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What you need to know before you take Tetracycline Capsules

Do not take Tetracycline tablets if you: • are allergic to tetracycline, other similar antibiotics (such as minocycline or doxycycline) or any other ingredients of this medicine (listed in section 6) • have had kidney or liver problems for a long time or severe kidney disease • have systemic lupus erythematosus (SLE), a condition characterised by a rash (especially on the face), hair loss, fever, malaise and joint pain • are giving it to a child under 12 years old. Warnings and precautions Talk to your doctor or pharmacist before taking Tetracycline tablets if you: • suffer from myasthenia gravis, a condition characterised by muscle weakness, difficulty chewing and swallowing and slurred speech

• have kidney or liver disease • are sensitive to sunlight. Children and adolescents Tetracycline tablets should not be taken by children under 12 years of age as it can cause permanent discolouration of tooth enamel and affect bone development. Other medicines and Tetracycline tablets Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Especially: • penicillins such as phenoxymethylpenicillin (to treat infections) • vitamin A • retinoids such as acitretin, isotretinoin and tretinoin (to treat acne) • oral contraceptives (‘The Pill’), (which is a type of birth control). Tetracycline tablets may make the oral contraceptive pill less effective. You should use additional contraceptive precautions whilst taking Tetracycline tablets and for 7 days after stopping • anticoagulants (to stop the blood clotting) • diuretics (‘water tablets’ such as furosemide) • kaolin-pectin and bismuth subsalicylate (to treat diarrhoea) • medicines to treat diabetes such as insulin, glibenclamide or gliclazide • medicines which can damage your liver (check with your doctor or pharmacist to see if this applies to any medicines you are taking) • methoxyflurane (an anaesthetic), if you need an operation, tell your doctor or dentist you are taking tetracycline • atovaquone (to treat pneumonia) • medicines such as antacids or other medicines containing aluminium, calcium, iron, magnesium, bismuth or zinc salts. Do not take at the same time as Tetracycline tablets, as absorption of tetracycline may be reduced • sucralfate (to treat ulcers) • lithium (to treat bipolar disorder, depression) • digoxin (to treat an uneven heartbeat (arrhythmia)) • methotrexate (used in rheumatoid arthritis) • strontium ranelate (for osteoporosis) • colestipol or colestyramine (to treat high cholesterol) • ergotamine and methysergide (to treat or prevent migraine). Tetracycline tablets with food and drink Do not take the tablets at the same time as milk or food, as they can make the medicine less effective. Pregnancy, breastfeeding and fertility If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine as tetracycline could harm the baby. Tetracycline tablets contain Sunset yellow FCF aluminium lake (E110) Tetracycline tablets contain sunset yellow (E110) which may cause allergic reactions. This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’. Tests During long term treatment blood, kidney and liver tests will be carried out.