Buccastem M

Buccastem M is a medicine used to treat nausea and vomiting associated with migraine.

Adults aged 18 years or over: one or two tablets twice a day for a maximum of 2 days. Place the tablet high up along the top gum under the upper lip either side of your mouth, and allow it to dissolve slowly and completely. The tablet will soften and adhere to the gum, taking, for example, between 1 and 2 hours to dissolve completely. If you wear dentures, the tablet may be placed in any comfortable position between lip and gum.

Each tablet contains 3 mg of the active ingredient prochlorperazine maleate. The other ingredients are compressible sugar, povidone K30, xanthan gum, locust bean gum, talc, magnesium stearate and riboflavin sodium phosphate.

Side-effects that may occur with Buccastem M Tablets are drowsiness, dizziness, dry mouth, inability to sleep (insomnia), agitation, mild skin reactions and low blood pressure, particularly in elderly or dehydrated patients (this makes you feel dizzy or faint, particularly when you stand up). Occasionally, local irritation to the gum and mouth may occur. Rarely, jaundice (yellowing of the skin and/or the whites of the eyes) and blood problems may occur. Also, rarely, medicines of this type may cause abnormal movements, tremors and muscle rigidity, and usually in young patients an inability to control certain muscles of the body, such as tongue, mouth, arms and legs, or subsequently, breast swelling (in men as well as women). These reactions are unlikely to happen with the low dose of prochlorperazine in this medicine. A combination of high temperature, pale complexion, muscle stiffness and changes in levels of alertness are symptoms of a serious condition called neuroleptic malignant syndrome. If you develop these symptoms you should immediately inform your doctor.

Only use this medicine if migraine has previously been diagnosed by your doctor. Do not take Buccastem M Tablets if: you are allergic to any of the ingredients, or you are pregnant, or you think you might be pregnant, or breast feeding, or you have problems with your liver, or you have blood problems, or you have epilepsy or Parkinson's Disease, or you have glaucoma, or you have problems with your prostate gland, or you are under 18 years of age. Tell your pharmacist if you are taking any other medicines, especially sedatives, tranquillisers, blood thinning medicines, water tablets, propanolol or anticonvulsants, or any drug for depression, Parkinson's Disease or high blood pressure. Alcohol can interact with Buccastem M Tablets. Do not drive or operate machinery if affected by drowsiness.