CIRCADIN® Prolonged Release Tablet
Consumer Medicine Information
What is in this leaflet
This leaflet contains answers to some common questions about CIRCADIN.
It is particularly important that you read the sections "When to take it" and "How to take it" before you take this medicine. The leaflet does not contain all the information that is known about Circadin.
It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you taking CIRCADIN against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine . You may need to read it again.
What CIRCADIN is used for
CIRCADIN is used to improve sleep quality and morning alertness in patients over 55 years of age with poor quality of sleep.
The active substance of CIRCADIN, melatonin (not of plant or animal origin), belongs to a group of naturally occurring hormones produced in the body.
Melatonin works by controlling the circadian rhythms and increasing the propensity to sleep.
Your doctor, however, may prescribe CIRCADIN for another purpose.
Ask your doctor or pharmacist if you have any questions about why it has been prescribed for you. This medicine is only available with a doctor’s prescription .
Circadin is not addictive.
Before you take CIRCADIN
When you must not take it
Do not take CIRCADIN if you are allergic to it or any of the ingredients listed at the end of this leaflet.
Symptoms of an allergic reaction may include shortness of breath, wheezing or difficulty breathing, swelling of the face, lips, tongue or other parts of the body, or rash, itching or hives on the skin.
Do not take CIRCADIN if you have been drinking alcohol or intend to drink alcohol or believe that you may have alcohol, in your blood stream.
Do not take CIRCADIN if you are pregnant or breast-feeding. CIRCADIN has not been studied in pregnant or breast-feeding women.
Do not take it after the expiry date printed on the pack. If you take it after the expiry date has passed, it may not work as well. The expiry date refers to the last day of the month.
Do not take it if the packaging is torn or shows signs of tampering. If you are not sure whether you should start taking CIRCADIN talk to your doctor.
Before you start to take it
Tell your doctor if:
- you have any allergies to any other medicines or any other substances, such as foods, preservatives or dyes.
- you are pregnant or plan to become pregnant
- you are breast-feeding or planning to breast-feed
- you have, or have had the following medical conditions:
- suffer from liver problems
- suffer from kidney problems
- If you suffer from an autoimmune disease
- have a rare hereditary problem of galactose intolerance, the LAPP lactase deficiency or glucose-galactose malabsorption
Do not give CIRCADIN to a child or adolescent. There is no experience with its use in children or adolescents under 18 years old.
If you have not told your doctor about any of the above, so before you use CIRCADIN.
Taking other medicines
Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop. Some medicines may affect the way other medicines work.
Some medicines and CIRCADIN may interfere with each other. These include:
- hypnotics and tranquilisers (e.g. benzodiazepine),
- fluvoxamine, thioridazine and imipramine (used to treat depression or psychiatric problems),
- oestrogen (contraceptives or hormone replacement therapy),
- cimetidine and psoralens (used to treat skin problems e.g. psoriasis)
The effect of adding CIRCADIN to other medicines used to treat insomnia has not been examined. It is not known if CIRCADIN will increase or decrease the effects of other treatments for insomnia.
Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking CIRCADIN.
How to take CIRCADIN
How much to take
Take CIRCADIN only when prescribed by your doctor. The standard dose of CIRCADIN is one tablet once a day.
There is no evidence that taking more than the recommended dose will increase the effect of CIRCADIN.
How to take it
Swallow your tablet whole with a full glass of water.
Do not crush, chew or divide your tablet.
Each CIRCADIN tablet has been specially designed to release the right dose of medicine while you sleep. If you crush, chew or divide the tablet they will not work properly Follow all directions given to you by your doctor carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
When to take it
After food, 1-2 hours before you go to bed.
How long to take it
It is important that you continue taking CIRCADIN for as long as your doctor prescribes. CIRCADIN may be continued for up to thirteen weeks.
If you forget to take it
If you forget to take your tablet, take another as soon as you remember, before going to bed or wait until it is time for your next dose.
Do not take a double dose to make up for a forgotten dose.
If you are not sure what to do, talk to your doctor or pharmacist.
If you have trouble remembering to take your CIRCADIN, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or Poisons Information Centre (In Australia 13 11 26 and in New Zealand 0800 POISON [0800 764 766]), or go to your nearest accident and emergency centre, if you think that you or anyone else may have taken too much CIRCADIN. Do this even if there are no signs of discomfort or poisoning.
While you are using CIRCADIN
Things you must do
If you are about to be started on any new medicine tell your doctor and pharmacist that you are taking CIRCADIN.
Tell any other doctors, dentists and pharmacists who treat you that you are taking this medicine.
If you become pregnant while taking CIRCADIN, stop taking the tablets and tell your doctor immediately.
Things you must not do
Do not give CIRCADIN to anyone else, even if they have the same condition as you.
Do not take more than the recommended dose unless your doctor tells you to.
Do not use this medicine to treat any other complaints unless your doctor tells you to.
Do not drink alcohol before or after taking this medicine
Things to be careful of
CIRCADIN rarely causes drowsiness, nevertheless it is not recommended to drive or operate machinery for 8 hours after you take it. Circadin does not impair morning alertness, but if you suffer from drowsiness during the day you should consult your doctor.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking CIRCADIN.
CIRCADIN has been shown to improve the sleep of most people aged over 55 years, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, but most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following and they worry you.
These are considered to be uncommon side effects (i.e., likely to occur in fewer than 1 in 100 patients):
Irritability, nervousness, restlessness insomnia, abnormal dreams, anxiety, migraine, lethargy, psychomotor hyperactivity (restlessness associated with increased activity), dizziness, somnolence (tiredness), high blood pressure, (upper) abdominal pain, indigestion, mouth ulceration, dry mouth, hyperbilirubinaemia (changes in the composition of your blood which could cause yellowing of the skin or eyes ( jaundice), inflammation of the skin (dermatitis, night sweats, pruritis (itching), rash, dry skin, pain in extremities, menopausal symptoms, asthenia (feeling of weakness), chest pain, excretion of glucose in urine, excess proteins in the urine, abnormal liver function and weight increase
The following events are considered to be rare (i.e., likely to occur in fewer than 1 in 1,000 patients):
Shingles, reduced number of white blood cells in the blood, decreased number of platelets in the blood, high level of fatty molecules in the blood, severe chest pain due to angina, feeling your heartbeat (palpitations). low serum calcium levels in the blood, low sodium levels in the blood, altered mood, aggression, agitation, crying, stress symptoms, disorientation, early morning awakening, increased sex drive, depressed mood, depression, loss of consciousness or fainting, memory impairment, disturbance in attention, dreamy state, restless legs syndrome, poor quality sleep, ‘pins and needles’ feeling (paresthesia) reduced visual acuity (visual impairment), blurred vision, watery eyes, dizziness when standing or sitting, vertigo, hot flushes, gastro-oesophageal reflux, gastrointestinal disorder, blistering in the mouth, tongue luceration, gastrointestinal upset, vomiting, abnormal bowel sounds, flatulence (wind), salivary hypersecretion (excess saliva production), halitosis (bad breath), abdominal discomfort, gastric disorder, inflammation of the stomach lining, eczema, erythema (skin rash), hand dermatitis, psoriasis, pruritic rash (itchy rash), nail disorder, arthritis, muscle spasms, neck pain, night cramps, increased duration of erection, inflammation of the prostate gland, tiredness, pain, thirst, passing large volumes or urine, presence of red blood cells in the urine, urination during the night, increased liver enzymes, abnormal blood electrolytes and abnormal laboratory tests.
Other side effects not listed above may also occur in some patients. Tell your doctor if you notice any other effects.
Do not be alarmed by this list of possible side effects. You may not experience any of them
After using CIRCADIN
Keep your tablets in the blister pack until it is time to take them. If you take the tablets out of the blister pack they may not keep well.
Keep CIRCADIN away from sunlight.
Keep the medicine in a cool dry place where the temperature stays below 25°C.
Do not store it or any other medicine in the bathroom, near a sink, or on a window-sill.
Do not leave it in the car. Heat and damp can destroy some medicines.
Keep it where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking the tablets or the tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
Return any unused medicine to your pharmacist.
What CIRCADIN looks like
CIRCADIN 2 mg tablets are white to off-white round bi-convex shaped tablets
CIRCADIN tablets are available in a 30 tablet pack and a 7 tablet sample pack.
Each CIRCADIN 2 mg tablet contains 2 mg melatonin as the active ingredient
- Ammonio methacrylate copolymer type B,
- calcium hydrogen phosphate,
- colloidal anhydrous silica,
- purified talc
- magnesium stearate.
RAD Data Australia Pty Ltd
Level 7, Suite 2
100 Walker St
Distributed in Australia by:
Aspen Pharma Pty Ltd
34-36 Chandos StreetSt Leonards NSW 2065
This leaflet was prepared in September 2011
Australian Registration Number: AUST R: 153959
CIRCADIN is a registered trademark of Neurim Pharmaceuticals.
Published by MIMS April 2012