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(Propiverine hydrochloride)
Read all of this leaflet carefully before you start taking this medicine because it contains
important information for you.
Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or your pharmacist.
This medicine has been prescribed for you only. Do not pass it on to others. It may harm them,
even if their signs of illness are the same as yours.
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side
effects not listed in this leaflet (see section 4).
The name of your medicine is Aponorm XL 30 mg modified release capsules (referred to as
Aponorm XL throughout this leaflet). The active substance is propiverine hydrochloride and the other
ingredients are listed at the end of the leaflet (section 6, Contents of the pack and other information).
What is in this leaflet:

What Aponorm XL is and what it is used for
What you need to know before you take Aponorm XL
How to take Aponorm XL
Possible side effects
How to store Aponorm XL
Contents of the pack and other information

1. What Aponorm XL is and what it is used for
Aponorm XL is used for the treatment of people who have difficulty in controlling their bladder due to
bladder overactivity. Aponorm XL contains the active substance propiverine hydrochloride. This
substance prevents the bladder from contracting and increases the amount that the bladder can hold.
Aponorm XL is used to treat the symptoms of overactive bladder. It is a modified release capsule that
needs only to be taken once a day.
2. What you need to know before you take Aponorm XL
Do not take Aponorm XL
Do not take Aponorm XL if you are allergic (hypersensitive) to propiverine hydrochloride or to any of
the other ingredients of Aponorm XL (these are listed in section 6).
Do not take Aponorm XL if you suffer from any of the following conditions:
obstruction of the bowel
obstruction to the bladder outlet (difficulty in passing urine)
myasthenia gravis (a disease causing muscle weakness)
a loss of function of the muscles controlling your bowel movements (intestinal atony)
severe inflammation of the bowel (ulcerative colitis) that may lead to diarrhoea containing blood
and mucus and abdominal pain


toxic megacolon (a condition involving enlargement of the bowel)
increased pressure in the eye (uncontrolled angle closure glaucoma)
moderate or severe liver disease
fast and irregular heart beat

Warnings and precautions
Before you take Aponorm XL you should tell your doctor if you have:
damage to the nerves that control blood pressure, heart rate, bowel and bladder movements and
other bodily functions (autonomic neuropathy)
kidney problems
liver problems
severe heart failure
enlargement of the prostate gland
recurrent urinary tract infection
tumours of the urinary tract
heartburn and indigestion due to back flow of gastric juice into the throat (hiatus hernia with
reflux oesophagitis)
irregular heart beat
fast heart beat
If you suffer from any of these conditions, contact your doctor. He will tell you what to do.
Other medicines and Aponorm XL
You should tell your doctor if you are taking or have taken any of the following medicines as they
may interact with Aponorm XL:
antidepressants (e.g. imipramine, clomipramine and amitriptyline),
sleeping tablets (e.g. benzodiazepines),
anticholinergics taken by mouth or injection (usually used to treat asthma, stomach cramps, eye
problems or urinary incontinence),
amantadine (used to treat flu and Parkinson’s disease)
neuroleptics such as promazine, olanzapine, quetiapine (drugs used to treat psychotic disorders
like schizophrenia or anxiety),
beta stimulants (drugs used to treat asthma),
cholinergics (e.g. carbachol, pilocarpin),
isoniazid (a treatment for tuberculosis),
metoclopramide (used to treat nausea and vomiting),
concomitant treatment with methimazole (used to treat hyperfunction of the thyroid gland) and
medicines used to treat fungal diseases (e.g. ketoconazole, intraconazole).
Nevertheless, it may still be all right for you to take Aponorm XL. Your doctor will be able to decide
what is suitable for you.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines,
including medicines obtained without a prescription.
Pregnancy, breast-feeding and fertility
Do not take Aponorm XL if you are pregnant or breast-feeding, think you may be pregnant or are
planning to have a baby.
Driving and using machines

Aponorm XL can sometimes cause sleepiness and blurred vision. You should not drive or operate
machinery if you suffer from sleepiness and blurred vision.
Aponorm XL contains lactose
Aponorm XL contains lactose (a sugar). If you have been told by your doctor that you have
intolerance to some sugars, contact your doctor before taking this medicine.
3. How to take Aponorm XL
Always take Aponorm XL exactly as your doctor has told you. Check with your doctor or pharmacist
if you are not sure.
The recommended dose is:
Adults and the elderly: The usual dose of Aponorm XL is one capsule daily.
Use in children and adolescents: Aponorm XL is not recommended for children.
Method of administration:
Take your capsule at the same time each day. Swallow the capsule whole with a drink of water. Do not
crush or chew the capsules. You may take them with or without food.
If you take more Aponorm XL than you should
If you have accidentally taken more than your prescribed dose, contact your nearest casualty
department or tell your doctor or pharmacist immediately. Remember to take the pack and any
remaining capsules with you.
If you forget to take Aponorm XL
Do not worry. Simply leave out that dose completely. Then take your next dose at the right time. Do
not take a double dose to make up for a forgotten dose.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, Aponorm XL can cause side effects, although not everybody gets them.
All medicines can cause allergic reactions although serious allergic reactions are very rare. The
following symptoms are first signs for such reactions:
Any sudden wheeziness, difficulty in breathing or dizziness, swelling of the eyelids, face, lips or
Peeling and blistering of the skin, mouth, eyes and genitals
Rash affecting your whole body.
If you get any of these symptoms during treatment, you should stop taking the capsules and contact
your doctor immediately.
You might suffer an acute attack of glaucoma. In this case, you have been seeing coloured rings
around lights or develop severe pain in and around either eye. You should seek medical attention
The following side effects have been reported:
Very common (may affect more than 1 in 10 people)
dry mouth
Common (may affect up to 1 in 10 people)
abnormal vision and difficulty in focussing

abdominal pain
Uncommon (may affect up to 1 in 100 people)
feeling sick and vomiting
trembling (tremor)
inability to empty the bladder (urinary retention)
altered sense of taste
decreased blood pressure with drowsiness
difficulty in passing urine
Rare (may affect up to 1 in 1,000 people)
faster heart beat
Very rare (may affect up to 1 in 10,000 people)
feeling your heart beat
restlessness and confusion
Not known (frequency cannot be estimated from the available data)
sensing things that are not real (hallucination)
speech disorder

All undesirable effects are transient and recede after a dose reduction or termination of the therapy
after maximum 1-4 days.
During long-term therapy hepatic enzymes should be monitored, because reversible changes of liver
enzymes might occur in rare cases.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects
not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme, website By reporting side effects you can help provide more information on the
safety of this medicine.
5. How to store Aponorm XL
Keep out of the sight and reach of children.
Do not use Aponorm XL after the expiry date, which is stated on the blister and carton. The expiry
date refers to the last day of that month.
Do not store above 25 ºC. Store in the original package to protect the capsules from moisture.
6. Contents of the pack and other information
What Aponorm XL contains
The active substance is propiverine hydrochloride. Each modified release capsule contains 30 mg of
propiverine hydrochloride

The other ingredients are citric acid, povidone, lactose monohydrate, talc, triethyl citrate, magnesium
stearate, methacrylic acid-methyl methacrylate copolymer (1:1), methacrylic acid-methyl methacrylate
copolymer (1:2), ammonio methacrylate copolymer type A, ammonio methacrylate copolymer type B,
gelatine, titanium dioxide E171, red iron oxide E172, and yellow iron oxide E172.
What Aponorm XL looks like and contents of the pack
Aponorm XL capsules are orange and white containing white to off-white pellets.
They are available in blister packs of 7, 14, 20, 28, 30, 49, 50, 56, 60, 84, 98, 100, 112 or 280
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
APOGEPHA Arzneimittel GmbH
Kyffhäuserstraße 27
01309 Dresden
This medicinal product is authorised in the Member States of the EEA under the following

United Kingdom:

Mictonorm 30 mg cápsulas duras de liberación modificada
Aponorm XL 30 mg Modified Release Capsules

This leaflet was last revised in January 2017.


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