A traditional herbal medicinal product used for the relief of lower urinary tract symptoms in women related to an overactive bladder or bladder weakness, such as urgency to urinate, urinary incontinence or frequent urination. This is exclusively based on long-standing use.

Prior to treatment, other serious conditions should have been ruled out by a doctor.

Posology

Adults and elderly patients

One capsule to be taken three times a day.

Paediatric population

The use in children and adolescents under 18 years of age is not recommended (see section 4.4).

Method of administration

For oral only.

The capsules should be taken with sufficient fluids, ideally before meals.

Due to a lack of data, the safety of this product for long term use has not been established.

If symptoms worsen during use or persist after 4 weeks of use a qualified healthcare professional e.g. a doctor or pharmacist should be consulted.

Hypersensitivity to the active substances, to other members of the Cucurbitaceae family (such as watermelon, courgettes etc.), soya, peanuts, or to any of the excipients listed in section 6.1.

Do not exceed the stated dose.

It is strongly advised that you see a doctor before taking this product as urinary symptoms may be due to a serious underlying condition which only your doctor can diagnose.

If symptoms worsen during use or persist after 4 weeks of use a qualified healthcare professional e.g. a doctor or pharmacist should be consulted.

If symptoms such as pyrexia, spasms, haematuria, urinary retention, painful urination, loin pain, abdominal or back pain or vaginal discharge are present or develop during use, medical advice must be sought.

The use in children and adolescents under 18 years of age or pregnant women (see section 4.6) is not recommended, because lower urinary tract symptoms in these populations require medical supervision.

Patients with rare glucose-galactose malabsorption should not take this medicine.

This product contains soya-bean oil and should not be used by patients who are allergic to peanuts or soya.

No interaction studies have been performed.

There are no known interactions.

Pregnancy

The use in pregnant women is not recommended, because lower urinary tract symptoms in this population require medical supervision.

The safety during pregnancy has not been established. In the absence of sufficient data, the use during pregnancy is not recommended.

Breastfeeding

The safety during lactation has not been established. In the absence of sufficient data, the use during lactation is not recommended.

Fertility

No data are available.

Urostemol Femina may impair ability to drive and use machines. Affected patients should not drive or operate machinery.

The assessment of the frequency of undesirable effects is based on the following definitions: 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 (cannot be estimated from the available data).

Common: Mild gastrointestinal complaints (abdominal pain, dyspepsia, nausea, vomiting, stomach discomfort, dysphagia, oesophageal pain and diarrhoea).

Frequency not known: hypersensitivity reactions (rash, urticaria, erythema, pruritus, oedema and anaphylactic shock).

If other adverse reactions not mentioned above occur a qualified healthcare professional e.g. a doctor or pharmacist should be consulted.

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 HPRA Pharmacovigilance Earlsfort Terrace, IRL - Dublin 2; Tel: +353 1 6764971; Fax: +353 1 6762517. Website: www.hpra.ie; E-mail: medsafety@hpra.ie.

No cases of an overdose were reported.

Supportive and symptomatic treatment should be provided as appropriate.

The active constituents of pumpkin seed have not been finally substantiated. Seeds from specifically cultivated medicinal pumpkin species C. pepo L. convar. citrullina I. Greb. var. styriaca I. Greb contain fatty oil with specific non-ubiquitous phytosterols (delta-7-sterols) which are suggested to contribute to its activity. Urodynamic and antiphlogistic effects were shown for medicinal pumpkin seeds and pumpkin seed oil.

This combination as well as the singular drugs pumpkin seed, hop strobile and fragrant sumach bark have been used to treat irritative bladder complaints for decades. From non-clinical studies anti-inflammatory, antimicrobial, diuretic, spasmolytic effects and soothing effects on overactive bladder and bladder weakness have been reported.

There are no specific pharmacodynamic studies for Urostemol femina.

Not required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended.

No genotoxic potential was observed in the AMES test for this specific product formulation.

All-rac-α-tocopheryl acetate

Soya-bean lecithin

Partially hydrogenated soya-bean oil

Yellow beeswax

Gelatin

Glycerol

Spray-dried liquid glucose

Maltodextrin

Titanium dioxide (E 171)

Iron oxide (E 172)

Not applicable.

27 months

Do not store above 25°C.

PVC/PE/PVdC-aluminium-blister.

Packs with 30, 60 or 120 hard capsules.

Not all pack sizes may be marketed.

No special requirements.