PEPCIDTWO CHEWABLE TABLETS

Active substance: MAGNESIUM HYDROXIDE

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Pepcidtwo chewable tablets is a medicine which is used to provide fast and
long-lasting (up to 12 hours) relief from heartburn, indigestion and excess acid.
The tablets contain antacids (calcium carbonate and magnesium hydroxide) to
neutralise acid, as well as famotidine which belongs to a group of medicines
known as H2 blockers that help balance the amount of acid produced.
This medicine is for use in adults and children aged 16 years and over.

1 What the medicine is for

Now read this whole leaflet carefully before you use this medicine. Keep
the leaflet: you might need it again.



This medicine is used to provide fast and long-lasting relief from heartburn,
indigestion and excess acid.
■ This medicine is for use by adults and children aged 16 years and over.
■ Do not take this medicine:
■ There are some people who should not use this medicine. To find out if you
are one of them. See Section 2 c
■ If you have ever had a bad reaction to any of the ingredients. For the list of
ingredients. See Section 6 c
■ Speak to your doctor:
■ If you suffer from any of the conditions mentioned in Section 2 c
■ If you are taking any other medicines. See Section 2 c
■ Follow the dosage instructions carefully. These are shown in the dosage
table. See Section 3 c

famotidine, magnesium hydroxide, calcium carbonate

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If you have ever had a bad reaction to any of the ingredients.
If you have liver or kidney problems.

Do not take this medicine if you are pregnant, think you are pregnant or
planning to become pregnant or breast-feeding. Talk to your doctor
about a suitable treatment.



Pepcidtwo chewable tablets contain sucrose, glucose and lactose. If
you have been told by your doctor that you have an intolerance to
some sugars contact your doctor before taking this medicinal product.
■ This medicinal product contains small amounts of ethanol (alcohol)
less than 100 mg per dose.

Some of the ingredients can cause problems



If you are pregnant or breast-feeding



If you have difficulty swallowing or persistent stomach pains.
■ If you have lost weight without trying to whilst suffering from
indigestion.
■ If you are over 45 and have indigestion for the first time, or your
symptoms have recently changed.
■ If you have any other illness.
■ If you have been told by your doctor that you have an intolerance to
some sugars.
■ If you are taking any other medicines including:
■ non-steroidal anti-inflammatory (NSAID) painkillers.
If you are not sure about any of the medicines you are taking, show the
bottle or pack to your pharmacist.
If any of these bullet points apply to you now or in the past, talk to a doctor
or pharmacist.

Talk to your doctor or pharmacist before taking this
medicine…

If any of these apply to you, get advice from a doctor or pharmacist
without taking Pepcidtwo chewable tablets.





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turn over c

You should only take this medicine as required following the dosage
instructions above carefully. If you forget to take a dose, take the next
dose when needed provided that you only take a maximum of 2 tablets in
24 hours. Do not take a double dose.

If you forget to take the medicine

If anyone takes too many Pepcidtwo chewable tablets, contact your
doctor or nearest Accident and Emergency department (Casualty) taking
this leaflet with you.

If anyone takes too much of this medicine

Do not take more than 2 tablets in 24 hours.
If you are over 45 and have indigestion for the first time or your
symptoms have recently changed you should talk to your doctor or
pharmacist before taking this medicine.
If your symptoms get worse, come back, or the tablets have no effect,
talk to your doctor or pharmacist.
If symptoms persist for more than 6 days talk to your doctor or
pharmacist. You should not keep treating yourself with these tablets
without taking advice, as it may be a sign that you have a different
medical condition.

Chew one tablet to relieve your
symptoms. Repeat the dose if
symptoms return.



Dose

Age

Adults and children aged 16 years and over

This medicine is not recommended for children under 16 years old.

Children under 16 years

Adults and children
aged 16 years and over

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Check the table below to see how much medicine to take.
■ For oral use only.
■ Do not use more than the stated dose shown in the table.

This medicine is suitable for most adults and children aged 16 years and over,
but a few people should not use it. If you are in any doubt, talk to your doctor
or pharmacist.

X Do not take this medicine…

3 How to take this medicine

2 Before taking this medicine

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Pepcidtwo chewable tablets can have side-effects, like all medicines, although
these don't affect everyone and are usually mild.

4 Possible side-effects

5 Storing this medicine

Manufacturer:
Janssen-Cilag SpA, Via Constant Janssen, Borgo San Michele, Latina, Italy.

Product Licence holder:
McNeil Products Ltd, Maidenhead, Berkshire, SL6 3UG, UK.

Pepcidtwo chewable tablets are rose coloured, round, flat chewable tablets.
They are supplied in packs of 6 or 12 tablets. Not all pack sizes may be
marketed.

What the medicine looks like

Other ingredients are: Pregelatinised maize starch, sodium lauryl sulphate,
dextrates, confectioner's sugar (sucrose and maize starch), lactose
monohydrate, cellulose acetate, magnesium stearate, hypromellose (E464),
hydroxypropyl cellulose (E463), peppermint flavour (peppermint oil, modified
food starch, maltodextrine, citric acid (E330), sodium ascorbate (E301), water),
cream flavour (sweet orange oils, ethanol, esters of acetic and butanoic acids,
aliphatic alcohols and ketones, phenols, aliphatic and aromatic aldehydes,
benzaldehyde, dextrin, maltodextrine, glucose, corn starch, calcium silicate,
powdered vanilla extract, heliotropine, vanillin, silicone dioxide, water), red ferric
oxide (E172).

The active ingredients in Pepcidtwo chewable tablets are: Calcium
carbonate 800 mg, Magnesium hydroxide 165 mg and Famotidine
10 mg.

What's in this medicine?

6 Further information

Keep the product out of the reach and sight of children.
There are no special storage conditions.
Do not use your medicine after the end of the month shown as the expiry date
on the packaging.

If you experience any of the following, stop using the
medicine and seek immediate medical help:
Allergic reactions such as skin rash, itching, shortness of breath or swollen
face.
Fits or numbness.

If you experience any of the following, stop using the
medicine and talk to your doctor:
Itchiness, hives or swelling.
Yellowing of the eye and or skin (jaundice), which may be a sign of liver
problems.
Unexplained bruising, bleeding or getting more infections, which may be due
to lowering of blood cell counts.
Vomiting or stomach pain.

Other effects which may occur include:
Common effects include headache, nausea and diarrhoea.
Constipation, bloating, burping, wind or indigestion.
Dizziness, dry mouth, thirst or changes in taste.
Nervousness.
Tiredness.
Loss of appetite (anorexia).
Joint pain.
Increased breast size in men.
Changes in stool frequency and consistency.
Liver enzyme abnormalities or worsening liver disease.
If you experience any side-effects not included in this leaflet or are not sure
about anything, talk to your doctor or pharmacist.

This leaflet was revised August 2011.
Pepcidtwo is a registered trade mark.

7 What you can do to help stop
these symptoms

Heartburn and indigestion symptoms can be caused or aggravated by:
Eating late in the evening.
Overeating, or very large meals.
Bending or stooping soon after eating.
Exercise immediately after eating.
Pressure on the stomach, e.g. tight fitting clothing.
Try to lose excess weight as the pressure it causes on the stomach can
produce heartburn.
Try to cut down or stop smoking. Smoking can make the muscles at the
entrance to the stomach relax, which can cause heartburn.

11/0292

GB - AW_71241

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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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