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CYMALON LEMON FLAVOUR GRANULES FOR ORAL SOLUTION

Active substance(s): CITRIC ACID ANHYDROUS / SODIUM BICARBONATE / SODIUM CARBONATE ANHYDROUS / SODIUM CITRATE DIHYDRATE

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Important information about Cymalon
• This medicine is used to relieve the
symptoms of cystitis.
• It can be taken by adult females only.
• Dissolve the granules in water before
swallowing.

Do not take

• If you are a man or child.
• If you are pregnant. See section 2.

Talk to your doctor

• If you still have symptoms after 4 days or if
you get frequent symptoms. See section 2.

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. Your 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

Cymalon sachets contain granules to dissolve
in water. They treat the symptoms of cystitis
in women. Cystitis is an inflammation of the
bladder which may be caused by an infection.
This causes stinging and burning pain when
you pass water. The ingredients in Cymalon
make the urine lass acid and help reduce the
stinging and burning sensation.

2. Before you use this medicine
Do not use the medicine if you have

• An allergy to citric acid (anhydrous),
sodium citrate, sodium carbonate, sodium
bicarbonate or any of the ingredients listed
in section 6. • Heart disease. • High blood
pressure. • Kidney problems. • A salt
restriction in your diet. • Or are pregnant.
• Men and children should not use this
medicine. Cystitis is much less common
in men and children. Talk to your doctor
if you are a man or child with cystitis-like
symptoms. The doctor will advise you on
appropriate medicine for your treatment.

Talk to your doctor if you have

• Symptoms which carry on for more than 4 days after you
start taking Cymalon.
• Symptoms which keep recurring.

Talk to your doctor or pharmacist if you are taking
• Lithium for manic depression.
• Methenamine (previously called hexamine) for urinary
infections.
• Other medicines as these may be affected by taking
Cymalon.

Pregnant or breastfeeding

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

Important information about some of the
ingredients

• This product contains 1047mg of sodium per sachet.
This should be taken into consideration if you are on a
controlled sodium diet.
• It also contains sucrose. If you have been told by your
doctor that you have an intolerance to some sugars or
have diabetes, contact your doctor before taking this
medicine.

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3. How to use this medicine
Take this medicine by mouth

Adults
• Take one sachet, dissolved in a glass of
water, three times a day for two days.
• Take all six sachets to complete the
treatment.

DO NOT EXCEED THE STATED DOSE.
Men and Children
Do not give to men or children unless your
doctor tells you to.
If you take too many
If you accidentally take too many sachets, see a
doctor straight away. Take the pack with you to
show which medicine you have swallowed.

4. Possible side effects

Like all medicines, Cymalon can have side
effects, although these don’t affect everyone.
• Flatulence (wind) may occur.
• Passing water more frequently.
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.
• Protect from moisture.
• 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 sachet are: sodium
citrate 2.82g, citric acid (anhydrous) 1.06g, sodium
bicarbonate 1.20g, sodium carbonate. 0.13g. (sodium
equivalent 1g/sachet).
The other ingredients are: caster sugar, sodium
saccharin, lemon flavour natural.

What the medicine looks like

Cymalon sachets contain white to yellow granules
which disperse in water to produce a sparkling lemon
flavoured solution.
They are supplied in packs of 6 sachets.
Marketing authorisation holder
Actavis Group PTC ehf Reykjavikurvegi 76-78 220
Hafnarfjordur Iceland.
Manufacturer
Actavis UK Ltd., Barnstaple, EX32 8NS
This leaflet was last revised in November 2011.
Cymalon is a trade mark of Actavis Group PTC ehf.

Health Information
Cystitis and how it is caused
Cystitis is an inflammation of the bladder lining.
Although there are several possible causes of
cystitis the main ones are bacterial infection and
bruising during sexual intercourse. To help prevent
a further attack, you should:
• Remember to wipe from the front to the back
when you go to the toilet.
• Avoid perfumed soaps and bubble baths.
• Try not to wear very tight underwear or jeans.
• Although it will not prevent an attack, it is helpful
to start treatment with Cymalon as soon as you
recognise the symptoms.

How do I know if I have cystitis?

The two most common symptoms are a burning
sensation when you pass water, and a need to go
to the toilet very frequently, even though you may
have very little urine to pass. Other symptoms to
look out for are darker urine than normal, possibly
streaked with blood, a sick feeling and a general
pain in your lower abdomen.

Other ways to help relieve the symptoms of cystitis

• Drink lots of water or bland, non-acidic liquids
like milk or weak tea. Try to drink around five
pints a day during your 48 hour treatment, if
possible and suitable.
• Avoid liquids such as alcohol, coffee, strong tea
or fruit juices.
• Pass water as often as you need to – it produces
a ‘flushing through’ effect which helps your
natural defences.
• Keep warm.

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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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