Read this leaflet carefully before you start taking this medicine.  (DOWNLOAD)

• Keep this leaflet. You may need to read it again. 
• If you have any further questions, ask your health care provider. • This medicine has been prescribed for you. Do not pass it on to others. It may harm  them, even if their symptoms are the same as yours. 
• If any of the side effects become serious, or if you notice any side effects not listed in  this leaflet, please tell your health care provider. 

In this leaflet:  

1. What Ultracoal 250 Tablets is and what it is used for 
2. Before you take Ultracoal 250 Tablets 
3. How to take Ultracoal 250 Tablets 
4. Possible side effects 
5. How to store Ultracoal 250 Tablets 
6. Further information. 

1. WHAT ULTRACOAL 250 TABLETS IS AND WHAT IT IS USED FOR Ultracoal is used for emergency treatment of acute oral poisoning or drug overdose.  Ultracoal absorbs toxic substances and reduces or prevents systematic absorption. The  shorter the time interval between ingestion of the toxicant and the administration of  Ultracoal, the greater is the benefit for the patient. However, as the absorption of massive  drug overdoses is often retarded in acute conditions of intoxication, even the delayed  administration of Ultracoal may be beneficial. In severe intoxication, repeated  administration of Ultracoal is recommended to prevent absorbed drug being released (in  an unbound state) in the lower intestinal tract or to expedite the elimination and prevent  the re- absorption of any drug undergoing enterohepatic circulation. 
2. BEFORE YOU TAKE ULTRACOAL 250 TABLETS 

There are no contraindications to the use of Ultracoal 250 Tablets. 

Interaction with other medicinal products and other forms of interaction The purpose of the product is to interact with other medicaments and toxicants taken in  overdosage. There are no systemic interactions because the product is not absorbed from  the gut. 

Pregnancy and lactation 

There is no evidence to suggest that Ultracoal should not be used during pregnancy or  lactation. The product is not systemically absorbed. 

Effects on ability to drive and use machines. 

None (the product is not systemically absorbed).

3. HOW TO TAKE ULTRACOAL 250 TABLETS 

Always take Ultracoal 250 Tablets exactly as your healthcare provider has told you. You  should check with your healthcare provider if you are not sure. The usual dose is:  

Adults 

By mouth: For drug overdose or poisoning: 50-100 grams of Ultracoal is given at first,  followed by 12.5 grams per hour per hour every 2-4 hours. Sometimes a single dose of  25-100 grams may be used. 

Children. 

By mouth: 

For drug overdose or poisoning: Ultracoal 10-25 grams is recommended for children up  to one year of age, while activated charcoal 25-50 grams is recommended for children 1- 12 years of age. Ultracoal 10-25 grams is recommended if multiple doses of Ultracoal are  needed. 

4. POSSIBLE SIDE EFFECTS 

• In general, Ultracoal is well tolerated. Some patients may however experience  constipation or diarrhoea. 
• Ultracoal has been associated with bezoar formation, intestinal obstruction and,  rarely, intestinal perforation following multiple dosing – although a direct causative  association has not been demonstrated. 
• Faecal impaction has been reported in a patient treated for an overdose of a diuretic  with alcohol. 
• Aspiration of activated charcoal has been reported to cause airway obstruction and  appropriate precautions should be taken. 
• Ultracoal will produce black stools which may be alarming to the patient but is  medically insignificant. 

5. HOW TO STORE ULTRACOAL 250 TABLETS 

Keep all medicines out of reach and of children. 

Store below 30oC. 

Do not use Ultracoal tablet after the expiry date which is stated on the carton as “EXP.  DATE” used for expiry date. The expiry date refers to the last day of that month. Do not throw away 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. 

6. FURTHER INFORMATION 

What Ultracoal Tablet contains 

The active pharmaceutical ingredient in Ultracoal 250 Tablet is Activated charcoal 250mg. 

What Ultracoal looks like and content of pack  

1 X 10 tablets packed in blisters placed in a carton with insert.