DIAMOX 250 mg Tabletka Powlekana
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Jak stosować DIAMOX
Treść ulotki
Diamox 250 mg tablets
acetazolamide
Read this leaflet carefully before taking this medicine as it contains important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you only. Do not pass it on to others, even if their symptoms are the same as yours, as it could be harmful.
- If you get any side effects, even those not listed in this leaflet, tell your doctor or pharmacist. See section 4.
Contents of this leaflet:
- 1. What Diamox is and what it is used for
- 2. What you need to know before you take Diamox
- 3. How to take Diamox
- 4. Possible side effects
- 5. How to store Diamox
- 6. Contents of the pack and other information
1. What is Diamox and what is it used for
Diamox contains the active ingredient acetazolamide, a diuretic that belongs to the sulfonamide class
and works by increasing urine excretion.
Diamox is used for:
- the treatment of fluid retention in the body (edema) caused by heart failure;
- the treatment of increased pressure in the eyes (glaucoma);
- the treatment of swelling in the eyes caused by fluid accumulation;
- the treatment of epilepsy together with other medications.
- Prevention of acute mountain sickness.
2. What you need to know before taking Diamox
DO NOT take Diamox
- if you are allergic to acetazolamide or any of the other ingredients of this medicine (listed in section 6);
- if you suffer from excessive acid production with nausea and vomiting (hyperchloremic acidosis);
- if you have low levels of potassium in your blood;
- if you have low levels of sodium in your blood;
- if you have kidney failure;
- if you have liver failure, including cirrhosis (chronic liver inflammation);
- if you have adrenal gland insufficiency;
- if you suffer from chronic non-congestive angle-closure glaucoma (a type of eye disorder caused by increased pressure in the eyes);
- during pregnancy and breastfeeding (see section “Pregnancy and breastfeeding”).
Warnings and precautions
Talk to your doctor or pharmacist before taking Diamox.
The doctor will perform tests to check for possible effects of acetazolamide on the metabolism and cells in the blood (such as sodium, potassium, white blood cells, red blood cells, platelets, glucose).
Also, tell your doctor if you have suicidal thoughts or behaviors during treatment. The doctor will keep
you under close control and assess the need to give you appropriate treatment.
Pay particular attention with Diamox and talk to your doctor:
- if you have kidney damage and suffer from a heart condition;
- if you suffer from chronic obstructive bronchopneumonia and emphysema (respiratory diseases affecting the lungs and bronchi and causing difficulty breathing);
- if you suffer from reduced alveolar ventilation (a respiratory disorder that reduces air exchange in the lungs);
- if you are taking high doses of aspirin;
- if your kidney function is reduced;
- if you suffer from or have suffered from kidney stones;
- if you have diabetes mellitus or reduced sugar tolerance;
- if you are an elderly patient with reduced kidney function.
If severe forms of altitude sickness occur, for example, pulmonary edema or cerebral edema
from altitude, when ascending rapidly and using acetazolamide, this does not eliminate the possibility of
a rapid descent.
If severe allergic reactions occur, stop treatment and see your doctor.
Children and adolescents
Currently, there are no adequate studies on the safety and efficacy of acetazolamide in children and
adolescents.
The doctor will carefully monitor the growth and development of children and adolescents undergoing
prolonged treatment.
Other medicines and Diamox
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other
medicines.
In particular, tell your doctor if you are taking or before taking:
- medicines containing mercury (to increase urine production);
- miotics (to constrict the pupil and lower eye pressure);
- carbamazepine, phenytoin, primidone (for the treatment of epilepsy);
- antihypertensives (for the treatment of high blood pressure);
- quinidine and cardiac glycosides (for the treatment of heart disorders);
- other medicines to increase urine production;
- amphetamine (to stimulate the nervous system);
- tricyclic antidepressants (for the treatment of depression);
- other sulfonamides and sulfonamide derivatives;
- medicines antagonistic to folic acid (a vitamin);
- medicines for the treatment of diabetes;
- methenamine (for the treatment and prevention of urinary tract infections);
- sodium bicarbonate;
- cyclosporine (to reduce the reactions of the immune system);
- aspirin;
- lithium (for the treatment of some mental disorders).
Diamox can also interfere with laboratory tests and other diagnostic tests: tell your doctor before
performing any examination.
Pregnancy and breastfeeding
If you are pregnant, suspect you are pregnant, or are planning a pregnancy, or if you are breastfeeding with breast
milk, ask your doctor or pharmacist for advice before taking this medicine.
Pregnancy
Currently, there are no adequate studies on pregnant women.
If you are pregnant, the doctor will assess whether the benefits for you clearly outweigh the risks to the fetus/child
before prescribing Diamox.
Breastfeeding
If you are breastfeeding, the doctor will assess whether the benefits for you clearly outweigh the risks to the
fetus/child before prescribing Diamox, due to the possibility of developing serious adverse reactions.
Driving and using machines
Diamox can cause drowsiness and confusion.
If these effects occur, do not drive or use machines until they disappear.
For athletes
The use of the drug without therapeutic necessity constitutes doping and may still result in a positive
anti-doping test.
3. How to take Diamox
Take this medicine following exactly the instructions of your doctor or pharmacist. If you have
any doubts, consult your doctor or pharmacist.
Dosage
The doctor will assess the most suitable dose for you based on your weight and the condition to be treated.
- To increase urine production: from one tablet to one and a half tablets, once a day in the morning.
- For the treatment of glaucoma: one tablet every 4 - 6 hours (from 4 to 6 tablets in 24 hours). In some cases, the doctor may reduce the dose to one tablet every 8 - 12 hours (from 2 to 3 tablets in 24 hours). In acute cases of particular severity, the doctor may start treatment with 2 tablets, followed by one tablet every 4 - 6 hours.
- For the treatment of epilepsy: from one and a half tablets to 4 tablets in 24 hours. If Diamox replaces an ongoing epilepsy treatment, or is taken in addition to such treatment: the doctor will start you on one tablet a day and increase the daily dose of Diamox until reaching the recommended doses indicated above.
- For the prevention of acute mountain sickness: one tablet a day.
If you take more Diamox than you should
In case of accidental ingestion or use of an excessive dose of Diamox, immediately inform your doctor
or go to the nearest hospital.
The doctor will treat the ingestion of an excessive dose of Diamox based on your condition.
If you forget to take Diamox
Do not take a double dose to make up for a missed dose.
If you forget a dose, resume treatment according to the doses and times recommended by your doctor.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
The most commonly reported side effectsat the beginning of treatment include:
- a change in the sensitivity of the limbs or other parts of the body, particularly tingling, especially in the hands and feet, numbness and itching of the extremities and face;
- decreased or loss of appetite (anorexia);
- changes in hearing, ringing and buzzing in the ears;
- changes in taste;
- disorders at the level of the stomach and intestines such as nausea, vomiting and diarrhoea;
- increased urine production;
- drowsiness;
- confusion.
Other side effects:
- severe reactions with destruction of the skin and mucous membranes (Stevens-Johnson syndrome and toxic epidermal necrolysis);
- rapid death of liver tissue;
- severe reduction of white blood cells in the blood, anaemia characterised by reduced production of blood cells (aplastic anaemia) and other changes in the quantity or quality of blood cells;
- severe allergic reactions with rapid onset;
- headache;
- malaise;
- fatigue;
- fever;
- hot flushes, skin redness;
- delayed growth in children;
- paralysis characterised by reduced muscle tone;
- thirst;
- alteration of liver function, inflammation of the liver or yellowing of the skin, mucous membranes and eye (jaundice);
- changes in the quantity or quality of blood cells, for example: o reduction of platelets, which can cause purple or reddish-brown spots on the skin; o reduction of all blood cells;
- excessive production of acids at the metabolic level;
- imbalance of substances in the blood, including: o low levels of potassium in the blood, very rarely associated with intestinal obstruction due to paralysis of the intestinal muscles; o high levels of uric acid in the blood;
o alteration of ammonia metabolism;
o low levels of sodium in the blood;
- insufficient mineralisation of bones if taken with long-term therapy with phenytoin;
- increase or decrease in blood sugar levels;
- depression;
- excitement;
- loss of coordination of movements;
- convulsions;
- dizziness;
- allergic skin reactions, even severe, including itchy rashes, appearance of spots and/or raised areas on the skin;
- sensitivity to light;
- myopia;
- alteration of vision, rarely, after cataract surgery;
- crystals of salts in the urine;
- increased risk of kidney stones (in case of prolonged treatment);
- presence of blood in the urine;
- abnormal liver function;
- sugar in the urine;
- kidney failure.
- Contact your doctor immediately if you experience a severe skin reaction: a red and scaly rash with the formation of pustules and blisters (pustular exanthematous rash). The frequency of this reaction is not known (cannot be assessed based on available data).
Reporting of side effects
If you experience any side effects, including those not listed in this leaflet, please inform your
doctor or pharmacist. You can also report side effects directly through the national reporting system at
Reporting side effects can help provide more information on the safety of
this medicine.
5. How to store Diamox
Keep this medicine out of the sight and reach of children.
Do not store at a temperature above 25° C.
Do not use this medicine after the expiry date which is stated on the packaging after Exp. The expiry date refers to the last day of that month.
Do not dispose of any medicine in wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. This will help protect the environment.
6. Contents of the pack and other information
What Diamox contains
- The active ingredient is acetazolamide. Each tablet contains 250 mg of acetazolamide.
- The other ingredients are sodium starch glycolate, povidone K29-32, dibasic calcium phosphate dihydrate, corn starch, magnesium stearate.
Description of the appearance of Diamox and contents of the pack
Tablets of 250 mg.
Marketing authorisation holder
TEOFARMA S.r.l. – Via F.lli Cervi, 8 – 27010 Valle Salimbene (PV)
Manufacturer
TEOFARMA S.r.l. – Viale Certosa, 8/A – 27100 PAVIA
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- Kraj rejestracji
- Postać farmaceutycznaCoated tablet, 250 MG
- Kod ATCS01EC01
- Substancja czynna
- Wymaga receptyTak
- Producent
- Te treści mają charakter wyłącznie informacyjny i nie zastępują konsultacji lekarskiej.
- Zamienniki DIAMOXPostać farmaceutyczna: Eye drops, suspension, 10 MG/MLSubstancja czynna: brinzolamideProducent: OMNIVISION ITALIA SRLBez receptyPostać farmaceutyczna: Eye drops, suspension, 10 MG/MLSubstancja czynna: brinzolamideProducent: NOVARTIS EUROPHARM LIMITEDBez receptyPostać farmaceutyczna: Eye drop, suspension, 10 MG/ML + 5 MG/MLSubstancja czynna: brinzolamide, combinationsProducent: ACCORD HEALTHCARE, S.L.U.Bez recepty
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DIAMOX wymaga recepty w Włochy. Możesz skonsultować się z lekarzem online, aby sprawdzić, czy ten lek może być odpowiedni w Twojej sytuacji.
Substancją czynną w DIAMOX jest acetazolamide. Informacja ta pomaga rozpoznać leki o tym samym składzie, ale pod różnymi nazwami handlowymi.
DIAMOX jest produkowany przez TEOFARMA S.R.L.. Nazwy handlowe i opakowania mogą się różnić w zależności od dystrybutora.
Lekarze, tacy jak Lekarze rodzinni, Psychiatrzy, Dermatolodzy, Kardiolodzy, Endokrynolodzy, Gastroenterolodzy, Pulmonolodzy, Nefrolodzy, Reumatolodzy, Hematolodzy, Zakaźnicy, Alergolodzy, Geriatrzy, Pediatrzy, Onkolodzy, mogą ocenić, czy stosowanie DIAMOX jest odpowiednie w Twoim przypadku, w zależności od sytuacji klinicznej i lokalnych przepisów. Możesz umówić konsultację online, aby omówić objawy i możliwe dalsze kroki.
Polska posiada dobrze rozwiniętą infrastrukturę ochrony zdrowia w dużych miastach, takich jak Warszawa, Kraków, Wrocław i Gdańsk. Apteki są łatwo dostępne i działają zgodnie z obowiązującymi przepisami, zapewniając dostęp do leków na receptę.
Możesz kupić DIAMOX w Warszawie, Krakowie, Wrocławiu lub Gdańsku w każdej aptece, posiadając ważną receptę.
Aby uzyskać receptę, możesz skorzystać z Oladoctor:
Inne leki zawierające tę samą substancję czynną (acetazolamide) to m.in. AIKISI, ATSOPT, BRINTSOLAMIDE E TIMOLOLO AKKORD. Mogą one różnić się nazwą handlową lub postacią, ale zawierają ten sam składnik terapeutyczny. Przed zmianą lub rozpoczęciem nowego leku skonsultuj się z lekarzem.
