Neulin 125mg Tablet
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of bronchial asthma and bronchospasm.
Dosage (summary)
Adults: 3 tablets every 6 hours for severe attack; maintenance 1 tablet every 6 hours. Children: 1-2 tablets every 6 hours for severe attack based on weight.
Special Populations
- Elderly
- Cardiac failure
- Impaired hepatic function
Key Drug Interactions
- Reduces lithium effect
- Concurrent theophylline therapy
Common side effects
- Insomnia
- Headache
- Nausea
- Vomiting
- Diarrhoea
- Tachycardia
Counselling Points
- Monitor for side effects
- Avoid concurrent theophylline therapy
- Consider serum theophylline monitoring
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Clinical Particulars
Section 4 of the official insert — extracted exactly as issued, no alterations
4.1 Therapeutic indications
Nuelin tablets are indicated for the treatment of bronchial asthma and other conditions accompanied by bronchospasm.
4.2 Posology and method of administration
1. Adults and children over 12 years: For severe attack: 3 tablets every six hours Maintenance dose: 3 tablets initially, then 1 tablet every six hours.
2. Children under 12 years: 20 u2013 35 kg (7 u2013 12 years): Severe attack: 1 to 2 tablets every six hours Maintenance dose: u00bd to 1 tablet every six hours 10 u2013 20 kg (2 u2013 6 years): Severe attack: u00bd to 1 tablets every six hours Maintenance dose: up to half a tablet every six hours Not recommended for infants under 10 kg.
4.3 Contraindications
There are no known contra-indications to theophylline therapy, but other theophylline therapy should not be administered concurrently with Nuelin tablets. Theophylline may also reduce the therapeutic effect of lithium.
4.4 Special warnings and precautions for use
The dosage must be reduced in the elderly and in patients with cardiac failure and impaired hepatic function. The maintenance dose of 0.6 u2013 0.9 mg per kg per day will achieve therapeutic blood levels in most patients. However, individual biotransformation may vary. Where possible, it is advisable to monitor theophylline therapy with serum theophylline determinations.
4.5 Interactions with other medicines
None
4.6 Fertility, pregnancy and lactation
None
4.7 Effects on ability to drive and use machines
None
4.8 Undesirable effects
Side-effects associated with the use of xanthine derivatives include the following: insomnia, headache, nausea, vomiting, diarrhoea, diuresis, tremor, malaise, excitation, anorexia, dizziness, gastralgia, tachycardia and palpitations, reduced exercising ability, excessive sweating and a metallic taste in the mouth. The gastric irritation commonly associated with xanthine derivatives may occur.
4.9 Overdose
Symptoms: See side effects. Hypotension and convulsions may occur. Treatment: Gastric lavage and general supportive measures are recommended.
