Lezlerg 5 mg Film-Coated Tablets

Levocetirizine dihydrochloride is the active ingredient of LEZLERG. LEZLERG is an antihistamine for systemic use. It is used for the treatment of signs of illness (symptoms) associated with:

• allergic rhinitis (including persistent allergic rhinitis)
• chronic nettle rash of unknown origin (chronic idiopathic urticaria).

Do not take LEZLERG:

• if you are hypersensitive (allergic) to levocetirizine dihydrochloride or any of the other ingredients of LEZLERG (listed in section 6).
• if you or your child have a severe impairment of kidney function (severe renal failure with creatinine clearance below 10 mL/min)
• if you are pregnant or breastfeeding your baby.

Warnings and precautions

Talk to your doctor or pharmacist before taking LEZLERG. Take special care with LEZLERG:

• If you are likely to be unable to empty your bladder (with conditions such as spinal cord injury or enlarged prostate), please ask your doctor for advice.
• If you suffer from epilepsy or are at risk of convulsions, please ask your doctor for advice as use of LEZLERG may cause seizure aggravation.
• If you are scheduled for allergy testing, ask your doctor if you should stop taking LEZLERG for several days before testing. This medicine may affect your allergy test results.

Children

The use of LEZLERG is not recommended in children less than 6 years since the film-coated tablets do not allow for dose adaptation.

Other medicines and LEZLERG

Always tell your health care provider if you are taking any other medicine. (This includes all complementary or traditional medicines.)

LEZLERG with food and, drink and alcohol

Caution is advised if LEZLERG is taken at the same time as alcohol or other medicines acting on the brain. In sensitive patients, the concurrent administration of LEZLERG and alcohol or other medicines acting on the brain may cause additional reductions in alertness and impairment of performance. LEZLERG can be taken with or without food.

Pregnancy and, breastfeeding and fertility

You should not take LEZLERG if you are pregnant or breastfeeding your baby. 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 this medicine.

Driving and using machines

It is not always possible to predict to what extent LEZLERG 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 LEZLERG affects them. Some patients being treated with LEZLERG may experience somnolence / drowsiness, tiredness and exhaustion. Use caution when driving or operating machinery until you know how this medicine affects you. However, special tests have revealed no impairment of mental alertness, the ability to react or the ability to drive in healthy test persons after taking levocetirizine in the recommended dosage.

LEZLERG contains lactose monohydrate. LEZLERG contains a sugar called lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking LEZLERG.

Do not share medicines prescribed for you with any other person. Always take LEZLERG exactly as your doctor or pharmacist has instructed you. Check with your doctor or pharmacist if you are not sure.

Adults or children aged 6 years and older: The daily recommended dose is one tablet. The tablets should be swallowed whole with water and may be taken with or without food.

Method of administration

LEZLERG tablets should be swallowed whole with water and may be taken with or without food. You can take LEZLERG with meals, or independently of meals. If you have a sensitive stomach, you should best take LEZLERG after meals.

If you take more LEZLERG than you should

In the event of overdosage, consult your doctor or pharmacist. If neither is available, contact the nearest hospital or poison centre. Symptoms of overdose may include:

• sleepiness can occur in adults
• children may initially show a sense of excitation and restlessness followed by somnolence

If you forget to take LEZLERG

Do not take a double dose to make up for forgotten individual doses, just continue taking the amounts stated in the dosage instructions.

If you stop taking LEZLERG

Stopping treatment with LEZLERG earlier than foreseen should have no detrimental effects. However, less frequently pruritus (intense itching) may occur if you stop taking LEZLERG even if those symptoms were not present before treatment initiation. The symptoms may resolve spontaneously. In some cases, the symptoms may be intense and may require treatment to be restarted. The symptoms should resolve when the treatment is restarted. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

LEZLERG can have side effects. Not all side effects reported for LEZLERG are included in this leaflet. Should your general health worsen or if you experience any untoward effects while taking LEZLERG, please consult your health care provider for advice.

If any of the following happens, stop taking LEZLERG and tell your doctor immediately or go to the casualty department at your nearest hospital:

• swelling of the hands, feet, ankles, face, lips and mouth or throat, which may cause difficulty in swallowing or breathing
• rash or itching
• fainting.

These are very serious side effects. If you have them, you may have had a serious reaction to LEZLERG. You may need urgent medical attention or hospitalisation.

Tell your doctor if you notice any of the following:

Frequent side effects:

• dry mouth
• headache
• tiredness
• somnolence / drowsiness

Less frequent side effects:

• exhaustion
• stomach discomfort, abdominal pain

Side effects with frequency unknown:

• palpitations, increased heart rate
• fits, pins and needles, dizziness, syncope, tremor, dysgeusia (distortion of the sense of taste), sensation of rotation or movement
• visual disturbances, blurred vision, oculogyration (eyes having uncontrolled circular movements)
• painful or difficult urination, inability to completely empty the bladder, oedema
• pruritus (itchiness), rash, urticaria (swelling, redness and itchiness of the skin), skin eruption
• shortness of breath
• weight increase, muscular pain, joint pain, aggressive or agitated behaviour
• hallucination, depression, insomnia, recurring thoughts of or preoccupation with suicide, nightmare
• hepatitis, abnormal liver function
• vomiting, increased appetite, nausea, diarrhoea
• pruritus (intense itching) upon discontinuation.

If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist.

Reporting of side effects

If you get side effects, talk to your doctor or pharmacist. You can also report side effects to SAHPRA via the “6.04 Adverse Drug Reaction Reporting Form”, found online under SAHPRA’s publications:

https://www.sahpra.org.za/Publications/Index/8. By reporting side effects, you can help provide more information on the safety of LEZLERG.

• Store all medicines out of reach of children
• Store at or below 25 °C and in the original packaging. Do not use this medicine after the expiry date which is stated on the label and carton after EXP. The expiry date refers to the last day of that month.
• Return all unused medicine to your pharmacist.
• Do not dispose of unused medicine in drains or sewerage systems (e.g. toilets).