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XAGGITIN XL 54MG PROLONGED RELEASE TABLETS

Active substance(s): METHYLPHENIDATE HYDROCHLORIDE / METHYLPHENIDATE HYDROCHLORIDE

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INFORMATION FOR THE USER
Xaggitin XL® 18mg, 27mg, 36mg, 54mg prolonged-release tablets
methylphenidate hydrochloride
The name of your medicine is Xaggitin XL, it contains the active
substance ‘methylphenidate hydrochloride’. The name
‘methylphenidate’ will also be used in this leaflet.

Warnings and precautions

Important things you need to know about your medicine

• have a problem with swallowing or swallowing whole tablets

This medicine is used to treat ADHD
• The full name for ADHD is ‘Attention Deficit Hyperactivity Disorder’.
• The medicine helps with your brain activity. It can help improve your
attention, help you concentrate, and make you less impulsive.
• You need to have other treatments for ADHD as well as this medicine.
Read Section 1 for more information.
Before you take this medicine, talk to your doctor if:
• You have heart, circulation, or mental health problems - you may not
be able to take this medicine.
• You are taking any other medicines - this is because methylphenidate
can affect how other medicines work.
Read Section 2 for more information.
While taking this medicine:
• See your doctor regularly. This is because your doctor will want to
check how the medicine is working.
• Do not stop taking the medicine without first talking to your doctor.
• Your doctor may stop your medicine to see if it is still needed, if you
take it for more than a year.
• The most common side effects are feeling nervous, not being able to
sleep or having a headache.
Read Sections 3 and 4 for more information.
Talk to your doctor straight away if any of the following happen:

Talk to your doctor before taking Xaggitin XL if you:
• have liver or kidney problems
• have a narrowing or blockage of your gut or food-pipe
• have had fits (seizures, convulsions, epilepsy) or any abnormal brain
scans (EEGs)
• have ever abused or been dependent on alcohol, prescription
medicines or street drugs
• are a girl and have started your periods (see the ‘Pregnancy,
breast-feeding and contraception’ section below)
• have hard-to-control, repeated twitching of any parts of the body or you
repeat sounds and words
• have high blood pressure
• have a heart problem which is not in the ‘Do not take’ section above
• have a mental health problem which is not in the ‘Do not take’ section
above.
Other mental health problems include:
- mood swings (from being manic to being depressed - called
‘bipolar disorder’)
- starting to be aggressive or hostile, or your aggression gets worse
- seeing, hearing or feeling things that are not there (hallucinations)
- believing things that are not true (delusions)
- feeling unusually suspicious (paranoia)
- feeling agitated, anxious or tense
- feeling depressed or guilty.

Read Section 4 for more information.

Tell your doctor or pharmacist if any of the above apply to you before
starting treatment. This is because methylphenidate can make these
problems worse. Your doctor will want to monitor how the medicine
affects you.

The rest of this leaflet includes more detail and other important
information on the safe and effective use of this medicine.

Checks that your doctor will make before you start taking
methylphenidate.

• Your mood and how you feel changes.
• You feel any problems with your heart.

• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or 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 worry you, or if you notice any side effects
not listed in this leaflet, tell your doctor or pharmacist.
Read Section 4 for more information.
The leaflet has been written in sections:
- Sections 1 to 6 are for parents and carers (sometimes called ‘your
guardians’).
- The last section is a special section for a child or young person
to read.
However, all sections are written as though the child or young person
taking the medicine is reading them.
The sections are:

These checks are to decide if methylphenidate is the correct medicine for
you. Your doctor will talk to you about:
• any other medicines you are taking
• whether there is any family history of sudden unexplained death
• any other medical problems (such as heart problems) you or your family
may have
• how you are feeling, such as feeling high or low, having strange
thoughts or if you have had any of these feelings in the past
• whether there is a family history of ‘tics’ (hard-to-control, repeated
twitching of any parts of the body or repeating sounds and words)
• any mental health or behaviour problems you or other family members
have ever had.
Your doctor will discuss whether you are at risk of having mood swings
(from being manic to being depressed - called ‘bipolar disorder’). They will
check your mental health history, and check if any of your family have a
history of suicide, bipolar disorder or depression.

3. How to take Xaggitin XL

It is important that you provide as much information as you can. This will
help your doctor decide if methylphenidate is the correct medicine for
you. Your doctor may decide that other medical tests are needed before
you start taking this medicine.

4. Possible side effects

Other medicines and Xaggitin XL

1. What Xaggitin XL is and what it is used for
2. What you need to know before you take Xaggitin XL

5. How to store Xaggitin XL
6. Contents of the pack and further information
Information for children and young people
Now read the rest of this leaflet before you start taking this medicine.

1. What Xaggitin XL is and what it is used for
What it is used for
Xaggitin XL is used to treat ‘attention deficit hyperactivity disorder’
(ADHD).

Tell your doctor if you are taking, have recently taken or might take any
other medicines.
Do not take methylphenidate if you:
• are taking a medicine called a ‘monoamine oxidase inhibitor’ (MAOI)
used for depression, or have taken an MAOI in the last 14 days. Taking
an MAOI with methylphenidate may cause a sudden increase in your
blood pressure.
If you are taking other medicines, methylphenidate may affect how
well they work or may cause side effects. If you are taking any of the
following medicines, check with your doctor or pharmacist before taking
methylphenidate:
• other medicines for depression

• it is used in children and young people between the ages of 6 and 18.

• medicines for severe mental health problems

• it is used only after trying treatments which do not involve medicines
such as counselling and behavioural therapy.

• medicines for epilepsy

Xaggitin XL is not for use as a treatment for ADHD in children under 6 years
of age or for initiation of treatment in adults. When treatment was started at
a younger age, it might be appropriate to continue taking Xaggitin XL when
you become an adult. Your doctor will advise you about this.

• some cough and cold remedies which contain medicines that can affect
blood pressure. It is important to check with your pharmacist when you
buy any of these products

How it works
Xaggitin XL improves the activity of certain parts of the brain which are
under-active. The medicine can help improve attention (attention span),
concentration and reduce impulsive behaviour.
The medicine is given as part of a treatment programme, which usually
includes:
• psychological
• educational and
• social therapy.
It is prescribed only by doctors who have experience in children or young
people’s behaviour problems. Although there is no cure for ADHD, it can
be managed using treatment programmes.
About ADHD

• medicines used to reduce or increase blood pressure

• medicines that thin the blood to prevent blood clots.
If you are in any doubt about whether any medicines you are taking are
included in the list above, ask your doctor or pharmacist before taking
methylphenidate.
Please tell you doctor or pharmacist if you are taking or have recently
taken any other medicines, including medicines obtained without a
prescription.
Having an operation
Tell your doctor if you are going to have an operation. You should not take
methylphenidate on the day of your surgery if a certain type of anaesthetic
is used. This is because there is a chance of a sudden rise in blood
pressure during the operation.
Drug testing/anti-doping testing

Children and young people with ADHD find it:

This medicine may give a positive result when testing for drug use. This
includes testing used in sport.

• hard to sit still and

Xaggitin XL with alcohol

• hard to concentrate.

Do not drink alcohol while taking this medicine. Alcohol may make the
side effects of this medicine worse. Remember that some foods and
medicines contain alcohol.

It is not their fault that they cannot do these things.
Many children and young people struggle to do these things. However, with
ADHD they can cause problems with everyday life. Children and young
people with ADHD may have difficulty learning and doing homework. They
find it hard to behave well at home, at school or in other places.
ADHD does not affect the intelligence of a child or young person.

2. What you need to know before you take Xaggitin XL
Do not take Xaggitin XL if you:
• are allergic to methylphenidate or any of the other ingredients of this
medicine (listed in section 6)
• have a thyroid problem
• have increased pressure in your eye (glaucoma)
• have a tumour of your adrenal gland (phaeochromocytoma)
• have an eating problem when you do not feel hungry or want to eat such as ‘anorexia nervosa’
• have very high blood pressure or narrowing of the blood vessels, which
can cause pain in the arms and legs

Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are
planning to have a baby, ask your doctor for advice before taking this
medicine.
It is not known if methylphenidate will affect an unborn baby. Tell your
doctor or pharmacist before using methylphenidate if you are:
• having sex. Your doctor will discuss contraception with you
• pregnant or think you may be pregnant. Your doctor will decide whether
you should take methylphenidate.
• breast-feeding or planning to breast-feed. It is possible that
methylphenidate is passed into human breast milk. Therefore,
your doctor will decide whether you should breast-feed while taking
methylphenidate.
Driving and using machines
You may feel dizzy, have problems focussing or have blurred vision when
taking methylphenidate. If these happen it may be dangerous to do things
such as drive, use machines, ride a bike or horse or climb trees.

• have ever had heart problems - such as a heart attack, uneven
heartbeat, pain and discomfort in the chest, heart failure, heart disease
or were born with a heart problem

The medicine can affect your ability to drive as it may make you sleepy
or dizzy.

• have had a problem with the blood vessels in your brain - such as a
stroke, swelling and weakening of part of a blood vessel (aneurysm),
narrow or blocked blood vessels, or inflammation of the blood vessels
(vasculitis)

• It is an offence to drive if this medicine affects your ability to drive.

• are currently taking or have taken within the last 14 days an
antidepressant (known as a monoamine oxidase inhibitor) - see
‘Other medicines and Xaggitin XL’

• Do not drive while taking this medicine until you know how it affects you.
• However, you would not be committing an offence if:
- The medicine has been prescribed to treat a medical or dental
problem and
- You have taken it according to the instructions given by the
prescriber or in the information provided with the medicine and

• have mental health problems such as:

- It was not affecting your ability to drive safely.

- a ‘psychopathic’ or ‘borderline personality’ problem

Talk to your doctor or pharmacist if you are not sure whether it is safe for
you to drive while taking this medicine.

- abnormal thoughts or visions or an illness called ‘schizophrenia’
- signs of a severe mood problem like:
- feeling like killing yourself
- severe depression, where you feel very sad, worthless and hopeless
- mania, where you feel unusually excitable, over-active, and
un-inhibited.
Do not take methylphenidate if any of the above apply to you. If
you are not sure, talk to your doctor or pharmacist before you take
methylphenidate. This is because methylphenidate can make these
problems worse.

Xaggitin XL contains lactose
This medicine contains lactose. If you have been told by your doctor
that you have an intolerance to some sugars, contact your doctor before
taking this medicinal product.

3. How to take Xaggitin XL
How much to take
Always use this medicine exactly as your doctor has told you. Check with
your doctor or pharmacist if you are not sure.
Continued over page

Information for children and young people
This info is to help you learn the main things about your medicine called
Xaggitin XL. If you don’t enjoy reading, someone like your mum, dad or
carer (sometimes called ‘your guardian’) can read it to you and answer
any questions.
It may help if you read small bits at a time.
Why have I been given this medicine?
This medicine can help children and young people with ‘ADHD’.
• ADHD can make you:
- run about too much
- not be able to pay attention
- act quickly without thinking about what will happen next (impulsive).
• It affects learning, making friends and how you think about yourself.
It is not your fault.
While you are taking this medicine
• as well as taking this medicine you will also get help with ways to you
cope with your ADHD such as talking to ADHD specialists.
• this medicine should help you. But it does not cure ADHD.
• you will need to go to your doctor several times a year for check ups.
This is to make sure the medicine is working and that you are growing
and developing OK.

• if you take the medicine for more than one year, your doctor may stop
your medicine to see if it is still needed. This will probably happen in a
school holiday.
• do not drink alcohol. Alcohol may make the side effects of this
medicine worse.
• If you are having sex, please talk to your doctor about contraception.
Girls must tell their doctor straight away if they think they may be
pregnant. We do not know how this medicine affects unborn babies.
Some people cannot have this medicine
You cannot have this medicine if:
• you have a problem with your heart
• you feel very unhappy, depressed or have a mental illness.
Some people need to talk to their doctor before they start having
this medicine
You need to talk to your doctor if:
• you have epilepsy (fits)
• you are pregnant or breastfeeding
• you are taking other medicines - your doctor needs to know about all
the medicines you are taking.
Continued over page

• your doctor will usually start treatment with a low dose and increase it
gradually as required.

• feeling aggressive, agitated, anxious, depressed, irritable, tense, jittery
and abnormal behaviour

• the maximum daily dose is 54 mg.

• upset stomach or indigestion, stomach pain, diarrhoea, feeling sick,
stomach discomfort and being sick.

• Oral use
• Xaggitin XL should be taken once each day in the morning with a glass
of water.

Uncommon (may affect up to 1 in 100 people)

The tablet should be swallowed whole and not chewed, broken, divided or
crushed. The tablet may be taken with or without food.

• constipation

The tablet does not dissolve completely after all of the methylphenidate
has been released and sometimes the tablet shell may appear in your
stools. This is normal.

• dry eyes
• chest discomfort
• blood in the urine
• listlessness

If you do not feel better after 1 month of treatment

• shaking or trembling

If you do not feel better, tell your doctor. They may decide you need a
different treatment.

• increased need to pass urine
• muscle pain, muscle twitching

Things your doctor will do when you are on treatment

• shortness of breath or chest pain

Your doctor will do some tests
• before you start - to make sure that Xaggitin XL is safe and will be
of benefit.
• after you start - they will be done at least every 6 months, but possibly
more often. They will also be done when the dose is changed.
• these tests will include:
- checking your appetite
- measuring height and weight
- measuring blood pressure and heart rate
- checking whether you have any problems with your mood, state
of mind or any other unusual feelings. Or if these have got worse
while taking Xaggitin XL.

• feeling hot
• increases in liver test results (seen in a blood test)
• anger, feeling restless or tearful, talking too much, excessive awareness
of surroundings, problems sleeping.
Rare (may affect up to 1 in 1,000 people)
• feeling disorientated or confused
• trouble seeing or double vision
• swelling of the breasts in men
• excessive sweating, redness of the skin, red raised skin rash.
Very rare (may affect up to 1 in 10,000 people)
• muscle cramps

Long-term treatment

• small red marks on the skin

Xaggitin XL does not need to be taken forever. If you take Xaggitin XL for
more than a year, your doctor should stop treatment for a short time, this may
happen during a school holiday. This will show if the medicine is still needed.

• changes in test results – including liver and blood tests

Not using Xaggitin XL properly
If Xaggitin XL is not used properly, this may cause abnormal behaviour. It
may also mean that you start to depend on the medicine. Tell your doctor
if you have ever abused or been dependent on alcohol, prescription
medicines or street drugs.
This medicine is only for you. Do not give this medicine to anyone else,
even if their symptoms seem similar.
If you take more Xaggitin XL than you should
If you take too much medicine, talk to a doctor or call an ambulance
straight away. Tell them how much has been taken.

• abnormal liver function including liver failure and coma
• abnormal thinking, lack of feeling or emotion, doing things over and
over again, being obsessed with one thing
• fingers and toes feeling numb, tingling and changing colour (from white
to blue, then red) when cold (‘Raynaud’s phenomenon’).
Not known (frequency cannot be estimated from the available data)
• migraine
• dilated pupils
• very high fever
• slow, fast or extra heart beats
• a major fit (‘grand mal convulsions’)

Signs of overdose may include: being sick, feeling agitated, shaking,
increased uncontrolled movements, muscle twitching, fits (may be
followed by coma), feeling very happy, being confused, seeing, feeling
or hearing things that are not real (hallucinations), sweating, flushing,
headache, high fever, changes in heart beat (slow, fast or uneven), high
blood pressure, dilated pupils and dry nose and mouth.

• believing things that are not true

If you forget to take Xaggitin XL

• there may be lack of weight gain or height growth.

Do not take a double dose to make up for a forgotten dose. If you forget a
dose, wait until it is time for the next dose.
If you stop taking Xaggitin XL
If you suddenly stop taking this medicine, the ADHD symptoms may come
back or unwanted effects such as depression may appear. Your doctor may
want to gradually reduce the amount of medicine taken each day, before
stopping it completely. Talk to your doctor before stopping Xaggitin XL.
If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not
everybody gets them. Although some people get side effects, most people
find that methylphenidate helps them. Your doctor will talk to you about
these side effects.
Some side effects could be serious. If you have any of the side effects
below, see a doctor straight away
Common (may affect up to 1 in 10 people)
• uneven heartbeat (palpitations)
• mood changes or mood swings or changes in personality
Uncommon (may affect up to 1 in 100 people)
• thinking about or feeling like killing yourself
• seeing, feeling, or hearing things that are not real, these are signs of
psychosis
• uncontrolled speech and body movements (Tourette’s)

• severe stomach pain, often with feeling and being sick.
Effects on growth
When used for more than a year, methylphenidate may cause reduced
growth in some children. This affects less than 1 in 10 children.
• your doctor will carefully watch your height and weight, as well as how
well you are eating.
• if you are not growing as expected, then your treatment with
methylphenidate may be stopped for a short time.
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: www.mhra.gov.uk/yellowcard
By reporting side effects you can help provide more information on the
safety of this medicine.

5. How to store Xaggitin XL
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the
carton and the label after ‘EXP’. The expiry date refers to the last day of
that month.
This medicine does not require any special storage conditions.
Shelf life after first opening the bottle:
18 mg tablets: 3 months
27 mg tablets: 6 months
36 mg tablets: 6 months
54 mg tablets: 6 months
Do not throw away any medicines via wastewater or household waste.
Ask your pharmacist how to throw away medicines you no longer use.
These measures will help protect the environment.

6. Contents of the pack and other information

• signs of allergy such as rash, itching or hives on the skin, swelling of
the face, lips, tongue or other parts of the body, shortness of breath,
wheezing or trouble breathing

What Xaggitin XL contains

Rare (may affect up to 1 in 1,000 people)

The active substance is methylphenidate hydrochloride.

• feeling unusually excited, over-active and un-inhibited (mania)

Xaggitin XL 18mg: Each prolonged-release tablet contains 18mg of
methylphenidate hydrochloride equivalent to 15.6 mg of methylphenidate.

Very rare (may affect up to 1 in 10,000 people)
• heart attack
• sudden death
• suicidal attempt
• fits (seizures, convulsions epilepsy)
• skin peeling or purplish red patches

Xaggitin XL 27mg: Each prolonged-release tablet contains 27mg of
methylphenidate hydrochloride equivalent to 23.3 mg of methylphenidate.
Xaggitin XL 36mg: Each prolonged-release tablet contains 36mg of
methylphenidate hydrochloride equivalent to 31.1 mg of methylphenidate.
Xaggitin XL 54mg: Each prolonged-release tablet contains 54mg of
methylphenidate hydrochloride equivalent to 46.7 mg of methylphenidate.

• inflammation or blocked arteries in the brain

The other ingredients are:

• muscle spasms which you cannot control affecting your eyes, head,
neck, body and nervous system - due to a temporary lack of blood
supply to the brain

Tablet core:
Lactose monohydrate, hypromellose, silica (colloidal anhydrous),
magnesium stearate, fumaric acid, methacrylic acid–methyl methacrylate
copolymer (1:1), methacrylic acid–methyl methacrylate copolymer (1:2),
triethyl citrate, talc.

• decrease in number of blood cells (red cells, white cells and platelets)
which can make you more likely to get infections, and make you bleed
and bruise more easily
• a sudden increase in body temperature, very high blood pressure and
severe convulsions (‘Neuroleptic Malignant Syndrome’). It is not certain
that this side effect is caused by methylphenidate or other medicines
that may be taken in combination with methylphenidate.
Not known (frequency cannot be estimated from the available data)
• unwanted thoughts that keep coming back
• unexplained fainting, chest pain, shortness of breath (these can be
signs of heart problems)
• paralysis or problems with movement and vision, difficulties in speech
(these can be signs of problems with the blood vessels in your brain)
If you have any of the side effects above, see a doctor straight away.
Other side effects include the following, if they get serious, please tell
your doctor or pharmacist:
Very common (may affect more than 1 in 10 people)
• headache
• feeling nervous
• not being able to sleep.
Common (may affect up to 1 in 10 people)
• joint pain
• blurred vision

Tablet coating:
18mg Tablets: Polyvinyl alcohol (part hydrolysed), macrogol (3350), talc,
titanium dioxide (E171), iron oxide yellow (E172), iron oxide red (E172).
27mg Tablets: Polyvinyl alcohol (part hydrolysed), macrogol (3350),
talc, titanium dioxide (E171), iron oxide yellow (E172), Indigo carmine
aluminium lake (E132), iron oxide black (E172).
36mg Tablets: Polyvinyl alcohol (part hydrolysed), macrogol (3350), talc,
titanium dioxide (E171).
54mg Tablets: Polyvinyl alcohol (part hydrolysed), macrogol (3350), talc,
titanium dioxide (E171), iron oxide red (E172).
Printing ink:
Shellac glaze, iron oxide black (E172), propylene glycol.
What Xaggitin XL looks like and contents of the pack
18mg Tablet: Capsule-shaped, biconvex, yellow tablet, 6.6 mm x 11.9 mm,
with “2392” printed on one side in black ink.
27mg Tablet: Capsule-shaped, biconvex, grey tablet, 6.7 mm x 12.0 mm,
with “2393” printed on one side in black ink.
36mg Tablet: Capsule-shaped, biconvex, white tablet, 6.7 mm x 12.0 mm,
with “2394” printed on one side in black ink.
54mg Tablet: Capsule-shaped, biconvex, red-brown tablet, 6.8 mm x
12.0 mm, with “2395” printed on one side in black ink.

• trouble falling asleep

Xaggitin XL is available in bottles with child-resistant closure, with
silica gel desiccant integrated into the closure, containing 28, 30 or 90
prolonged-release tablets (18 mg tablets) or 28, 30 or 100 prolongedrelease tablets (27 mg, 36 mg and 54 mg tablets). Not all pack sizes may
be marketed.

• high temperature (fever)

Marketing Authorisation Holder

• tension headache
• dry mouth, thirst

• decreased interest in sex
• unusual hair loss or thinning

Breath Limited, Whiddon Valley, Barnstaple, North Devon,
EX32 8NS, United Kingdom

• muscle tightness, muscle cramps

Manufacturer

• loss of appetite or decreased appetite
• inability to develop or maintain an erection
• itching, rash or raised red itchy rashes (hives)

Balkanpharma - Dupnitsa AD. 3 Samokovsko Shosse Str.
Dupnitsa 2600. Bulgaria

• feeling unusually sleepy or drowsy, feeling tired

For any information about this medicine, please contact the
local distributor:

• clenching or grinding your teeth, feeling of panic

United Kingdom: Ethypharm UK Ltd

• tingling feeling, prickling, or numbness of the skin
• increased alanine aminotransferase (liver enzyme) level in your blood
• cough, sore throat or nose and throat irritation; upper respiratory tract
infection; sinus infection

Medical information tel: +44(0)1483 662805
Xaggitin XL is a registered trademark of Ethypharm Holdings UK Ltd.
This leaflet was last revised in January 2017

• high blood pressure, fast heart beat (tachycardia)
• dizziness (vertigo), feeling weak, movements which you cannot control,
being unusually active

How do I take my medicine (tablets)?
• Swallow your medicine with water.
• Your doctor will tell you how many times a day you should take your
medicine.
• Do not stop taking the medicine without talking to your doctor first.
Possible side effects
Side effects are the unwanted things that can happen when you take a
medicine. If any of the following happen, tell an adult you trust straight
away. They can then talk to your doctor. The main things that could affect
you are:

XAGP/0001/01

If you feel unwell in any way while you are taking your medicine
please tell an adult you trust straight away.
Other things to remember
• Make sure you keep your medicine in a safe place, so that no one else
takes it, especially younger brothers or sisters.
• The medicine is special for you - do not let anyone else have it. It may
help you, but it could hurt someone else.
• If you forget to take your medicine don’t take two tablets the next time.
Just take one tablet at the next normal time.
• If you do take too much medicine, tell your mum, dad or carer right away.

• Feeling worried or nervous

• It is important not to take too much medicine or you will get ill.

• Feeling dizzy, or getting headaches

• Don’t stop taking your medicine until your doctor says it’s OK.

• Being very depressed and unhappy or wanting to hurt yourself

Who should I ask if there is anything I don’t understand?

• Having different moods than usual, not being able to get to sleep
• Skin rashes, bruising easily, getting out of breath

Your mum, dad, carer, doctor, nurse or pharmacist will be able to help you.

• The medicine can also make you feel sleepy. If you feel sleepy, it is
important not to do outdoor sports like riding a horse or bike, swimming
or climbing trees. You could hurt yourself and others.
• Your heart beating faster than usual.

XAGP/0001/01
Xaggitin XL 18mg, 27mg, 36mg, 54mg PIL - 190mm x 600mm
PROOF: 06/02/17

Expand Transcript

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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