For Healthcare Professionals
1 Name of the medicinal product
- PremHerb Film-coated Tablets
- Femlieve Film-coated Tablets
- Higher Nature Agnus Castus PMS Relief film-coated tablets
2 Qualitative and quantitative composition
Each film-coated tablet contains: 4.0 mg of extract (as dry extract) from Agnus castus fruit (Vitex agnus castus L.) (7-13:1)(equivalent to 28-52 mg of Agnus castus). Extraction solvent: Ethanol 60% m/m.
Excipients: 1 film-coated tablet contains 124 mg of lactose monohydrate and 36 mg of liquid glucose.
For full list of excipients, see section 6.1
3 Pharmaceutical form
Film-coated tablet. Salmon pink, round, convex, scored tablet.
4 Clinical particulars
4.1 Therapeutic indications
A traditional herbal medicinal product used to help relieve symptoms associated with premenstrual syndrome such as irritability, mood swings, breast tenderness, bloating and menstrual cramps, based on traditional use only.
4.2 Posology and method of administration
For oral use only.
For women experiencing premenstrual symptoms, take 1 tablet daily. Tablets should be taken at the same time of day if possible (morning or evening) and swallowed whole with plenty of liquid. Some individuals may need to take PremHerb for up to 3 months for maximum benefit to occur.
Women suffering from a current pituitary disorder should not take PremHerb.
Not for children and adolescents under 18 years.
Hypersensitivity to dry extract of Agnus castus fruit, or any of the other ingredients in the drug.
This product is not recommended for use in children, adolescents under 18 years or for patients with a current pituitary disorder.
4.4 Special warnings and precautions for use
Agnus castus is thought to act on the pituitary-hypothalamic axis and therefore patients with a history of a pituitary disorder should consult with a doctor before using this product.
This product contains glucose:
1 film-coated tablet contains max. 36 mg glucose
This product contains lactose:
1 film-coated tablet contains max. 124 mg lactose.
Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.
4.5 Interaction with other medicinal products and other forms of interaction
There are no published data available on drug interactions with extracts of Agnus castus.
Animal experiments have shown that that the drug has a dopaminergic effect and so, theoretically, there could be a reduction in the effectiveness of dopamine-receptor antagonists, and/or a potentiation of dopamine-receptor agonists.
4.6 Pregnancy and lactation
The safety of the product during pregnancy and lactation has not been established, therefore it should be avoided during pregnancy or while breastfeeding. Additionally, because of the potential for the product to have hormone-like actions the product should also be avoided by women who are trying to become pregnant.
4.7 Effects on ability to drive and use machines
4.8 Undesirable effects
Mild and reversible, transient side-effects are associated with Agnus castus use. Postmarketing surveillance studies suggest that the approximate incidence of adverse effects is between 1.9 - 5 %. Most frequently these are Nausea, Stomach disturbances, Headache, Diarrhoea, Allergic skin reactions.
If there are signs of an allergic reaction the product should be withdrawn.
In the event of an overdose, patients are advised to contact a doctor, pharmacist or healthcare professional. A small overdose (up to 8 tablets) may not cause any symptoms. In the event of a large overdose (more than 8 tablets), advice should be sought from a doctor.
Management of an overdose should include appropriate symptomatic and supportive treatment as warranted by the clinical situation.
5 Pharmacological properties
5.1 Pharmacodynamic properties
No pharmacodynamic studies have been undertaken with Premherb and the pharmacodynamic properties are unknown.
5.2 Pharmacokinetic properties
Pharmacokinetic studies have not been conducted with Premherb or its active constituents.
5.3 Preclinical safety data
The non-clinical toxicology data available are limited. Tests on reproductive toxicity, genotoxicity and carcinogenicity have not been performed.
6 Pharmaceutical particulars
6.1 List of excipients
- Liquid glucose (dry substance)
- Silica, colloidal anhydrous
- Lactose monohydrate
- Magnesium stearate
- Maize starch
- Cellulose, microcrystalline
- Sodium starch glycolate (Type A)
- Lactose monohydrate
- Macrogol 4000
- Titanium dioxide E171
- Iron(III)-oxide E172 (==red iron oxide)
6.3 Shelf life
The shelf life is 3 years
6.4 Special precautions for storage
This product does not require any special storage instructions
6.5 Nature and contents of container
Original packages containing 30 or 60 film-coated tablets
PremHerb® film-coated tablets are packed in PVC/ PVDC aluminium blisters and inserted into a carton.
6.6 Special precautions for disposal
No special requirements
7 Registration holder
Schwabe Pharma (UK) Ltd
8 Registration number