Smartin Tablets (Levomepromazine)

Adult dose

Adults: Administer 25 mg of levosulpiride orally 3 times daily before meals.

This medication should not be used by women who are pregnant or potentially pregnant, and by nursing mothers. It should also not be administered to patients with gastrointestinal bleeding, mechanical obstruction, or perforation. Avoid use in patients with specific tumors or those allergic to this medication, as well as in patients with liver disease or manic episodes. Additionally, it should not be administered to patients with lactose intolerance. Caution is needed for hypertensive patients, children, and the elderly, especially in children who should avoid overdose. During treatment with this medication, hormone-related side effects such as amenorrhea, galactorrhea, and gynecomastia may occur, and careful monitoring is necessary. Rarely, motor disturbance symptoms such as tremors, tongue twisting, and restlessness may occur, and if such symptoms appear, treatment should be discontinued immediately. Long-term use may result in involuntary movements around the mouth, requiring caution. Gastrointestinal symptoms such as dry mouth, heartburn, nausea, vomiting, diarrhea, and constipation may occur. Cardiac-related side effects, including hypertension and arrhythmias, may arise, with serious cases potentially exhibiting life-threatening neuroleptic malignant syndrome, which includes high fever, muscle rigidity, altered consciousness, and requires immediate cessation of the drug and emergency treatment. Rarely, skin rashes or swelling may occur, requiring discontinuation of the drug. During treatment, it is advisable to avoid activities requiring concentration, such as driving or operating machinery. Furthermore, this medication may interact with other drugs, especially when used with cardiac or psychiatric medications, necessitating caution. Avoid combinations with drugs causing electrolyte imbalance. The elderly should be cautious, as decreased kidney function can prolong the drug's presence in the body, necessitating careful dose adjustment and side effect monitoring. This medication has antiemetic properties, thus it should be used carefully after sufficient observation of the underlying causes of vomiting. High doses over the long term can affect reproductive health, requiring caution.

• Amenorrhea
• galactorrhea
• gynecomastia
• tremors
• tongue twisting
• agitation
• involuntary movements around the mouth
• dry mouth
• heartburn
• nausea

Store this medication in a sealed container to prevent exposure to air and moisture, preferably at room temperature between 1 to 30 degrees Celsius. This storage will help maintain the medication's effectiveness for a longer period.

Appearance

White round tablets

Package unit

30 tablets/bottle, 500 tablets/bottle