For Healthcare Professionals
1 Name of the medicinal product
- Kaloba film-coated tablets
- Boots Herbal Cold Relief film-coated tablets
- Higher Nature Pelargonium Cold Relief film-coated tablets
2 Qualitative and quantitative composition
1 film-coated tablet contains 20 mg of extract (as dry extract) from the roots of Pelargonium sidoides DC (1 : 8 - 10) (EPs® 7630) Extraction solvent 11% ethanol (w/w).
One film-coated tablet contains 20 mg lactose monohydrate.
For a full list of excipients, see section 6.1.
3 Pharmaceutical form
Round, reddish-brown, smooth surface film coating without ruptures.
4 Clinical particulars
4.1 Therapeutic indications
Traditional herbal medicinal product used to relieve the symptoms of upper respiratory tract infections including the common cold, such as sore throat, cough and blocked or runny nose, based on traditional use only.
4.2 Posology and method of administration
Adults and adolescents over 12 years of age:
Take 1 tablet three times daily (morning, midday, evening).
Tablets should be swallowed whole with a little water. The tablets should not be chewed.
The use in children under 12 years of age is not recommended (see section 4.4 `Special warnings and precautions for use`).
Duration of use:
After relief of symptoms, continuation of treatment is recommended for a further 2 – 3 days in order to prevent a relapse. However, treatment duration should not exceed 2 weeks.
If the symptoms persist during the use of the medicinal product, a doctor or a qualified health care practitioner should be consulted.
Kaloba is not to be used in the following cases:
- hypersensitivity to the active substance or to any of the excipients,
- increased tendency to bleeding,
- patients using coagulation-inhibiting drugs,
- severe hepatic and renal diseases, due to lack of adequate data.
4.4 Special warnings and special precautions for use
In the patient information leaflet, the patient is advised to consult a doctor immediately if his or her condition does not improve within one week, in case of fever lasting for several days or in case of shortness of breath or blood in the sputum.
One film-coated tablet contains 20 mg lactose monohydrate.
Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.
On theoretical grounds Kaloba should not be used where there is a likelihood of increased tendency to bleeding or use of coagulation-inhibiting drugs.
Kaloba should not be used in case of severe hepatic and renal diseases, due to lack of adequate data.
This formulation is not suitable for children under 12 years of age.
4.5 Interaction with other medicinal products and other forms of interaction
Drug interactions have not been reported to date.
However, due to the potential effect of Kaloba on coagulation parameters, this product may enhance the effect of coagulation-inhibiting drugs such as warfarin and should not be taken concomitantly with these drugs. (see section 4.3).
4.6 Pregnancy and lactation
Safety during pregnancy and lactation has not been established. In the absence of sufficient data, the use during pregnancy and lactation is not recommended.
4.7 Effects on ability to drive and use machine
No studies on the effect on the ability to drive and use machines have been performed.
4.8 Undesirable effects
The evaluation of adverse reactions is based on the following information on frequency:
more than 1 out of 10 treated persons Common:
more than 1 out of 100 treated persons
more than 1 out of 1000 treated persons Rare:
more than 1 out of 10 000 treated persons
1 or less out of 10 000 treated persons including single cases
Gastro-intestinal complaints such as stomach pain, heartburn, nausea or diarrhoea may occur uncommonly (≥ 1/1,000 to < 1/100) during treatment with Kaloba.
In rare cases (≥1/10,000 to ≤ 1/1,000), mild bleeding from the gums or nose may occur. Furthermore, hypersensitivity reactions (e.g. exanthema, urticaria, pruritus of skin and mucous membranes) have been described in rare cases. Such reactions may occur after the first intake of the product.
In very rare cases (≤ 1/10,000), serious hypersensitivity reactions with swelling of the face, dyspnoea and drop in blood pressure may occur.
In single cases, signs indicating disturbances of liver function have been reported after intake of Kaloba; the causal relationship between this effect and the use of the product has not been demonstrated.
If other adverse reactions not mentioned above occur, a doctor or a qualified health care practitioner should be consulted.
The effects of overdose are unknown.
Although there are no data on cases of overdose, overdose is likely to increase side-effects. Thus, treatment should be symptomatic and as clinically indicated.
5 Pharmacological properties
5.1 Pharmacodynamic properties
5.2 Pharmacokinetic properties
5.3 Preclinical safety data
Tests on reproductive toxicity, genotoxicity and carcinogenicity have not been performed.
6 Pharmaceutical particulars
6.1 List of excipients
- Microcrystalline cellulose
- Lactose monohydrate
- Croscarmellose sodium,
- Precipitated silica
- Magnesium stearate
- Hypromellose 5 mPas
- Macrogol 1500
- Iron oxide yellow E172
- Iron oxide red E172
- Titanium dioxide E171
- Sorbic acid.
6.3 Shelf life
6.4 Special precautions for storage
This medicinal product does not require any special storage conditions.
6.5 Nature and contents of container
Cartons containing blister strips of 15 or 21 tablets. Kaloba is available in packs with 21, 30, 42, and 60 tablets. Not all pack sizes may be marketed.
6.6 Special precautions for disposal and other handling
No special requirements.
7 Marketing authorisation holder
Dr. Willmar Schwabe GmbH & Co. KG
Distributed in the UK by:
Schwabe Pharma (UK) Ltd
8 Marketing authorisation number(s)
9. Date of first authorisation/renewal of the authorisation
31st March 2009
10 Date of revision of the text