Buscopan lBS Relief is a tablet containing hyoscine butylbromide. This medicine is to relieve the abdominal cramps which cause pain and discomfort associated with Irritable Bowel Syndrome. It belongs to a group of medicines called antispasmodics. It works by relaxing the cramping muscles of your bowel.

Irritable Bowel Syndrome is often just called "IBS". While the precise cause is unknown, the muscles of the bowel appear to be very sensitive to things like:

• Stress, eating and drinking habits
• Food allergies or intolerances
• Stimulants such as coffee
• Hormonal factors

Such things can trigger painful abdominal cramps or spasms if you have a sensitive bowel. You may also feel bloated, with excess wind and abdominal discomfort. Sometimes IBS can include diarrhoea or constipation.

How to use Buscopan IBS Relief

• Not recommended for children under 12 years

• Start by taking 1 tablet 3 times a day
• You can increase your dose to a maximum of 2 tablets 4 times a day, if needed
• Swallow the tablet whole with water
• Do not crush or chew the tablet

Talk to your doctor if:

• You develop new symptoms
• Your symptoms get worse or have not improved over two weeks
• You have long-lasting cramps

If you take more Buscopan IBS Relief than you should talk to a doctor or go to a hospital straight away. Take your medicine pack with you.

Each Buscopan IBS Relief Tablet contains the active ingredient: Hyoscine, as 10 mg of hyoscine butylbromide.

The other ingredients are: Calcium hydrogen phosphate, maize starch, soluble starch, colloidal silica, tartaric acid, stearic acid, sucrose, talc, acacia, titanium dioxide, macrogol 6000, carnauba wax, white beeswax and povidone.

Before taking Buscopan IBS Relief:

Only take Buscopan IBS Relief if your doctor has said that you have Irritable Bowel Syndrome.

Do not take Buscopan IBS Relief if:

• You are allergic to hyoscine butylbromide or any of the other ingredients of Buscopan lBS Relief
• You are intolerant to or cannot digest some sugars (as the tablet coating contains a small amount of sucrose)
• You have glaucoma (an eye problem)
• You have megacolon (a very enlarged bowel)
• You have something called "myasthenia gravis" (a very rare muscle weakness problem)
• You are pregnant, likely to get pregnant, or are breast-feeding

• You are aged 40 years or over and it is some time since your last attack of IBS or the symptoms are different this time
• You have recently passed blood from the bowel
• You have severe constipation
• You are feeling sick or vomiting
• You have lost your appetite or lost weight
• You have difficulty or pain passing water (urine)
• You have a fever
• You have recently traveled abroad (in case you have picked up a stomach bug)
• You have a very fast heart rate or other heart problems
• You have been treated by a doctor for a severe sweating problem

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking this medicine

Taking other medicine: Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This includes herbal medicines. This is because Buscopan IBS Relief can affect the way some other medicines work. Also some other medicines can affect the way Buscopan IBS Relief works.

In particular, tell your doctor or pharmacist if you are taking any of the following medicines:

• Antihistamine - used to treat hayfever and other allergies
• Tricyclic medicines - used to treat depression
• Butyrophenones or phenothiazines - used to treat severe mental illness such as schizophrenia. These are also known as 'anti-psychotics'
• Dopamine antagonists such as metoclopramide for feeling sick
• Beta 2 adrenergic medicines such as salbutamol inhalers for asthma
• Quinidine or disopyramide - used to control your heart beat
• Amantadine - used for Parkinson's disease and flu

Some people may have temporary blurring of vision while taking Buscopan lBS Relief. If this happens to you, wait until your vision returns to normal before driving or using any tools or machines.

Buscopan IBS Relief contains sucrose if you have been told by your doctor that you cannot tolerate or digest some sugars do not take this medicine.

Possible Side Effects: Like all medicines, Buscopan IBS Relief can cause side effects in some people. The following side effects may happen with this medicine:

Mild side effects that  do not normally require medical treatment:

• Dry mouth (affects fewer than 1 in 10 people)
• Making less sweat than usual (affects fewer than 1 in 1,000 people)

If any of these side effects become troublesome please tell your doctor or pharmacist.

If you get any of the side effects described below stop taking this medicine and tell your doctor straight away. You may need urgent medical treatment:

Uncommon – affects fewer than 1 in 100 people

• Allergic reactions – the signs may include skin rash and itching, wheezing and shortness of breath
• Skin rash by itself
• Increased heart rate

Rare – affects fewer than 1 in 1,000 people

• Anaphylactic reaction and shock – this is a severe type of allergic reaction. The itchy rash may spread all over the body, as well as swelling. You may have difficulty in breathing and may lose consciousness
• Difficulty in breathing by itself

If you experience a painful red eye with loss of vision after taking this medicine, stop taking it and tell your doctor straight away. You may have an eye problem called glaucoma and need urgent medical attention.

If you get any side effects not listed in your own leaflet, please tell your pharmacist or doctor.