea.


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4.2 Posology and method of administration

Geramox Capsules are for oral use.

TREATMENT

Adults the elderly and children over 10 years of age

The usual total daily dosage is 750 mg in three divided doses.

In the treatment of uncomplicated gonorrhoea a single dose of 3 g may be used.

Children

6 -10 years

The usual total daily dosage is 375 - 750 mg in divided doses.

2 -5 years

375 mg daily in divided doses.

Under 2 years

100-300 mg daily in divided doses.

Dosage may be doubled in cases of severe infections.

PROPHYLAXIS

Adults and the elderly

A single dose of 3 g prior to the dental procedure.

Children

A single dose of 1 to 1.5 g prior to the procedure.

Note: In patients with renal insufficiency total daily dosage may need reduction if excretion of drug is delayed.


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4.3 Contraindications

Use in patients with hypersensitivity to penicillins, including Ampicillin, or Cephalosporins.


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4.4 Special warnings and precautions for use

Prolonged use of an anti-infective agent may result in super infection by organisms resistant to that anti-infective.

Patients with infectious mononucleosis frequently develop rashes with Ampicillin therapy. A similar tendency may be apparent with Amoxicillin.


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4.5 Interaction with other medicinal products and other forms of interaction

Methotrexate excretion is reduced by penicillins. Patients should be monitored carefully for signs of methotrexate toxicity.

Probenecid decreases the renal excretion of penicillins. Plasma concentrations are enhanced if probenecid is given concomitantly.

Pencillins may decrease the efficacy of combined oral contraceptives. Patients should be warned of this.


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4.6 Pregnancy and lactation

The product should not be used during pregnancy unless considered essential by the physician. Amoxicillin is excreted in breast milk, presenting the risk of candidiasis and also of central nervous toxicity due to pre-maturity of the blood brain barrier. There is a theoretical possibility of later sensitisation.


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4.7 Effects on ability to drive and use machines

None known.


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4.8 Undesirable effects

Side effects as with other penicillins are uncommon and mainly of mild and transitory nature; Gastro-intestinal effects include diarrhoea, indigestion, nausea, epigastric discomfort and candida infection.

Urticarial and erythematous rashes have been reported. An urticarial rash suggests penicillin hypersensitivity, an erythematous rash may arise in patients receiving amoxicillin who have glandular fever or who have chronic lymphatic leukaemia. If a rash occurs treatment should be discontinued.

In common with other beta-lactam antibiotics, angioedema and anaphylaxis in hypersensitive patients have been reported.

Pseudomembranous colitis and interstitial nephritis have been reported rarely.


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4.9 Overdose

Gross overdose should not present problems if adequate fluid intake and urinary output are maintained; however crystalluria are a possibility. More specific measures may be necessary in patients with impaired renal function: the antibiotic is removed by haemodialysis.


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5. PHARMACOLOGICAL PROPERTIES

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5.1 Pharmacodynamic properties

Amoxicillin Trihydrate is a broad spectrum antibiotic.


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5.2 Pharmacokinetic properties

Amoxicillin Trihydrate is well absorbed after oral administration; reaching peak levels 1-2 hours later, and excreted in the urine.


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5.3 Preclinical safety data

There are no preclinical safety data of relevance to the prescriber that are additional to those included in other sections of the SPC.


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6. PHARMACEUTICAL PARTICULARS

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6.1 List of excipient(s)

250 mg

Capsule contents

Talc

Magnesium stearate

Sodium starch glycolate Type A

Microcrystalline cellulose

500 mg

Capsule contents:

Talc

Magnesium stearate

Sodium starch glycolate Type A

Colloidal silicon dioxide.

250 mg & 500mg

Capsule shell

Gelatin

Erythrosine (E127)

Quinoline yellow (E104)

Titanium dioxide (E171)

Red iron oxide (E172).

Printing ink

Black iron oxide (E172)

Polydimethylsiloxane

Soya lecithin

Shellac


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6.2 Incompatibilities

Not applicable.


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6.3 Shelf life

4 years


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6.4 Special precautions for storage

Do not store above 25°C.


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6.5 Nature and contents of container

Polypropylene containers with polyethylene caps (and optional polypropylene ullage filler) containing 4, 15, 50, 100, 250, 500, or 1000 capsules (securitainers).

PVC/Aluminium foil blister packs containing 100, 250, 500, or 1000 capsules.

Not all pack sizes may be marketed.


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6.6 Special precautions for disposal and other handling

No special requirements.


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7. MARKETING AUTHORISATION HOLDER

Generics [UK] Ltd

12 Station Close

Potters Bar

Hertfordshire

EN6 1TL

United Kingdom.


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8. MARKETING AUTHORISATION NUMBER(S)

250 mg

PA 405/5/1

500 mg

PA 405/5/2


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9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION

Date of first authorisation: 28 November 1984

Date of last renewal: 30 April 2008


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10. DATE OF REVISION OF THE TEXT

May 2010



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Active Ingredients

 
   Amoxicillin trihydrate

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Registered Address: Franklin House, 140 Pembroke Road, Dublin 4, Ireland
Registered Number: 254776
Tel: (353 1) 6603350 Fax: (353 1) 6686672 Email: info@ipha.ie

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