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PATIENT INFORMATION LEAFLET Ethambutol 100 mg Tablets Ethambutol 400 mg Tablets

(ethambutol hydrochloride)

Read all of this leaflet carefully before you start taking this medicine.

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

•    If you have any further questions, ask your doctor or your 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 any of the side effects gets serious, or if you notice any side effects not listed in the leaflet, please tell your doctor or pharmacist.

1. WHAT ETHAMBUTOL TABLETS ARE AND WHAT THEY ARE USED FOR

The active ingredient in your tablets is ethambutol hydrochloride, which belongs to a group of medicines called anti-tuberculosis drugs. These are used to treat and prevent tuberculosis which is an infectious disease mainly affecting the lungs.

2. BEFORE YOU TAKE ETHAMBUTOL TABLETS Do not take these tablets if you:

•    are allergic (hypersensitive) to ethambutol, or to any of the other ingredients

(these are listed in section 6, Further Information)

•    have problems with your eyes or your eyesight (unless your doctor has decided it is essential).

Take special care with Ethambutol Tablets:

Before you take Ethambutol Tablets you should tell your doctor if you have:

•    problems with your eyesight - your doctor will arrange for a full check of your eyesight before you start taking this medicine. If you notice any changes to your vision whilst taking this medicine, you MUST inform your doctor straight away. Young children or people with communication difficulties should be closely monitored by their parents or carers for any signs of problems with their eyesight.

•    kidney problems as your doctor may decide to adjust the dose of Ethambutol Tablets.

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Taking other medicines

Ethambutol Tablets should not be taken at the same time as antacid medicines containing aluminium hydroxide (used to relieve heartburn and indigestion), as this can make ethambutol less effective.

Although ethambutol is not known to be affected itself by any other drugs or to affect other drugs, make sure your doctor knows if you are taking any other medicines. Always tell your doctor or pharmacist about all the medicines you are taking. This means medicines you have bought yourself as well as those you have on prescription from your doctor.

Pregnancy and breast-feeding

You should not take this medicine if you are pregnant or breast-feeding, or if you are trying for a baby, unless your doctor considers it essential. Speak to your doctor before taking the tablets.

Driving and using machinery

Ethambutol can cause problems with eyesight, or tingling/numbness in hands or feet. You should not drive or operate machinery if it has this effect on you.

The tablets should be swallowed whole with a drink of water. They should be taken as a single dose once a day.

The doctor will decide what dose of tablets you need to take. The dose varies from person to person depending on age, weight and whether it is being used for treatment or prevention of tuberculosis.

If you suffer from any kidney problems your doctor may do blood tests to check whether you need to take a lower dose than usual.

Always take the tablets exactly as the doctor has told you. The dose will be on the pharmacist’s label. If you are not sure, ask your doctor or pharmacist. Carry on taking them for as long as you have been told unless you have any problems in which case, check with your doctor.

Adults:

For prevention and first time treatment of tuberculosis: The usual dose is 15 mg per kg of body weight each day.

Second time (or subsequent) treatment of tuberculosis: The usual dose is 25 mg per kg of body weight each day for the first 60 days, reducing to 15 mg per kg of body weight each day for as long as necessary.

Children:

For prevention of tuberculosis: The usual dose is 15 mg per kg of body weight each day.

First time, second time (or subsequent) treatment of tuberculosis: The usual dose is 25 mg per kg of body weight each day for the first 60 days, reducing to 15 mg per kg of body weight each day for as long as necessary.

Elderly:

The same dosages as for adults are usually used although reduced doses may be required in the elderly who have kidney problems; in these patients the doctor will carry out blood tests to determine the dose required.

If you take more tablets than you should

If you have accidentally taken more than the prescribed dose, contact your nearest hospital casualty department or tell your doctor or pharmacist immediately. Remember to take the pack and any remaining tablets with you.

If you forget to take a dose of Ethambutol Tablets

If you forget to take a dose, take it as soon as you remember, however, if this is within a few hours of when your next dose is due, skip the missed dose and just carry on with the normal routine. Do not take a double dose to make up for the forgotten dose.

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

4. POSSIBLE SIDE EFFECTS

Like all medicines, ethambutol can cause side effects, although not everybody gets

them.

Some side effects can be serious.

Stop taking Ethambutol Tablets and tell your doctor straightaway if you notice

the following effects:

•    sudden wheeziness, difficulty breathing, swelling of the face, eyes, lips or throat, flushed appearance, irregular heartbeat. (These may be symptoms of a severe allergic reaction)

•    any changes or problems with your eyesight including blurred vision, eye pain or colour blindness (may affect more than 1 in 100 people). Usually sight will return to normal after stopping treatment with ethambutol, but in rare cases the problem may take longer to return to normal or become permanent.

Tell your doctor straightaway if you notice any of the following effects:

•    skin rash and itching, a condition known as Stevens-Johnson syndrome which involves a skin rash, possibly with peeling and blistering and a sore mouth; other skin problems including hard lumps, red patches often on the backs of arms and hands and blisters or peeling

•    you have pale stools, blood in your urine or your skin or whites of your eyes become yellow (as these may be signs of a liver problem)

•    you develop pain in the lower back or you experience difficulty or pain in urinating (as these may be signs of a kidney problem)

•    you notice any unusual bleeding, bruising or discoloured skin (as these may be signs of a blood disorder).

The following other side effects have also been reported:

•    stomach problems, including loss of appetite, feeling or being sick, diarrhoea, flatulence (wind), stomach pain, metallic taste and weight loss

•    fluid in the lungs or inflammation of the lungs which may cause breathlessness, cough and raised temperature

•    numbness, pins and needles, weakness in hands and feet, burning pain, shaking

•    dizziness, confusion, disorientation, hallucinations, headache, fever, generally feeling unwell, joint pains

•    high levels of uric acid in the blood (may affect more than 1 in 10 people) which may lead to gout (pain or swelling of the joints) in some people

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. Website: www.mhra.gov.uk/yellowcard.

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

5.    HOW TO STORE ETHAMBUTOL TABLETS

Keep out of the reach and sight of children.

Do not store above 25°C. Keep your medicine in the pack in which it was given to you. Do not transfer your medicine to another container.

Do not take this medicine after the expiry date (Exp.) stated. 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 howto dispose of medicines no longer required. These measures will help to protect the environment.

6.    FURTHER INFORMATION

Ethambutol Tablets are available in two strengths containing either 100 mg or 400 mg ethambutol hydrochloride as the active ingredient.

The other ingredients are sodium starch glycolate, maize starch, povidone, colloidal anhydrous silica, microcrystalline cellulose, magnesium stearate and colours containing polydextrose, hypromellose, titanium dioxide (E171), macrogol and yellow iron oxide (E172); the 400 mg tablets also contain black iron oxide (E172).

What the medicine looks like and contents of the pack

Ethambutol 100 mg Tablets are yellow, round, film coated tablets.

Ethambutol 400 mg Tablets are grey, round, film coated tablets.

Each pack contains 56 tablets.

Marketing Authorisation Holder:

Cipla (EU) Limited, Hillbrow House, Hillbrow Road, Esher, Surrey, KT10 9NW. Manufacturer: Fannin (UK) Limited, 57 High Street, Odiham, Hants, RG29 1LF. Date leaflet revised: April 2013    PL 36390/0155 & PL 36390/0156 g

If you would like this leaflet in a different format, please contact the licence holder at the above address.

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