How to use Vertisan 24
Contents of the leaflet
- LEAFLET INCLUDED IN THE PACKAGING: INFORMATION FOR THE PATIENT
- Vertisan 24, tablets, 24 mg
- What is Vertisan 24 and what is it used for
- Important information before taking Vertisan 24
- How to take Vertisan 24
- Possible undesirable effects
- How to store Vertisan 24
- Contents of the packaging and other information
LEAFLET INCLUDED IN THE PACKAGING: INFORMATION FOR THE PATIENT
Vertisan 24, tablets, 24 mg
betahistine dihydrochloride
It is essential to carefully read the contents of the leaflet before taking the medicine, as it contains important information for the patient.
- The leaflet should be kept in case it needs to be read again.
- In case of any doubts, the doctor, pharmacist, or nurse should be consulted.
- This medicine has been prescribed to a specific person. It should not be given to others. The medicine may harm another person, even if the symptoms of their illness are the same.
- If the patient experiences any undesirable effects, including any undesirable effects not mentioned in this leaflet, they should inform their doctor, pharmacist, or nurse. See section 4.
Table of contents of the leaflet:
- 1. What is Vertisan 24 and what is it used for
- 2. Important information before taking Vertisan 24
- 3. How to take Vertisan 24
- 4. Possible undesirable effects
- 5. How to store Vertisan 24
- 6. Contents of the packaging and other information
1. What is Vertisan 24 and what is it used for
Betahistine, the active substance of Vertisan 24, is similar to histamine - a substance naturally occurring in the human body.
Vertisan 24 is indicated for the treatment of Meniere's disease, characterized by the following symptoms: dizziness (often associated with nausea and/or vomiting), tinnitus, and hearing loss.
2. Important information before taking Vertisan 24
When not to take Vertisan 24
- if the patient is allergic to betahistine dihydrochloride or any of the other ingredients of this medicine (listed in section 6),
- if the patient has a pheochromocytoma (a tumor of the adrenal gland).
Warnings and precautions
Before starting to take Vertisan 24, the patient should discuss it with their doctor, pharmacist, or nurse,
- if the patient has a stomach or intestinal ulcer,
- if the patient has a chronic respiratory disease (asthma),
- if the patient has hives, skin rash, or nasal congestion due to an allergic reaction
- symptoms may worsen while taking Vertisan 24,
- if the patient has very low blood pressure,
- if the patient is taking other medicines for allergies or colds
- so-called antihistamines (see also section "Vertisan 24 and other medicines").
There is limited data on patients with liver or kidney function disorders, as well as in elderly patients. Therefore, betahistine should be used with caution in this group of patients.
Children and adolescents
Vertisan 24 should not be used in children and adolescents under 18 years of age due to insufficient information on safety and efficacy.
Vertisan 24 and other medicines
The patient should inform their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
If Vertisan 24 is taken at the same time as certain medicines for allergies or colds (antihistamines), the effect of both medicines may be reduced. If the patient is currently taking an antihistamine, the dose should be gradually reduced over 6 days before starting to take Vertisan 24.
Medicines used to treat depression or Parkinson's disease (e.g., monoamine oxidase inhibitors, IMAO) may enhance the effect of Vertisan 24.
Pregnancy, breastfeeding, and fertility
If the patient is pregnant or breastfeeding, or thinks they may be pregnant, they should consult their doctor or pharmacist before taking this medicine.
Vertisan 24 should not be taken during pregnancy, unless the doctor decides it is necessary.
It is not known whether Vertisan 24 passes into breast milk. Therefore, this medicine should not be taken during breastfeeding, unless it has been discussed with the doctor.
Driving and using machines
Meniere's disease symptoms may negatively affect the ability to drive and operate machines. In clinical trials, betahistine did not affect this ability or had a negligible effect.
Vertisan 24 contains lactose
This medicine contains lactose. If the patient has previously been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medicine.
3. How to take Vertisan 24
This medicine should always be taken according to the doctor's or pharmacist's recommendations. In case of doubts, the doctor or pharmacist should be consulted.
Recommended dose
Unless the doctor recommends otherwise, the usual dose is:
1/2-1 tablet of Vertisan 24 mg 2 times a day (corresponding to 24-48 mg of betahistine dihydrochloride). The tablet can be divided into equal doses.
The tablet should be swallowed without chewing, washed down with water during or after a meal.
The doctor will inform the patient about the duration of treatment with Vertisan 24. The medicine is usually taken for a long time, and treatment lasts several months.
Taking a higher dose of Vertisan 24 than recommended
In case of taking a higher dose of Vertisan 24 than recommended, the following overdose-related symptoms may occur:
headache, facial flushing, decreased blood pressure, rapid heartbeat, difficulty breathing due to bronchospasm (asthma) and edema of the mucous membranes of the upper respiratory tract due to water retention (Quincke's edema).
If any of the above symptoms occur, the patient should immediately consult their doctor. The doctor will prescribe the appropriate procedure.
Missing a dose of Vertisan 24
If the patient forgets to take a tablet of Vertisan 24, they should take the next tablet at the usual time. A double dose should not be taken to make up for the missed tablet.
Stopping treatment with Vertisan 24
Treatment with Vertisan 24 should not be stopped without the doctor's recommendation.
In case of any further doubts related to the use of this medicine, the patient should consult their doctor, pharmacist, or nurse.
4. Possible undesirable effects
Like all medicines, Vertisan 24 can cause undesirable effects, although not everybody gets them.
The patient should stop taking Vertisan 24 and immediately consult their doctor if they experience any of the following symptoms:
- facial, tongue, or throat edema
- difficulty swallowing
- hives and difficulty breathing.
Undesirable effects are listed below by frequency of occurrence.
Common(occurring in less than 1 in 10 people)
- headache.
- nausea
- gastrointestinal disturbances
Rare(occurring in less than 1 in 1,000 people)
- palpitations, feeling of chest tightness
- possible worsening of existing asthma
- vomiting, heartburn, stomach pain and discomfort, bloating
- feeling of warmth
Frequency not known(cannot be estimated from the available data)
- drowsiness
- vomiting
- allergic reactions
- skin and subcutaneous tissue reactions, including hives, rash, and itching
Special attention:
The patient should ask their doctor to take appropriate measures if any of the above symptoms occur.
Gastrointestinal disturbances can be avoided by taking Vertisan 24 with a meal or after a meal, or by reducing the dose.
Reporting undesirable effects
If the patient experiences any undesirable effects, including any undesirable effects not mentioned in the leaflet, they should inform their doctor, pharmacist, or nurse.
Undesirable effects can be reported directly to the Department of Post-Marketing Surveillance, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, PL-02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, e-mail: [email protected].
Undesirable effects can also be reported to the marketing authorization holder.
Reporting undesirable effects helps to gather more information on the safety of the medicine.
5. How to store Vertisan 24
The medicine should be stored out of sight and reach of children.
The medicine should not be used after the expiry date stated on the packaging and blister after: "Expiry date" or "EXP". The expiry date refers to the last day of the given month.
The medicine should not be stored at a temperature above 25°C.
Medicines should not be disposed of via wastewater. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.
6. Contents of the packaging and other information
What Vertisan 24 contains
The active substance of the medicine is betahistine dihydrochloride.
One tablet contains 24 mg of betahistine dihydrochloride.
Other ingredients of the medicine are lactose monohydrate, corn starch, microcrystalline cellulose (type 102), citric acid, povidone K 25, crospovidone (type A), hydrogenated vegetable oil.
What Vertisan 24 looks like and contents of the packaging
White to cream-colored, flat, round tablets with beveled edges and a dividing line on both sides.
The tablet can be divided into equal doses.
Vertisan 24 is packaged in blisters containing 20, 24, 30, 48, 50, 60, 96, or 100 tablets.
Not all pack sizes may be marketed.
Marketing authorization holder and manufacturer
HENNIG ARZNEIMITTEL GmbH & Co. KG
Liebigstrasse 1 – 2
65439 Flörsheim am Main
Germany
Tel.: +49 61 45 - 508 0
Fax: +49 61 45 - 508 140
e-mail: [email protected]
This medicinal product is authorized in the Member States of the European Economic Area under the following names:
Austria
Betahistin Hennig 24 mg Tabletten
Bulgaria
Вертизан N 24 mg таблетки
Germany
Betavert N 24 mg Tabletten
Hungary
Vertisan 24 mg tabletta
Italy
Betigo 24 mg compresse
Poland
Vertisan 24
Romania
Vertisan 24 mg comprimate
Date of the last revision of the leaflet: 07.06.2018
- Country of registration
- Dosage formTablets, 24 mg
- ATC codeN07CA01
- Active substance
- Prescription requiredYes
- Manufacturer
- ImporterHenning Arzneimittel GmbH & Co. KG
- This information is for reference only and does not constitute medical advice. Always consult a doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
- Alternatives to Vertisan 24Dosage form: Tablets, 16 mgActive substance: betahistineManufacturer: Catalent Germany Schorndorf GmbHPrescription requiredDosage form: Tablets, 8 mgActive substance: betahistineManufacturer: Catalent Germany Schorndorf GmbHPrescription requiredDosage form: Tablets, 24 mgActive substance: betahistineManufacturer: Catalent Germany Schorndorf GmbHPrescription required
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Frequently Asked Questions
Vertisan 24 requires a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.
The active ingredient in Vertisan 24 is betahistine. This information helps identify medicines with the same composition but different brand names.
Vertisan 24 is manufactured by Henning Arzneimittel GmbH & Co. KG. Pharmacy brands and packaging may differ depending on the distributor.
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Vertisan 24 is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.
You can buy Vertisan 24 in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.
To obtain a prescription, you can use Oladoctor:
Other medicines with the same active substance (betahistine) include Apobetina, Apobetina, Apobetina. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
















