Buccal 3mg

[App1]

Does anyone else have experience of these? I had them 10 years ago, for dizziness and have been represcribed. I think they also help lessen Agitation? I,m recent low thyroid diagnosis.

[SeasideSusie Remembering]

App1

According to the patient information leaflet they are prescribed for treating nausea (feeling sick) and vomiting from whatever cause, also migraine and dizziness due to ear problems and other causes, no mention of agitation.

For what condition have they been prescribed for you.

[App1 in reply to SeasideSusie]

Lightheadedness

[SeasideSusie Remembering in reply to App1]

Lightheadedness is described as feeling " woozy" as if you might faint or feeling unbalanced. Balance problems are a symptom of hypothyroidism.

If you need to take this medication make sure it's 2 hours away from your Levo so that it doesn't affect Levo's absorption.

[App1 in reply to SeasideSusie]

Yes it’s quite severe to the point of falling, especially at night on way to loo. Had to phone 111 couple of times. Early days for me with low thyroid and expect vitamin D to start kicking in soon too. I take the levo 6 ish am. Thanks for your input.

[SeasideSusie Remembering in reply to App1]

App1

Has blood pressure been checked? Especially from lying to standing or sitting to standing?

From sitting to standing affects my friend's husband very badly to the point that he falls, doctors can't get to the bottom of it (no surprise there though!) so when he goes from sitting to standing (eg on a bus when he wants to get off) he just stands and holds onto something for a while before moving.

[App1 in reply to SeasideSusie]

Yes it’s low and the different between lying and sitting and sitting and standing. GP can’t pinpoint cause but has measured that it happens, hence the Bucca when I saw him yesterday. I do the slow standing up bit etc and sleep on a v shaped pillow.

[SlowDragon Administrator]

Have you had B12 , folate and ferritin tested yet?

Low B12 often causes dizziness

Low vitamin D and low B vitamins often go together

[App1 in reply to SlowDragon]

I think if I could eat properly things would be better. No appetite. Have lost more than 1and a half stones since March. Started on yoghurt probiotics which are helping my system a bit as advised here. I’ll revisit blood tests to see those figures. Thanks for caring.

[Buddy195 Administrator]

Can you share your recent thyroid results App1, as this will help members better advise. How much Levo are you currently taking?I would definitely look to test ferritin, folate, vit D and VitB12 as these may not be optimal.

[App1 in reply to Buddy195]

50 levo. Started 22 April. Due for blood test b4 levo this morning but not able to go as unwell...... on vit d 3 times week for 5 weeks, just finishing week 2. Every day like Groundhog Day mostly and it’s a living nightmare to be honest. Broken nights. ..... agitated and stressed. At least the UTI antibiotics stopped at the weekend, so perhaps will improve from herein.

[Buddy195 Administrator in reply to App1]

Do ask your GP if they will test key vitamins as well as thyroid levels when you rebook your blood test. Both thyroid levels and key vitamins need to be optimal to help restore full health. It will take time for your symptoms to improve, so hang in there. Remember you are not alone, members are here to help & support.

[helvella Administrator Thyroid UK]

The medicine is actually Prochlorperazine maleate (also branded Buccastem and Stemetil).

"Buccal" is a description of where in your mouth you are supposed to place them - by the cheek.

This links to details about many of the products available in the UK:

medicines.org.uk/emc/search...

[Kazania in reply to helvella]

Your explanation of ‘buccal’ is interesting. It says nothing about that on my data sheet. “Swallow the tablets with water. Do not handle the tablets more than you need to as you may develop sore, red or blistered skin” I hadn’t taken on board the last part about blistered skin! The tablets are Prochlorperazine maleate 5mg. I’d be pleased to have your thoughts on this. Many thanks for all your input, so helpful😃

[helvella Administrator Thyroid UK in reply to Kazania]

Yes - there is a form intended to be swallowed.

Several years ago, I was prescribed buccal tablets which are intended for use like this:

4.2 Posology and method of administration

To be placed in the buccal cavity, high up along the top gum under the upper lip, until dissolved. Do not chew or swallow the tablet.

Adults and children aged 12 years and over: One or two tablets twice a day.

medicines.org.uk/emc/produc...

INSTRUCTIONS FOR USE

Please read carefully before taking the tablet(s).

Place the tablet high up along your top gum, under the upper lip either side of your mouth as indicated above. The tablet must not be swallowed whole or chewed.

The tablet will soften and adhere to the gum. Allow it to dissolve slowly and completely - this may take between 1 and 2 hours. Most people find that after a few minutes they no longer notice the tablet.

The tablet should not be moved about the mouth with the tongue as this will cause it to dissolve too quickly.

If you wear dentures, the tablet may be placed in any comfortable position between your lip and gum.

The tablet(s) is best taken after meals.

medicines.org.uk/emc/produc...

It actually sounds as if you might have the wrong Patient Information Leaflets or product!

At least from what I have looked at so far, 5mg are swallowed and 3mg are buccal. Which makes me wonder where you got the word buccal from in relation to 5mg tablets?

Don't hesitate to ask more, if you need.

[Kazania in reply to helvella]

I have the 5mg. Package Insert is correct and the product was prescribed by my GP and issued by local Pharmacist, I have no reason to doubt its authenticity. It would seem from @App1 that it is the 3mg that is buccal. Thanks it’s good to have it clarified.

[App1 in reply to helvella]

Yes that’s right. I’ve got the 3mg not forswallowing.

[Bearo]

I have always suffered badly with motion sickness but in the last ten years - before dx hypothyroid - I’ve got much worse. At that time my vitamin D was rock bottom and my B12 lowish at around 300. When I tried a high dose B12 supplement that also made me feel dizzy so I had to stop it. My B12 could still be on the low side as I just take a B complex.

I have used Buccastem in the past to prevent nausea from dizziness and have also been prescribed Prochlorperazine for the same thing. The Buccastem I just use if I feel sick, but the P was prescribed several times a day for a few weeks. I’m sure the P leaflet said not to take if you have thyroid problems, so I didn’t. So the dizziness is still a problem.