When you must not take it
Do not take PONSTAN if:
- you have an allergy to:
- PONSTAN or any of the ingredients listed at the end of this leaflet
- any other NSAID medicine
Many medicines used to treat headache, period pain and other aches and pains contain aspirin or NSAID medicines.
If you are not sure if you are taking any of these medicines, ask your doctor or pharmacist.
Symptoms of an allergic reaction to these medicines may include:
- asthma, wheezing or shortness of breath
- swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing
- hives, itching or skin rash
If you are allergic to aspirin or NSAID medicines and take PONSTAN, these symptoms may be severe.
- you are pregnant or intend to become pregnant.
PONSTAN may affect your developing baby if you take it during pregnancy.
- you are breast-feeding or intend to breast-feed.
PONSTAN passes into breast milk and may affect your baby.
- you had diarrhoea with this medicine in the past.
Diarrhoea may recur if you take PONSTAN again.
- you have a peptic ulcer (ie stomach or duodenal ulcer), a recent history of one, or have had peptic ulcers before.
- you have or have had inflammation and/or ulceration of the lining of the stomach or bowel.
- you have kidney disease.
- you have severe heart failure.
- you have liver failure.
- you are about to have coronary artery bypass surgery.
Do not take PONSTAN if the packaging is torn or shows signs of tampering.
Do not take PONSTAN if the expiry date (EXP) printed on the pack has passed. If you take this medicine after the expiry date has passed, it may not work as well.
Do not give PONSTAN to a child under 14 years. The safety and effectiveness of PONSTAN in children have not been established.
If you are not sure if you should start taking PONSTAN contact your doctor or pharmacist.
Before you start to take it
Tell your doctor or pharmacist if you have any allergies to:
- any other medicines including aspirin or other NSAID medicines
- any other substances, such as foods, preservatives or dyes
Tell your doctor or pharmacist if you have previously experienced ill effects from any medicine, whether it has been prescribed for you or you have bought it without prescription.
Tell your doctor or pharmacist if you have or have had any medical conditions, especially the following:
- vomiting blood or bleeding from the back passage
- heart failure, heart attack, stroke or blood clots
- a tendency to bleed or other blood problems such as anaemia
- heartburn, indigestion, stomach ulcer or other stomach problems
- bowel or intestinal problems such as ulcerative colitis
- pinkish, itchy swellings on the skin (also called hives) or any other skin rash
- kidney or liver disease
- high blood pressure
Tell your doctor or pharmacist if you are using an intrauterine contraceptive device (IUCD).
If you have not told your doctor or pharmacist about any of the above, tell them before you take any PONSTAN.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines may interfere with PONSTAN. These include:
- aspirin, salicylates or other NSAID medicines
- warfarin, a medicine used to stop blood clots
- some medicines used to treat high blood pressure
- corticosteroids, medicines used to suppress the immune system or reduce inflammation
- some medicines used to treat diabetes
- lithium, a medicine used to treat mood swings in patients with certain types of depression
- cyclosporine or tacrolimus, medicines used to suppress the immune system
- methotrexate, a medicine used to treat arthritis and some cancers.
These medicines may be affected by PONSTAN, or may affect how well it works. You may need to take different amounts of your medicine, or you may need to take different medicines. Your doctor will advise you.
Your doctor and pharmacist may have more information on medicines to be careful with or avoid while taking PONSTAN.
Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet.
If you do not understand the instructions on the pack or bottle, ask your doctor or pharmacist for help.
How much to take
The recommended dosage of PONSTAN is 2 capsules (500 mg) three times daily with meals.
Take PONSTAN exactly as your doctor has prescribed. Your doctor will tell you how many capsules you will need to take each day.
How to take it
Swallow PONSTAN capsules whole with a full glass of water. Do not chew them.
When to take it
Take the capsules with or straight after food with a full glass of water. This may help reduce the possibility of stomach upset.
How long to take it
Do not use PONSTAN for longer than your doctor says. Depending on your condition, you may need PONSTAN for a few days, a few weeks or for longer periods.
For menstrual cramps (period pain), PONSTAN is usually taken during each period as soon as the cramps begin and continued for a few days until the pain goes away.
For heavy menstrual periods, PONSTAN is taken from the beginning of the period and continued according to your doctor's advice. You should not take PONSTAN for more than 7 days unless recommended by your doctor.
For sprains and strains, PONSTAN is usually only needed for a few days.
If you are not sure how long to take PONSTAN, talk to your doctor or pharmacist.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember, and then go back to taking your capsules as you would normally.
Do not take a double dose to make up for the dose that you missed. This may increase the chance of you getting an unwanted side effect.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or the Australian Poisons Information Centre (telephone 13 11 26) or New Zealand National Poisons Information Centre (telephone 03 474 7000) for advice, or go to Accident and Emergency at your nearest hospital, if you think that you or anyone else may have taken too much PONSTAN. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
Keep these telephone numbers handy. If you take too much PONSTAN, you may experience pain or tenderness in the stomach, diarrhoea, muscle twitches, seizure (fit), confusion, dizziness or hallucination.
Things you must do
If you become pregnant while taking PONSTAN tell your doctor immediately.
If you are about to start taking any new medicine tell your doctor and pharmacist that you are taking PONSTAN.
Tell all of the doctors, dentists, and pharmacists that are treating you that you are taking PONSTAN.
If you are going to have surgery, tell your doctor you are taking PONSTAN.
If you get an infection while using PONSTAN, tell your doctor. PONSTAN may hide some of the signs of an infection and may make you think, mistakenly, that you are well or that it is not serious. Signs of an infection may include fever, pain, swelling and redness.
If you need to have any medical tests while you are taking PONSTAN, tell your doctor. PONSTAN may affect the results of some tests.
Tell your doctor if you feel PONSTAN is not helping your condition. Your doctor may need to change your medicine.
Tell your doctor if, for any reason, you have not taken PONSTAN exactly as prescribed. Otherwise, your doctor may change your treatment unnecessarily.
Things you must not do
Do not give PONSTAN to anyone else, even if they have the same condition as you.
Do not use PONSTAN to treat any other complaints unless your doctor tells you to.
Things to be careful of
Be careful driving or operating machinery until you know how PONSTAN affects you. As with other NSAID medicines, PONSTAN may cause dizziness or light-headedness in some people. Make sure you know how you react to PONSTAN before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy or light-headed. If this occurs do not drive. If you drink alcohol, dizziness or light-headedness may be worse.
Keep your capsules in the bottle or pack until it is time to take them. If you take the capsules out of the bottle or pack they will not keep well.
Keep the capsules in a cool dry place where the temperature stays below 30 degrees C.
Do not store PONSTAN or any other medicine in the bathroom or near a sink. Do not leave it in the car or on window sills. Heat and dampness can destroy some medicines.
Keep PONSTAN where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking PONSTAN or the capsules have passed their expiry date, ask your pharmacist what to do with any that are left over.