Medication Guide App

VEGANIN

Active substance: CODEINE PHOSPHATE

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Veganin Tablets
Paracetamol 500 mg; Caffeine 30 mg; Codeine Phosphate 8 mg
Read all of this leaflet carefully because it contains
important information for you.
This medicine is available without prescription.
However, you still need to use Veganin carefully to
get the best results from it.
This medicine can only be used for the short term
treatment of acute moderate pain which is not
relieved by paracetamol, ibuprofen or aspirin alone.
You should only take this product for a maximum
of three days at a time. If you need to take it for
longer than three days you should see your doctor
or pharmacist for advice.
This medicine contains codeine which can cause
addiction if you take it continuously for more than
three days. This can give you withdrawal symptoms
from the medicine when you stop taking it.
If you take this medicine for headaches for more
than three days it can make them worse.
• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need 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 straightaway.
In this leaflet:
1. What Veganin is and what it is used for
2. Before you take Veganin
3. How to take Veganin
4. Possible side effects
5. Storing Veganin
6. Further information
1. What Veganin is and what it is used for
Veganin can be used in patients over 12 years of age
for the short term relief of moderate pain that is not
relieved by other painkillers such as paracetamol, or
ibuprofen alone. It is suitable for the treatment of
migraine, headache, rheumatic pain, period pain,
toothache and neuralgia.
Veganin is a tablet containing paracetamol, caffeine
and codeine phosphate. Paracetamol and codeine
are painkillers. Codeine belongs to a group of
medicines called opioid analgesics which act to
relieve pain; it can be used on its own or in
combination with other pain killers. Paracetamol also
helps lower a high temperature and acts as a mild
anti-inflammatory, to reduce swelling. Caffeine is a
mild stimulant that causes wakefulness and increased
mental activity. It can also help the effectiveness of
paracetamol.
2. Before you take Veganin
This medicine contains codeine which can cause
addiction if you take it continuously for more than
three days. This can give you withdrawal symptoms
from the medicine when you stop taking it.
If you take a pain killer for headaches for more
than three days it can make them worse.
Do not use this medicine:
• if you are allergic (hypersensitive) to any of the
ingredients of Veganin (see section 6)
• if you have asthma or very shallow breathing
• if you suffer from alcoholism
• if you have a head injury or increased pressure in
your skull
• if you have had surgery on your bile duct
• if you are already taking a medicine containing
paracetamol
• for a child younger than 12 years old

• for pain relief in children and adolescents
(0-18 years of age) after removal of their tonsils or
adenoids due to obstructive sleep apnoea
syndrome
• if you know that you metabolise very rapidly
codeine into morphine
• if you are breastfeeding.
Take special care with Veganin
Tell your doctor or pharmacist if:
• you have severe liver or kidney problems. The risk
of overdose is higher if you have alcoholic liver
disease
• you are elderly because you may be more likely to
get some side effects (see section 4)
• you have prostate problems
• you have bowel problems, particularly those
causing inflammation or blockage, or you have
had recent bowel surgery.
If you have any of these conditions, your doctor or
pharmacist will advise you about how best to use
Veganin.
Taking other medicines
Before using Veganin, tell your doctor or
pharmacist if you are taking any of the following:
• metoclopramide or domperidone - used to treat
nausea and vomiting
• colestyramine - used to treat high cholesterol
• anti-coagulants (such as warfarin) - used to thin
the blood. It is alright to take occasional doses of
Veganin, but not if Veganin is required daily over
a long period
• sedatives (also known as sleeping tablets)
containing barbiturates
• certain medicines prescribed for depression (called
MAOIs) or have been taking them in the last 2 weeks
• medicines for diarrhoea and tummy cramps as
taking these at the same time as Veganin may
make you constipated
• medicines such as atropine, procyclidene or
hyoscine which are used to treat problems with
gut movements. Taking these at the same time as
Veganin may make you severely constipated and
may make it difficult for you to pass urine
• some antihistamines which may be used in
cough/cold remedies and anti-allergy products.
Taking these at the same time as Veganin may
make you severely constipated and may make it
difficult for you to pass urine
• quinidine or mexiletine - used to regulate heart
rhythm
• cimetidine - used to treat stomach ulcers
• naltrexone - used in the treatment of drug
dependence.
If you are taking any of the following medicines, you
may find the effectiveness of Veganin is reduced:
• oral contraceptives ('the pill')
• medicines used to treat epilepsy (anticonvulsants).
If you are unsure if any medicine you are taking is one
of those mentioned above, check with your pharmacist.
Alcohol
Do not drink alcohol while taking Veganin as it can
make liver damage and breathing difficulties more
likely and more serious.

Warnings and precautions
Codeine is transformed to morphine in the liver by
an enzyme. Morphine is the substance that
produces pain relief. Some people have a variation
of this enzyme and this can affect people in different
ways. In some people, morphine is not produced or
produced in very small quantities, and it will not
provide enough pain relief. Other people are more
likely to get serious side effects because a very high
amount of morphine is produced. If you notice any
of the following side effects, you must stop taking
this medicine and seek immediate medical advice:
slow or shallow breathing, confusion, sleepiness,
small pupils, feeling or being sick, constipation, lack
of appetite.
Children and adolescents
Use in children and adolescents after surgery:
Codeine should not be used for pain relief in
children and adolescents after removal of their
tonsils or adenoids due to Obstructive Sleep
Apnoea Syndrome.
Use in children with breathing problems:
Codeine is not recommended in children with
breathing problems, since the symptoms of
morphine toxicity may be worse in these children.
Pregnancy and breast feeding
Ask your doctor or pharmacist for advice before
taking Veganin if you are pregnant. Do not take
Veganin while you are breastfeeding. Codeine and
morphine passes into breast milk.
Driving and using machines
Do not drive or operate machines if you feel drowsy
or dizzy.
3. How to take Veganin
Do not exceed the stated dose.
Adults, elderly and children over 12 years: Swallow
two tablets with water every 4-6 hours.
Do not take more than 8 tablets in 24 hours. If you
have already taken another painkiller wait at least
four hours before taking Veganin.
This medicine should not be taken for more than 3
days. If the pain does not improve after 3 days, talk
to your doctor for advice.
Veganin should not be taken by children below the
age of 12 years, due to the risk of severe breathing
problems.
Talk to a doctor at once if you take too much of this
medicine even if you feel well. This is because too
much paracetamol can cause delayed, serious liver
damage.
Special warnings about addiction: This medicine
contains codeine and can cause addiction if you
take it continuously for more than three days.
When you stop taking it you may get withdrawal
symptoms. You should talk to your doctor or
pharmacist if you think you are suffering from
withdrawal symptoms.
4. Possible side effects
Some people may have side-effects when taking this
medicine. If you have any unwanted side-effects you
should seek advice from your doctor, pharmacist or
other healthcare professional.
Reporting of side effects: If you get any side
effects, talk to your doctor, pharmacist or nurse.
This includes any possible side effects not listed in
this leaflet. You can also report side effects directly
via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard
By reporting side effects you can help provide more
information on the safety of this medicine.
If you get any of the following side-effects, you
must stop taking Veganin and get medical help
straight away:

• sweating, red face, allergic reactions such as a
skin rash, itchy skin or swelling of the face. These
may be the symptoms of a severe allergic reaction.
These side-effects are less serious. If they bother
you talk to a pharmacist or your doctor:
• drowsiness, dizziness, headache, vertigo (a sense
of spinning either of yourself or your
surroundings),nervousness, irritability, blurred or
double vision
• stomach cramps, constipation, feeling sick
(nausea), being sick (vomiting), dry mouth
• difficulty or pain in urinating, needing to pass
urine more often, or passing less urine than usual
• palpitations (awareness of your heart beat)
• low blood pressure (often feeling faint or dizzy
upon standing up). Rare: reports of blood disorders
including low platelet count (making you slow to
heal and bruise easily) and low white blood cell
count (making you more likely to get infections)
• becoming used to the effects of Veganin (the
same dose does not seem to work so well) and
becoming dependent or addicted, especially with
prolonged use
• seeing, hearing or feeling things that are not real
(hallucinations), nightmares and restlessness.
These are rare.
How do I know if I am addicted?
If you take the medicine according to the
instructions on the pack it is unlikely that you will
become addicted to the medicine. However, if the
following apply to you it is important that you talk to
your doctor:
• you need to take the medicine for longer
periods of time
• you need to take more than the recommended dose
• when you stop taking the medicine you feel very
unwell but you feel better if you start taking the
medicine again.
5. Storing Veganin
Do not store above 25°C. Keep the tablets in the
original packaging. Keep out the reach and sight of
children. Do not use Veganin after the date (month
and year) printed after "EXP" on the box and blister
strip. If the expiry date has passed, take the product
back to your pharmacist for safe disposal.
6. Further information
What Veganin contains
The active substances are:
Paracetamol 500 mg, Codeine phosphate 8 mg and
Caffeine 30 mg in each tablet.
The other ingredients:
Maize starch, methylcellulose, povidone, talc,
calcium stearate, hypromellose, polyethylene glycol
and water.
What Veganin looks like and contents of pack
Veganin are white capsule shaped film-coated
tablets supplied in a blister strip in a carton.
There are 10 or 30 tablets in a pack.
Marketing Authorisation holder
Omega Pharma Ltd., 1st Floor, 32 Vauxhall Bridge
Road, London, SW1V 2SA, United Kingdom.
Send all enquiries to this address.
Manufacturer
Wrafton Laboratories Ltd, Wrafton, Braunton,
North Devon, EX33 2DL.
This medicinal product is authorised in the
Member States of the EEA under the
following names:
United Kingdom: Veganin Tablets
Republic of Ireland: Veganin Plus Tablets
Text revised: November 2013

2538336

PATIENT INFORMATION LEAFLET

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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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