Lessmusec 375 mg Capsules

    Lessmusec 375 mg Capsules

    S2
    PDF Leaflet Revision Date: 30 March 2023


    Clinical Summary

    Quick overview from the medicine insert

    Indication

    Adjunctive therapy in respiratory tract disorders with excessive viscous mucus.

    Dosage (summary)

    Adults: 2 capsules three times daily, then 1 capsule four times daily after response.

    Special Populations

    • Elderly
    • History of gastroduodenal ulcers

    Pregnancy & Breastfeeding

    Not recommended during pregnancy or breastfeeding due to lack of data.

    Key Drug Interactions

    • Incompatible with pholcodine linctus

    Contraindications

    • Hypersensitivity to carbocisteine
    • Active peptic ulcer

    Common side effects

    • Dizziness
    • Headache
    • Nausea
    • Gastrointestinal bleeding

    Counselling Points

    • Take with caution until effects are known
    • Report any allergic reactions

    Serious warnings

    • Caution in elderly and those with gastrointestinal bleeding risk
    Important Disclaimer

    The Lessmusec 375 mg Capsules professional information leaflet below is the property of Brunel Laboratoria and is provided on Medinsert exactly as issued, with no.. alterations or editorial changes. We make every effort to keep content current by updating documents as soon as new versions become available. Medinsert serves as a trusted access point for healthcare professionals, but does not replace official sources or clinical judgement. For more details, please read our full disclaimer. read more>>

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    Clinical Particulars

    Section 4 of the official insert — extracted exactly as issued, no alterations

    4.1 Therapeutic indications

    Adjunctive therapy in respiratory tract disorders characterised by excessive viscous mucus in the absence of infection.

    4.2 Posology and method of administration

    Posology
    Adults: Two capsules three times daily, reducing to one capsule four times daily after satisfactory response has been obtained.
    Paediatric population
    No data available.
    Method of administration
    LESSMUSEC is for oral use only.

    4.3 Contraindications

    • Hypersensitivity to carbocisteine or any of the excipients of LESSMUSEC listed in section 6.1.
    • Use in patients with an active peptic ulcer.

    4.4 Special warnings and precautions for use

    LESSMUSEC should be used with caution in elderly patients, those with a history of gastroduodenal ulcers, or those taking concomitant medicines known to cause gastrointestinal bleeding due to the risk of disruption of the gastric mucosal barrier. If gastrointestinal bleeding occurs, LESSMUSEC therapy should be discontinued. Transient hypothyroidism may develop in patients with compromised thyroid function.

    Excipient warnings
    LESSMUSEC contains Sunset Yellow FCF (E110), ponceau 4R (E124) and carmoisine (E122) which may cause allergic reactions.

    4.5 Interaction with other medicines and other forms of interaction

    Incompatible with pholcodine linctus.

    4.6 Fertility, pregnancy and lactation

    Safety and efficacy during pregnancy and lactation have not been established.
    Pregnancy
    There are no available data on carbocisteine use in pregnant women. The use of carbocisteine in pregnant women is not recommended.
    Breastfeeding
    There are no available data on the presence of carbocisteine in human milk, milk production, or the effects on the breastfed infant. The use of carbocisteine in breastfeeding women is not recommended.
    Fertility
    No fertility data are available.

    4.7 Effects on ability to drive and use machines

    LESSMUSEC is not likely to affect the ability to drive a vehicle or operate machinery. However, patients must take care until they know how they will react to LESSMUSEC.

    4.8 Undesirable effects

    Immune system disorders
    Frequency unknown: Anaphylactic reactions, allergic skin eruption and fixed medicine eruption.
    Nervous system disorders
    Frequency unknown: Dizziness, headache.
    Cardiac disorders
    Frequency unknown: Palpitations.
    Gastrointestinal disorders
    Frequency unknown: Nausea, heartburn, diarrhoea, epigastric discomfort, gastrointestinal bleeding, vomiting.
    Skin and subcutaneous tissue disorders
    Frequency unknown: Skin rash, bullous dermatitis, Stevens-Johnson syndrome, erythema multiforme.
    Reporting of suspected adverse reactions
    Reporting suspected adverse reactions after authorisation of LESSMUSEC is important. It allows continued monitoring of the benefit/risk balance of LESSMUSEC. Health care providers are asked to report any suspected adverse reactions to SAHPRA via the 6.04 Adverse Drug Reactions Reporting Form, found online under SAHPRAu2019s publications: https://www.sahpra.org.za/Publications/Index/8

    4.9 Overdose

    See sections 4.4 and 4.8. Gastrointestinal disturbance is the most likely symptom of LESSMUSEC overdosage. Treatment is symptomatic and supportive.

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