• Relieves pain and discomfort of indigestion and soothes irritation of the gut mucosal lining. Anti–inflammatory action of flavonoids and sesquiterpenes soothes and reduces inflammation in the intestines and bowel. The astringent action of the tannins tightens the bowel and lessens diarrhoea, preventing dehydration. The demulcent action provides a barrier and soothes ulcers. Slippery Elm has a nutritive action during convalescence. 500mg, 30 & 90 tablets.
  • An all-natural laxative to encourage healthy bowel functioning, lessen bloating and improve lazy bowel syndrome. 400mg, 60 capsules. Ingredients: Each capsule contains: 240mg Cassia angustifolia powder, 32mg Rhamnus purshiana powder, 32mg Sambucus nigra powder, 64mg Foeniculum vulgare powder, 32mg Ilex paraguariensis powder.
  • FLORA FORCE® TURMERIC capsules provide antioxidants for the maintenance of good health. Preliminary research suggests that turmeric and its constituent curcumin may have antioxidant effects. The capsules are free from sugar and lactose. Avoid taking FLORA FORCE® TURMERIC capsules if you are pregnant or breastfeeding.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® TURMERIC Capsules

    Information currently undergoing review, please refer to Professional Information below.
    FLORA FORCE® TURMERIC Capsules Western herbal medicine FLORA FORCE® TURMERIC capsules has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME (AND DOSAGE FORM): FLORA FORCE® TURMERIC Capsules COMPOSITION: Each FLORA FORCE® TURMERIC capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Curcuma longa rhizome powder 500 mg
    Inactive ingredients: vegetable capsules FLORA FORCE® TURMERIC capsules are free from sugar and lactose. PHARMACOLOGICAL CLASSIFICATION: D 40.1 Complementary medicine not otherwise specified - Discipline specific traditional claim PHARMACOLOGICAL ACTION: Pharmacodynamic properties:

    The major active constituents in Curcuma longa are curcuminoids including curcumin. Preliminary research suggests that turmeric and its constituent curcumin may have antioxidant effects. Both turmeric and its constituents have been found to scavenge free radicals and phenolic oxidants and decrease levels of reactive oxygen species.

    INDICATIONS:

    FLORA FORCE® TURMERIC capsules provide antioxidants for the maintenance of good health.

    CONTRA-INDICATIONS:

    FLORA FORCE® TURMERIC capsules are contra-indicated in patients with:

    • A hypersensitivity to Curcuma longa.
    • Biliary obstruction (bile duct obstruction and gallstones) (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Bleeding disorders (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Diabetes (see “WARNING AND SPECIAL PRECAUTIONS”).
    • Gastroesophageal reflux disease.
    • Hormone sensitive cancers/conditions
    • Infertility
    • Iron deficiency (see “WARNING AND SPECIAL PRECAUTIONS”)
    • Surgery (see “WARNING AND SPECIAL PRECAUTIONS”)
    WARNINGS AND SPECIAL PRECAUTIONS:

    FLORA FORCE® TURMERIC capsules should be used with care in patients with cholelithiasis (gallstones) and should only be used after consultation with a physician (see “CONTRA-INDICATIONS”).

    When starting, or stopping treatment with turmeric containing products, including FLORA FORCE® TURMERIC capsules, patients with bleeding disorders should have increased monitoring of their INR (International Normalised Ratio) levels (see "CONTRA-INDICATIONS").

    FLORA FORCE® TURMERIC capsules should be used with care in patients with diabetes as curcumin may decrease blood sugar levels. Diabetic patients should monitor their blood sugar levels when taking FLORA FORCE® TURMERIC capsules (see "CONTRA-INDICATIONS").

    FLORA FORCE® TURMERIC capsules should be used with caution in patients with iron deficiency. Patient should monitor their iron levels (see "CONTRAINDICATIONS").

    FLORA FORCE® TURMERIC capsules should be used with care in patients undergoing surgery. Patients should discontinue use at least 2 weeks before elective surgical procedures (see "CONTRAINDICATIONS")

    When starting, or stopping treatment with turmeric containing products, including FLORA FORCE® TURMERIC capsules, patients taking warfarin (or other coumarin anticoagulants) should have increased monitoring of their INR (International Normalised Ratio) levels (see "INTERACTIONS").

    FLORA FORCE® TURMERIC capsules should be used with care in patients taking sedative medications, including Midazolam, as it may increase its sedative effects (see "INTERACTIONS").

    Vitamins and minerals obtained from other sources should be taken into consideration when taking FLORA FORCE® TURMERIC capsules.

    Effects on the ability to drive or use machinery: No studies on the effect of FLORA FORCE® TURMERIC capsules on the ability to drive or operate machines have been performed. It is unlikely that FLORA FORCE® TURMERIC capsules capsules will affect the ability to drive or operate machines.

    INTERACTIONS:

    FLORA FORCE® TURMERIC capsules may interact with the following medicines:.

    • Beta blockers: curcumin may decrease the absorption of talinolol and may increase the absorption of celiprolol.
    • Sulfasalazine: Curcuma longa might increase absorption of sulfasalazine.
    • Oestrogen: Curcuma longa might decrease the effects of oestrogen
    • Norfloxacin: Curcuma longa might increase levels

    The dose of the above medications may need to be adjusted when taken in conjunction with FLORA FORCE® TURMERIC capsules.

    Advise patients to take any of the above-mentioned medicines at least 2 hours before or after FLORA FORCE® TURMERIC capsules.

    Curcuma longa, as in FLORA FORCE® TURMERIC capsules, may potentially increase the effect of oral anti-coagulants and anti-platelet drugs (e.g. warfarin, aspirin, clopidogrel, dalteparin, enoxaparin, heparin, ticlopidine) when taken in conjunction. Patients taking anti-coagulants or antiplatelet medicines should have their INR levels monitored more frequently when taking FLORA FORCE® TURMERIC capsules (see "WARNINGS AND SPECIAL PRECAUTIONS").

    Theoretically, Curcuma longa, as in FLORA FORCE® TURMERIC capsules, may enhance the blood glucose lowering effects of antidiabetic medicines. Patients on antidiabetic medicines should monitor their glucose levels closely when taking FLORA FORCE® TURMERIC capsules (see "WARNINGS AND SPECIAL PRECAUTIONS")

    `Theoretically, Curcuma longa, as in FLORA FORCE® TURMERIC capsules, might increase levels of p-glycoprotein substrates. Some of these medicines include chemotherapeutic agents, antifungals, protease inhibitors, H2 agonists, calcium channel blockers, digoxin, corticosteroids, erythromycin, cisapride, fexofenadine, cyclosporine, loperamide and quinidine.

    Curcuma longa, as in FLORA FORCE® TURMERIC capsules, may increase the sedative effects of Midazolam. Patients taking Midazolam should use FLORA FORCE® TURMERIC capsules with caution (see "WARNINGS AND SPECIAL PRECAUTIONS").

    There is some evidence that Curcuma longa and/or curcumin may interact with CYP3A4 enzymes and increase bioavailability of medicines metabolised by cytochrome P450 isoenzymes CYP3A4. Patients taking medicines metabolised by these enzymes should use FLORA FORCE® TURMERIC capsules cautiously. Some of these medicines include calcium channel blockers, chemotherapeutic agents, antifungals, glucocorticoids, alfentanil, cisapride, fentanyl, lidocaine, losartan, fluoxetine, omeprazole, ondansetron and fexofenadine.

    There is some evidence that Curcuma longa may interact with CYP1A2 enzymes and increase the bioavailability of medicines metabolised by cytochrome P450 1A2 isoenzymes CYP1A2. Patients taking medicines metabolised by these enzymes should use FLORA FORCE® TURMERIC capsules cautiously. Some of these medicines include clozapine, fluvoxamine, haloperidol, imipramine, olanzapine, pentazocine, propranolol and zolmitriptan.

    There is some evidence that Curcuma longa as in FLORA FORCE® TURMERIC capsules, may increase levels of certain antineoplastic agents. Some of these include docetaxel, paclitaxel, etoposide, vinblastine, vincristine and vindesine. Theoretically, Curcuma longa may decrease the absorption of iron. Patients taking iron should monitor their iron levels when taking FLORA FORCE® TURMERIC capsules.

    PREGNANCY AND LACTATION:

    The safety and efficacy of FLORA FORCE® TURMERIC capsules during pregnancy and lactation have not been established. FLORA FORCE® TURMERIC capsules should therefore not be taken during pregnancy and lactation.

    DOSAGE AND DIRECTIONS FOR USE:

    The recommended daily dose should not be exceeded.

    Adults (18 years and older): Take 2 capsules twice daily with meals or as prescribed.

    Children (under 18 years of age): Not recommended for use (see “WARNINGS AND SPECIAL PRECAUTIONS”).

    SIDE-EFFECS:

    The following side-effects may occur with the use of FLORA FORCE® TURMERICcapsules.

    Psychiatric disorders: Frequency unknown: Giddiness

    Nervous system disorders: Frequency unknown: Vertigo

    Gastrointestinal disorders: Frequency unknown: Constipation, flatulence and yellow, hard stools, nausea and vomiting, diarrhoea or loose stool, dyspepsia, gastritis, distension and gastroesophageal reflux disease, abdominal fullness and pain, epigastric burning and tongue staining.

    Skin and subcutaneous disorders: Frequency unknown: Pruritus, pitting oedema, photosensitivity.

    Renal and urinary disorders: Frequency unknown: Diuresis

    Reproductive system and breast disorders: Frequency unknown: Increased menstrual bleeding

      KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENTS:

    None known. Contact a poison control centre in area.

    IDENTIFICATION:

    Clear size 0 all vegetable capsule containing dark yellow herbal powder.

    PRESENTATION:

    60 Capsules packed into 125ml amber glass bottle with light green screw cap and safety seal insert.

    STORAGE INSTRUCTIONS:

    Store at or below 25 ºC in a dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN.

    REGISTRATION NUMBER:

    To be allocated.

    NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION:

    Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park, Bell Crescent, Westlake, Cape Town

    DATE OF PUBLICATION:

    21/11/2016

    Herb Library

    Explore our Herb Library for additional information on traditional uses of herbs.

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  • FLORA FORCE® GINGER capsules are traditionally used to relieve digestive disturbances and nausea. Vege caps. Free from additives, sugar and lactose.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® GINGER Capsules

    Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM: FLORA FORCE® GINGER Capsules
    Read all of this leaflet carefully because it contains important information for you. FLORA FORCE® GINGER capsules are available without a doctor’s prescription, for you to treat a mild illness. Nevertheless, you still need to use FLORA FORCE® GINGER capsules carefully to get the best results from it.
    • Keep this leaflet. You may need to read it again.
    • Do not share FLORA FORCE® GINGER capsules with any other person.
    • Ask your pharmacist if you need more information or advice.
    • You must see a registered healthcare practitioner if your symptoms worsen or do not improve.
    WHAT FLORA FORCE® GINGER CAPSULES CONTAIN: Each FLORA FORCE® GINGER capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Zingiber officinale rhizome powder 500 mg
    Inactive ingredients are vegetable capsules. FLORA FORCE® GINGER capsules are free from sugar and lactose.
    WHAT FLORA FORCE® GINGER CAPSULES ARE USED FOR: FLORA FORCE® GINGER capsules are traditionally used to relieve digestive disturbances and nausea. BEFORE YOU TAKE FLORA FORCE® GINGER CAPSULES: Do NOT take FLORA FORCE® GINGER capsules:
    • If you have a bleeding disorder (see “Take special care with FLORA FORCE® GINGER capsules”).
    • If you have diabetes (see “Take special care with FLORA FORCE® GINGER capsules”)
    • If you have a heart condition (see “Take special care with FLORA FORCE® GINGER capsules”).
    • Surgery (see “Take special care with FLORA FORCE® GINGER capsules”).
    • Pregnancy and lactation (see “Pregnancy and breastfeeding”)
    Take special care with FLORA FORCE® GINGER capsules: Please discuss the use of FLORA FORCE® GINGER capsules with your pharmacist or registered healthcare practitioner if you:
    • Suffer from a bleeding disorder. You may have to arrange increased monitoring of your blood levels when starting or stopping treatment with FLORA FORCE® GINGER capsules (see “Do NOT take FLORA FORCE® GINGER capsules”).
    • Suffer from diabetes. You may have to arrange increased monitoring of your blood sugar levels (see “Do NOT take FLORA FORCE® GINGER capsules”).
    • Suffer from a heart condition. (see “Do NOT take FLORA FORCE® GINGER capsules”).
    • Are undergoing surgery, discontinue use at least 2 weeks prior to the procedure (see “Do NOT take FLORA FORCE® GINGER capsules”).
    • Take warfarin, other blood thinning or anti-platelet medicines.  You may have to arrange increased monitoring or your INR (International Normalised Ratio) levels when starting or stopping treatment with FLORA FORCE® GINGER capsules (see “Taking other medicines with FLORA FORCE® GINGER capsules”).
    The use of FLORA FORCE® GINGER capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “HOW TO TAKE FLORA FORCE® GINGER capsules”). Taking FLORA FORCE® GINGER capsules with food and drink: FLORA FORCE® GINGER capsules should be taken after meals with water. Pregnancy and breastfeeding: Safety of FLORA FORCE® GINGER capsules during pregnancy and breastfeeding has not been established.  Avoid taking FLORA FORCE® GINGER capsules if you are pregnant or breastfeeding.
    If you are pregnant or breastfeeding your baby, please consult your doctor, pharmacist or registered healthcare practitioner for advice before taking FLORA FORCE® GINGER capsules.
    Driving and using machinery: No studies on the effect on the ability to drive and use machinery have been performed. It is unlikely that FLORA FORCE® GINGER capsules will impair your ability to drive or use machines. However, please exercise care when driving or operating machinery until you know how FLORA FORCE® GINGER capsules affects you. Important information about some of the ingredients of FLORA FORCE® GINGER capsules: FLORA FORCE® GINGER capsules are sugar free. Taking other medicines with FLORA FORCE® GINGER capsules:
    Always tell your pharmacist or registered healthcare practitioner if you are taking any other medicine (this includes complementary or traditional medicines).
    Please discuss the use of the following medicines in combination with FLORA FORCE® GINGER capsules with your pharmacist or registered healthcare practitioner.
    • Metronidazole for the treatment of bipolar disorder.
    The dose of the above medications may need to be adjusted when taken in conjunction with FLORA FORCE® GINGER capsules. Also, discuss the use of the following medicines in combination with FLORA FORCE® GINGER capsules with your pharmacist or registered healthcare practitioner:
    • Warfarin, other blood thinning or anti-platelet medicines. FLORA FORCE® GINGER capsules may potentially increase the effect of blood thinning medicines.  You may have to arrange increased monitoring of your INR levels when taking FLORA FORCE® GINGER capsules (see “Take special care with FLORA FORCE® GINGER capsules”).
    • Anti-diabetic medicines as FLORA FORCE® GINGER may further lower blood sugar levels. Monitor your blood glucose / sugar levels regularly if you are using FLORA FORCE® GINGER capsules and anti-diabetic medicines in combination.
    • Cyclosporine as FLORA FORCE® GINGER may decrease the absorption of these medicines. Please discuss the use of FLORA FORCE® GINGER capsules in combination with any other medicines with your doctor or pharmacist.
    • Calcium channel blockers as FLORA FORCE® GINGER may have hypotensive and calcium channel-blocking effectsThis might cause an additive effect with calcium channel blockers.  Please discuss the use of FLORA FORCE® GINGER capsules in combination with any other medicines with your pharmacist or registered healthcare practitioner.
    HOW TO TAKE FLORA FORCE® GINGER CAPSULES: Do not share medicines prescribed to you with any other person. Always take FLORA FORCE® GINGER capsules exactly as directed. You should check with your pharmacist or registered healthcare practitioner if you are unsure. DO NOT EXCEED THE RECOMMENDED DAILY DOSAGE. Adults (18 years and older): Take 1 - 2 capsules daily with meals or as directed by your pharmacist or registered healthcare professional. Children (under 18 years of age): Not recommended for use (see “Take special care with FLORA FORCE® GINGER capsules”). FLORA FORCE® GINGER capsules may be taken for a period of up to 12 weeks followed by an interval of 1 week after which the next 12-week cycle can commence.  However, should you experience any adverse effects or any of the side effects indicated below please consult your pharmacist or registered healthcare practitioner. If you take more FLORA FORCE® GINGER capsules than you should: In the event of over dosage, consult your pharmacist or registered healthcare practitioner.  If neither is available, contact the nearest hospital or poison control centre.  If you forget to take FLORA FORCE® GINGER capsules: Always take FLORA FORCE® GINGER capsules as directed.  If you miss a dose, take it as soon as you remember.  If you do not remember the missed dose till the next dose is due, skip the missed dose and go back to your regular dosing schedule of 2 capsules twice daily.  Do not take a double dose to make up for forgotten individual doses. POSSIBLE SIDE-EFFECTS: FLORA FORCE® GINGER capsules may have side-effects. Not all side-effects reported for FLORA FORCE® GINGER capsules are included in this leaflet.  Should your general health worsen or if you experience any untoward effects while taking FLORA FORCE® GINGER capsules, please consult your pharmacist or registered healthcare practitioner for advice. Serious side-effects that you (or a family member if you are unable to) should report to your pharmacist or registered healthcare practitioner immediately include:
    • Irregular heartbeat.
    • Increased urge to urinate.
    • State of sleep or calm, sleepy, lethargic and dizziness.
    Side-effects that you should report to your pharmacist or registered healthcare practitioner as soon as possible:
    • Skin rash, bruising and skin redness.
    • Increased menstrual bleeding.
    Side-effects that you should report to your pharmacist or registered healthcare practitioner if they continue or become bothersome include:
    • Gastrointestinal disturbances, such as:
      • Stomach discomfort, diarrhoea, constipation, nausea, vomiting and heartburn.
      • Burning, irritation and numbness in mouth, tongue and throat.
    If you notice any side-effects not mentioned in this leaflet, please inform your pharmacist or registered healthcare practitioner. STORING AND DISPOSING OF FLORA FORCE® GINGER capsules: Store at or below 25ºC in a dry place. Protect from light / moisture. Do not take the capsules after the expiry date stated on the packaging material. Return all unused capsules to your pharmacist. Do not dispose of unused capsules in drains or sewerage systems (e.g. toilets). STORE ALL MEDICINE OUT OF THE REACH OF CHILDREN. PRESENTATION OF FLORA FORCE® GINGER capsules: 60 Capsules in 125ml amber glass bottle with light green screw cap and safety seal insert. IDENTIFICATION: Clear size 0 all vegetable capsule containing a cream coloured herbal powder. REGISTRATION NUMBER/REFERENCE NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: 13/02/2018
    FLORA FORCE® GINGER Capsules Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME (AND DOSAGE FORM): FLORA FORCE® GINGER Capsules COMPOSITION: Each FLORA FORCE® GINGER capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Zingiber officinale rhizome powder 500 mg
    Inactive ingredients: vegetable capsules FLORA FORCE® GINGER capsules are free from sugar and lactose. PHARMACOLOGICAL CLASSIFICATION: D 11.10, Gastro-intestinal tract, Other. PHARMACOLOGICAL ACTION: Pharmacodynamic properties: Preliminary research suggests the gastro-intestinal effects of ginger might be due to increases in levels of protective prostaglandins in the gut wall. Gastro-intestinal motility is enhanced by 6-shoagaol. The anti-nausea activity of Zingiber officinale may be due to the active constituents such as gingerols, shogaols and galano-lactone.  These seem to act primarily on the 5-HT3 receptors of the ileum.  The predominant anti-emetic action of ginger is localized in the GI tract, but there is some evidence that ginger constituents may also have central nervous system (CNS)activity. INDICATIONS: FLORA FORCE® GINGER capsules are traditionally used to relieve digestive disturbances and nausea. CONTRA-INDICATIONS: FLORA FORCE® GINGER capsules are contra-indicated in patients with:
    • Bleeding disorders (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Diabetes (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Heart conditions (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Surgery (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Pregnancy and lactation (see “PREGNANCY AND LACTATION”).
    WARNINGS AND SPECIAL PRECAUTIONS: When starting, or stopping treatment with Zingiber officinale containing products, including FLORA FORCE® GINGER capsules, patients with bleeding disorders should have increased monitoring of their INR (International Normalised Ratio) levels (see “CONTRA-INDICATIONS”). FLORA FORCE® GINGER capsules should be used with care in patients with diabetes.  Theoretically, Zingiber officinale may decrease blood sugar levels.  Diabetic patients should monitor their blood sugar levels when taking FLORA FORCE® GINGER capsules (see “CONTRA-INDICATIONS”). FLORA FORCE® GINGER capsules should be used with care in patients with heart conditions.  Theoretically, excessive doses of ginger might worsen some heart conditions (see “CONTRA-INDICATIONS”). FLORA FORCE® GINGER capsules should be used with care in patients undergoing surgery.  Patients should discontinue use at least 2 weeks before elective surgical procedures (see “CONTRA-INDICATIONS”). When starting, or stopping treatment with Zingiber officinale containing products, including FLORA FORCE® GINGER capsules, patients taking oral anti-coagulants or anti-platelet drugs) should have increased monitoring of their INR (International Normalised Ratio) levels (see “INTERACTIONS”). The use of FLORA FORCE® GINGER capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “DOSAGE AND DIRECTIONS FOR USE”). Effects on the ability to drive or use machinery: No studies on the effect of FLORA FORCE® GINGER capsules on the ability to drive or operate machines have been performed.  It is unlikely that FLORA FORCE® GINGER capsules will affect the ability to drive or operate machines. INTERACTIONS: The herbs in FLORA FORCE® GINGER capsules may interact with the following medicines:
    • Metronidazole: Zingiber officinale may increase levels of metronidazole.
    The dose of the above medications may need to be adjusted when taken in conjunction with FLORA FORCE® GINGER capsules. Zingiber officinale, as in FLORA FORCE® GINGER capsules, may potentially increase the effect of oral anti-coagulants and anti-platelet drugs (e.g. warfarin, phenprocoumon, heparin, aspirin, clopidogrel, enoxaparin, dalteparin, ticlopidine, enoxaparin, heparin) when taken concomitantly.  Patients taking anti-coagulants or anti-platelet medicines should have their INR levels monitored more frequently when taking FLORA FORCE® GINGER capsules (see “WARNINGS AND SPECIAL PRECAUTIONS”). Theoretically, Zingiber officinale as in FLORA FORCE® GINGER capsules, may enhance the blood glucose lowering effects of anti-diabetic medicines.  Patients on anti-diabetic medicines should monitor their glucose levels closely when taking FLORA FORCE® GINGER capsules. In an animal model, Zingiber officinale taken 2 hours prior to cyclosporine administration reduced the maximum concentration.  This effect was not observed when Zingiber officinale and cyclosporine were administered at the same time.  Patients taking cyclosporine should use FLORA FORCE® GINGER capsules with care. Preliminary research suggests Zinger officinale might have hypotensive and calcium channel-blocking effects.  Theoretically Zingiber officinale might have an additive effect with calcium channel blockers.  These include nifedipine, verapamil, diltiazem, isradipine, felodipine and amlodipine.  Patients taking calcium channel-blockers should use FLORA FORCE® GINGER capsules with care PREGNANCY AND LACTATION: The safety and efficacy of FLORA FORCE® GINGER capsules during pregnancy and lactation have not been established.  Capsules should therefore not be taken during pregnancy and lactation. DOSAGE AND DIRECTIONS FOR USE: The recommended daily dose should not be exceeded. Do not tamper with capsule. Adults (18 years and older): Take 2 capsules twice daily with meals or as prescribed. Children (under 18 years of age): Not recommended for use (see “WARNINGS AND SPECIAL PRECAUTIONS”). SIDE-EFFECS: The following side-effects may occur with the use of FLORA FORCE® GINGER capsules. Nervous system disorders: Frequency unknown:         Sedation, drowsiness and dizziness. Vascular disorders: Frequency unknown:         Mild arrhythmia. Gastrointestinal disorders: Frequency unknown:         Abdominal discomfort, heartburn, burning pepper-like irritation in mouth, nausea, belching, dry retching, vomiting, burning sensation in tongue and throat and oral numbness. Skin and subcutaneous disorders: Frequency unknown:         Hives, bruising and flushing. Renal and urinary disorders: Frequency unknown:         Urinary urgency. Reproductive system and breast disorders: Frequency unknown:         Increased menstrual bleeding. KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENTS: None known. Contact a poison control centre in area. IDENTIFICATION: Clear size 0 all vegetable capsule containing cream coloured herbal powder. PRESENTATION: 60 Capsules packed into 125ml amber glass bottle with light green screw cap and safety seal insert. STORAGE INSTRUCTIONS: Store at or below 25 ºC in a dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN. REGISTRATION NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: 13/02/2018

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  • FLORA FORCE® FENNEL capsules are traditionally used to relieve digestive disturbances and nausea. Vege caps. Free from additives, sugar and lactose.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® FENNEL Capsules

    Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM: FLORA FORCE® FENNEL Capsules
    Read all of this leaflet carefully because it contains important information for you. FLORA FORCE® FENNEL capsules are available without a doctor’s prescription, for you to treat a mild illness. Nevertheless, you still need to use FLORA FORCE® FENNEL capsules carefully to get the best results from it.
    • Keep this leaflet. You may need to read it again.
    • Do not share FLORA FORCE® FENNEL capsules with any other person.
    • Ask your pharmacist if you need more information or advice.
    • You must see a registered healthcare practitioner if your symptoms worsen or do not improve.
    WHAT FLORA FORCE® FENNEL CAPSULES CONTAIN: Each FLORA FORCE® FENNEL capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Foeniculum vulgare fruit/seed powder 500 mg
    Inactive ingredients are vegetable capsules. FLORA FORCE® FENNEL capsules are free from sugar and lactose.
    WHAT FLORA FORCE® FENNEL CAPSULES ARE USED FOR: FLORA FORCE® FENNEL capsules assists with the relief of digestive disturbances including bloating and flatulence. BEFORE YOU TAKE FLORA FORCE® FENNEL CAPSULES: Do NOT take FLORA FORCE® FENNEL capsules:
    • If you have a hypersensitivity to anethole or plants from the Apiaceae family (see “Take special care with FLORA FORCE® FENNEL capsules”).
    • If you have a bleeding disorder (see “Take special care with FLORA FORCE® FENNEL capsules”).
    • If you have hormone sensitive conditions or cancers (see “Take special care with FLORA FORCE® FENNEL capsules”).
    • Surgery (see “Take special care with FLORA FORCE® FENNEL capsules”).
    • Pregnancy (see “Pregnancy and breastfeeding”).
    Take special care with FLORA FORCE® FENNEL capsules: Please discuss the use of FLORA FORCE® FENNEL capsules with your pharmacist or registered healthcare practitioner if you:
    • Have a hypersensitivity to anethole or plants from the Apiaceae family. Members of this family include carrots, parsley and celery (see “Do NOT take FLORA FORCE® FENNEL capsules”).
    • Suffer from a bleeding disorder. You may have to arrange increased monitoring of your blood levels when starting or stopping treatment with FLORA FORCE® FENNEL capsules (see “Do NOT take FLORA FORCE® FENNEL capsules”).
    • Suffer from a hormone-sensitive condition or cancer. These conditions include breast, uterine, and ovarian cancer, endometriosis, and uterine fibroids.  Fennel might have oestrogenic effects. Until more is known, women with hormone-sensitive conditions and cancers should avoid use of FLORA FORCE® FENNEL capsules (see “Do NOT take FLORA FORCE® FENNEL capsules”).
    • If you are undergoing surgery discontinue use at least 2 weeks prior to the procedure (see “Do NOT take FLORA FORCE® FENNEL capsules”).
    • Take warfarin or other blood thinning medicines.  You may have to arrange increased monitoring or your INR (International Normalised Ratio) levels when starting or stopping treatment with FLORA FORCE® FENNEL capsules (see “Taking other medicines with FLORA FORCE® FENNEL capsules”).
    The use of FLORA FORCE® FENNEL capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “HOW TO TAKE FLORA FORCE® FENNEL capsules”). Taking FLORA FORCE® FENNEL capsules with food and drink: FLORA FORCE® FENNEL capsules should be taken after meals with water. Pregnancy and breastfeeding: Safety of FLORA FORCE® FENNEL capsules during pregnancy and breastfeeding has not been established. Avoid taking FLORA FORCE® FENNEL capsules if you are pregnant or breastfeeding.
    If you are pregnant or breastfeeding your baby, please consult your doctor, pharmacist or registered healthcare practitioner for advice before taking FLORA FORCE® FENNEL capsules.
    Driving and using machinery: No studies on the effect on the ability to drive and use machinery have been performed. It is unlikely that FLORA FORCE® FENNEL capsules will impair your ability to drive or use machines. However, please exercise care when driving or operating machinery until you know how FLORA FORCE® FENNEL capsules affects you. Important information about some of the ingredients of FLORA FORCE® FENNEL capsules: FLORA FORCE® FENNEL capsules are sugar free. Taking other medicines with FLORA FORCE® FENNEL capsules:
    Always tell your pharmacist or registered healthcare practitioner if you are taking any other medicine (this includes complementary or traditional medicines).
    Please discuss the use of the following medicines in combination with FLORA FORCE® FENNEL capsules with your pharmacist or registered healthcare practitioner:
    • Ciprofloxacin, an antibiotic, for the treatment of bacterial infections.
    The dose of the above medications may need to be adjusted when taken in conjunction with FLORA FORCE® FENNEL capsules.  Also, discuss the use of the following medicines in combination with FLORA FORCE® FENNEL capsules with your pharmacist or registered healthcare practitioner:
    • Warfarin or other blood thinning medicines. FLORA FORCE® FENNEL capsules may potentially increase the effect of blood thinning medicines (see “Take special care with FLORA FORCE® FENNEL capsules”).
    • Medicines which are changed and broken down by the liver (Cytochrome P450 substrates) as FLORA FORCE® FENNEL capsules can influence the absorption and effectiveness of these medicines.
    • Midazolam as FLORA FORCE® FENNEL capsules may increase its sedative effects.
    • Medicine with oestrogenic activity (such as contraceptive medications, hormone replacement therapy and tamoxifen) as FLORA FORCE® FENNEL capsules might interfere with their activity.
    HOW TO TAKE FLORA FORCE® FENNEL CAPSULES: Do not share medicines prescribed to you with any other person. Always take FLORA FORCE® FENNEL capsules exactly as directed. You should check with your pharmacist or registered healthcare practitioner if you are unsure. DO NOT EXCEED THE RECOMMENDED DAILY DOSAGE. Adults (18 years and older): Take 1 - 2 capsules twice daily with meals or as directed by your pharmacist or registered healthcare professional. Children (under 18 years of age): Not recommended for use (see “Take special care with FLORA FORCE® FENNEL capsules”). FLORA FORCE® FENNEL capsules may be taken for a period of up to 12 weeks followed by an interval of 1 week after which the next 12-week cycle can commence. However, should you experience any adverse effects or any of the side effects indicated below please consult your pharmacist or registered healthcare practitioner. If you take more FLORA FORCE® FENNEL capsules than you should: If you take more FLORA FORCE® FENNEL capsules than you should, you may experience a bluish discoloration of the skin, stomach irritation, fatigue, dizziness, light-headedness and convulsions (seizures). In the event of over dosage, consult your pharmacist or registered healthcare practitioner. If neither is available, contact the nearest hospital or poison control centre. If you forget to take FLORA FORCE® FENNEL capsules: Always take FLORA FORCE® FENNEL capsules as directed. If you miss a dose, take it as soon as you remember. If you do not remember the missed dose till the next dose is due, skip the missed dose and go back to your regular dosing schedule of 1-2 capsules twice daily. Do not take a double dose to make up for forgotten individual doses. POSSIBLE SIDE-EFFECTS: FLORA FORCE® FENNEL capsules may have side-effects. Not all side-effects reported for FLORA FORCE® FENNEL capsules are included in this leaflet. Should your general health worsen or if you experience any untoward effects while taking FLORA FORCE® FENNEL capsules, please consult your pharmacist or registered healthcare practitioner for advice. Serious side-effects that you (or a family member if you are unable to) should report to your pharmacist or registered healthcare practitioner immediately include:
    • An allergic reaction which may present with shortness of breath, difficulty breathing, wheezing, hives, or itching, swelling of the face, tongue or whole body.
    • Slight discoloration (e.g. pale, grey, blue) of the skin, headache, difficulty breathing, light-headedness, weakness, confusion, palpitations and chest pain.
    • Facial weakness, facial paralysis, vomiting and nausea.
    • Difficulty shallowing, breathing and speaking.
    Side-effects that you should report to your pharmacist or registered healthcare practitioner as soon as possible:
    • Tearing, eye itching and redness, sneezing and congestion
    Side-effects that you should report to your pharmacist or registered healthcare practitioner if they continue or become bothersome include:
    • Gastrointestinal disturbances, such as:
      • Stomach discomfort and pain.
    • Sensitivity to light and itching.
    • Early breast development or increased menstrual bleeding.
    If you notice any side-effects not mentioned in this leaflet, please inform your pharmacist or registered healthcare practitioner. STORING AND DISPOSING OF FLORA FORCE® FENNEL capsules: Store at or below 25ºC in a dry place. Protect from light / moisture. Do not take the capsules after the expiry date stated on the packaging material. Return all unused capsules to your pharmacist. Do not dispose of unused capsules in drains or sewerage systems (e.g. toilets). STORE ALL MEDICINE OUT OF THE REACH OF CHILDREN. PRESENTATION OF FLORA FORCE® FENNEL capsules: 60 Capsules in 125ml amber glass bottle with dark green screw cap and safety seal insert, packed in a box. IDENTIFICATION: Clear size 0 all vegetable capsule containing green herbal powder. REGISTRATION NUMBER/REFERENCE NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: 213/02/2018
    FLORA FORCE® FENNEL Capsules Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME (AND DOSAGE FORM): FLORA FORCE® FENNEL Capsules COMPOSITION: Each FLORA FORCE® FENNEL capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Foeniculum vulgare fruit/seed powder 500 mg
    Inactive ingredients: vegetable capsules FLORA FORCE® FENNEL capsules are free from sugar and lactose. PHARMACOLOGICAL CLASSIFICATION: D 11.10, Gastro-intestinal tract, Others. PHARMACOLOGICAL ACTION: Pharmacodynamic properties: Fennel and herbal teas containing fennel are traditionally used to improve a variety of gastrointestinal disorders. In an experimental study, enzymes like pancreatic trypsin, lipase, and amylase have been stimulated by fennel. Fennel seed increased gastrointestinal motility and acted as an antispasmodic at high doses. Fennel extracts produced a reduction in acetylcholine-induced contraction and decreased maximum possible contractility. INDICATIONS: FLORA FORCE® FENNEL capsules assists with the relief of digestive disturbances including bloating and flatulence. CONTRA-INDICATIONS: FLORA FORCE® FENNEL capsules are contra-indicated in patients with:
    • A hypersensitivity to anethole or plants from the Apiaceae family. These plants include carrots, parsley and celery (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Bleeding disorders (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Hormone sensitive conditions or cancers (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Surgery (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Pregnancy (see “PREGNANCY AND LACTATION”).
    WARNINGS AND SPECIAL PRECAUTIONS: Foeniculum vulgare may cause an allergic reaction in individuals sensitive to anethole or plants from the Asteraceae family.  Members of this family include carrots, parsley and celery (see “CONTRA-INDICATIONS”). When starting, or stopping treatment with Foeniculum vulgare containing products, including FLORA FORCE® FENNEL capsules, patients with bleeding disorders should have increased monitoring of their INR (International Normalised Ratio) levels (see “CONTRA-INDICATIONS”). Certain constituents in fennel may have estrogenic activity.  FLORA FORCE® FENNEL capsules should be avoided in patients with hormone sensitive conditions and cancers.  These conditions include breast, uterine, and ovarian cancer, endometriosis, and uterine fibroids (see “CONTRA-INDICATIONS”). FLORA FORCE® FENNEL capsules should be used with care in patients undergoing surgery.  Patients should discontinue use at least 2 weeks before elective surgical procedures (see “CONTRA-INDICATIONS”). When starting, or stopping treatment with fennel containing products, including FLORA FORCE® FENNEL capsules, patients taking warfarin (or other coumarin anti-coagulants) should have increased monitoring of their INR (International Normalised Ratio) levels (see “INTERACTIONS”). FLORA FORCE® FENNEL capsules should be used with care in patients taking sedative medications, including midazolam, as it may increase its sedative effects (see “INTERACTIONS”). The use of FLORA FORCE® FENNEL capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “DOSAGE AND DIRECTIONS FOR USE”). Effects on the ability to drive or use machinery: No studies on the effect of FLORA FORCE® FENNEL capsules on the ability to drive or operate machines have been performed.  It is unlikely that FLORA FORCE® FENNEL capsules will affect the ability to drive or operate machines. INTERACTIONS: The herbs in FLORA FORCE® FENNEL capsules may interact with the following medicines:
    • Ciprofloxacin: Foeniculum vulgare might reduce its effectiveness.
    Foeniculum vulgare, as in FLORA FORCE® FENNEL capsules, may potentially increase the effect of oral anti-coagulants and anti-platelet drugs (e.g. warfarin, aspirin, clopidogrel, dalteparin, enoxaparin, heparin) when taken concomitantly.  Patients taking anti-coagulants or anti-platelet medicines should have their INR levels monitored more frequently when taking FLORA FORCE® FENNEL capsules (see “WARNINGS AND SPECIAL PRECAUTIONS”). Foeniculum vulgare, as in FLORA FORCE® FENNEL capsules, may increase the sedative effects of midazolam.  Patients taking midazolam should use FLORA FORCE® FENNEL capsule with caution (see “WARNINGS AND SPECIAL PRECAUTIONS”). There is some evidence that Foeniculum vulgare may interact with CYP3A4 enzymes and increase bioavailability of medicines metabolised by cytochrome P450 isoenzymes CYP3A4.  Patients taking medicines metabolised by these enzymes should use FLORA FORCE® FENNEL capsules cautiously.  These medicines include calcium channel blockers, chemotherapeutic agents, anti-fungals, glucocorticoids, alfentanil, cisapride, fentanyl, lidocaine, losartan, fluoxetine, omeprazole, ondansetron and fexofenadine. Foeniculum vulgare, as in FLORA FORCE® FENNEL capsules, may have estrogenic activity.  Theoretically, concomitant use of large amounts of fennel may interfere with contraceptive medication, hormone replacement therapy and tamoxifen. PREGNANCY AND LACTATION: The safety and efficacy of FLORA FORCE® FENNEL capsules during pregnancy have not been established.  Capsules should therefore not be taken during pregnancy.  Consult with a pharmacist or registered healthcare practitioner if you want to use FLORA FORCE® FENNEL capsules during breastfeeding. DOSAGE AND DIRECTIONS FOR USE: The recommended daily dose should not be exceeded. Do not tamper with capsule. Adults (18 years and older): Take 1-2 capsules twice daily with meals or as prescribed. Children (under 18 years of age): Not recommended for use (see “WARNINGS AND SPECIAL PRECAUTIONS”). SIDE-EFFECS: The following side-effects may occur with the use of FLORA FORCE® FENNEL capsules. Infections and Infestations: Frequency unknown:         Botulism. Blood and the lymphatic system disorders: Frequency unknown:         Iron deficiency, methemoglobinemia.  Eye disorders: Frequency unknown:         Rhino conjunctivitis.  Respiratory, thoracic and mediastinal disorders: Frequency unknown:         Cyanosis, bronchial asthma, hay fever, occupational asthma. Gastrointestinal disorders: Frequency unknown:         Gastro-intestinal complaints and irritation, iron deficiency. Skin and subcutaneous disorders: Frequency unknown:         Photosensitivity and atopic dermatitis.  Reproductive system and breast disorders: Frequency unknown:         Premature thelarche, increased menstrual flow. KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENTS: The following symptoms may be experienced in the event of an overdose: Cyanosis, gastro-intestinal irritation, fatigue, dizziness, light-headedness and seizures. Contact a poison control centre in area. IDENTIFICATION: Clear size 0 all vegetable capsule containing green herbal powder. PRESENTATION: 60 Capsules packed into 125ml amber glass bottle with light dark screw cap and safety seal insert, in a box. STORAGE INSTRUCTIONS: Store at or below 25 ºC in a dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN. REGISTRATION NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: 23/02/2018

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  • FLORA FORCE® CINNAMON Capsules contain cinnamon (Cinnamomum verum) powder. Cinnamon has been used in traditional Western herbal medicine to support healthy metabolism and digestion. Vege caps. Free from sugar and lactose. No additives or extracts.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® CINNAMON Capsules

    Western herbal medicine This medicine has not been evaluated by the Medicines Control Council.  This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM: FLORA FORCE® CINNAMON Capsules
    Read all of this leaflet carefully because it contains important information for you.  FLORA FORCE® CINNAMON capsules are available without a doctor’s prescription, for you to treat a mild illness.  Nevertheless, you still need to use FLORA FORCE® CINNAMON capsules carefully to get the best results from it. 
    • Keep this leaflet. You may need to read it again.
    • Do not share FLORA FORCE® CINNAMON capsules with any other person.
    • Ask your pharmacist if you need more information or advice.
    • You must see a registered healthcare practitioner if your symptoms worsen or do not improve.
    WHAT FLORA FORCE® CINNAMON CAPSULES CONTAIN: Each FLORA FORCE® CINNAMON capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Cinnamomum verum bark powder 500 mg
    Inactive ingredients: vegetable capsules FLORA FORCE® CINNAMON capsules are free from sugar and lactose.
    WHAT FLORA FORCE® CINNAMON CAPSULES ARE USED FOR: FLORA FORCE® CINNAMON capsules contain Cinnamomum verum which has been used in traditional Western Herbal medicine for the maintenance of healthy metabolism and digestion. BEFORE YOU TAKE FLORA FORCE® CINNAMON CAPSULES: Do NOT take FLORA FORCE® CINNAMON capsules:
    • If you are allergic to any of the active or inactive ingredients in FLORA FORCE® CINNAMON capsules.
    • If you have diabetes (see “Take special care with FLORA FORCE® CINNAMON capsules”).
    • If you are undergoing surgery (see “Take special care with FLORA FORCE® CINNAMON capsules”).
    • If you are pregnant and lactating (see “Pregnancy and breastfeeding”).
    Take special care with FLORA FORCE® CINNAMON capsules: Please discuss the use of FLORA FORCE® CINNAMON capsules with your registered healthcare practitioner if you:
    • Suffer from Diabetes. You may have to arrange increased monitoring of your blood sugar levels (see “Do NOT take FLORA FORCE® CINNAMON capsules”).
    • If you are undergoing surgery discontinue use at least 2 weeks prior to the procedure (see “Do NOT take FLORA FORCE® CINNAMON capsules”).
    The use of FLORA FORCE® CINNAMON capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “HOW TO TAKE FLORA FORCE® CINNAMON capsules”). Taking FLORA FORCE® CINNAMON capsules with food and drink: FLORA FORCE® CINNAMON capsules should be taken after meals with water. Pregnancy and breastfeeding: Safety of FLORA FORCE® CINNAMON capsules during pregnancy and breastfeeding has not been established.  Avoid taking FLORA FORCE® CINNAMON capsules if you are pregnant or breastfeeding.
    If you are pregnant or breastfeeding your baby, please consult your pharmacist or registered healthcare practitioner for advice before taking FLORA FORCE® CINNAMON capsules.
    Driving and using machinery: No studies on the effect on the ability to drive and use machinery have been performed.  It is unlikely that FLORA FORCE® CINNAMON capsules will impair your ability to drive or use machines.  However, please exercise care when driving or operating machinery until you know how FLORA FORCE® CINNAMON capsules affects you. Important information about some of the ingredients of FLORA FORCE® CINNAMON capsules: FLORA FORCE® CINNAMON capsules are sugar free. Taking other medicines with FLORA FORCE® CINNAMON capsules:
    Always tell your pharmacist or registered healthcare practitioner if you are taking any other medicine (this includes complementary or traditional medicines).
    Discuss the use of the following medicines in combination with FLORA FORCE® CINNAMON capsules with your pharmacist or registered healthcare practitioner:
    • Antidiabetic medicines as FLORA FORCE® CINNAMON may further lower blood sugar levels. Monitor you blood glucose / sugar levels regularly if you are using FLORA FORCE® CINNAMON capsules and antidiabetic medicines in combination.
    The dose of the above medications may need to be adjusted when taken in conjunction with FLORA FORCE® CINNAMON capsules. HOW TO TAKE FLORA FORCE® CINNAMON CAPSULES: Do not share medicines prescribed to you with any other person. Always take FLORA FORCE® CINNAMON capsules exactly as directed.  You should check with your pharmacist or registered healthcare practitioner if you are unsure. DO NOT EXCEED THE RECOMMENDED DAILY DOSAGE. Adults (18 years and older): Take 2 capsules daily with meals or as directed by your pharmacist or registered healthcare practitioner. Children (under 18 years of age): Not recommended for use (see “Take special care with FLORA FORCE® CINNAMON capsules”). FLORA FORCE® CINNAMON capsules may be taken for a period of up to 12 weeks followed by an interval of 1 week after which the next 12-week period can commence.  However, should you experience any adverse effects or any of the side effects indicated below please consult your healthcare practitioner. If you take more FLORA FORCE® CINNAMON capsules than you should: In the event of over dosage, consult your pharmacist or registered healthcare practitioner.  If neither is available, contact the nearest hospital or poison control centre. If you forget to take FLORA FORCE® CINNAMON capsules: Always take FLORA FORCE® CINNAMON capsules as directed.  If you miss a dose, take it as soon as you remember.  If you do not remember the missed dose till the next dose is due, skip the missed dose and go back to your regular dosing schedule of two capsule once daily.  Do not take a double dose to make up for forgotten individual doses. POSSIBLE SIDE-EFFECTS: FLORA FORCE® CINNAMON capsules can have side-effects. Not all side-effects reported for FLORA FORCE® CINNAMON capsules are included in this leaflet.  Should your general health worsen or if you experience any untoward effects while taking FLORA FORCE® CINNAMON capsules, please consult your pharmacist or registered healthcare practitioner for advice. Serious side-effects that you (or a family member if you are unable to) should report to your pharmacist or registered healthcare practitioner immediately include:
    • An allergic reaction which may present with shortness of breath, difficulty breathing, wheezing, hives, or itching, swelling of the face, tongue or whole body.
    Side-effects that you should report to your pharmacist or registered healthcare practitioner if they continue or become bothersome include:
    • Gastrointestinal disturbances, such as:
      • Stomach discomfort, stomach pain, indigestion and diarrhoea.
    • Sensitive or irritated skin.
    If you notice any side-effects not mentioned in this leaflet, please inform your pharmacist or registered healthcare practitioner. STORING AND DISPOSING OF FLORA FORCE® CINNAMON capsules: Store at or below 25ºC in a dry place. Protect from light / moisture. Do not take the capsules after the expiry date stated on the packaging material. Return all unused capsules to your pharmacist. Do not dispose of unused capsules in drains or sewerage systems (e.g. toilets). STORE ALL MEDICINE OUT OF THE REACH OF CHILDREN. PRESENTATION OF FLORA FORCE® CINNAMON capsules: 60 capsules packed into 125ml amber glass bottle with light green screw cap and safety seal insert in a box. IDENTIFICATION: Clear size 0 all vegetable capsule containing yellow brown herbal powder. REGISTRATION NUMBER/REFERENCE NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: 05/12/2017
    FLORA FORCE® CINNAMON Capsules Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME (AND DOSAGE FORM): FLORA FORCE® CINNAMON Capsules COMPOSITION: Each FLORA FORCE® CINNAMON capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Cinnamomum verum bark powder 500 mg
    Inactive ingredients: vegetable capsules FLORA FORCE® CINNAMON capsules are free from sugar and lactose. PHARMACOLOGICAL CLASSIFICATION: D 40.1 Complementary medicine not otherwise specified – Discipline specific traditional claim PHARMACOLOGICAL ACTION: Pharmacodynamic properties: The volatile oils of cinnamon bark are thought to be the active constituents of cinnamon. Cinnamaldehyde makes up 60% to 80% of the volatile oil from the bark. There are approximately 6000 to 30,000 ppm of cinnamaldehyde in cinnamon bark. The oil has documented carminative and antispasmodic activity. The antispasmodic activity of cinnamon is due to the cinnamaldehyde. INDICATIONS: FLORA FORCE® CINNAMON is a traditional medicine indicated for the maintenance of healthy metabolism and digestion. CONTRA-INDICATIONS: FLORA FORCE® CINNAMON capsules are contra-indicated in patients with:
    • A hypersensitivity to Cinnamomum verum.
    • Diabetes (see “WARNINGS AND SPECIAL PRECAUTIONS”)
    • Surgery (see “WARNINGS AND SPECIAL PRECAUTIONS”)
    WARNINGS AND SPECIAL PRECAUTIONS: FLORA FORCE® CINNAMON capsules should be used with care in patients with diabetes as cinnamon may decrease blood sugar levels. Diabetic patients should monitor their blood sugar levels when taking FLORA FORCE® CINNAMON capsules (see “CONTRA-INDICATIONS”). FLORA FORCE® CINNAMON capsules should be used with care in patients undergoing surgery. Patients should discontinue use at least 2 weeks before elective surgical procedures (see “CONTRAINDICATIONS”) The use of FLORA FORCE® CINNAMON capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “DOSAGE AND DIRECTIONS FOR USE”). Effects on the ability to drive or use machinery: No studies on the effect of FLORA FORCE® CINNAMON capsules on the ability to drive or operate machines have been performed. It is unlikely that FLORA FORCE® CINNAMON capsules will affect the ability to drive or operate machines. INTERACTIONS: Theoretically, Cinnamomum verum, as in FLORA FORCE® CINNAMON capsules, may enhance the blood glucose lowering effects of antidiabetic medicines. Patients on antidiabetic medicines should monitor their glucose levels closely when taking FLORA FORCE® CINNAMON capsules (see “WARNINGS AND SPECIAL PRECAUTIONS”) The dose of the antidiabetic medications may need to be adjusted when taken in conjunction with FLORA FORCE® CINNAMON capsules. PREGNANCY AND LACTATION: The safety and efficacy of FLORA FORCE® CINNAMON capsules during pregnancy and lactation have not been established. FLORA FORCE® CINNAMON capsules should therefore not be taken during pregnancy and lactation. DOSAGE AND DIRECTIONS FOR USE: The recommended daily dose should not be exceeded. Do not tamper with capsule. Adults (18 years and older): Take 2 capsules daily or as prescribed. Children (under 18 years of age): Not recommended for use (see “WARNINGS AND SPECIAL PRECAUTIONS”). SIDE-EFFECS: Orally, no adverse reactions tend to occur with the use of the cinnamon bark; however, cinnamon oil can irritate mucous membranes and is a skin irritant and sensitizer. KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENTS: None known. Contact a poison control centre in area. IDENTIFICATION: Clear size 0 all vegetable capsule containing yellow brown herbal powder. PRESENTATION: 60 Capsules packed into 125ml amber glass bottle with light green screw cap and safety seal insert in a box. STORAGE INSTRUCTIONS: Store at or below 25 ºC in a dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN. REGISTRATION NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park, Bell Crescent, Westlake, Cape Town DATE OF PUBLICATION: To be allocated.

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  • Laxative action relieves inflammation and sluggish digestive conditions. 500mg, 60 capsules
  • FLORA FORCE® TURMERYNNE® capsules with turmeric, cayenne and black pepper, provide antioxidants for the maintenance of good health, and may reduce inflammation. Preliminary research suggests that turmeric (Curcuma longa) and its active constituent, curcumin, may have antioxidant effects. These help to scavenge free radicals. Curcumin also has an anti-inflammatory action. The major active constituent in Cayenne (Capsicum minimum) is capsaicin. Various studies suggest that Capsicum minimum and capsaicin have antioxidant effects and decrease inflammation. Piperine, the active constituent found in Black Pepper (Piper nigrum) increases the oral absorption and bio-availability of other substances. Avoid taking TURMERYNNE® capsules if you are pregnant or breastfeeding.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® TURMERYNNE® Capsules

    Information currently undergoing review, please refer to Professional Information below.
    TURMERYNNE® Capsules Western herbal medicine This medicine has not been evaluated by the Medicines Control Council.  This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME (AND DOSAGE FORM): TURMERYNNE® Capsules COMPOSITION: Each TURMERYNNE® capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Curcuma longa rhizome powder 215 mg
    Capsicum minimum fruit powder 215 mg
    Piper nigrum fruit powder 20 mg
    Inactive ingredients: vegetable capsules TURMERYNNE® capsules are free from sugar and lactose. PHARMACOLOGICAL CLASSIFICATION: D 40.1 Complementary medicine not otherwise specified – Discipline specific traditional claim PHARMACOLOGICAL ACTION: Pharmacodynamic properties:

    The major active constituents in Curcuma longa are curcuminoids including curcumin.  Preliminary research suggests that turmeric and its constituent curcumin may have anti-oxidant effects.  Both turmeric and its constituents have been found to scavenge free radicals and phenolic oxidants and decrease levels of reactive oxygen species.

    Curcumin has anti-inflammatory activity, possibly by inhibiting cyclooxygenase-2 (COX-s), prostaglandins, leukotrienes and other cytokines involved in pro-inflammatory signalling pathways.

    The major active constituent in Capsicum minimum is capsaicin.  Various studies suggest that Capsicum minimum and capsaicin have anti-oxidant effects and decrease inflammation.

    The active constituent, piperine, found in Piper nigrum increases the oral absorption and bio-availability of other substances.

    INDICATIONS:

    TURMERYNNE® capsules provide anti-oxidants for the maintenance of good health, and may reduce inflammation.

    CONTRA-INDICATIONS:

    TURMERYNNE® capsules are contra-indicated in patients with:

    • A hypersensitivity to any of the ingredients in TURMERYNNE®
    • Biliary obstruction (bile duct obstruction and gallstones) (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Bleeding disorders (see “WARNING AND SPECIAL PRECAUTIONS”).
    • Diabetes (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Hypertension (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Gastro-oesophageal reflux disease.
    • Infertility.
    • Iron deficiency (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Surgery (see “WARNINGS AND SPECIAL PRECUATIONS”).
    • Pregnancy and lactation (see “PREGNACY AND LACTATION”).
    WARNINGS AND SPECIAL PRECAUTIONS:

    TURMERYNNE® capsules should be used with care in patients with cholelithiasis (gallstones) and should only be used after consultation with a physician (see “CONTRA-INDICATIONS”).

    When starting, or stopping treatment with Capsicum spp.  and Curcuma longa containing products, including TURMERYNNE® capsules, patients with bleeding disorders should have increased monitoring of their INR (International Normalised Ratio) levels (see “CONTRA-INDICATIONS”).

    TURMERYNNE® capsules should be used with care in patients with diabetes as curcumin and Capsicum spp. may decrease blood sugar levels.  Diabetic patients should monitor their blood sugar levels when taking TURMERYNNE® capsules (see “CONTRA-INDICATIONS”).

    TURMERYNNE® capsules should be used with care in patients with hypertension.  Theoretically Capsicum spp. may increase blood pressure. 

    TURMERYNNE® capsule should be used with caution in patients with iron deficiency.  Patient should monitor their iron levels (see “CONTRA-INDICATIONS”).

    TURMERYNNE® capsules should be used with care in patients undergoing surgery.  Patients should discontinue use at least 2 weeks before elective surgical procedures (see “CONTRA-INDICATIONS”).

    TURMERYNNE® capsules should be used with care in patients with hormone-sensitive cancers.  Theoretically, turmeric might have mild estrogenic effects. Until more is known, advise women with hormone-sensitive conditions to use turmeric cautiously.

    When starting, or stopping treatment with capsicum and turmeric containing products, including TURMERYNNE® capsules, patients taking warfarin (or other coumarin anti-coagulants) should have increased monitoring of their INR (International Normalised Ratio) levels (see “INTERACTIONS”).

    TURMERYNNE® capsules should be used with care in patients taking sedative medications, including midazolam, as it may increase its sedative effects (see “INTERACTIONS”).

    The use of TURMERYNNE® capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “DOSAGE AND DIRECTIONS FOR USE”).

    Effects on the ability to drive or use machinery: No studies on the effect of TURMERYNNE® capsules on the ability to drive or operate machines have been performed.  It is unlikely that TURMERYNNE® capsules will affect the ability to drive or operate machines.

    INTERACTIONS:

    The herbs in TURMERYNNE® capsules may interact with the following medicines:

    • Theophylline: Capsicum and piperine may enhance theophylline absorption.
    • Beta blockers: curcumin may decrease or increase absorption.  Piperine may increase absorption of propranolol.
    • Sulfasalazine: Curcuma longa might increase absorption of sulfasalazine.
    • Oestrogen: Curcuma longa might decrease the effects of oestrogen
    • Lithium: Piper nigrum may increase levels of lithium.
    • Rifampin: piperine might increase absorption.
    • Norfloxacin: Curcuma longa might increase levels

    Advise patients to take any of the above-mentioned medicines at least 2 hours before or after TURMERYNNE® capsules (see “DOSAGE AND DIRECTIONS FOR USE”).

    Capsicum spp. and Curcuma longa, as in TURMERYNNE® capsules, may potentially increase the effect of oral anti-coagulants and anti-platelet drugs (e.g. warfarin, aspirin, clopidogrel, dalteparin, enoxaparin, heparin) when taken concomitantly.  Patients taking anti-coagulants or anti-platelet medicines should have their INR levels monitored more frequently when taking TURMERYNNE® capsules (see “WARNINGS AND SPECIAL PRECAUTIONS”).

    Piper nigrum, as in TURMERYNNE® capsules, may increase the effect of medications for epilepsy when taken concomitantly.  Patients taking these medications should use TURMERYNNE® capsules with caution and be monitored closely.  Some of these medications include carbamazepine and phenytoin.

    Theoretically, Capsicum spp. and Curcuma longa, as in TURMERYNNE® capsules, may enhance the blood glucose lowering effects of anti-diabetic medicines.  Patients on anti-diabetic medicines should monitor their glucose levels closely when taking TURMERYNNE® capsules.

    Theoretically, Piper nigrum and Curcuma longa might increase levels of p-glycoprotein substrates.  Some of these medicines include chemotherapeutic agents, anti-fungals, protease inhibitors, H2 agonists, calcium channel blockers, digoxin, corticosteroids, erythromycin, cisapride, fexofenadine, cyclosporine, loperamide and quinidine.

    Curcuma longa, as in TURMERYNNE® capsules, may increase the sedative effects of midazolam.  Patients taking midazolam should use TURMERYNNE® capsule with caution (see “WARNINGS AND SPECIAL PRECAUTIONS”).

    Piperine increases the bio-availability of curcumin in Turmeric. This may increase the potential of curcumin to interacting with other medicines.

    There is some evidence that Curcuma longa and/or curcumin, Capsicum spp. and Piper nigrum may interact with CYP3A4 enzymes and increase bioavailability of medicines metabolised by cytochrome P450 isoenzymes CYP3A4.  Patients taking medicines metabolised by these enzymes should use TURMERYNNE® capsules cautiously.  These medicines include calcium channel blockers, chemotherapeutic agents, anti-fungals, glucocorticoids, alfentanil, cisapride, fentanyl, lidocaine, losartan, fluoxetine, omeprazole, ondansetron and fexofenadine.

    There is some evidence that Curcuma longa may interact with CYP1A2 enzymes and increase the bio-availability of medicines metabolised by cytochrome P450 1A2 isoenzymes CYP1A2.  Patients taking medicines metabolised by these enzymes should use TURMERYNNE® capsules cautiously.  Some of these medicines include clozapine, fluvoxamine, haloperidol, imipramine, olanzapine, pentazocine, propranolol and zolmitriptan.

    There is some evidence that Curcuma longa and Piper nigrum, as in TURMERYNNE® capsules, may increase levels of certain anti-neoplastic agents such as docetaxel, paclitaxel, etoposide, vinblastine and vincristine.

    Theoretically, Curcuma longa may decrease the absorption of iron.  Patients taking iron should monitor their iron levels when taking TURMERYNNE® capsules.

    PREGNANCY AND LACTATION:

    The safety and efficacy of TURMERYNNE® capsules during pregnancy and lactation have not been established.  Capsules should therefore not be taken during pregnancy and lactation.

    DOSAGE AND DIRECTIONS FOR USE:

    The recommended daily dose should not be exceeded. Do not tamper with capsule.

    Adults (18 years and older): Take 2 capsules twice daily with meals or as prescribed.

    Children (under 18 years of age): Not recommended for use (see “WARNINGS AND SPECIAL PRECAUTIONS”).

    Theophylline, beta-blockers, sulfasalazine, oestrogen, lithium, rifampicin and norfloxacin must be taken at least 2 hours before or after TURMERYNNE® capsules (see “INTERACTIONS”).

    SIDE-EFFECS:

    The following side-effects may occur with the use of TURMERYNNE® capsules.

    Endocrine disorders: Frequency unknown:         Reduced blood glucose, increase plasma insulin.

    Psychiatric disorders: Frequency unknown:         Addiction.

    Nervous system disorders: Frequency unknown:         Dizziness, hyperalgesia, vertigo.

    Vascular disorders: Frequency unknown:         Increased bleeding, myocardial infarct, hypertension and tachycardia.

    Gastrointestinal disorders: Frequency unknown:         Gastro-intestinal irritation, mouth and throat irritation, stomach discomfort, dyspepsia, diarrhoea, constipation, yellow hard stools, abdominal distention, gastro-oesophageal reflux, nausea, flatulence, ulcer aggravation, vomiting and liver damage.

    Skin and subcutaneous disorders: Frequency unknown:         Photosensitivity, pruritus, oedema.

    Renal and urinary disorders: Frequency unknown:         Kidney damage.

    KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENTS:

    The following symptoms may be experienced in the event of an overdose: Tachycardia, hypertension, hypertensive crisis and myocardial infarct. Contact a poison control centre in area.

    IDENTIFICATION:

    Clear size 0 all vegetable capsule containing dark orange herbal powder.

    PRESENTATION:

    90 Capsules packed in a 125ml amber glass bottle with light gold/mustard screw cap and safety seal insert.

    STORAGE INSTRUCTIONS:

    Store at or below 25 ºC in a dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN.

    REGISTRATION NUMBER:

    To be allocated.

    NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION:

    Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park, Bell Crescent, Westlake, Cape Town

    DATE OF PUBLICATION:

    To be allocated.

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