Tiberal

Drug name: Tiberal

Active Ingredients: Ornidazole

Therapeutic actions: TIBERAL belongs to a group of medicines called antiprotozoals. These medicines work by targeting the bacteria or amoeba in your body, and killing them.

Indications: TIBERAL is used to treat people who have certain types of vaginal, urinary tract and intestinal infections, or some specific infections that are in the body. These infections may be caused by anaerobic bacteria (bacteria that do not use oxygen) or amoeba (single celled parasites). TIBERAL is also used to guard against the possibility of these types of infections during surgery (prophylaxis).

Contraindications and cautions: Do not take TIBERAL if:

1. you have had an allergic reaction to TIBERAL, other nitroimidazole derivatives such as metronidazole (Flagyl®, Rozex®, Trichozole®), or any ingredients listed at the end of this leaflet
2. the package is torn or shows signs of tampering
3. the expiry date printed on the pack has passed
   If you take this medicine after the expiry date has passed, it may not work as well.
4. If you are not sure if you should be taking TIBERAL, talk to your doctor.

Tell your doctor if:

1. you are pregnant or plan to become pregnant
   It is not known whether TIBERAL is harmful to an unborn baby when taken by a pregnant woman. TIBERAL is not recommended for use in pregnant women unless the benefits of treatment outweigh the risk to the unborn baby.
2. you are breast-feeding or plan to breast-feed
   It is not known whether TIBERAL passes into breast milk. Your doctor will discuss the risks and benefits of using TIBERAL if you are breast-feeding.
3. you have any other health problems, especially the following:
   
   • epilepsy
   • multiple sclerosis
   • liver disease
4. you are allergic to any other medicines, foods, dyes or preservatives

If you have not told your doctor about any of the above, tell them before you start taking TIBERAL.

Adverse effects: The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.
Tell your doctor if you notice any of the following and they worry you:

• sleepiness/tiredness
• headache
• nausea and/or vomiting
• dizziness or vertigo (a spinning sensation)
• tremor
• taste disturbances
• skin reactions
• numbness or tingling in your fingers or toes

Tell your doctor immediately or go to your nearest Accident and Emergency Centre if you notice any of the following:

• rigidity
• poor co-ordination
• seizures
• loss of consciousness
• allergic reaction. Some of the symptoms of an allergic reaction may include severe skin rash, itching, hives, swelling of the face, lips, mouth or throat which may cause difficulty in swallowing or breathing, swelling of the hands, feet or ankles.

These may be serious side effects. You may need urgent medical attention. The side effects listed above may not include all of the side effects reported by the drug's manufacturer.

Interactions: Tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with this medicine. Some medicines and TIBERAL may interfere with each other. These include:

• warfarin (Coumadin®, Marevan®), a blood-thinning agent
• vecuronium bromide (Norcuron®), a muscle relaxant

These medicines may be affected by TIBERAL, or may affect how well it works. You may need to use different amounts of your medicine, or you may need to take different medicines. Your doctor will advise you.
Your doctor and pharmacist may have more information on medicines to be careful with or avoid while taking TIBERAL.
Ask your doctor or pharmacist if you are not sure about this list of medicines.

Additional Information: DO NOT SHARE THIS MEDICINE with others. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS PRODUCT, as well as syringes and needles, if needed during treatment, out of the reach of children. Do not reuse needles, syringes, or other materials.