Patient info

Clonidine Hydrochloride 25 microgram Tablets – patient leaflet, side effects, dosage

Updated:
Key facts
Status:
Prescription only (POM)
Medicine strength:
25 micrograms
Contains active substance:
ATC code:
Similar medicines:

Patient leaflet - Clonidine Hydrochloride 25 micrograms tablets

1. WHAT CLONIDINE HYDROCHLORIDE 25 MICROGRAM TABLETS ARE AND WHAT THEY ARE USED FOR

Clonidine Hydrochloride 25 Microgram Tablets contain a medicine called “clonidine hydrochloride”. This belongs to a group of medicines called 'vasodilators', which cause widening of the blood vessels and therefore an increase in blood flow.

Your doctor has prescribed Clonidine Hydrochloride 25 Microgram Tablets for you to prevent attacks of migraine and similar types of headache. The tablets are also used to prevent hot fushes that may occur in women during the menopause ('change of life').

2. BEFORE YOU TAKE CLONIDINE HYDROCHLORIDE 25 MICROGRAM TABLETS

Do not take CLONIDINE HYDROCHLORIDE 25 MICROGRAM TABLETS if:

  • You are allergic to clonidine hydrochloride or any of the other ingredients of

    this medicine (listed in section 6).

  • You have a slow heart rate resulting from a disease of the heart called

    'sick-sinus syndrome' or severe heart problems.

Do not take Clonidine Hydrochloride 25 microgram Tablets if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking this medicine.

Warnings and precautions

Talk to your doctor, pharmacist or nurse before taking Clonidine Hydrochloride 25 Microgram Tablets if you have

  • Raynaud's disease (a problem with circulation to the fingers and toes) or

    other blood circulation

  • problems, including circulation to the brain heart or kidney problems
  • or have ever had depression
  • constipation
  • a nerve disorder that causes your hands and feet to feel different ('altered

    sensation').

If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking Clonidine Hydrochloride 25 Microgram Tablets. As you may get dry eyes whilst taking this medicine, this may be a problem if you wear contact lenses.

Children and adolescents

Clonidine Hydrochloride 25 Microgram Tablets are not recommended in children and adolescents under 18 years.

Other medicines and Clonidine Hydrochloride 25 Microgram Tablets

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription and herbal medicines. This is because Clonidine Hydrochloride 25 Microgram Tablets can affect the way some other medicines work, and some other medicines can affect the way Clonidine Hydrochloride 25 Microgram Tablets work. In particular, tell your doctor or pharmacist if you are taking any of the following medicines:

  • certain medicines used to lower blood pressure (antihypertensives and alpha

    blockers); alpha-blockers are medicines also used to treat swelling of the prostate gland

  • certain medicines that relax blood vessels (vasodilators)
  • water tablets (diuretics)
  • medicines which are often used to slow the heart rate or lower the blood

    pressure (beta blockers)

  • medicines used to treat heart failure (cardiac glycosides)
  • certain medicines used to treat depression (tricyclic antidepressants)
  • other antidepressants, e.g. mirtazapine
  • certain medicines used to relieve anxiety such as tranquillisers, hypnotics

    (and also alcohol) (neuroleptics).

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Clonidine Hydrochloride 25 Microgram Tablets.

Clonidine Hydrochloride 25 Microgram Tablets and alcohol

You may feel drowsy while taking Clonidine Hydrochloride 25 Microgram Tablets. Drinking alcohol while taking Clonidine Hydrochloride 25 Microgram Tablets can make this worse.

Pregnancy, breast-feeding and fertility

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Clonidine Hydrochloride 25 Microgram Tablets can reach your baby and may lower your baby's heart rate.

Clonidine Hydrochloride 25 Microgram Tablets are not recommended for use while breast-feeding. If you want to breast feed, please consult your doctor first.

Driving and using machines

You may feel drowsy, dizzy or could have some disturbances of vision. If affected, you should not drive, operate machinery or take part in any activities where these may put you or others at risk.

Clonidine Hydrochloride 25 Microgram Tablets contains lactose

This medicine contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

3. HOW TO TAKE CLONIDINE HYDROCHLORIDE 25 MICROGRAM TABLETS

Always take your medicine exactly as your doctor or pharmacist has told you. You should check with your doctor or pharmacist if you are not sure. Clonidine Hydrochloride 25 Microgram Tablets should not be taken continuously for long periods of time.

Taking this medicine

The tablets should be swallowed whole with water, with or without food. It may take 2 to 4 weeks for the medicine to work properly.

How much to take

Adults 18 years and over

  • The recommended dose is two to three tablets twice a day

    PRODUCT NAME

    PRODUCT LICENCE NO.

    STRENGTH

    PACK SIZE

    FONT & SIZE

    REMARKS

    REASON FOR CHANGE

    COUNTRY

    MANUFACTURER

    SOFTWARE

    ARTIST

    Clonidine Hydrochloride 25 microgram Tablets

    20395-0386

    Pil

    210 x 297 mm

    25 mcg

    112s

    Arial Narrow (15 pt, 9 pt)

    -

    Comments received from Steph on 22.08.2025.

    UK (English)

    Gpax Pharma

    Adobe illustrator CC

    Gurukiran

    NO. OF COLORS 01

    ██ Black

    ██ Dieline

    0.5

    VERSION XXXXX DATE 22.08.2025

    If you take more Clonidine Hydrochloride Tablets than you should:

    If you take more tablets than you should or if a child accidentally swallows any, go to your doctor or nearest emergency department immediately and take your medicine pack with you. Symptoms of overdose include sleepiness (including coma), breathing difficulties, being sick, low blood pressure and dry mouth.

    If you forget to take Clonidine Hydrochloride:

    If you forget to take a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose.

    If you stop taking Clonidine Hydrochloride:

    Do not stop taking Clonidine Hydrochloride Tablets without talking to your doctor first.

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

4. POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not everybody gets them. Tell your doctor or pharmacist immediately if you experience any of the following:

Very common (affects more than 1 in 10 people):

  • Dizziness, feeling tired and more relaxed than usual (sedation)
  • Feeling dizzy when you stand up (because your blood pressure has fallen

    sharply)

  • Dry mouth.

Common (affects less than in 1 in 10 people, more than 1 in 25 people)

  • Depression, sleeping problems
  • Headache
  • Constipation, feeling sick (nausea), pain below the ear (from the salivary

    gland), being sick (vomiting)

  • Erectile dysfunction
  • Fatigue.

Uncommon (affects less than 1 in 25 people, more than 1 in 1,000 people)

  • Problems with understanding what is happening around you, hallucinations,

    nightmares

  • Your hands and feet feeling different (‘altered sensation’)
  • Regular unusually slow heartbeat
  • Raynaud’s phenomenon (a problem with circulation to the fingers and toes)
  • Itching, rash, urticaria (nettle rash)
  • A feeling of discomfort and fatigue (‘malaise’).

Rare (affects less than 1 in 1,000 people):

  • Breast growth (‘gynaecomastia’) in men
  • Dry eyes
  • Irregular heartbeat
  • Drying out of the lining of the nose
  • Pseudo-obstruction of the large bowel, which causes colicky pain, vomiting

    and constipation.Contact your doctor straight away if you have all these side effects.

  • Hair loss
  • Increase in your blood sugar.

Not known (frequency cannot be estimated from the available data)

  • Confusion, loss of libido
  • Blurred vision
  • Abnormally slow heartbeat.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for 'MHRA Yellow Card' in the Google play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

5. HOW TO STORE CLONIDINE HYDROCHLORIDE 25 MICROGRAM TABLETS

Keep out of sight and reach of children.

The tablets should not be stored above 25°C and the blister strips should be kept in the outer carton.

Do not use Clonidine Hydrochloride 25 microgram Tablets after the expiry date which is stated on the packaging. The expiry date refers to the last day of that month.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. FURTHER INFORMATION

What CLONIDINE HYDROCHLORIDE 25 MICROGRAM TABLETS contains

  • The active substance is clonidine hydrochloride. Each tablet contains 25 micrograms.
  • The other ingredients are: Pregelatinised maize starch, Lactose monohydrate, Isopropyl alcohol, Calcium hydrogen phosphate dihydrate (E341), Colloidal anhydrous silica, Magnesium Stearate, Purified water, Opadry II Blue (which contains Polyvinyl alcohol (E1203), Talc (E5536), Titanium dioxide (E171), HPMC (E464), Polyethylene glycol (E1521) and FD+C Blue (E133).

What CLONIDINE HYDROCHLORIDE 25 MICROGRAM TABLETS looks like and contents of the pack

  • Clonidine Hydrochloride 25 microgram Tablets are blue coloured round biconvex approx. 6 mm film coated tablets embossed with “0.025” on one side & plain on other side.

Clonidine Hydrochloride 25 microgram Tablets are available in blister packs of 112 tablets.

Marketing Authorisation Holder and Manufacturer

Relonchem Ltd.,

Cheshire House,

Gorsey Lane, Widnes, Cheshire,

WA8 0RP, UK.

PL 20395/0386

This leaflet was last revised in August 2025.

About this document

Source: MHRA - Medicines and Healthcare products Regulatory Agency (products.mhra.gov.uk) · Marketing authorisation: PL 20395/0386

Last revision stated in the text: August 2025 · MHRA data as of 13 October 2026

Found a mistake? Tell us on the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Facts about Clonidine Hydrochloride 25 micrograms tablets

Prescription needed? Yes, prescription-only medicine (POM)
Active substance Clonidine
Strength 25 micrograms
Pharmaceutical form Oral tablet
Blue coloured, sugar-coated circular biconvex tablets plain on both sides.
Diameter- Approximately 5.6 mm.
How is it taken Oral
Excipients Lactose monohydrate,, Dicalcium phosphate dihydrate,, Pregelatinized maize starch,, Povidone,, Colloidal silicon dioxide,, Sodium starch glycolate,, Magnesium stearate., Containing hypromellose, macrogol 6000, talc, acacia (gum), sucrose, povidone (PVP K-30), titanium dioxide, FD & C Blue No. 2 Al. lake and glycerine.
Pack sizes 112 tablet
Is it available? Listed as available (NHS Dictionary of Medicines and Devices – not a record of current supplies)
Shelf life 30 months.
Storage This medicinal product does not require any special storage conditions.
Drug group (ATC) Antimigraine preparations
  1. N Nervous system drugs
    1. N02 Analgesics
      1. N02C Antimigraine preparations
        1. N02CX Other antimigraine preparations
          1. N02CX02 clonidine
Marketing authorisation PL 20117/0393 (first authorised 6 August 2026), PL 20395/0386
Marketing authorisation holder Morningside Healthcare Ltd
Codes GTIN 5055132717703, 5055144203294 · BNF 04070402

Sources: the MHRA product information (products.mhra.gov.uk) and the NHS Dictionary of Medicines and Devices (dm+d), release 10.2.0 of 19 October 2026, NHS Business Services Authority. Contains public sector information licensed under the Open Government Licence v3.0.