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SUSTAC TABLETS 6.4MG
Active substance(s): NITROGLYCERIN DILUTED
Sustac tablets 2.6 mg and 6.4 mg
Please read this leaflet carefully. It gives you a summary of the information about your medicine.
If there is anything you do not understand, please ask your doctor or phar macist (chemist) to explain
it to you.
What's in your medicine?
Your medicine is called Sustac Tablets. Each modified release tablet contains either 2.6 mg or 6.4 mg
of an active ingredient called glyceryl trinitrate.
The tablets are available in containers of 90 tablets.
As well as the active ingredient, your medicine also contains: compressible sugar (containing invert
sugar), erythrosine, magnesium stearate, ethyl cellulose, castor oil, shellac, sucrose, corn starch, talc
Sustac Tablets belong to a group of medicines called 'nitrate vasodilators' which cause widening of
blood vessels and reduce the work that the heart must do to pump blood through them. In addition
nitrates may improve blood supply to the heart itself.
The Marketing Authorisation holder of Sustac Tablets is: Chemidex Pharma Ltd., trading as Essential
Generics, 7 Egham Business Village, Crabtree Road, Egham, Surrey, TW20 8RB.
The manufacturer is: Forest Laboratories UK Ltd.,Bourne Road, Bexley, Kent, DA5 1NX.
What your medicine is used for ?
Sustac Tablets are used to prevent the chest pain caused by angina pectoris. Angina occurs when there
is an inadequate supply of oxygen for the work the heart is performing. Sustac Tablets will reduce the
heart's work and will release the medicine slowly giving protection over several hours. Sustac Tablets
are not suitable for treating an attack that has already star ted as the tablets will take too long to start
Before using your medicine
Are you pregnant or intending to become pregnant?
Are you breastfeeding a baby?
Are you taking Viagra (Sildenafil) for male erectile problems?
If you use Viagra while using nitrate preparations, such as Sustac Tablets, a severe and possibly
dangerous fall in blood pressure can occur. This would result in collapse, unconsciousness and
could be fatal. You should not take Viagra while using Sustac Tablets.
Are you taking any other form of hear t medicine which contains glyceryl trinitrate?
Are you taking any medicine for high blood pressure or Raynaud's Syndrome?
Are you allergic to glyceryl trinitrate or any of the ingredients of Sustac Tablets listed above?
Are you anaemic (suffering from low iron content in your blood)?
Do you have the eye disease called glaucoma?
Have you ever suffered from cerebral haemorrhage (bleeding in the brain) or a serious head
Have you ever been told that you have an intolerance to some sugars?
If the answer to any of these questions is 'YES', and your doctor is not aware - do not take Sustac
Tablets - but tell your doctor or pharmacist (chemist).
How to take your medicine
Always read the pharmacy (chemist) label. The label should tell you HOW MANY TIMES and
WHEN to take your medicine. If it doesn't or you aren't sure - ask the pharmacist (chemist) or go back
to see your doctor.
The usual dosage is to take either one or two tablets three times a day, between meals. You should try
to stick to the same time each day. It is very important that the tablets are swallowed whole. Do not
chew or place under the tongue to dissolve.
What to do if you forget to take a dose
If you are taking this medicine regularly and you miss a dose, take it as soon as possible. However, if
the next scheduled dose is within 6 hours, skip the missed dose and go back to your regular dosing
schedule. Do not take double doses.
While taking your medicine
Drink alcohol only in moderation, . if at all.
Avoid driving or operating machinery if you feel dizzy or have a bad headache.
Do not stop taking Sustac Tablets without consulting your doctor. Stopping suddenly may bring
on attacks of angina. If treatment with Sustac Tablets is to be withdrawn, this should be done
gradually by reducing the dose over a period of several days.
What to do if you take too many tablets
Remember ALL medicines can be dangerous.
If you or anyone else takes a large number of Sustac Tablets, seek medical advice at once. A large
overdose can have serious effects and anyone who has taken too many tablets should go to the nearest
hospital accident and emergency department immediately, taking the bottle to show the doctor.
After taking your medicine
The tablets may cause side-effects such as:
Fast heartbeat / awareness of your own heart beating rapidly.
Dizziness or light-headedness, especially when getting up from a lying or sitting position.
Headaches, especially at the beginning of the treatment.
Flushing of the face.
If headaches continue or are severe, please consult your doctor who may decide to reduce the dosage
or offer you a different medicine to take. The dizziness, fainting or light-headedness is more likely to
occur if you drink alcohol, stand for long periods of time, exercise, or if the weather is hot. If you feel
dizzy, sit or lie down.
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
By reporting side effects you can help provide more information on the safety of this medicine.
Storing your medicine
Keep out of the reach and sight of children.
Do not store the tablets above 25°C.
Do not use after the expiry date printed on the label.
Date of last revision of leaflet: June 2015
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.