Package Leaflet:

Information for the User

Uard 120XL, 180XL, 240XL and 300XL

(Diltiazem Hydrochloride Modified Release Capsules)

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

•    Keep this leaflet.You may need to read it again.

•    If you have any further questions, ask your doctor or pharmacist.

•    This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.

•    If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

In this leaflet:

1.    What Uard is and what it is used for

2.    What you need to know before you take Uard

3.    How to take Uard

4.    Possible side effects

5.    How to store Uard

6.    Contents of the pack and other information

1. What Uard is and what it is used for

Uard contains diltiazem hydrochloride as the active substance. Diltiazem hydrochloride belongs to a group of medicines known as calcium channel blockers.

Uard is used to treat high blood pressure (hypertension). It can also be used to prevent and treat a certain type of chest pain known as angina. Uard works by opening up blood vessels so that blood passes through them more easily, and so reduces blood pressure and chest pain in angina.

2. What you need to know before you take Uard

Uard is not suitable for use in children.

Do not take Uard

•    if you are allergic (hypersensitive) to diltiazem hydrochloride or any of the other ingredients of Uard (see Section 6 for a full list of ingredients)

•    if you are pregnant or could become pregnant

•    if you are breast-feeding

•    if you have a very slow heart rate, less than 40 beats per minute (severe bradycardia)

•    if you have a condition called sick sinus syndrome (an abnormality of heart rate or heart rhythm) or if you suffer from second or third degree heart block (this is a problem with the electrical impulses of the heart), unless you have a working pacemaker fitted

•    if you suffer from left-sided heart failure (left ventricular failure),with symptoms such as shortness of breath and swelling of the ankles

•    if you are due to have an operation where you might be given a muscle relaxant called dantrolene (most likely to be administered in hospital under general anaesthesia)

•    if you are already taking a medicine containing ivabradine for the treatment of certain heart diseases

Talk to your doctor before taking this product if any of the above apply to you. Warnings and precautions

Talk to your doctor, pharmacist or nurse before taking Uard:

•    if you have any liver or kidney problems

•    if you are an elderly patient

•    if you have a slow heart rate (bradycardia)

•    if you have any heart problems such as heart failure or first degree heart block (a problem with the electrical impulses of the heart)

•    if you experience mood changes, including depression

•    if you are at risk of developing a blockage of the bowel.

If any of the above apply to you, it is important that you tell your doctor, pharmacist or nurse before taking Uard and they will decide what to do. It may still be safe for you to take Uard.

•    prior to general anaesthesia; if you know that you are going to have a general anaesthetic please tell your anaesthetist that you are taking Uard.

Other medicines and Uard

You must tell your doctor or pharmacist if you are being treated with dantrolene or ivabradine because you should not take Uard (see section 2 'Do not take Uard....').

Please tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including those medicines obtained without a prescription.

In particular, you should inform your doctor or pharmacist if you are taking any of the following medicines:

•    alpha-blockers, such as doxazosin or prazosin (medicines used for high blood pressure or prostate enlargement in men)

•    amiodarone and other 'antiarrhythmic' medicines (used to treat abnormal heart rhythms)

•    rifampicin (used to treat bacterial infections)

•    carbamazepine, phenytoin or primidone (used in epilepsy)

•    atazanavir or ritonavir (used to treat HIV infection)

•    sleeping tablets or sedatives, including midazolam or triazolam which belong to a group of medicines called benzodiazepines, and barbiturates (which can also be used to treat epilepsy)

•    other calcium channel blockers (such as nifedipine) and other medicines used to treat high blood pressure

•    beta-blockers, such as propranolol or atenolol (medicines used to treat high blood pressure or other heart conditions)

•    digoxin (used to treat heart failure and abnormal heart rhythms)

•    ciclosporin, sirolimus, tacrolimus or everolimus (used to prevent rejection of a transplanted organ or for the treatment of other immune system disorders)

•    cilostazol (used to improve blood circulation to the legs)

•    theophylline (used to treat breathing problems)

•    general anaesthetics

•    tricyclic antidepressants, such as imipramine

•    antidepressants known as monoamine oxidase inhibitors/MAOIs, such as moclobemide or phenelzine

•    itraconazole (used to treat fungal infections)

•    mefloquine (used for treating and preventing malaria)

•    corticosteroids, sometimes simply referred to as steroids, such as hydrocortisone, prednisolone or methylprednisolone (they may be prescribed in many different illnesses but their main action is in controlling inflammation)

•    simvastatin, atorvastatin or lovastatin (medicines for lowering cholesterol)

•    lithium (used in cases of marked mood changes or mania)

•    nitrate medicines, such as glyceryl trinitrate or isosorbide mononitrate (used to treat angina)

•    ulcer-healing medicines, such as cimetidine and ranitidine.

It may still be safe for you to take Uard; your doctor or pharmacist will be able to advise you further.

Uard with food and drink

Taking Uard with food and drink does not affect the way the product works. Pregnancy and breast-feeding

Do not take Uard if you are pregnant, trying to become pregnant or if you are breast-feeding. Ask your doctor or pharmacist for advice before taking any medicine during pregnancy or while breast-feeding.

Driving and using machines

It is safe to drive while taking this medicine, however it may make you feel faint or dizzy. If you find that you are affected you should not drive or operate machinery.

Uard contains sucrose

These capsules contain sucrose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.

3.How to take Uard

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

The recommended dose for adults is between 180mg and 300mg of diltiazem given once a day. This dose may be reduced to 120mg once a day, for elderly patients, or patients with kidney or liver disease.

The label on the carton will tell you how many capsules you should take and when. This product should be taken orally (by mouth). Swallow the capsules whole with a drink of water. Do not crush or chew the capsules.

If you take more Uard than you should

If you take too many capsules, contact your nearest hospital casualty department or doctor immediately. Take this leaflet and any remaining capsules with you to show the doctor.

If you forget to take Uard

If you miss a dose but remember within 12 hours of the usual time, take it when you remember. If you remember more than 12 hours after your usual time, leave out this dose completely and carry on with the next dose when it is due. Do not take a double dose to make up for a forgotten dose.    PX2152/3

If you stop taking Uard

Do not stop taking Uard without consulting your doctor. Stopping suddenly might make your angina worse.

If you have any further questions on the use of this product, ask your doctor, pharmacist or nurse.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you experience any of the following side effects,stop taking Uard and contact your doctor immediately:

•    Slowing of the heart rate (bradycardia)

•    Irregular heart rate

•    Severe skin rash or itching especially those covering your whole body, severe flaking, blistering or peeling of the skin, with or without a fever

•    Signs of an allergic reaction, such as a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue

Very common side effects (may affect more than 1 in 10 people)

•    Swelling of the hands, ankles or feet

Common side effects (may affect up to 1 in 10 people)

•    Headache

•    Dizziness

•    Irregular heart rate

•    Flushing (when your face, ears, neck and, occasionally, your upper chest, becomes red in colour) or redness of the skin

•    Constipation, indigestion, stomach pain,feeling sick (nausea)

•    Feeling generally unwell

Uncommon side effects (may affect up to 1 in 100 people)

•    Nervousness

•    Difficulty sleeping

•    Feeling dizzy, light-headed or faint when you stand or sit up quickly (low blood pressure)

•    Loss of appetite, being sick (vomiting), diarrhoea, changes in the way things taste, weight gain

•    A worsening of liver function tests (seen on a blood test)

Rare side effects (may affect up to 1 in 1000 people)

•    Dry mouth

•    Hives

Other side effects have also been reported, but their exact frequency is unknown:

•    A reduction in platelets in the blood, which increases the risk of bleeding or bruising (thrombocytopenia)

•    Changes in mood, including depression

•    Unusual movements of the tongue, muscles spasms in the face, rolling eyes or trembling

•    Heart failure

•    Inflammation of blood vessels, often with a skin rash

•    Swollen gums

•    Hepatitis (inflammation of the liver)

•    Increased sensitivity to sunlight. You may get sunburnt more easily and more severely than someone not taking Uard. You should use sun protection while taking this medicine

•    Skin rash

•    Sweating

•    Enlargement of breast tissue in men

•    Tiredness/weakness.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at:www.mhra.gov.uk/yellowcard

By reporting side effects you can help provide more information on the safety of this medicine.

What Uard capsules look like and the contents of the pack

•    Uard 120XL are hard gelatin capsules,with a brownish-red cap and an orange body,with"DIL 120”overprinted in black ink.

•    Uard 180XL are hard gelatin capsules,with a pink cap and a grey body, with "DIL 180”overprinted in black ink.

•    Uard 240XL are hard gelatin capsules,with a light blue cap and body, with "DIL 240”overprinted in black ink.

•    Uard 300XL are hard gelatin capsules,with a light blue cap and a white body,with "DIL 300”overprinted in black ink.

Uard 120XL, 180XL, 240XL and 300XL are packaged in blister packs containing 28 capsules.

Marketing Authorisation Holder

Galen Limited Seagoe Industrial Estate Craigavon BT635UA UK

5.How to store Uard

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and blister foil. The expiry date refers to the last day of that month.

Do not store your capsules above 25‘C. Store in the original packaging in order to protect the capsules from light and moisture.

Do not use Uard if you notice that the packaging or any of the capsules are damaged.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.

6.Contents of the pack and other information What Uard contains

The active substance is diltiazem hydrochloride.

Uard comes in four different strengths of capsule:

• Uard 120XL which contains 120mg of diltiazem hydrochloride per capsule.

• Uard 180XL which contains 180mg of diltiazem hydrochloride per capsule.

•    Uard 240XL which contains 240mg of diltiazem hydrochloride per capsule.

•    Uard 300XL which contains 300mg of diltiazem hydrochloride per capsule.

The beads in the capsule shells also contain other ingredients: ammonio methacrylate copolymer types A and B, paraffin,talc, sucrose and starch.

The capsule shells are made of gelatin and may contain, depending on the strength of the capsule,the following colouring agents: erythrosine (E127), indigotine (E132), titanium dioxide (E171), red iron oxide (E172), black iron oxide (E172) and yellow iron oxide (E172).

The ink on the capsule shells contains shellac, black iron oxide (E172) and propylene glycol.

Manufacturer

Almac Pharma Services Limited Almac House

20 Seagoe Industrial Estate

Craigavon

BT635QD

UK

Distributed by

Ennogen Healthcare Limited Unit G4, Riverside Industrial Estate Riverside Way Dartford, DAI 5BS UK

This leaflet was last revised in 07/2016.

PX2152/3

28/06/16

G

nogen Healthcare