CRAMPEX TABLETS

Active substance: NICOTINIC ACID

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Crampex Tablets
(cholecalciferol, calcium gluconate,
nicotinic acid)
Important information about Crampex Tablets
• This medicine is for night time muscle cramp.
• It can be taken by adults including the
elderly.
Do not take….
• If you are pregnant. See section 2.
• If you are under 18 years old.
Now read the rest of the leaflet before you
use this medicine. It includes other
information which might be especially
important for you.
• Keep this leaflet. You may need to read it
again.
• Ask your pharmacist if you need any more
information or advice.
• If any of the side effects gets serious, or if
you notice any side effects not listed in this
leaflet, please tell your doctor or pharmacist.

1. What the medicine is for
Crampex Tablets contain calcium gluconate and
cholecalciferol (vitamin D) to increase calcium
levels in the blood as low levels of calcium can
contribute to muscle cramps. They also contain
nicotinic acid to improve circulation. The tablets
are for night time muscle cramp.

2. Before you use this
medicine
Do not use the medicine if you
have….
• An allergy to any of the ingredients listed in
section 6.
• An excessive amount of calcium in your
blood.
• Kidney stones, or have had kidney stones in
the past.

3. How to use this medicine
Attacks of cramp usually occur in bouts which
last from a few days to several weeks. Often
there are several weeks between each series of
attacks. In such cases, it is advisable to take
the tablets at night for a time and then stop use
when you think the attack has passed.

Dosage
Take this medicine by mouth.

Adults including the elderly
Talk to your doctor if you have….
• Poor kidney function. Treatment with
Crampex should be kept as short as possible
if this applies.
• High blood pressure.
• Liver problems.
• An ulcer in your digestive system (including
your stomach).
• Diabetes.
• Gout.

Talk to your doctor or pharmacist if
you are taking ….
• Digitalis preparations (for a heart problem).

Pregnant or breastfeeding….
Ask your doctor or pharmacist for advice before
using this medicine if you are pregnant, might
be pregnant or are breastfeeding. Crampex
Tablets should not be used in pregnancy unless
the doctor has told you to do so.

• One or two tablets with plenty of fluid,
preferably before going to bed.

Children under 18 years
Do not give to children under 18 unless your
doctor tells you to.
DO NOT EXCEED THE STATED DOSE.
Crampex Tablets should be used for a
maximum of 4 weeks for any one attack of
night cramps. During these periods ensure that
your daily fluid intake is also well maintained.
Drink plenty of fluids.
Consult a doctor if the tablets have not taken
effect within a week of starting treatment.

If you take too many
If you accidentally take too many, see a doctor
straight away. Take the pack with you to show
which medicine you have swallowed.

Turn over
23646007
PM/20/321

4. Possible side effects
Like all medicines, Crampex Tablets can have
side effects, although these don’t affect
everyone.
• Hot flushes.
• Itching.
• Dizziness.
• Headache.
• Feeling sick.
• Sickness.
• Mild stomach upsets.
• Liver problems.
If you notice these or any other side effect not
included above, stop use and tell your doctor or
pharmacist. They will tell you what to do.

5. Storing this medicine
• Keep it out of the reach and sight of children.
• There are no special conditions for storing
this medicine.
• Do not use after the expiry date shown on the
carton. The expiry date refers to the last day
of that month.
• Medicine should not be disposed of via
wastewater or household waste. Ask your
pharmacist how to dispose of any unused
medicine. These measures will help to
protect the environment.

6. Further information
What is in this medicine
The active ingredients per tablet are:
cholecalciferol 0.02mg, calcium gluconate
200mg, nicotinic acid 20mg.
The other ingredients are: magnesium stearate,
povidone, sodium laurilsulfate, starch maize,
talc (E553b), pre-gelatinised starch.

What the medicine looks like

Advice to help reduce night-time cramp

Crampex Tablets are round white flat tablets
with bevelled edges and are embossed
‘CRAMPEX’ on one side.
They are supplied in blister packs of 12, 24 or
48 tablets.

You may be able to reduce the numbers of
cramp attacks by following these simple helpful
tips-

Marketing authorisation holder
Thornton and Ross Ltd., Huddersfield,
HD7 5QH, UK.

Manufacturer
Custom Pharmaceuticals Ltd., Conway Street,
Hove, East Sussex, BN3 3LW.
This leaflet was revised in February 2012
Crampex is a trade mark of Thornton and Ross
Ltd.

Health Information
What are leg cramps?
A leg cramp is a pain that comes from a leg
muscle. It is due to a muscle spasm which is
when a muscle contracts too hard. It usually
occurs in a calf muscle, below and behind a knee.
Cramp can be caused by any one of a number
of factors such as
• Poor circulation.
• Tiredness.
• Muscle tightness.
• Poor posture.
• Taking certain medicines.
• Or a calcium deficiency.
Dehydration, especially after exercise, can also
cause cramp when a chemical imbalance in the
muscle makes it suddenly contract.

• Sleep on your side if possible, with your
knees bent and a pillow between them.
• Use light night covers on the bed and wear
roomy night clothes. The presence of heavy
blankets and tight pyjamas could be partly to
blame for muscle cramps.
• Take regular exercise. Walking, swimming
and cycling are excellent.
• Yoga is a good way of learning to relax and
gently stretch your muscles.

Help prevent cramp during exercise by • Warming up correctly before you exercise.
Gently stretch your calf muscles. Stand about
two feet away from a wall, keeping your heels
flat and your legs straight. Lean towards the
wall and support yourself with your hands.
Hold for 1-15 seconds and repeat ten times.
• Massage your calves by rubbing from the
ankle upwards for five minutes on each leg.

Self help treatment for cramp attacks
Normally the best way to treat cramp is to
stretch and massage the affected muscle. By
doing this most attacks of cramp will soon ease
off.

23646007
PM/20/321

Crampex Tablets
(cholecalciferol, calcium gluconate,
nicotinic acid)
Important information about Crampex Tablets
• This medicine is for night time muscle cramp.
• It can be taken by adults including the
elderly.
Do not take….
• If you are pregnant. See section 2.
• If you are under 18 years old.
Now read the rest of the leaflet before you
use this medicine. It includes other
information which might be especially
important for you.
• Keep this leaflet. You may need to read it
again.
• Ask your pharmacist if you need any more
information or advice.
• If any of the side effects gets serious, or if
you notice any side effects not listed in this
leaflet, please tell your doctor or pharmacist.

1. What the medicine is for
Crampex Tablets contain calcium gluconate and
cholecalciferol (vitamin D) to increase calcium
levels in the blood as low levels of calcium can
contribute to muscle cramps. They also contain
nicotinic acid to improve circulation. The tablets
are for night time muscle cramp.

2. Before you use this
medicine
Do not use the medicine if you
have….
• An allergy to any of the ingredients listed in
section 6.
• An excessive amount of calcium in your
blood.
• Kidney stones, or have had kidney stones in
the past.

3. How to use this medicine
Attacks of cramp usually occur in bouts which
last from a few days to several weeks. Often
there are several weeks between each series of
attacks. In such cases, it is advisable to take
the tablets at night for a time and then stop use
when you think the attack has passed.

Dosage
Take this medicine by mouth.

Adults including the elderly
Talk to your doctor if you have….
• Poor kidney function. Treatment with
Crampex should be kept as short as possible
if this applies.
• High blood pressure.
• Liver problems.
• An ulcer in your digestive system (including
your stomach).
• Diabetes.
• Gout.

Talk to your doctor or pharmacist if
you are taking ….
• Digitalis preparations (for a heart problem).

Pregnant or breastfeeding….
Ask your doctor or pharmacist for advice before
using this medicine if you are pregnant, might
be pregnant or are breastfeeding. Crampex
Tablets should not be used in pregnancy unless
the doctor has told you to do so.

• One or two tablets with plenty of fluid,
preferably before going to bed.

Children under 18 years
Do not give to children under 18 unless your
doctor tells you to.
DO NOT EXCEED THE STATED DOSE.
Crampex Tablets should be used for a
maximum of 4 weeks for any one attack of
night cramps. During these periods ensure that
your daily fluid intake is also well maintained.
Drink plenty of fluids.
Consult a doctor if the tablets have not taken
effect within a week of starting treatment.

If you take too many
If you accidentally take too many, see a doctor
straight away. Take the pack with you to show
which medicine you have swallowed.

Turn over
23645204

Like all medicines, Crampex Tablets can have
side effects, although these don’t affect
everyone.
• Hot flushes.
• Itching.
• Dizziness.
• Headache.
• Feeling sick.
• Sickness.
• Mild stomach upsets.
• Liver problems.
If you notice these or any other side effect not
included above, stop use and tell your doctor or
pharmacist. They will tell you what to do.

5. Storing this medicine
• Keep it out of the reach and sight of children.
• There are no special conditions for storing
this medicine.
• Do not use after the expiry date shown on the
carton. The expiry date refers to the last day
of that month.
• Medicine should not be disposed of via
wastewater or household waste. Ask your
pharmacist how to dispose of any unused
medicine. These measures will help to
protect the environment.

6. Further information
What is in this medicine
The active ingredients per tablet are:
cholecalciferol 0.02mg, calcium gluconate
200mg, nicotinic acid 20mg.
The other ingredients are: magnesium stearate,
povidone, sodium laurilsulfate, starch maize,
talc (E553b), pre-gelatinised starch.

What the medicine looks like
Crampex Tablets are round white flat tablets
with bevelled edges and are embossed
‘CRAMPEX’ on one side.
They are supplied in blister packs of 12, 24 or
48 tablets.

Marketing authorisation holder and
Manufacturer
Thornton and Ross Ltd., Huddersfield,
HD7 5QH, UK.
This leaflet was revised in February 2012
Crampex is a trade mark of Thornton and Ross
Ltd.

Health Information
What are leg cramps?
A leg cramp is a pain that comes from a leg
muscle. It is due to a muscle spasm which is
when a muscle contracts too hard. It usually
occurs in a calf muscle, below and behind a knee.
Cramp can be caused by any one of a number
of factors such as
• Poor circulation.
• Tiredness.
• Muscle tightness.
• Poor posture.
• Taking certain medicines.
• Or a calcium deficiency.

1018309

4. Possible side effects

Advice to help reduce night-time cramp
You may be able to reduce the numbers of
cramp attacks by following these simple helpful
tips• Sleep on your side if possible, with your
knees bent and a pillow between them.
• Use light night covers on the bed and wear
roomy night clothes. The presence of heavy
blankets and tight pyjamas could be partly to
blame for muscle cramps.
• Take regular exercise. Walking, swimming
and cycling are excellent.
• Yoga is a good way of learning to relax and
gently stretch your muscles.

Help prevent cramp during exercise by • Warming up correctly before you exercise.
Gently stretch your calf muscles. Stand about
two feet away from a wall, keeping your heels
flat and your legs straight. Lean towards the
wall and support yourself with your hands.
Hold for 1-15 seconds and repeat ten times.
• Massage your calves by rubbing from the
ankle upwards for five minutes on each leg.

Self help treatment for cramp attacks
Normally the best way to treat cramp is to
stretch and massage the affected muscle. By
doing this most attacks of cramp will soon ease
off.

Dehydration, especially after exercise, can also
cause cramp when a chemical imbalance in the
muscle makes it suddenly contract.

23645204

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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