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BOXS HERBALS RHEUMATOX RELIEF

Active substance(s): BLACK COHOSH LIQUID EXTRACT 1:1 / BURDOCK ROOT LIQUID EXTRACT 1:1 / SCULLCAP LIQUID EXTRACT 1:1 / WHITE WILLOW BARK LIQUID EXTRACT 1:1 / YARROW LIQUID EXTRACT 1:1

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LEAFLET  TEXT:    Dimensions:  200mm  X  120mm  Colours:  Black  
1. WHAT THIS PRODUCT IS AND
WHAT IT IS USED FOR
Napiers Joint Ability Herbal Remedy is a traditional
herbal remedy containing Extracts of White Willow
bark, Black Cohosh root, Scullcap herb, Yarrow herb
and Burdock root. For full details see Section 6.
Napiers Joint Ability Herbal Remedy is a traditional
herbal medicinal product used for the symptomatic
relief of backache, rheumatic or muscular pain, and
general aches and pains in the muscles and joints,
based on traditional use only.
2. BEFORE YOU TAKE THIS
PRODUCT
Do not take this product if you:
• are under 18 years old
• are pregnant or breastfeeding
• could become pregnant unless contraception is
used.
• are allergic to any of the ingredients or to plants of
the Asteraceae (Compositae) family
• if you are taking medicines known
to interact with alcohol e.g. metronidazole
• are allergic (hypersensitive) to salicylates or to
other NSAIDs (e.g. have a history of serious allergic
reactions (angiodema), difficulty in breathing or
wheezing or chronic urticaria (raised itchy rash) in
response to salicylates or other NSAIDs.
• have asthma
• have active liver disease or a history of liver
damage, severe kidney disorders, blood clotting
disorders, gastric or duodenal ulcer, peptic ulcer or
have a glucose-6-phosphate dehydrogenase
deficiency.
• are currently receiving treatment for or have a
history of an oestrogen dependant tumour.

 
 

 

Important information about some of
the ingredients in this medicine
This product contains 10.3% v/v ethanol
(alcohol), i.e. up to 412 mg per 5 ml dose, equivalent to
10.3 ml beer or 4.29 ml wine. Harmful for people
suffering from alcoholism or liver-disease. If you are in a
high risk group (patients with liver disease or epilepsy)
you should consider the alcohol content before taking
this product.
This product contains 0.38 ml of sucrose, 0.056 ml of
glucose and 0.03 ml of sorbitol per 5 ml dose. If you
have been told by your doctor that you have an
intolerance to some sugars, contact your doctor before
taking this medicinal product.
Important additional information
Women of childbearing potential should use effective
contraception.
This product is not intended to be used in cases of acute
arthritis as this condition requires medical advice.
If you develop signs and symptoms suggestive of liver
dysfunction. (Fatigue, anorexia, yellowing of the skin and
eyes or sever upper stomach pain with nausea and
vomiting or dark urine) immediately stop the use of this
product and consult your doctor.
If you have a family history of an oestrogen dependent
tumour and/or are taking oestrogens, please consult
your doctor before taking this product.
Taking other medicines:
One of the active ingredients, Willow bark, may increase
the effects of anti-coagulants such as courmarin
derivatives.
Do not take this product with other salicylates or NSAIDs
unless your doctor says it is safe to do so.
If you are taking these medicines or any other medicines
including any bought without a prescription, consult
your doctor or qualified healthcare practitioner before
taking this medicine.

Driving and using machines
This product contains alcohol. If affected, do not drive
or use machines.

If you have any questions, or are unsure of anything,
please speak to your doctor, pharmacist or qualified
healthcare practitioner.

3. HOW TO TAKE THIS PRODUCT
For oral use only.

4. POSSIBLE SIDE EFFECTS
Allergic reactions such as rash (including widespread
rash) itching, hives, asthma, and gastrointestinal
symptoms such as nausea, vomiting , stomach pain,
indigestion, heartburn and diarrhoea have been
reported with Willow bark. The frequency is not
known.
In rare cases Black Cohosh may cause liver reactions
(including hepatitis, jaundice and disturbances in liver
function tests). Skin reactions (hives, itching,
widespread rash), accumulation of fluid in the face
and other parts of the body, and gastrointestinal
symptoms (i.e. stomach pain, bloating and fullness,
diarrhoea), weight gain and increase in liver enzymes
have also been reported. The frequency is not known.

Adult and the Elderly:
One 5 ml teaspoonfuls three times a day.
Do not exceed the stated dose.
If joint pain accompanied by swelling of joint, redness
or fever are present, a doctor should be consulted.
If your symptoms get worse or persist for more than
4 weeks during the use of this medicinal product,
speak to your doctor, pharmacist or qualified
healthcare practitioner.
If you take too much (overdose).
If you take more than the recommended dose, speak
to a doctor, pharmacist or qualified healthcare
practitioner and take this leaflet with you.
An overdose of this product may result in alcohol
intoxication: the amount of alcohol in a full bottle
(8.24 g in 100 ml; 16.48 g in 200 ml: equivalent to
0.34 or 0.68 large glasses of wine respectively or
0.82 or1.65 glasses of beer, respectively) may result
in intoxication and should be treated accordingly.
(See Section 2).
If you forget to take this product
Continue to take your usual dose at the usual time.
Do not take a double dose. It does not matter if you
miss a dose.

 

Allergic skin reactions have also been reported with
Yarrow herb and anaphylactic shock (serious allergic
reaction which causes difficulty in breathing or
dizziness) has been reported with Burdock root. The
frequency is not known.
If other adverse reactions not mentioned above
occur, a doctor or a qualified health care practitioner
should be consulted.
Making medicines safer
You can help to make medicines safer by reporting
any side-effects to the Yellow Card Scheme at
www.mhra.gov.uk/yellowcard
Alternatively you can get a paper Yellow Card form
from your doctor’s surgery or a pharmacy, or call
freephone 0808 100 3352 (available 10am-2pm
Monday to Friday).

 

 
5. HOW TO STORE THIS PRODUCT
Do not use this product after the expiry date. The
expiry date is printed on the label and on the bottom
of the carton.
Do not store above 25ºC. Store in the original
container.
There are no special precautions for disposal.
Keep this product out of the reach and
sight of children.
6. FURTHER INFORMATION
Each 5 ml contains:
1ml of extract (as liquid extract) from White
Willow Bark (Salix alba L.) (1:1) (equivalent to 1
gm White Willow)
Extraction Solvent: Water
0.075ml of extract (as liquid extract) from Black
Cohosh Root (Cimicifuga racemosa Nutt.) (1:1)
(equivalent to 75 mg Black Cohosh) Extraction
Solvent: Ethanol 90% v/v
0.15 ml of extract (as liquid extract) from
Scullcap (Scutellaria laterifolia L.) (1:1)
(equivalent to 150 mg Scullcap)
Extraction solvent: Water
0.5ml of extract (as liquid extract) from Yarrow
Herb (Achilliea millefolium L.) (1:1) (equivalent to
500 mg Yarrow)
Extraction Solvent: Water
0.5ml of extract (as liquid extract) from Burdock
Root (Articum lappa L.) (1:1) (equivalent to 500
mg Burdock Root)
Extraction Solvent: Water

 

Also contains glucose liquid, syrup (sucrose),
glycerol, Cardamon tincture, Compound.
(Cardamom oil, Caraway oil, Cinnamon oil,
Beetroot powder, glycerol, ethanol and water),
Nutmeg oil, Clove oil, Cinnamon oil, Liquorice
liquid extract (liquorice root, ethanol, water),
Ethanol, Caramel (E150a), Sorbitol and
Water.  

 
 

 

Traditional Herbal Registration holder:
Highland Herbs Limited,
10 Payne Street,
Glasgow, G4 0LF

What is White Willow?
While Willow is a tree native to the British Isles.
An extract from the bark is used to make this
medicine.

Product manufacturers:
Potters Ltd, Wigan WN5 0JZ

What is Black Cohosh?
Black Cohosh is a flowering herb native to eastern
North America and now grown in the British Isles.
An extract from the root is used to make this
medicine.

Traditional Herbal Registration
number: THR 43751/006
[THR logo]
Leaflet revised 20/08/2014  

What is Scullcap?
Scullcap is a flowering herb native to North
America and used in Britain since the 1800s. An
extract from the leaves and flowering tops is
used to make this medicine.
What is Yarrow?
Yarrow is a flowering herb native to the British
Isles. An extract from the leaves and flowering
tops is used in this medicine.
What is Burdock?
Burdock is a herb native to the British Isles used
for both medicinal and culinary uses. An extract
from the root is used to make this medicine.
Further Enquiries
A copy of this leaflet in large format print is available.
If you would like more information about this product
please contact:
Napiers the Herbalists,
10 Payne Street,
Glasgow, G4 0LF
Telephone: 0845 002 1860

PATIENT INFORMATION LEAFLET

NAPIERS JOINT ABILITY
HERBAL REMEDY
with extracts of White Willow bark, Black Cohosh
root, Scullcap herb , Yarrow herb and Burdock root.
Please read this leaflet carefully before you start
taking this product.
It contains important information for you about this
product that may affect you.
Keep this leaflet. You may wish to read it again.
You must contact a doctor or qualified healthcare
practitioner if your symptoms do not improve or
worsen during the use of this medicinal product. If
any side effects become serious, or if you notice side
effects not listed in here, please tell your doctor or
pharmacist.
What is in this leaflet?
1. What this product is and what it is
used for.
2. Before you take this product
3. How to take this product
4. Possible side effects
5. How to store this product
6. Further information
[Napiers logo]  

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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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