contains the active ingredient naproxen sodium
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about CRYSANAL tablets.
It does not contain all the available information.
It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. You doctor has weighed the risks of you taking CRYSANAL tablets against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What CRYSANAL is used for
CRYSANAL belongs to a family of medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDs).
CRYSANAL relieves pain and reduces inflammation (swelling, redness and soreness) that may occur
in different types of arthritis including rheumatoid arthritis, osteoarthritis and ankylosing spondylitis
in muscle and bone injuries such as sprains, strains, lower back pain (lumbago), rheumatism and tendonitis, such as tennis elbow
from swelling and pain after setting broken or dislocated bones
in menstrual cramps (period pain)
due to migraine headache
following surgery
due to dental pain
Your doctor may have prescribed CRYSANAL for another purpose.
Although CRYSANAL can relieve the symptoms of pain and inflammation, it will not cure your condition.
Ask your doctor if you have any questions why CRYSANAL has been prescribed for you.
This medicine is available only with a doctor's prescription.
CRYSANAL is not addictive.
Before you take CRYSANAL
When you must not take it
Do not take CRYSANAL if you have an allergy to:
CRYSANAL or any ingredients listed at the end of this leaflet
aspirin or any other NSAID medicine
Many medicines used to treat headache, period pain and other aches and pains contain aspirin or NSAID medicines. If you are not sure if you are taking any of these medicines, ask your pharmacist.
Symptoms of an allergic reaction to these medicines may include:
asthma, wheezing or shortness of breath
swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing
hives, itching or skin rash
fainting
sudden blocked or running nose
If you are allergic to aspirin or NSAID medicines and take CRYSANAL, these symptoms may be severe.
Do not take CRYSANAL if:
1.you are vomiting blood or material that looks like coffee grounds
2.you are bleeding from the rectum (back passage), have black sticky bowel motions (stools) or bloody diarrhoea
3.you currently have a peptic ulcer (i.e. stomach or duodenal ulcer) or have had one previously
4.you have severe liver disease
5.you have recently had or are about to have heart bypass surgery
6.you are taking other medications which contain naproxen or naproxen sodium (e.g. Naprogesic®, Naprosyn®, Anaprox® or Inza®)
7.you have severe heart failure
Do not give CRYSANAL to a child under the age of 2 years.
The safety and effectiveness of CRYSANAL in children under 2 years of age has not been established.
Do not take CRYSANAL if the package is torn or shows signs of tampering.
Do not take CRYSANAL if the expiry date (EXP) printed on the pack has passed.
If you take this medicine after the expiry date has passed, it may not work as well.
Before you start to take it
Tell your doctor if:
1.you have any allergies to:
any other medicines including aspirin or other NSAID medicines
any other substances, such as foods, preservatives or dyes.
2.you are pregnant or intend to become pregnant
CRYSANAL may impair fertility and is not recommended in women attempting to conceive. CRYSANAL may affect your developing baby if you take it during pregnancy. If it is necessary for you to take CRYSANAL, your doctor will discuss the risks and benefits of taking it during pregnancy.
3.you are breast-feeding or intend to breast-feed
CRYSANAL passes into breast milk. The effect on the baby is not known.
4.you have or have had any medical conditions, especially the following:
heartburn, indigestion, stomach ulcers or other stomach problems
vomiting blood or bleeding from the back passage
bowel or intestinal problems such as ulcerative colitis
kidney or liver disease
heart failure
high blood pressure or heart problems
swelling of the ankles or feet
a tendency to bleed or other blood problems, such as anaemia
5.you currently have an infection
If you take CRYSANAL while you have an infection, the tablets may hide some of the signs of an infection (e.g. pain, fever). This may make you think, mistakenly, that you are better or that it is not serious.
6.you plan to have surgery
CRYSANAL can prolong bleeding.
7.you are on a strict salt (or sodium) restricted diet
CRYSANAL contains a small amount of sodium.
If you are not sure if you should be taking CRYSANAL, talk to your doctor.
Taking other medicines
Tell your doctor if you are taking any other medicines including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines may interfere with CRYSANAL. These include:
antacids, medicines used to treat indigestion and heartburn
aspirin, salicylates or other NSAID medicines
diuretics, also called fluid or water tablets
lithium, a medicine used to treat some types of depression
probenecid, a medicine used to treat gout
phenytoin a medicine used to treat epilepsy
methotrexate, a medicine used to treat arthritis and some cancers
warfarin, a medicine used to prevent blood clots
heparin, a medicine used to prevent blood clots
medicines used to treat high blood pressure including ACE inhibitors, angiotensin receptor antagonists and beta-blockers
certain antibiotics called sulphonamides
some medicines used to treat diabetes
steroids, medicines used to treat inflammation
serotonin reuptake inhibitors, also known as SSRIs, medicines used to treat some types of depression
zidovudine, a medicine used to treat HIV infection
sodium bicarbonate, a medicine used to treat stomach upset or ulcers.
These medicines may be affected by CRYSANAL, or may affect how well it works. You may need to take different amounts of your medicine, or you may need to take different medicines. Your doctor will advise you.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking CRYSANAL.
Ask your doctor or pharmacist if you are not sure about this list of medicines.
Use in Children
There is no specific information available to recommend the use of CRYSANAL in children under 5 years.
Use in People Over 65 Years
Older people may be at more risk of developing stomach ulcers and hence your doctor may prescribe a lower dose.
How to take CRYSANAL
Follow all directions given to you by your doctor and pharmacist carefully.
They may differ from the information contained in this leaflet.
How much to take
Take CRYSANAL exactly as your doctor has prescribed.
Your doctor will tell you how many CRYSANAL tablets to take each day.
The dose your doctor recommends depends on both the type and severity of pain and/or inflammation you have.
Sprains, strains and period pain
The recommended dose is 550 mg (one tablet) given initially, then 275 mg (half a tablet) every 6 to 8 hours as needed. The total dose in one day should not be more than 1375 mg (two and a half tablets).
Migraine Headache
The recommended dose is 825 mg (one and a half tablets) taken at the first sign of a migraine. An additional dose of 275 mg (half a tablet) to 550 mg (one tablet) may be taken at least one hour after the initial dose, if required. The total dose in one day should not be more than 1375 mg (two and a half tablets).
Different types of arthritis
The recommended dose is 550 mg (one tablet) to 1100 mg (two tablets) a day (divided in two doses).
Your doctor may recommend lower doses than these, it is always best to use the lowest effective dose for your condition.
How to take it
Swallow CRYSANAL tablets whole with a glass of water or milk.
When to take it
Take the tablets during or immediately after food with a full glass of water or milk.
This may help reduce the possibility of an upset stomach.
How long to take it
Do not take CRYSANAL for longer than your doctor says.
Depending on your condition, you may need to use CRYSANAL, only once, for a few days, a few weeks or for longer periods.
For sprains and strains, CRYSANAL is usually only needed for a few days.
As with other NSAID medicines, if you are using CRYSANAL for arthritis, it will not cure your condition but it should help to control pain, swelling and stiffness. If you have arthritis, CRYSANAL should be taken every day for as long as your doctor prescribes.
For menstrual cramps (period pain), CRYSANAL is usually taken during each period as soon as the cramps begin and continued for a few days until the pain goes away.
Ask your doctor if you are not sure how long to take CRYSANAL for.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember and then continue taking it as you would normally.
Do not double a dose to make up for one you have missed.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you are not sure what to do, ask your doctor or pharmacist.
If you take too much (overdose)
Immediately telephone your doctor or Poisons Information Centre (telephone 13 11 26) for advice or go to Accident and Emergency at your nearest hospital if you think that you or anyone else may have taken too much CRYSANAL. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
If you take too much CRYSANAL you may experience drowsiness, pain or tenderness in the stomach, stomach upset including nausea (feeling sick), vomiting, heartburn, indigestion or cramps.
While you are taking CRYSANAL
Things you must do
If you become pregnant while taking CRYSANAL, tell your doctor immediately.
Tell all doctors, dentists and pharmacists who are treating you that you are taking CRYSANAL.
Ask your doctor or pharmacist before you start taking any new medicines.
If you are going to have surgery, tell your doctor you are taking CRYSANAL.
If you are going to have any laboratory tests, tell your doctor that you are taking CRYSANAL.
CRYSANAL can affect the results of some of these tests.
If you get an infection while using CRYSANAL, tell your doctor.
CRYSANAL may hide some of the signs of an infection and may make you think, mistakenly, that you are better or that it is not serious. Signs of an infection may include fever, pain, swelling and redness.
Tell your doctor if for any reason, you have not taken your medicine exactly as prescribed.
Otherwise, your doctor may think that it was not effective or change your treatment unnecessarily.
Tell your doctor if you feel the tablets are not helping your condition.
Things you must not do
Do not give CRYSANAL to anyone else, even if they have the same condition as you.
Do not use CRYSANAL to treat other complaints unless your doctor tells you to.
Things to be careful of
Be careful driving or operating machinery until you know how CRYSANAL affects you.
As with other NSAID medicines, CRYSANAL may cause dizziness or light-headedness in some people. Make sure you know how you react to CRYSANAL before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy or light-headed. If this occurs do not drive. If you drink alcohol, dizziness or light-headedness may be worse.
Side Effects
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking CRYSANAL.
CRYSANAL helps most people with pain and inflammation but it may have unwanted side effects in a few people.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following and they worry you:
stomach upset including nausea (feeling sick) and heartburn
constipation or pain in the stomach
loss of appetite
dizziness, lightheadedness headache, drowsiness
buzzing or ringing in the ears
itching or mild skin rashes
fluid retention or shortness of breath
These are more common side effects of CRYSANAL. Mostly these are mild.
Tell your doctor immediately if you notice any of the following:
bleeding or bruising more easily than normal, red-purple or blue-black blotches under the skin
eye problems such as blurred vision
fast or irregular heartbeats, also called palpitations
severe or persistent headache
difficulty hearing, deafness
unusual weight gain, swelling of ankles or legs
yellowing of the skin or eyes
These are serious side effects. You may require urgent medical attention. Serious side effects are rare.
Tell your doctor immediately or go to Accident and Emergency at your nearest hospital if you notice any of the following:
vomiting blood or material that look like coffee grounds
bleeding from back passage (rectum), black sticky bowel motions (stools) or bloody diarrhoea
severe pain or tenderness in any part of the stomach
difficulty breathing, wheezing or shortness of breath
swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing
sudden or severe itching, skin rash or hives
fainting, seizures or fits
pain or tightness in the chest
severe dizziness, spinning sensation
These are serious side effects. You may need urgent medical attention or hospitalisation. Serious side effects are rare.
This is not a complete list of all possible side effects. Others may occur in some people and there may be some side effects not yet known.
Tell your doctor if you notice anything else that is making you feel unwell, even if it is not on this list.
Ask your doctor or pharmacist if you don't understand anything in this list.
Do not be alarmed by these lists of possible side effects. You may not experience any of them.
After taking CRYSANAL
Storage
Keep your tablets in the blister pack until it is time to take them.
If you take the tablets out of the blister pack they may not keep well.
Keep your tablets protected from light.
Keep CRYSANAL in a cool dry place where the temperature stays below 30°C.
Do not store it, or any other medicine, in a bathroom or near a sink.
Do not leave it in the car or on window sills.
Heat and dampness can destroy some medicines.
Keep CRYSANAL where young children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
Disposal
If your doctor tells you to stop taking CRYSANAL, or the tablets have passed their expiry date, ask your pharmacist what to do with any tablets that are left over.
Product Description
What CRYSANAL looks like
CRYSANAL 550 is a dark blue capsule-shaped tablet with 'NPS 550' on one side.
CRYSANAL comes in packs of 50.
Ingredients
Active ingredient:
naproxen sodium
each CRYSANAL 550 tablet contains 550 mg of naproxen sodium
Inactive ingredients:
cellulose
magnesium stearate [470]
povidone
talc
Opadry YS-1-4216 (contains [171] and [132]).
CRYSANAL tablets are lactose and gluten free.
