


Ask a doctor about a prescription for SURMENALIT 200 mg FILM-COATED TABLETS
Leaflet: information for the user
Surmenalit 200 mg coated tablets
sulbutiamine
Read this leaflet carefully before starting to take this medication, as it contains important information for you.
Contents of theleaflet
Surmenalit is a derivative of vitamin B1 (also known as thiamine).
It is indicated in states of thiamine deficiency (vitamin B1) in adults with apathy and reduced activity.
Do not take Surmenalit
Warnings and precautions
Consult your doctor or pharmacist before starting to take Surmenalit 200 mg tablets
Interference with analytical tests: If you are going to undergo any diagnostic tests (such as blood tests, urine tests, etc.), inform your doctor that you are using this medication, as it may alter the results, for example, in tests for determining uric acid, urobilinogen, and theophylline.
Children and adolescents
This medication should not be administered to children and adolescents under 18 years of age, as there are no specific studies on the administration of Surmenalit in this population.
Other medications and Surmenalit
Inform your doctor or pharmacist if you are using, have recently used, or may need to use any other medication, including those purchased without a prescription.
Surmenalit may interact with the following medications:
Taking Surmenalit with food and drinks
Surmenalit can be taken with all types of food and non-alcoholic beverages.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.
Pregnancy
Due to the lack of data on the use of sulbutiamine in pregnant women, its use is not recommended during pregnancy.
In case of becoming pregnant during treatment with sulbutiamine, consult your doctor to evaluate the benefit of treatment versus the risk to the fetus.
Breastfeeding
It is unknown whether sulbutiamine is excreted in breast milk.
Due to the lack of data on the potential risks of sulbutiamine in newborns, its use is not recommended during breastfeeding, unless your doctor indicates otherwise.
Driving and using machines
No studies have been conducted on the effects of Surmenalit on the ability to drive and use machines.
Surmenalit 200 mg tablets contain orange yellow S (E-110) dye and milk proteins
This medication may cause allergic reactions because it contains orange yellow S (E-110) dye. It can cause asthma, especially in patients allergic to acetylsalicylic acid.
This medication may cause allergic reactions in patients with milk protein allergy.
Follow the administration instructions of this medication exactly as indicated by your doctor or pharmacist. Do not take more medication or more frequently than indicated. If you do, you may increase the possibility of an overdose.
In case of doubt, consult your doctor or pharmacist again.
The recommended dose is:
Adults
The recommended dose ranges from 400 mg to 600 mg per day, administered in 2 or 3 doses (1 coated tablet 2-3 times a day).
Treatment should not exceed one month continuously. The maximum dose of 600 mg/day should not be exceeded.
Elderly
The recommended dose is 200 mg (1 coated tablet) per day.
Patients with hepatic or renal insufficiency
There is not enough information on the use of sulbutiamine in patients with hepatic and/or renal insufficiency.
Tablets should be taken with a glass of water.
If taking 2 tablets, divide the doses between breakfast and lunch, as taking them after noon may interfere with sleep.
If you think the effect of Surmenalit is too strong or too weak, please inform your doctor or pharmacist.
If you take more Surmenalit than you should
In case of overdose, agitation, euphoria, and tremors of the limbs may appear. These symptoms are usually transient, and treatment will be symptomatic.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or contact the emergency service of the nearest hospital and bring the medication with you. You can also call the Toxicology Information Service at 91.562.04.20, indicating the medication and the amount ingested.
If you forget to take Surmenalit
Do not take a double dose to make up for forgotten doses. If you forget to take a dose of Surmenalit, take the next dose at the usual time.
If you interrupt treatment with Surmenalit
Do not interrupt treatment unless your doctor indicates it.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medications, this medication can cause side effects, although not everyone experiences them. The side effects of Surmenalit are rare if the doses are adjusted as recommended, except in special situations.
The effects that may appear are:
Effects on the nervous system
Rare(affect 1 to 10 in 10,000 patients): tremors, headache.
Psychiatric effects
Rare(affect 1 to 10 in 10,000 patients): mild agitation, excitement, sleep disturbances
Effects on the stomach and intestines
Uncommon(affect 1 to 10 in 1,000 patients): abdominal pain, nausea, vomiting.
Frequency not known(cannot be estimated from available data): diarrhea
Effects on the skin
Rare(affect 1 to 10 in 10,000 patients): skin rash
General effects and alterations at the administration site
Rare(affect 1 to 10 in 10,000 patients): discomfort
*This medication contains orange yellow S (E-110) dye and may cause allergic reactions; it can cause asthma, especially in patients allergic to acetylsalicylic acid.
Reporting side effects
If you experience any type of side effect, consult your doctor or pharmacist, even if it is not listed in this leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use: www.notificaRAM.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.
Keep this medication out of the sight and reach of children.
No special storage conditions are required.
Do not use this medication after the expiration date shown on the packaging after CAD. The expiration date is the last day of the month indicated.
Medications should not be thrown down the drain or into the trash. Deposit the packaging and unused medications at the SIGRE point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.
Composition of Surmenalit 200 mg tablets
Appearance of the product and package contents
Each package contains 30 orange-colored coated tablets.
Marketing authorization holder
Faes Farma, S.A.
Autonomia Etorbidea, 10
48940 Leioa (Bizkaia)
Spain
Manufacturer
Faes Farma, S.A.
Maximo Agirre Kalea, 14
48940 Leioa (Bizkaia)
Spain
Date of the last revision of this leaflet: September 2021
Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es
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