What you need to know before you take PANANGIN tablets
Do not use PANANGIN tablets:
– if you are allergic to magnesium aspartate or potassium aspartate or any of the other ingredients
of this medicine (listed in section 6),
– if you have acute or chronic renal insufficiency
– if you have Addison’s disease
– if you have type 3 atrioventricular block or cardiogenic shock (blood pressure below 90 mmHg)
– if you have hyperkalaemia (excess potassium)
– if you use potassium-sparing diuretics
Warnings and precautions
Take special care with PANANGIN if you have diseases involving hyperkalaemia, which requires
regular checking of serum potassium levels.
Other medicines and PANANGIN
Tell your doctor or pharmacist if you are using or have recently used or might use any other
PANANGIN may affect the effects of other medicines. PANANGIN reduces absorption of oral
tetracycline, ferric salts and sodium fluoride. The interval between taking these medicines and
PANANGIN must be at least 3 hours. Caution must be exercised and serum potassium level must be
regularly checked if this medicine is indicated for combination therapy with angiotensin converting
enzyme inhibitors (ACE inhibitors).
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask
your doctor or pharmacist for advice before taking this medicine.
There are no data available on the safety and efficacy of using PANANGIN tablets during pregnancy
Driving and using machines
There are no data available on the effect of PANANGIN on the ability to drive and use machines.
Long-term experience shows that using this medicine does not require additional safety measures when
driving or using machines.
How to take PANANGIN tablets
Recommended dose is 2 PANANGIN tablets 3 times a day, in more severe cases 3 tablets 3 times a
day during one week.
Then the dose may be reduced to one tablet 2 to 3 times a day.
In less severe cases, take 1 tablet 3 times a day.
Gastric acid may affect the efficacy of tablets, therefore it is recommended to take the tablets after a
meal. The duration of treatment depends on the condition and indications.
If you take more PANANGIN than you should
If you have taken more tablets than you should, inform your doctor or pharmacist immediately.
There are no known cases of overdose. In case of overdose there may occur signs of excess potassium
and magnesium in the blood.
Signs of hyperkalaemia: general feeling of tiredness, paraesthesia, paralysis, cardiac dysfunction (e.g.
bradycardia, arrhythmias, cardiac depression or cessation of cardiac activity).
Signs of hypermagnesaemia: nausea, vomiting, lethargy, hypotension, bradycardia, fatigue. Excess
serum magnesium level may cause weakened reflexes, muscle paralysis, respiratory and cardiac arrest.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Defecation frequency increases when using large doses.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects
not listed in this leaflet. You can also report side effects directly via www.ravimiamet.ee/en. By
reporting side effects you can help provide more information on the safety of this medicine.
How to store PANANGIN tablet
Store below 25C.
Do not use this medicine after the expiry date which is stated on the carton.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to
throw away medicines you no longer use. These measures will help protect the environment.
What PANANGIN tablets contain
– Active substances: Each tablet contains 140 mg of magnesium aspartate (Mg++ = 11.8 mg) and
158 mg of potassium aspartate (K+ = 36.2 mg)
– The other ingredients are: tablet contents: colloid anhydrous silica, polyvidone, magnesium
stearate, talc, corn-starch, potato starch.
tablet coating: Macrogol 6000, titanium dioxide, Eudragit E 100%, talk.
What PANANGIN looks like and contents of the pack
50 tablets in white plastic tablet container, one tablet container in cardboard box.
This product is a medicine; make sure to speak to your doctor or pharmacist before taking this product if you have an underlying medical problem or are taking any other medicine or complementary therapy. If your symptoms get worse or continue after taking this product, contact your doctor.
If you are pregnant, trying to become pregnant, or breastfeeding, speak to your doctor or our pharmacist before taking this product. If you suffer from any allergies, ask your doctor or our pharmacist if this medicine is right for you.
Store all medicines out of sight and reach of children.
Please contact your General Practitioner if appropriate regarding this product.
Packed for Europe market, that means the box and (or) information leaflet sometimes are only in Russian / Polish / Lithuanian or other language. In this case please refer to this listing description. Everything important is translated here.
The picture is for illustration only. The packaging can be changed by the manufacturer. The box in package will be folded flat.