ranitidine hydrochloride film-coated tablets
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about Ranihexal.
It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risk of you taking this medicine 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 Ranihexal is used for
This medicine is used to treat:
Peptic ulcers. Depending on the position of the ulcer it is called a gastric or duodenal ulcer. A gastric ulcer occurs in the stomach. A duodenal ulcer occurs in the duodenum which is the tube leading out of the stomach. These can be caused in part by too much acid being produced in the stomach. Ranihexal is also used to help stop these ulcers from coming back.
Reflux oesophagitis or reflux disease. This can be caused by “washing back” (reflux) of food and acid from the stomach into the food pipe, also known as the oesophagus. Reflux can cause a burning sensation in the chest rising up to the throat, also known as heartburn.
Zollinger-Ellison syndrome, a rare condition where the stomach produces very large amounts of acid, much more than in ulcers and reflux disease.
Scleroderma oesophagitis. Scleroderma is a rare condition, and in scleroderma oesophagitis the food pipe is abnormal and reflux occurs.
It contains the active ingredient ranitidine hydrochloride. Ranitidine hydrochloride belongs to a group of medicines called H2 antagonists or H2 blockers.
It works by decreasing the amount of acid made by the stomach. This helps to reduce the pain and also allows the ulcer and/or reflux disease to heal in most people.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed it for another reason.
There is no evidence that Ranihexal is addictive.
Before you take Ranihexal
When you must not take it
Do not take this medicine if you have an allergy to:
ranitidine, the active ingredient, or to any of the other ingredients listed at the end of this leaflet under Product description.
any other similar medicines.
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin.
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.
Tell your doctor if you have or have had any of the following medical conditions:
acute porphyria, an inherited blood condition
any condition where your immune system may be affected.
Tell your doctor if you are pregnant or plan to become pregnant or are breastfeeding.
Your doctor can discuss with you the risks and benefits involved.
If you have not told your doctor about any of the above, tell him/her before you start taking Ranihexal.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Ranihexal may interfere with each other. These include:
sucralfate, another medicine used to treat ulcers.
This medicine may be affected by Ranihexal or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
How to take Ranihexal
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions, ask your doctor or pharmacist for help.
How much to take
The dosage of Ranihexal depends on the condition it is being used to treat. The usual adult dosage range is 150mg to 300mg per day, taken as one 150mg tablet once or twice a day or one 300mg tablet at bed time. The treatment of Zollinger-Ellison syndrome may require higher doses.
Ask your doctor or pharmacist if you are unsure of the correct dose for you.
They will tell you exactly how much to take.
Follow the instructions they give you.
If you take the wrong dose, Ranihexal may not work as well and your problem may not improve.
How to take it
If you need to break Ranihexal, hold the tablet with both hands and snap along the break line.
When to take Ranihexal
It does not matter whether you take the tablets before or after food.
How long to take Ranihexal
The duration of treatment with Ranihexal depends on the condition it is being used to treat.
Your pain or other symptoms may take a few days to go away. Take all the tablets your doctor has prescribed for you, even if you feel better.
Your doctor may decide to continue your treatment with Ranihexal, possibly at a different dosage range, in order to prevent the problem from coming back again.
Use in children
Ranihexal has not been studied fully in children. However, it has been used successfully in children aged 8 to 18 years in doses up to 150mg twice daily. Your child’s doctor will discuss the risks and benefits of your child taking Ranihexal.
If you forget to take it
Take your dose as soon as you remember, and continue to take it as you would normally.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much Ranihexal. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
While you are taking Ranihexal
Things you must do
Always follow your doctor’s instructions carefully.
If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking Ranihexal.
If you become pregnant while taking this medicine, tell your doctor immediately.
Things you must not do
Do not stop taking your medicine or lower the dosage without checking with your doctor.
Do not take Ranihexal to treat 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.
Things to be careful of
Be careful driving or operating machinery until you know how Ranihexal affects you.
This medicine may cause dizziness or light-headedness in some people. If you have any of these symptoms, do not drive, operate machinery or do anything else that could be dangerous.
Be careful when drinking alcohol while you are taking this medicine.
If you drink, alcohol dizziness or light-headedness may be worse.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Ranihexal.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.
Do not be alarmed by the following lists of side effects. You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
constipation, diarrhoea, nausea (feeling sick) and vomiting
abdominal pain or discomfort.
These are the more common side effects of Ranihexal. Mostly, these are mild and short-lived.
headache, sometimes severe
tiredness or difficulty sleeping
dizziness or drowsiness
muscle and joint pain
abnormal uncontrolled movements, muscle twitching or spasms.
These are rare side effects of Ranihexal.
Tell your doctor as soon as possible if you notice any of the following:
yellowing of the skin or eyes (jaundice)
confusion, depression and hallucination
signs of frequent infections such as fever, chills, sore throat or mouth ulcers
bleeding or bruising more easily than normal.
The above list includes serious side effects that may require medical attention. Serious side effects are rare.
If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
swelling of the limbs, face, lips, mouth or throat which may cause difficulty in swallowing or breathing, itchy rash or hives. These are the symptoms of an allergic reaction.
severe upper stomach pain together with nausea and vomiting
chest pain or unusual heart beat (fast, slow or irregular).
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are rare.
Tell your doctor or pharmacist if you notice anything else that is making you feel unwell.
Other side effects not listed above may also occur in some people.
After taking Ranihexal
Keep your medicine in the original container.
If you take it out of its original container it may not keep well.
Keep your medicine in a cool dry place where the temperature stays below 25°C.
Do not store Ranihexal or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking this medicine or the expiry date has passed, ask your pharmacist what to do with any medicine that is left over.
What it looks like
Ranihexal 150mg - yellow, round, film-coated tablets, scored on one side. Embossed R2/150 and HX. Available in blisters of 60 tablets.
Ranihexal 300mg - yellow, oblong, film-coated tablets, scored on one side. Available in blisters of 30 tablets.
Ranihexal 150mg - 150mg ranitidine as ranitidine hydrochloride
Ranihexal 300mg - 300mg ranitidine as ranitidine hydrochloride
calcium hydrogen phosphate
sodium starch glycollate type A
colloidal anhydrous silica
iron oxide yellow.
This medicine does not contain sucrose, gluten, tartrazine or any other azo dyes.
Ranihexal is supplied in Australia by:
Sandoz Pty Ltd
ABN 60 075 449 553
Level 4, 100 Harris St
Pyrmont NSW 2009
Tel: 1800 634 500 1800 634 500
This leaflet was revised in December 2008.
Australian Register Numbers
150mg film-coated tablets: AUST R 70325
300mg film-coated tablets: AUST R 70356
Published by MIMS/myDr November 2009
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