Deferiprone tablets and oral solution

About deferiprone

Talassemia is an inherited (genetic) condition affecting the blood. Your red blood cells contain a protein called haemoglobin which carries oxygen around your body and gives your blood its red colour. In people with thalassaemia, part of the haemoglobin is faulty and does not work properly. If there is not enough normal haemoglobin in your blood, you become anaemic. As a consequence, your body tries to make more haemoglobin and more red blood cells, and goes into overproduction mode.

As a result of the combination of overproduction, a need for regular blood transfusions of normal red blood cells to treat the anaemia, and also because your condition makes your body absorb a lot of iron from food, you can become overloaded with iron. Deferiprone is a chelation treatment, which means that it helps your body to get rid of excess iron. It works by combining with the extra iron to form a complex which your body can remove. It will be prescribed for you if other (usually preferred) treatments are either unsuitable for you, or insufficient to control your symptoms.

Some medicines are not suitable for people with certain conditions and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking deferiprone it is important that your doctor knows:

• Se sei incinta, stai cercando di avere un bambino o stai allattando.

• Se hai problemi con il funzionamento del tuo fegato, o problemi con il funzionamento dei tuoi reni.

• If you have been told you have a low number of white cells in your blood.

• Se stai assumendo o utilizzando altri medicinali. Questo include qualsiasi medicinale che stai assumendo e che è disponibile per l'acquisto senza prescrizione, così come i medicinali a base di erbe e complementari.

• Se hai mai avuto una reazione allergica a un medicinale.

• Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about deferiprone and will also provide you with a full list of side-effects which you could experience from taking it.

• Take deferiprone exactly as you are told to by your doctor. Your dose will depend upon how much you weigh, so your doctor will tell you how many tablets or how much medicine to take. The directions for taking the medicine will also be printed on the label of the pack to remind you about what the doctor said to you. You will be asked to take three doses every day. Take your first dose in the morning, your second dose around lunchtime and your third dose in the evening. You can take deferiprone either before or after meals.

• There are two different strengths of tablet available - 500 mg and 1 g. Your dose may include a combination of both strengths of tablet.

• Se dimentichi di prendere una dose, prendila appena te ne ricordi. Cerca di assumere il numero corretto di dosi ogni giorno, ma non prendere due dosi contemporaneamente per compensare una dose dimenticata.

• Treatment with deferiprone is usually long-term, although your treatment may need to be interrupted if you develop an infection. Continue to take the tablets/medicine regularly unless your doctor tells you otherwise.

• Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress. You will need to have regular weekly blood tests during treatment.

• Deferiprone may cause your urine to turn a red/brown colour. This is the iron being removed from your body and is nothing for you to worry about as it is quite harmless.

• If you need to take an indigestion remedy, choose one that does not contain aluminium. Your pharmacist will be able to give you advice about which antacids and other medicines are suitable for you to buy 'over the counter'.

• You must not become pregnant while you are taking deferiprone and for six months after stopping treatment. Please make sure you have discussed with your doctor which types of contraception are suitable for you and your partner. Men should not father a child for at least three months after stopping treatment.

• If you are due to have an operation or any dental treatment, always tell the person carrying out the treatment which medicines you are taking.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with deferiprone. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Se si verificano altri sintomi che ritieni possano essere dovuti al medicinale, ti preghiamo di consultare il tuo medico o farmacista per ulteriori consigli.

• Tenere tutti i medicinali fuori dalla portata e dalla vista dei bambini.

• Conservare in un luogo fresco e asciutto, lontano da fonti di calore e luce diretta.

• Once a bottle of liquid medicine has been opened, it will keep for 35 days. Please obtain a fresh supply after this time.