Alfuzosin Hydrochloride 2.5mg Tablets

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 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 this leaflet, please tell your doctor or pharmacist.
• Your doctor may have given you this medicine before from another company. It may have looked slightly different. However, either brand will have the same effect.

In this leaflet:

• 1. What alfuzosin is and what it is used for
• 2. Before you take alfuzosin
• 3. How to take alfuzosin
• 4. Possible side effects
• 5. How to store alfuzosin
• 6. Further information

What alfuzosin is

The name of your medicine is Alfuzosin Hydrochloride 2.5mg Tablets (called alfuzosin throughout this leaflet). This belongs to a group of medicines called alpha-blockers.

How alfuzosin works

Alfuzosin can be used to treat the symptoms of Benign Prostatic Hypertrophy.

This is when the prostate gland enlarges (hyperplasia), but the growth is not cancerous (it is benign). It can cause problems in passing water (urine). This happens mainly in older men.

• The prostate gland lies underneath the bladder. It surrounds the urethra. This is the tube that takes your water to the outside of the body.
• If the prostate gets bigger, it presses on the urethra making it smaller. This makes it difficult to pass water.
• Your tablets work by relaxing the prostate gland muscle. This allows the urethra to get bigger and so makes it easier to pass water.

In a few patients with benign prostatic hyperplasia, the prostate gland gets so big that it stops the flow of urine completely. This is called Acute Urinary Retention. This is very painful and you may need a short stay in hospital.

• A thin, flexible tube (catheter) is passed into the bladder. This drains the water and relieves the pain.
• During this time, alfuzosin may be used to help the water to flow again. This has only been shown to help in men aged over 65.

Alfuzosin is used to treat

• Benign Prostatic Hypertrophy

Do not take alfuzosin and tell your doctor if:

• You are allergic (hypersensitive) to alfuzosin or any of the other ingredients of this medicine (listed in Section 6 below)
  Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue
• You are taking other alpha-blockers to treat Benign Prostatic Hypertrophy or possibly to lower your blood pressure. See section below on ‘Taking other medicines’.
• You have, or have ever had, something called orthostatic hypotension. This is a drop in blood pressure which usually happens when you stand up. It can make you feel dizzy, light-headed or faint when you stand or sit up quickly
• You have severe liver problems

Do not take this medicine if any of the above apply to you

Take special care and check with your doctor before taking alfuzosin if:

• You have chest pain (angina)
• You have a long term infection in your urinary tract (including your kidneys, bladder and urethra), had difficulty when passing water or had small crystals (stones) forming in the water.
• If you are undergoing eye surgery because of cataract (cloudiness of the lens) please inform your eye specialist before the operation that you are using or have previously used alfuzosin. This is because alfuzosin may cause complications during the surgery which can be managed if your specialist is prepared in advance
• You are allergic (hypersensitive) to other alpha blockers such as doxazosin, tamsulosin
• You are taking medicines for high blood pressure. Your doctor should monitor your blood pressure regularly while you are taking this medicine. This is particularly important at the start of your treatment.

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking alfuzosin.

Taking alfuzosin with other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines you buy without a prescription, including herbal medicines. This is because alfuzosin can affect the way some other medicines work. Also some medicines can affect the way alfuzosin works.

Do not take this medicine, and tell your doctor, if you are taking:

• Other alpha-blockers such as doxazosin, indoramin, prazosin, terazosin, tamsulosin, or phenoxybenzamine.

Tell your doctor if you are taking any of the following:

• A medicine for high blood pressure, as you may get dizzy, weak or start sweating within a few hours of taking this medicine. If this happens, lie down until the symptoms have completely gone. Tell your doctor as he or she may decide to change the dose of your medicine.
• Medicines for fungal infections (such as ketoconazole or itraconazole) and HIV (such as ritonavir).
• Medicines such as glyceryl trinitrate for chest pain (angina)

Operations and tests while taking alfuzosin

• If you are being treated for high blood pressure, your doctor should measure your blood pressure regularly, especially at the start of treatment.
• If you are going to have an operation that needs a general anaesthetic, tell your doctor you are taking alfuzosin before the operation. Your doctor may decide to stop you having alfuzosin 24 hours before the operation.
  This is because it can be dangerous as it can lower your blood pressure.

Taking alfuzosin with food and drink

You may feel dizzy or weak whilst taking alfuzosin. If this happens do not drink any alcohol.

Driving and using machines

You may feel dizzy and weak while taking alfuzosin. If this happens do not drive or operate any tools or machines.

Important information about some of the ingredients of alfuzosin

• Lactose: This is a type of sugar. If you have been told by your doctor that you cannot tolerate some sugars, talk to your doctor before having this medicine.

Taking this medicine

• Swallow the tablets whole
• The first dose should be taken just before bedtime
• The actual dose of alfuzosin depends on your needs and the condition being treated but the usual doses are listed below

How much to take

Adults (under 65 years of age)

• The usual dose is one tablet three times a day
• Your doctor may increase this to a maximum of four tablets each day if needed

Elderly (over 65 years of age), patients with high blood pressure or patients with kidney problems

• The usual dose is one tablet in the morning and one tablet in the evening,

Patients with liver problems

• The usual dose is one tablet per day
• Your doctor may increase this to one tablet in the morning and one tablet in the evening

If you take more alfuzosin than you should

Contact your local hospital Accident and Emergency department straight away. Tell the doctor or nurse how many tablets you have taken. Lie down as much as possible to help stop the side effects. Do not try to drive to the hospital yourself.

If you forget to take alfuzosin

Do not take a double dose to make up for a forgotten tablet. Miss it out and then go on as before.

If you stop taking alfuzosin

Keep taking your tablets, even if your symptoms improve. Only stop if your doctor tells you to. The symptoms are better controlled if you continue taking the same dose of this medicine.

Stop taking alfuzosin and see a doctor or go to a hospital straight away if:

• You get swelling of the hands, feet, ankles, face, lips or throat which may cause difficulty in swallowing or breathing. You could also notice an itchy, lumpy rash (hives) or nettle rash (urticaria). This may mean you are having an allergic reaction to alfuzosin. This side effect is very rare
• You have chest pain (angina). This usually only happens if you have had angina before. This side effect is very rare
• You get a painful erection of the penis, not related to sexual activity, which will not go away. This side effect has only been reported in a very small number of people taking alfuzosin.

Common side effects (affects less than 1 in 10 people)

• Feeling dizzy or faint
• Headache
• Feeling sick (nausea)
• Weakness or tiredness
• Diarrhoea
• General feeling of being unwell
• Feeling dizzy, light-headed or faint when you stand or sit up quickly (postural hypotension)
• Dry mouth

Uncommon side effects (affects less than 1 in 100 people)

• A fast heart beat (tachycardia), pounding in the chest and uneven heartbeat (palpitations)
• Chest pain
• Drowsiness
• Rash and itching
• Flushes
• Problems with your vision
• Runny nose, itching, sneezing, stuffy nose and/or burning eyes. These could be symptoms of an allergy
• Water retention (may cause swollen arms of legs)
• Lack of control over passing water

Additional side effects (frequency not known) which may occur are:

• Abnormal liver function (liver problem). Signs may include yellowing of your skin or the whites of your eyes
• Occasionally problems have arisen during cataract surgery in patients taking alfuzosin. If you are due to have eye surgery because of cataract it is important that you tell the specialist before the operation that you are using, or have used, alfuzosin.

What Alfuzosin Hydrochloride 2.5mg Tablets contain

Each tablet contains 2.5mg of alfuzosin hydrochloride as the active substance.

The other ingredients are, microcrystalline cellulose, lactose, povidone, sodium starch glycollate, magnesium stearate, methylhydroxypropylcellulose, polyethylene glycol 400, titanium dioxide suspension (E171).

What alfuzosin looks like and contents of the pack

Alfuzosin Hydrochloride 2.5mg Tablets are white film-coated tablets marked Xatral 2.5 on one side. They are supplied in blister packs of 60 tablets.

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