AUSTELL - PEN VK is used to prevent recurrence of a condition known as rheumatic fever, which is a type of inflammatory disease which can affect the connective tissue of the heart, blood vessels and joints. It is indicated in the treatment of mild to moderate middle ear infections, sinusitis, and pharyngitis (infection of the throat).
1. What AUSTELL - PEN VK is and what it is used for
2. What you need to know before you take AUSTELL - PEN VK
Do not take AUSTELL - PEN VK if you:
- Are allergic to Phenoxymethylpenicillin s or Cephalosporin - type antibiotic or any of the ingredients of AUSTELL - PEN VK (listed in Section 6).
- Have ever had a skin rash or swelling of the face or neck or shortness of breath when taking any antibiotic
- Use in diarrhoea
- Use in fevers
Warnings and precautions
Take special care with AUSTELL PEN - VK
- if you suffer from any stomach problems, e.g. vomiting
- if you suffer from any kidney problems
- if you suffer from allergies and/or asthma
Other medicines and AUSTELL - PEN VK
Always tell your health care provider if you are taking any other medicine. (This includes all complementary or traditional medicines.) AUSTELL - PEN VK can affect or be affected by other medicines you are using, Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines. This is particularly important if you are taking
- Probenecid, Sulfinpyrazone (medicines used to treat gout and other conditions which require lowering of blood uric acid levels.)
- Methotrexate (a medicine used to treat cancers and psoriasis)
- Guar gum (a medicine used to treat diarrhoea irritable bowl syndrome)
- Neomycin, Chloramphenicol, Erythromycin, Tetracyclines can result in decreased absorption of AUSTELL - PEN VK.
- Anticoagulants (medicines that prevent the clotting of blood).
- Oral typhoid vaccine (penicillin can stop this from working).
Pregnancy and Breast feeding:
If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, please consult your doctor, pharmacist or other health care provider for advice before taking AUSTELL - PEN VK.
Driving and using machines
This medicine should not affect your ability to drive or to use machinery. It is not always possible to predict to what extent AUSTELL - PEN VK may interfere with the daily activities of a patient. Patients should ensure that they do not engage in the above activities until they are aware of the measure to which AUSTELL - PEN VK affects them.
3. How to take AUSTELL - PEN VK
Do not share medicines prescribed for you with any other person. Always take AUSTELL - PEN VK exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. The usual dose is:
- Streptococcal infections:
- Adults: 125 to 250 mg every 4 hours
- Children: up to 1 year 60 mg every 6 hours
- 1 to 5 years: 125 mg every 6 hours.
- 6 to 12 years: 250 mg every 6 hours
- Rheumatic fever prophylaxis: 125 mg every 12 hours.
DIRECTION FOR RECONSTITUTING: 100 mL syrup. Add 65 mL water and shake well to dissolve.
Duration of administration Your doctor will tell you how long your treatment with AUSTELL - PEN VK will last. Do not stop treatment early because Streptococcal pharyngitis must be treated for a minimum of 10 days. If you have the impression that the effect of AUSTELL - PEN VK is too strong or too weak, tell your doctor or pharmacist.
Method of administration Shake the bottle well before use.
If you take more AUSTELL - PEN VK than you should In the event of over dosage, consult your doctor or pharmacist. If neither is available, contact the nearest hospital or poison control centre.
If you forget to take AUSTELL - PEN VK Do not take a double dose to make up for forgotten individual doses.
If you stop taking AUSTELL - PEN VK Keep taking this medicine until your doctor tells you to stop. Do not stop taking it just because you feel better. If you stop taking the medicine, your condition may re-occur or get worse. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
AUSTELL - PEN VK can have side effects. Not all side - effects reported for this medicine are included in this leaflet. If your general state of health worsens while taking this medicine, please consult your doctor, pharmacist or other health care professional for advice. If any of the following happens, stop taking AUSTELL - PEN VK and tell your doctor immediately or go to the casualty department at your nearest hospital:
- diarrhoea, transient nausea and heartburn,
- hypersensitivity reactions like rash, hives and angio - oedema (symptoms are swelling of the tongue and lips for example),
- severe peeling/blistering of the skin,
- neutropenia (decreased number of leukocytes in the blood),
- nephropathy and interstitial nephritis – (a type of kidney infection, symptoms are for example, an abnormal urine sediment),
- seizures,
- sore mouth/tongue.
- serum sickness like reactions (characterised by fever, chills, joint pains and oedema),
These are very serious side effects. If you have them, you may have had a serious reaction to AUSTELL - PEN VK. You may need urgent medical attention or hospitalisation. Tell your doctor immediately or go to the casualty department at your nearest hospital if you notice any of the following:
- stomach pain or cramps,
- vomiting,
- diarrhoea.
These are all serious side effects. You may need urgent medical attention. Tell your doctor if you notice any of the following:
Frequent side effects:
- extremely low blood pressure, swelling of the throat, difficulty breathing and loss of consciousness,
- rash and shedding of skin,
- hives, itchy skin with an odor,
Less frequent side effects:
- sore mouth,
- black hairy tongue,
- sore throat,
- problems with blood clotting (unusual bleeding or bruising),
- infections or fever (may be caused by low white blood cells),
- anaemia (may cause lack of energy or tiredness),
- kidney problems, which might cause blood in the urine or reduced amounts of urine.
Side effects with frequency unknown:
- Rash with blisters arranged in a circle with crushing or like a string or pearls (linear IgA disease).
- Chest pain in the context of allergic reactions, which may be a symptom of allergy triggered cardiac disease (Kounis syndrome).
Reporting of side effects If you get side effects, talk to your doctor or pharmacist or nurse. You can also report side effects to SAHPRA via the Med Safety APP (Medsafety X SAHPRA) and eReporting platform (who - umc.org) found on SAHPRA website. By reporting side effects, you can help provide more information on the safety of AUSTELL - PEN VK. Suspected side effects can also be reported directly to the Holder of the Certificate of Registration via [email protected].
5. How to store AUSTELL - PEN VK
Unconstituted powder: Store in a dry place at or below 25 °C.
Reconstituted oral solution: Store for 7 days in a refrigerator. Shake bottle before use. Return all unused medicines to your pharmacist. Do not dispose of unused medicines in drains or sewerage system (e.g toilets).