PRAVASTATIN-RL(TM) TABLETS pravastatin Consumer Medicine Information What is in this leaflet? Please read this leaflet carefully before you take Pravastatin-RL tablets. This leaflet answers some common questions about Pravastatin-RL tablets. It does not contain all of 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 expected benefits of you taking Pravastatin-RL tablets against the risks this medicine could 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 are PravastatinRL tablets used for? The name of your medicine is Pravastatin-RL. It contains the active ingredient pravastatin sodium. Pravastatin-RL is used to lower cholesterol levels. It is also used in people who have had a heart attack or an episode of unstable angina, even when their cholesterol levels are normal. Cholesterol Everyone has cholesterol in their blood. It's a type of blood fat needed by the body for many things, such as building cell walls, making bile acids (which help to digest food) and some hormones. Cholesterol is present in many foods and is also made in your body by the liver. If your body does not balance the amount of cholesterol it needs with the amount of cholesterol eaten, then your cholesterol levels become too high. If you have had a heart attack, an episode of unstable angina or have high levels of cholesterol it may 'stick' to the inside of your blood vessels instead of being carried to the parts of the body where it is needed. Over time, this can form hard areas (called plaque) on the walls of your blood vessels, making it more difficult for the blood to flow. This blocking of your blood vessels can lead to Coronary Heart Disease (such as heart attack and angina), and stroke. Your doctor may have prescribed Pravastatin-RL for another reason. Ask your doctor if you have any questions about why Pravastatin-RL was prescribed for you. How Pravastatin-RL works Pravastatin-RL belongs to a group of medicines called HMG-CoA reductase inhibitors. It works by reducing the amount of cholesterol made by the liver. PRAVASTATIN-RL(TM) TABLETS There are different types of cholesterol, called LDL and HDL. LDL cholesterol is the 'bad' cholesterol that can block your blood vessels. HDL cholesterol is the 'good' cholesterol that is thought to remove the 'bad' cholesterol from the blood vessels. Pravastatin-RL reduces the 'bad' cholesterol and raises the 'good' cholesterol in the blood. Pravastatin-RL does not reduce the cholesterol that comes from fats in food. Therefore, Pravastatin-RL treatment should be accompanied by a diet that is low in fat and the used fats should be preferably unsaturated and of vegetable origin. Pravastatin-RL tablets are not addictive. Before you take Pravastatin-RL tablets When you must not take Pravastatin-RL Do not take Pravastatin-RL if: * You are allergic to the active ingredient or any of the inactive ingredients mentioned at the end of this leaflet under Product Description. Signs of allergic reaction may include itchy skin rash, shortness of breath and swelling of the face or tongue. 1 * It is past its expiry date or the packaging appears to have been tampered with. * You are pregnant or breastfeeding, unless permitted your doctor. * You have or ever had liver disease. * You had muscle pain from other medicines used to treat high cholesterol. Ask your doctor or pharmacist if you are not sure if you have been taking one of these medicines. If you are uncertain whether you should be taking Pravastatin-RL, talk to your doctor. Before you start to take Pravastatin-RL Tell your doctor if you have allergies to: * Any other medicines, especially if they are in the same drug class as Pravastatin-RL. * Any other substances, including foods, preservatives or dyes. Tell your doctor if you plan on becoming pregnant or will be breastfeeding while you are using Pravastatin-RL. Tell your doctor if you have or have had any medical conditions, especially the following: * Kidney problems. * Liver problems. Your doctor will do a blood test to make sure you have no problems with your liver. Tell you doctor if you drink alcohol regularly. Taking other medicines Tell your doctor if you are taking any other medicine, including any that you buy without a prescription from your pharmacy, supermarket or health food shop. In particular, tell your doctor if you take any of the following: * Any other medicine to lower cholesterol. PRAVASTATIN-RL(TM) TABLETS * Cyclosporin, used to suppress the immune system. These medicines may be affected by Pravastatin-RL or may affect how well it works. You may need to use different amounts of your medicine, or you may need to take different medicines. Your doctor will advise you. * Other medicines used to treat depression. * Erythromycin and clarithromycin, used to treat infections. * Antiarrhythmics, medicines used to treat irregular heart beats. * Antipsychotics, medicines used to treat mental disorders. How do I take Pravastatin-RL tablets Follow your doctor's instructions about how and when to take Pravastatin-RL. They may be different to the information listed below, depending on your cholesterol levels as well as other factors such as your other medical conditions. The usual dose for lowering cholesterol is 10-40mg and is 40mg for reducing the risk of a stroke or heart attack. Read the directions on the pharmacy label carefully. If you have any concerns about how to take Pravastatin-RL, talk to your doctor or pharmacist. If you need to break Pravastatin-RL hold tablet with both hands and snap along break line. Swallow the tablets with a glass of water or another liquid. The tablets can be broken in half, but should not be chewed. Pravastatin-RL can be taken with or without food Keep taking Pravastatin-RL for as long as your doctor tells you to. If you forget to take your dose 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 you missed. If you are not sure what to do, ask your doctor or pharmacist. If you have trouble remembering when to take your medicine, ask your pharmacist for some hints. If you forget to take it If you miss a dose and remember in less than 12 hours, take it straight away, then continue as normal the next day. Otherwise, skip that day's dose but be sure to take the next day's dose when it is due. Do not take a double dose to make up for the dose you missed. What do I do if I take too much? (Overdose) Immediately telephone your doctor or Poisons Information Centre (telephone 131126) for advice, if you think you or anyone else may have taken too much Pravastatin-RL tablets, even if there are no signs of discomfort or poisoning. If you are not sure what to do, contact your doctor or pharmacist. While you are taking Pravastatin-RL tablets Things you must do * Always follow your doctor's instructions carefully. * Have your cholesterol levels checked regularly by your doctor, to make sure Pravastatin-RL is 2 working. * Tell your doctor immediately if you become pregnant while taking Pravastatin-RL. * If you are about to start taking a new medicine, tell your doctor and pharmacist that you are taking Pravastatin-RL. Things you must not do * Do not stop taking Pravastatin-RL without your doctor's permission. * Do not use Pravastatin-RL to treat any other complaint unless your doctor says so. * Do not give this medication to anyone else, even if their symptoms seem similar to yours. Things to be careful of Be careful driving or operating machinery until you know how Pravastatin-RL affects you. Pravastatin-RL generally does not cause any problems with your ability to drive a car or operate machinery. However, as with many other medicines, Pravastatin-RL may cause dizziness in some people. Make sure you know how you react to Pravastatin-RL before you drive a car or operate machinery. Side effects All medicines can have unwanted effects. Sometimes they are serious, most of the time they are not. Do not be alarmed by this list of possible side effects. You may not experience any of them. Tell your doctor if you notice any of the following and they worry you: * Upset stomach, nausea, diarrhoea, wind. * Constipation. * Headache. * Dizziness. PRAVASTATIN-RL(TM) TABLETS These are the more common side effects of Pravastatin-RL. Mostly, these are mild and short-lived. Tell your doctor immediately if you notice any of the following: * Unexplained muscle pain, muscle tenderness or weakness. * Yellowing of the skin or eye, also called jaundice. * Skin rash, itchiness. * Fever, generally feeling unwell. * Pinkest, itchy swelling on the skin, also called hives or nettlerash. Tell your doctor immediately if you notice any of the following: * Wheezing, swelling of the lips/mouth, difficulty in breathing, hayfever, lumpy rash (hives) or fainting. These could be a symptom of an allergic reaction. This is not a complete list of all possible side effects. Others may occur in some people and there may be some side effects not yet known. Do not be alarmed by this list of possible side effects. You may not experience any of them. Product description What Pravastatin-RL tablets look like Pravastatin-RL 10mg: A yellow, oval, convex, sidewall scored tablet encoded "P 10" Pravastatin-RL 20mg: A yellow, oval, convex, sidewall scored tablet encoded "P 20" Pravastatin-RL 40mg: A yellow, oval, convex, sidewall scored tablet encoded "P 40" Ingredients As well as the active ingredient, pravastatin sodium, Pravastatin-RL also contains some inactive ingredients. These are: Calcium hydrogen phosphate anhydrous, sodium starch glycollate, microcrystalline cellulose, trometamol, disodium phosphate dihydrate, povidone, magnesium stearate, ferric oxide. Supplier Your Pravastatin-RL tablets are supplied by: How do I store Pravastatin-RL tablets? Real-RL A Division of Keep this medicine where children cannot reach it, such as in a locked cupboard. GlaxoSmithKline Australia Pty Ltd 1061 Mountain Highway Boronia Victoria 3155 AUSTRALIA Keep Pravastatin-RL tablets in a cool, dry place where it stays below 25 degrees C. Do not leave in a car, on a window sill or in the bathroom. Keep Pravastatin-RL tablets in the container supplied until you need to take it. Return any unused or expired medicine to your pharmacist. Where to go for further information Pharmaceutical companies are not in a position to give people an individual diagnosis or medical advice. Your doctor or pharmacist is the best person to give you advice on the treatment of your condition. This leaflet was prepared on 2 May 2006. 3 The information provided applies only to: Pravastatin-RL (TM) (TM) Pravastatin-RL is a trademark of the GlaxoSmithKline Group of Companies. Pravastatin-RL 10mg tablets AUST R 119207 Pravastatin-RL 20mg tablets AUST R 119209 Pravastatin-RL 40mg tablets AUST R 119213 This leaflet is subject to copyright (C) 2005 GlaxoSmithKline Issue No 1 PRAVASTATIN-RL(TM) TABLETS 4