Carbex

Separate granules and solution for oral administration.

4.1 Therapeutic indications Gas producing agent for use as an image enhancer in diagnostic procedures of the stomach and upper gastrointestinal tract.4.2 Posology and method of administration For oral administration. The contents of one sachet (2.8g) of Carbex granules are placed on the patient's tongue and then immediately washed down with 10ml of the solution. When used in double contrast radiography, the barium should be swallowed thirty seconds after administration of the Carbex solution.4.3 Contraindications Hypersensitivity to the active substance(s) or to any of the excipients listed in section 6.1.4.4 Special warnings and precautions for use None.4.5 Interaction with other medicinal products and other forms of interaction None Known. No interaction studies have been performed.4.6 Fertility, pregnancy and lactation **Pregnancy** Safety in human pregnancy has not been established in animal studies and there is no significant data on human exposure. However as simeticone is not absorbed, it is not anticipated that Carbex will have adverse effects on pregnancy. **Breast feeding** As simeticone is not absorbed from the gastrointestinal tract it will not appear in human breast milk. **Fertility** The effect on human fertility has not been evaluated.4.7 Effects on ability to drive and use machines Carbex has no or negligible influence on ability to drive and use machines.4.8 Undesirable effects No known effects. **Reporting of suspected adverse reactions** Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.4.9 Overdose No cases of overdose have been reported. Theoretically, constipation may occur. Treat with fluids and keep under observation.

5.1 Pharmacodynamic properties Sodium bicarbonate and citric acid react to produce carbon dioxide in the gastrointestinal tract. Simeticone is present to prevent excessive bubble formation during the release of gas.5.2 Pharmacokinetic properties Simeticone is not absorbed from the gastrointestinal tract.5.3 Preclinical safety data There are no pre-clinical data of relevance to the prescriber which are additional to those already included in other sections of the SPC.

6.1 List of excipients *Carbex Granules* Povidone Mannitol Lemon flavour *Carbex Solution* Methylparaben. Propylparaben Saccharin sodium Orange flavour Purified Water6.2 Incompatibilities None known6.3 Shelf life Shelf life of granules and solution (unopened): 36 months6.4 Special precautions for storage Do not store above 25° C.6.5 Nature and contents of container Carbex is supplied as a pack containing sufficient for one patient treatment. The outer package (cardboard carton) contains the following: Granules: 1 x 2.8g sachets of Carbex granules. The sachet is composed of paper/polyethylene/aluminium foil/surlyn. Solution: 1 x 10ml bottle of Carbex solution. The bottle is polyethylene with a polypropylene closure.6.6 Special precautions for disposal and other handling Any unused medicinal product or waste material should be disposed of in accordance with local requirements.