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Information about imdur® durules®, a medication used to prevent angina. It explains what the medication is used for, how to take it, and its potential side effects. It also includes warnings about who should not use the medication and interactions with other drugs. Intended to supplement, not replace, the advice of a healthcare professional.
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What is in this leaflet This leaflet answers some of the common questions people ask about IMDUR DURULES. It does not contain all the information that is known about IMDUR DURULES. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risks of you taking IMDUR DURULES against the benefits they expect it will have for you. If you have any concerns about taking this medicine, ask your doctor or pharmacist. Keep this leaflet with the medicine. You may need to read it again. What IMDUR DURULES are for IMDUR DURULES are used to prevent angina. Angina is a pain or uncomfortable feeling in the chest, often spreading to the arms or the neck and sometimes to the shoulders and back. This is caused by too little blood and oxygen getting to the heart. The pain of angina is usually brought on by exercise or stress. IMDUR DURULES belong to a group of medicines called nitrates. IMDUR DURULES work by relaxing the blood vessels, letting more blood and oxygen reach the heart. Your doctor will have explained why you are being treated with IMDUR DURULES and told you what dose to take. Follow all directions given to you by your doctor carefully. They may differ from the information contained in this leaflet. However, your doctor may prescribe this medicine for another use. Ask your doctor if you want more information. IMDUR DURULES are not addictive. Before you use IMDUR DURULES
Do not use IMDUR DURULES if you are allergic to it or food containing nitrates or nitrites or any ingredients listed at the end of the leaflet. Do not use IMDUR DURULES if you have the following medical conditions:
You must tell your doctor if:
1. you have any allergies to:
dizzy, especially when you stand up suddenly)
Tell your doctor if you are taking any other medicines, including:
Take one IMDUR DURULE modified release tablet every day, at about the same time. If your doctor tells you to take two 60mg IMDUR DURULES each day, take both modified release tablets at the same time. Taking IMDUR DURULES at 24 hour intervals makes sure they keep working properly. Swallow IMDUR DURULES modified release tablets whole, with half a glass of water or other liquid e.g. fruit juice, milk. Do not chew or crush the tablets. The 60mg modified release tablet can be broken in half if care is taken not to crumble them. IMDUR DURULES modified release tablets are designed to let the drug out over a number of hours. If they are crushed or chewed they won't work properly. IMDUR DURULES modified release tablets are composed of a waxy substance that does not dissolve in the body. You may find the outer shell of the tablets in your bowel motions. The medication in them has already been absorbed by the body.
If you forget to take a dose, take it as soon as you remember, as long as it is not more than eight (8) hours late. If it is more than eight (8) hours after you should have taken IMDUR DURULES, wait until the right time the next day to take it. Do not double the dose. You may find that you will need to use the tablets or spray that your doctor has given you to use during angina attacks if you miss a dose of IMDUR DURULES. If you have trouble remembering when to take your medicine, ask your pharmacist for some hints.
Telephone your doctor or the Poisons Information Centre ( 11 26), or go to casualty at your nearest hospital immediately if you think that you or anyone else may have taken too much IMDUR DURULES even if there are no signs of discomfort or poisoning. If you take too many IMDUR DURULES modified release tablets you will have a pulsing headache. You may also feel excited, flushed, have cold sweats, nausea (feeling sick) and vomit. While you are using IMDUR DURULES
Take IMDUR DURULES regularly once every day. If you don't you will be more likely to get attacks of angina. Tell your doctor if you continue to get angina attacks, or they become more frequent, while you are taking IMDUR DURULES.
Do not use IMDUR DURULES to relieve acute attacks of angina. Your doctor will have given you other tablets or a spray to use when you get attacks of angina. Do not take medicines known as phosphodiesterase type 5 inhibitor used to treat impotence (or erectile dysfunction) whilst on IMDUR DURULES. Do not stop taking IMDUR DURULES unless you have discussed it with your doctor. Do not use IMDUR DURULES for any other complaints unless your doctor tells you to. Do not give your medicine to anyone else, even if they have the same condition as you.
You will probably feel better when you start taking IMDUR DURULES, but be careful not to overdo physical activities straight away. You will need time to improve your physical fitness. Be careful driving or operating machinery until you know how IMDUR DURULES affects you. IMDUR DURULES may cause dizziness and fainting in some patients, especially when you first start to take it. Make sure you know how you feel when you are taking IMDUR DURULES before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy.