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(Propiverine hydrochloride)

Read all of this leaflet carefully before you start taking this medicine.

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. Do not pass it on to others. It may harm them, even if
their symptoms are the same as yours.


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.

The name of your medicine is Mictonorm XL 30 mg Modified Release Capsules (referred to as
Mictonorm XL throughout this leaflet). The active substance is propiverine hydrochloride and the
other ingredients are listed at the end of the leaflet (Section 6, Further Information).
In this leaflet:

What Mictonorm XL is and what it is used for


Before you take Mictonorm XL


How to take Mictonorm XL


Possible side effects


How to store Mictonorm XL


Further information

1. What Mictonorm XL is and what it is used for
Mictonorm XL is used for the treatment of people who have difficulty in controlling their bladders
due to bladder overactivity. Mictonorm XL contains the active substance propiverine hydrochloride.
This substance prevents the bladder from contracting and increases the amount that the bladder can
hold. Mictonorm XL is used to treat the symptoms of overactive bladder. It is a modified-release
capsule that needs only be taken once a day.

2. Before you take Mictonorm XL
Do not take Mictonorm XL
Do not take Mictonorm XL if you are allergic (hypersensitive) to propiverine hydrochloride or to any
of the other ingredients of Mictonorm XL (these are listed in section 6, Further information).
Do not take Mictonorm 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 stomach pains


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

Take special care with Mictonorm XL
Before you take Mictonorm 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)


severe kidney problems


moderate or severe liver problems


severe heart failure


enlargement of the prostate gland


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.
Taking other medicines
You should tell your doctor if you are taking or have taken any of the following medicines as they
may interact with Mictonorm XL:

antidepressants (e.g. imipramine, clomipramine and amitryptiline),


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),


isoniazid (a treatment for tuberculosis) and


metoclopramide (used to treat nausea and vomiting)

Nevertheless, it may still be all right for you to take Mictonorm 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.

Taking Mictonorm XL with food and drink
The capsules should be swallowed with or without food or drink.
Pregnancy and breast-feeding
Do not take Mictonorm XL if you are pregnant, likely to become pregnant or are breast-feeding.
Driving and using machines
Mictonorm XL can sometimes cause sleepiness and blurred vision. You should not drive or operate
machinery if you suffer from sleepiness and blurred vision.
Important information about some of the ingredients of Mictonorm XL
Mictonorm 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 Mictonorm XL
Always take Mictonorm XL exactly as your doctor has told you. You should check with your doctor
or pharmacist if you are not sure.
The label on the carton will tell you how many capsules you should take and when. Take your capsule
at the same time each day. Swallow it with or without food or drink. Do not crush or chew the
Adults and the elderly: The usual dose of Mictonorm XL is one capsule daily.
Mictonorm XL is not recommended for children.
If you take more Mictonorm 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 Mictonorm 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 missed 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, Mictonorm 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.
In theory, 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 also been reported:
Very common (affects more than 1 user in 10)

dry mouth

Common (affects 1 to 10 users in 100)

abnormal vision and difficulty in focussing






stomach pain





Uncommon (affects 1 to 10 users in 1,000)

feeling sick and vomiting




trembling (tremor)


difficulty in passing urine (urinary retention)




altered sense of taste


decreased blood pressure with drowsiness

Rare (affects 1 to 10 users in 10,000)


Very rare (affects less than 1 user in 10,000)

irregular heartbeat


restlessness and confusion.

Not known (frequency cannot be estimated from the available data)

sensing things that are not real (hallucination)

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 at: By reporting side effects you can help provide more information on
the safety of this medicine.

5. How to store Mictonorm XL
Keep out of the reach and sight of children.


Do not use Mictonorm XL after the expiry date, which is stated on the blister or bottle and carton
after EXP. The expiry date refers to the last day of that month.
Blister: Do not store your capsules above 25 ºC. Store in the original package to protect the capsules
from moisture.
Bottles: Keep the bottle tightly closed.

6. Further information
What Mictonorm XL contains
The active substance is propiverine hydrochloride. Each capsule contains 30 mg of modified release
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 Mictonorm XL looks like and contents of the pack
Mictonorm XL capsules are orange and white containing white to off-white pellets.
They are available in

cartons of 14, 20, 28, 30, 49, 50, 56, 60, 84, 98, 100, 112 or 280 capsules.


bottles of 10, 14, 20, 28, 30, 49, 50, 56, 60, 84, 98 or 100 capsules.

The polyethylene bottles with a polypropylene screw cap contain a silica gel desiccant.
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


Mictonorm Uno® 30 mg Hartkapseln mit veränderter Wirkstofffreisetzung


United Kingdom:

Mictonorm® XL 30 mg Modified-Release Capsules



Detrunorm® XL 30 mg Modified-Release Capsules

This leaflet was last revised in March 2015.


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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.