<!DOCTYPE DOCUMENT SYSTEM "icon.dtd" []>

<DOCUMENT author="perl program" datec=020199 title="leaflet" book="ABPI" edition="1996-97" section="company">
<PB n=1>
<CB n=1>
<DIV type=0>

<HEAD weight="bold" >
Ismelin  Ciba
</HEAD>


<CB n=2>

<DIV type=1>

<HEAD weight="bold" >
What you need to know about Ismelin
</HEAD>


<BLOCK>
Please read this carefully before you start to take your tablets.  This leaflet does not contain the complete information about your tablets.  If you have any questions or are not sure about anything ask your doctor or pharmacist.
</BLOCK>


<BLOCK>
Ismelin contains a substance called guanethidine.  It is one of the group of medicines called anti-hypertensives which are used to reduce high blood pressure.
</BLOCK>


</DIV>
<DIV type=1>

<HEAD weight="bold" >
Things to remember about Ismelin
</HEAD>


<LIST type="ordered">

<ITEM>

<BLOCK>
Make sure it is safe for you to take Ismelin 
<EMPH slant = "italic">
(see the back of this leaflet).
</EMPH>

</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Take your tablets as instructed by your doctor and read the label on your tablets.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
These tablets may cause unwanted effects in some people.  You can find information about them on the back of this leaflet.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Do not stop taking your tablets suddenly.  Ask your doctor first.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Keep your tablets in a dry place out of reach of children.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Ismelin tablets are not suitable for use in children.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Remember to return any unused medicine to your pharmacist.
</BLOCK>

</ITEM>

</LIST>



<BLOCK>
This leaflet has been prepared for patients as part of our ‘Partners in Health Care' theme by:–
</BLOCK>

<PB n=2>
<CB n=1>

<BLOCK>
Ciba Laboratories, Wimblehurst Road, Horsham, West Sussex, <CB n=2> PL 0008/5006 <PB n=3> <CB n=1> England. RH12 4AB <CB n=2> PL 0008/5007
</BLOCK>


<BLOCK>
This leaflet is produced in accordance with guidance issued by the Association of the British Pharmaceutical Industry.  The information in it applies only to Ismelin.
</BLOCK>

<DIV type=2>

<HEAD>
Copyright  &copy; Ciba-Geigy PLCFebruary 1992
</HEAD>


<BLOCK>
Isemlin is an anti-hypertensive medicine used to reduce high blood pressure.
</BLOCK>


</DIV>

</DIV>
<DIV type=1>

<HEAD weight="bold" >
What's in your medicine
</HEAD>


<LIST type="bulleted">

<ITEM>

<BLOCK>
Ismelin tablets come in two sizes.  White tablets marked Ismelin 10 containing 10mg of guanethidine monosulphate and pale red tablets marked Ismelin 25 containing 25mg of guanethidine monosulphate.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
These tablets aiso contain lactose and gluten (wheat starch).
</BLOCK>

</ITEM>

</LIST>



</DIV>
<DIV type=1>

<HEAD weight="bold" >
Before taking your medicine
</HEAD>


<LIST type="bulleted">

<ITEM>

<BLOCK>
Are you allergic to guanethidine?
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Do you suffer from any serious heart, kidney or glandular disorder which your doctor does not know about?
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Are you taking or have you recently taken any medicines to treat depression particularly monoamine oxidase inhibitors [MAOls]?
</BLOCK>

</ITEM>

</LIST>



<BLOCK>
If the answer to any of these questions is YES, DO NOT take the tablets without talking to your doctor again.
</BLOCK>


<LIST type="bulleted">

<ITEM>

<BLOCK>
Do you suffer from any blood vessel disorders which your doctor does not know about?
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Do you suffer from asthma or diabetes?
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Do you have or have you ever had a stomach or duodenal ulcer?
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Are you taking any medicines to treat high blood pressure?
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Are you taking any cough or cold remedies, particularly nose drops or sprays?
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Are you taking any other medicines which your doctor does not know about?
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Are you pregnant or trying to become pregnant?
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Are you breast-feeding?
</BLOCK>

</ITEM>

</LIST>


<DIV type=2>

<HEAD>
If the answer to any of these questions is
</HEAD>


<BLOCK>
YES, tell your doctor or pharmacist.
</BLOCK>


</DIV>

</DIV>
<DIV type=1>

<HEAD weight="bold" >
Taking your medicine
</HEAD>


<LIST type="bulleted">

<ITEM>

<BLOCK>
It is important to take your tablets at the right times.  You must take them as instructed by your doctor.  The label will tell you how many to take and how often.  If it does not, or you are not sure, ask your doctor or pharmacist.
</BLOCK>

</ITEM>

</LIST>




<LIST type="bulleted">

<ITEM>

<BLOCK>
You should swallow the tablets with a drink of water.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Do not stop taking your tablets suddenly.  Ask your doctor first.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
If you forget to take a dose take it as soon as you remember.  Then go on as before.  DO NOT take a double dose.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
If you accidentally take too many Ismelin tablets tell your doctor immediately or contact your nearest casualty department.
</BLOCK>

</ITEM>

</LIST>



<BLOCK>

<EMPH weight="bold">
After taking your medicine
</EMPH>
 These tablets sometimes cause unwanted effects in some people.  If you get any of the following tell your doctor.
</BLOCK>


<LIST type="bulleted">

<ITEM>

<BLOCK>
Swelling of the ankles, feet or lower legs.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Skin rash or itching for the first time.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Persistent fever.
</BLOCK>

</ITEM>

</LIST>



</DIV>
<DIV type=1>

<HEAD weight="bold" >
Other effects which may occur include:
</HEAD>


<LIST type="bulleted">

<ITEM>

<BLOCK>
Upset stomach.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Drowsiness, dizziness or blurred vision.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Headache or pins and needles.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Stuffy nose.
</BLOCK>

</ITEM>

</LIST>



<BLOCK>
These effects are often mild and may wear off after a few days' treatment.  If they are severe or last for more than a few days, tell your doctor.  Also, if your tablets upset you in any other way, tell your doctor.
</BLOCK>


</DIV>
<DIV type=1>

<HEAD weight="bold" >
Precautions
</HEAD>


<LIST type="bulleted">

<ITEM>

<BLOCK>
If you feel dizzy or drowsy when you start to take these tablets, do not drive or operate machinery until these effects have worn off.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Be careful when drinking alcohol – it may affect you more than usual.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>
Strenuous physical exercise, especially during hot weather, might make you feel dizzy.
</BLOCK>

</ITEM>


<ITEM>

<BLOCK>

<EMPH weight="bold">
REMEMBER:
</EMPH>
 
<EMPH weight="bold">
this medicine is for YOU. Only a doctor can prescribe it for you. Never give it to someone else. It may harm them even if they have the same symptoms as you.
</EMPH>

</BLOCK>

</ITEM>

</LIST>


</DIV>

</DIV>

</DOCUMENT>
