Patient leaflet - Clonidine Hydrochloride 50 micrograms / 5 ml oral solution
1. What Clonidine hydrochloride is and what they are used for 2. What you need to know before you take Clonidine
hydrochloride
- 3. How to take Clonidine hydrochloride
- 4. Possible side effects
- 5. How to store Clonidine hydrochloride
- 6. Contents of the pack and other information
- 1. What Clonidine hydrochloride is and what they are used for
Clonidine Hydrochloride belongs to a medicine called vasodilators. Vasodilators widen the blood vessels and this helps the blood to flow more easily.
Clonidine hydrochloride is used to prevent migraine attacks and similar types of headaches. It is also used to prevent hot flushes that may occur in women during the menopause (change of life).
2. What you need to know before you take Clonidine hydrochloride
Do not take Clonidine hydrochloride if:
You are pregnant, likely to get pregnant or are
breast-feeding
You are allergic (hypersensitive) to clonidine or any of the
other ingredients listed in see section 6
You have a slow heart rate due to heart problems • You are already taking other medicines that contain
clonidine.
Do not take this medicine if any of the above apply to you. If you are not sure, talk to your doctor, pharmacists or healthcare professional before using Clonidine hydrochloride
Warnings and precautions
Check with your doctor or pharmacist before taking Clonidine Hydrochloride 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
- You have heart or kidney problems
- You have or have ever had depression
- You have constipation
You have a nerve disorder that causes your hands and feet
to feel different (‘altered sensation’)
If you are not sure if any of the above apply to you, talk to your doctor, pharmacists or healthcare professional before taking Clonidine hydrochloride.
As you may get dry eyes whilst taking this medicine, this may be a problem if you wear contact lenses.
Other medicines and Clonidine hydrochloride
Tell your doctor or pharmacist if you are taking, have recently taken any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because Clonidine hydrochloride can affect the way some other medicines work. Also some other medicines can affect the way Clonidine Hydrochloride works.
In particular, tell your doctor or pharmacist if you are taking any of the following medicines:
- other medicines that make you drowsy
medicines for depression such as imipramine or
mirtazapine
medicines for severe mental illness such as schizophrenia.
These are also known as ‘antipsychotics’ and include chlorpromazine
- beta blockers such as atenolol
water tablets (‘diuretics’) such as frusemide • alpha blockers such as prazosin or doxazosin. These can
also be used for prostate problems in men
- vasodilators such as diazoxide or sodium nitroprusside • cardiac glycosides such as digoxin
medicines to lower blood pressure
If you are not sure if any of the above apply to you, talk to your doctor, pharmacists or healthcare professional before taking Clonidine hydrochloride.
Clonidine hydrochloride with food, drink and alcohol
You may feel drowsy while taking Clonidine Hydrochloride. Drinking alcohol while taking Clonidine Hydrochloride can make this worse.
Pregnancy and breast-feeding
Do not take Clonidine Hydrochloride if you are pregnant, likely to get pregnant or are breast-feeding.
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 contains:
Methyl parahydroxybenzoate (E218), which may cause allergic reactions (possibly delayed).
3. How to take Clonidine hydrochloride
Always take Clonidine hydrochloride exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
Taking this medicine
- the usual starting dose is 5ml (50micrograms), two times a day
- if necessary, after two weeks, your doctor may increase the dose to 7.5ml (75micrograms), two times a day.
Clonidine Hydrochloride is not recommended for children
Route and method of administration
This medicinal product must be taken orally.
Use the measuring syringe provided in the pack to deliver the required dose.
Instructions for the use of syringe:
a)Open the bottle: press the cap and turn it anticlockwise
(figure 1). Separate the adaptor from the syringe (figure 2).
b)Insert the adaptor into the bottle neck (figure 3). Ensure it is properly fixed. Take the syringe and put it in the adaptor opening (figure 4).
c)Turn the bottle upside down. Fill the syringe with a small amount of solution by pulling the piston down (figure 5A), then push the piston upwards in order to remove any possible bubble (figure 5B). Pull the piston down to the graduation mark corresponding to the quantity in millilitres (ml) prescribed by your doctor (figure 5C).
d)Turn the bottle the right way up (figure 6A). Remove the syringe from the adaptor (figure 6B).
e)Empty the contents of the syringe into the patient’s mouth
by pushing the piston to the bottom of the syringe (figure 7). Close the bottle with the plastic screw cap. Wash the syringe with water and let it dry before you use it again (figure 8)
If you take more Clonidine hydrochloride than you should
If you take more Clonidine hydrochloride than you should, talk to a doctor or go to a hospital straight away. Take the medicine pack with you, even if there is no medicine left. This is so the doctor knows what you have taken.
If you forget to take Clonidine hydrochloride
If you forget a dose, take it as soon as you remember it. However, if it is nearly 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 without first talking to your doctor.
If you have any further questions on the use of Clonidine hydrochloride, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, Clonidine hydrochloride can cause side effects, although not everybody gets them.
The side effects described below have been experienced by people taking Clonidine hydrochloride. They are listed as either very common, common, uncommon, rare or not known.
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 1 in 10 people, more than 1 in 100 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 100 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 heart beat
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, more than 1 in 10,000 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 heart beat
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacists 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, Website: 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
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 label after ‘Exp’.
The expiry date refers to the last day of that month. This medicinal product does not require any special storage conditions.
Do not refrigerate or freeze.
Discard 30 days after first opening.
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 protect the environment.
6. Contents of the pack and other information
What Clonidine hydrochloride contains
The active substance is clonidine hydrochloride. Each 5 ml contains 50 micrograms clonidine hydrochloride. The other ingredients are: methyl parahydroxybenzoate (E218), sucralose (E955) and purified water
What Clonidine hydrochloride looks like and contents of the pack
Clonidine hydrochloride is a clear, colourless solution, supplied in an amber glass bottles fitted with child resistant whiteplastic cap with a 10 ml oral syringe with 0.5ml graduation mark for measuring and administering the dose and a syringe adaptor.
Clonidine hydrochloride oral solution is supplied in a bottle containing 100 ml oral solution.
Marketing Authorisation Holder:
Novumgen Limited
20-22 Wenlock Road, London,
N1 7GU, United Kingdom
Manufacturer:
SCIOM LIMITED
Unit 4, Martinfield Business Centre,
Martinfield, Welwyn Garden City,
AL7 1HG, United Kingdom
For information in large print, Braille or on CD, please contact +44 (0)203 096 6496.
