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Ursodeoxy cholic Acid 300mg Film-Coated Tablets, Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Ursodeoxy cholic Acid Dosage & Rx Info | Ursodeoxycholic Acid Uses, Side Effects – Antifungal/ Antibacterial, Ursodeoxycholic Acid 300mg Film-Coated Tablets: Indications, Side Effects, Warnings, Ursodeoxycholic Acid - Drug Information - Taj Pharma, Ursodeoxycholic Acid dose Taj pharmaceuticals Ursodeoxycholic Acid interactions, Taj Pharmaceutical Ursodeoxy cholic Acid contraindications, Ursodeoxycholic Acid price, Ursodeoxycholic A cid , Taj Pharma Ursodeoxy cholic Acid 300mg Film-Coated Tablets, - Taj Pharma . Stay connected t o all updated on Ursodeoxycholic Acid Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Patient Information Leaflets, PIL.
URSODEOXYCHOLIC ACID
FILM COATED TABLETS
300 MG
Package leaflet: Information for the
patient
Ursodeoxycholic Acid Film Coated Tablets.
Read all of this leaflet carefully before you
start taking this medicine because it
contains important information for you.
- 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
only. Do not pass it on to others. It may
harm them, even if their signs of illness 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.
What is in this leaflet
1. What Ursodeoxycholic Acid Tablets is and
what it is used for
2. Before you are given Ursodeoxycholic
Acid Tablets
3. How you will be given Ursodeoxycholic
Acid Tablets
4. Possible side effects
5. How Ursodeoxycholic Acid Tablets is
stored
6. Further Information
1. What Ursodeoxycholic Acid Tablets
is and what it is used for
The active ingredient in
Ursodeoxycholic Acid Tablets is
ursodeoxycholic acid, which is a
naturally occurring substance (bile acid)
normally present in the bile.
Ursodeoxycholic Acid Tablets may be
used for the following:
• To dissolve certain types of gall stones
(stones in the gall bladder), which
contain cholesterol. Ursodeoxycholic
Acid Tablets may be suitable for
patients who are unable to have surgery
or do not wish to have surgery.
• To treat a type of liver disease known
as primary biliary cirrhosis (PBC).
• To treat liver disease associated with
cystic fibrosis in children aged 6 years to
less than 18 years.
2. Before you are given
Ursodeoxycholic Acid Tablets
Do not take Ursodeoxycholic Acid
Tablets if you:
• are pregnant, planning to become
pregnant or are breastfeeding
or if you have:
• ever had an allergic reaction to bile
acids or to any of the other ingredients
in Ursodeoxycholic Acid Tablets (see
'What Ursodeoxycholic Acid Tablets
Contain' in section 6 'Further
Information')
• a gall bladder which is not working
properly or you have gall-stones that
contain calcium
• severe liver disease other than primary
biliary cirrhosis
• peptic ulcers
• inflammation of the bowel
• inflammation of the gall bladder or
biliary tract (the ducts that transport bile
from the liver to the small intestine)
• blockage of the biliary tract
• frequent episodes of biliary colic (often
characterised by upper right stomach
pain).
If any of the above statements apply to
you, do not take Ursodeoxycholic Acid
Tablets.
Children aged 6 years to less than 18
years with cystic fibrosis
Not to be taken if the child has had
unsuccessful surgery to restore the flow
of bile to the small intestine.
Taking other medicines
Taking another medicine while you are
taking Ursodeoxycholic Acid Tablets can
affect how it or the other medicine
works. Please inform your doctor or
pharmacist if you are taking or have
recently taken any other medicines,
including those you may have bought
yourself without a prescription.
Please check with your doctor if you are
taking any of the following (or any other
medication):
• oral contraceptives (the pill) or
oestrogen (a female sex hormone)
• medicines used to lower blood
cholesterol (clofibrate, colestipol and
Ursodeoxy cholic Acid 300mg Film-Coated Tablets, Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Ursodeoxy cholic Acid Dosage & Rx Info | Ursodeoxycholic Acid Uses, Side Effects – Antifungal/ Antibacterial, Ursodeoxycholic Acid 300mg Film-Coated Tablets: Indications, Side Effects, Warnings, Ursodeoxycholic Acid - Drug Information - Taj Pharma, Ursodeoxycholic Acid dose Taj pharmaceuticals Ursodeoxycholic Acid interactions, Taj Pharmaceutical Ursodeoxy cholic Acid contraindications, Ursodeoxycholic Acid price, Ursodeoxycholic A cid , Taj Pharma Ursodeoxy cholic Acid 300mg Film-Coated Tablets, - Taj Pharma . Stay connected t o all updated on Ursodeoxycholic Acid Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Patient Information Leaflets, PIL.
colestyramine). If it is necessary to take a
medicine containing colestipol or
colestyramine, you must take it at least 2
hours before or after Ursodeoxycholic
Acid Tablets
• medicines used to treat stomach
problems (charcoal and antacids
containing aluminium). If it is necessary
to take one of these medicines, you
must take it at least 2 hours before or
after Ursodeoxycholic Acid Tablets
• ciclosporin (used after transplants)
• ciprofloxacin (used to treat infections)
• nitrendipine (used to treat high blood
pressure)
• dapsone (used to treat leprosy and
other skin conditions).
If you have any doubts about whether
you should take this medicine then
discuss matters with your doctor before
taking it.
Pregnancy and breast-feeding
You should not take Ursodeoxycholic
Acid Tablets if you are pregnant or
trying to become pregnant.
You should use extra contraceptive
precautions that do not contain
hormones (e.g. condoms, caps or certain
coils) whilst taking Ursodeoxycholic
Acid Tablets (but see precautions above
in “Taking other medicines” section).
If at any point during treatment with
Ursodeoxycholic Acid Tablets you think
you might have become pregnant,
contact your doctor immediately.
You should not breast-feed whilst
taking Ursodeoxycholic Acid Tablets.
Driving and operating machines
Ursodeoxycholic Acid Tablets do not
affect the ability to drive or operate
machinery.
Important information for patients
who have an intolerance to some
sugars
If you have been told by your doctor
that you have an intolerance to some
sugars, contact your doctor before
taking this medicinal product, as it
contains lactose.
3. How you will be given
Ursodeoxycholic Acid Tablets
Your doctor will decide the dose which
is best for you. Always follow your
doctor’s instructions completely and
also follow any special instructions or
warnings which appear on the label
which the pharmacist has put on the
package. If you do not understand, or
are in any doubt, ask your doctor or
pharmacist.
Unless instructed differently, take your
tablets with a drink of water.
During treatment you should have
regular blood tests to check your liver
function.
Adults and Elderly
To dissolve gall stones that contain
cholesterol
The usual daily dose is one to three
tablets depending on your weight,
either in divided doses or as a single
night time dose.
Your doctor may tell you to take
Ursodeoxycholic Acid Tablets for up to
two years depending on the size of your
gall-stone. You should continue your
treatment for three months after your
stone appears to have gone.
To treat primary biliary cirrhosis
The usual daily dose is two to four
tablets, depending on your weight, to
be taken in two to four divided doses.
Children
The dose for a child may be less than the
usual adult dose. The doctor will
calculate the dose depending on the
child's weight.
For children with cystic fibrosis aged 6
years to less than 18 years
The dose will be calculated by the
doctor depending on the child's weight.
If you take more Ursodeoxycholic
Acid Tablets than you should
Too many Ursodeoxycholic Acid Tablets
may cause diarrhoea. If you accidentally
take too many tablets contact your
doctor, pharmacist or nearest hospital
casualty department. Take this leaflet
Ursodeoxy cholic Acid 300mg Film-Coated Tablets, Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Ursodeoxy cholic Acid Dosage & Rx Info | Ursodeoxycholic Acid Uses, Side Effects – Antifungal/ Antibacterial, Ursodeoxycholic Acid 300mg Film-Coated Tablets: Indications, Side Effects, Warnings, Ursodeoxycholic Acid - Drug Information - Taj Pharma, Ursodeoxycholic Acid dose Taj pharmaceuticals Ursodeoxycholic Acid interactions, Taj Pharmaceutical Ursodeoxy cholic Acid contraindications, Ursodeoxycholic Acid price, Ursodeoxycholic A cid , Taj Pharma Ursodeoxy cholic Acid 300mg Film-Coated Tablets, - Taj Pharma . Stay connected t o all updated on Ursodeoxycholic Acid Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Patient Information Leaflets, PIL.
and any remaining tablets with you to
show the doctor or pharmacist.
If you miss a dose of Ursodeoxycholic
Acid Tablets
If you forget to take a dose, take another
as soon as you remember. If it is almost
time for your next dose, then do not
take the missed dose at all. Do not take
a double dose to make up for a
forgotten tablet.
Stopping Ursodeoxycholic Acid
Tablets
You should continue to take
Ursodeoxycholic Acid Tablets for as long
as your doctor tells you to. Do not stop
taking the medicine without talking to
your doctor first.
4. Possible Side Effects
Like many medicines Ursodeoxycholic
Acid Tablets may cause side effects in
some patients, although not everybody
gets them.
The following side effects are common
(affect less than 1 out of 10 people):
• pasty stools
• diarrhoea.
The following side effects are very rare
(affect less than 1 out of 10,000 people):
• severe right upper stomach pain
• worsening of liver disease
• a red, itchy rash ('hives').
The following side effects may also
occur (how often these side effects
occur is not known):
• feeling sick
• being sick
• itching.
Very rarely gall-stones get a layer of
calcium on them, which may mean you
will need an operation to remove them.
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. By reporting side
effects you can help provide more
information on the safety of this
medicine.
5. How Ursodeoxycholic Acid Tablets
is stored
Keep out of the reach and sight of
children.
Do not take this medicine if the expiry
date on the label has passed. The expiry
date refers to the last day of that month.
Ursodeoxycholic Acid Tablets should
not be taken if they show signs of
deterioration. Do not store above 25°C.
Store in the original container or
package in order to protect from light
and moisture. Do not transfer the
tablets to another container.
Medicines should not be disposed of via
wastewater or household waste. Ask
your pharmacist how to dispose of
medicines no longer required. These
measures will help to protect the
environment.
6. Further information
What Ursodeoxycholic Acid Tablets
contains
The active ingredient in
Ursodeoxycholic Acid Tablets is
ursodeoxycholic acid. Each tablet
contains 300mg.
The other ingredients are lactose, maize
starch, povidone, sodium starch
glycollate, magnesium stearate,
hydroxypropylmethylcellulose (E464),
titanium dioxide (E171), polyethylene
glycol and purified water.
What Ursodeoxycholic Acid Tablets
looks like and contents of the pack
The tablets are white, film-coated, have
a curved shape.
Ursodeoxycholic Acid Tablets are
available in polyethylene/polypropylene
(plastic) containers containing 60, 100 or
500 tablets and in blister strips of 60
tablets in cartons.
Not all pack sizes may be marketed.
Ursodeoxy cholic Acid 300mg Film-Coated Tablets, Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Ursodeoxy cholic Acid Dosage & Rx Info | Ursodeoxycholic Acid Uses, Side Effects – Antifungal/ Antibacterial, Ursodeoxycholic Acid 300mg Film-Coated Tablets: Indications, Side Effects, Warnings, Ursodeoxycholic Acid - Drug Information - Taj Pharma, Ursodeoxycholic Acid dose Taj pharmaceuticals Ursodeoxycholic Acid interactions, Taj Pharmaceutical Ursodeoxy cholic Acid contraindications, Ursodeoxycholic Acid price, Ursodeoxycholic A cid , Taj Pharma Ursodeoxy cholic Acid 300mg Film-Coated Tablets, - Taj Pharma . Stay connected t o all updated on Ursodeoxycholic Acid Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Patient Information Leaflets, PIL.
Manufactured in India by:
TAJ PHARMACEUTICALS LTD.
Mumbai, India
At: 615, GIDC, Kerala, Bavla, Dist.
Ahmedabad 438225, Gujarat, INDIA
This leaflet was last revised in July 2019

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  • 1. Ursodeoxy cholic Acid 300mg Film-Coated Tablets, Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Ursodeoxy cholic Acid Dosage & Rx Info | Ursodeoxycholic Acid Uses, Side Effects – Antifungal/ Antibacterial, Ursodeoxycholic Acid 300mg Film-Coated Tablets: Indications, Side Effects, Warnings, Ursodeoxycholic Acid - Drug Information - Taj Pharma, Ursodeoxycholic Acid dose Taj pharmaceuticals Ursodeoxycholic Acid interactions, Taj Pharmaceutical Ursodeoxy cholic Acid contraindications, Ursodeoxycholic Acid price, Ursodeoxycholic A cid , Taj Pharma Ursodeoxy cholic Acid 300mg Film-Coated Tablets, - Taj Pharma . Stay connected t o all updated on Ursodeoxycholic Acid Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Patient Information Leaflets, PIL. URSODEOXYCHOLIC ACID FILM COATED TABLETS 300 MG Package leaflet: Information for the patient Ursodeoxycholic Acid Film Coated Tablets. Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. - 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 only. Do not pass it on to others. It may harm them, even if their signs of illness 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. What is in this leaflet 1. What Ursodeoxycholic Acid Tablets is and what it is used for 2. Before you are given Ursodeoxycholic Acid Tablets 3. How you will be given Ursodeoxycholic Acid Tablets 4. Possible side effects 5. How Ursodeoxycholic Acid Tablets is stored 6. Further Information 1. What Ursodeoxycholic Acid Tablets is and what it is used for The active ingredient in Ursodeoxycholic Acid Tablets is ursodeoxycholic acid, which is a naturally occurring substance (bile acid) normally present in the bile. Ursodeoxycholic Acid Tablets may be used for the following: • To dissolve certain types of gall stones (stones in the gall bladder), which contain cholesterol. Ursodeoxycholic Acid Tablets may be suitable for patients who are unable to have surgery or do not wish to have surgery. • To treat a type of liver disease known as primary biliary cirrhosis (PBC). • To treat liver disease associated with cystic fibrosis in children aged 6 years to less than 18 years. 2. Before you are given Ursodeoxycholic Acid Tablets Do not take Ursodeoxycholic Acid Tablets if you: • are pregnant, planning to become pregnant or are breastfeeding or if you have: • ever had an allergic reaction to bile acids or to any of the other ingredients in Ursodeoxycholic Acid Tablets (see 'What Ursodeoxycholic Acid Tablets Contain' in section 6 'Further Information') • a gall bladder which is not working properly or you have gall-stones that contain calcium • severe liver disease other than primary biliary cirrhosis • peptic ulcers • inflammation of the bowel • inflammation of the gall bladder or biliary tract (the ducts that transport bile from the liver to the small intestine) • blockage of the biliary tract • frequent episodes of biliary colic (often characterised by upper right stomach pain). If any of the above statements apply to you, do not take Ursodeoxycholic Acid Tablets. Children aged 6 years to less than 18 years with cystic fibrosis Not to be taken if the child has had unsuccessful surgery to restore the flow of bile to the small intestine. Taking other medicines Taking another medicine while you are taking Ursodeoxycholic Acid Tablets can affect how it or the other medicine works. Please inform your doctor or pharmacist if you are taking or have recently taken any other medicines, including those you may have bought yourself without a prescription. Please check with your doctor if you are taking any of the following (or any other medication): • oral contraceptives (the pill) or oestrogen (a female sex hormone) • medicines used to lower blood cholesterol (clofibrate, colestipol and
  • 2. Ursodeoxy cholic Acid 300mg Film-Coated Tablets, Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Ursodeoxy cholic Acid Dosage & Rx Info | Ursodeoxycholic Acid Uses, Side Effects – Antifungal/ Antibacterial, Ursodeoxycholic Acid 300mg Film-Coated Tablets: Indications, Side Effects, Warnings, Ursodeoxycholic Acid - Drug Information - Taj Pharma, Ursodeoxycholic Acid dose Taj pharmaceuticals Ursodeoxycholic Acid interactions, Taj Pharmaceutical Ursodeoxy cholic Acid contraindications, Ursodeoxycholic Acid price, Ursodeoxycholic A cid , Taj Pharma Ursodeoxy cholic Acid 300mg Film-Coated Tablets, - Taj Pharma . Stay connected t o all updated on Ursodeoxycholic Acid Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Patient Information Leaflets, PIL. colestyramine). If it is necessary to take a medicine containing colestipol or colestyramine, you must take it at least 2 hours before or after Ursodeoxycholic Acid Tablets • medicines used to treat stomach problems (charcoal and antacids containing aluminium). If it is necessary to take one of these medicines, you must take it at least 2 hours before or after Ursodeoxycholic Acid Tablets • ciclosporin (used after transplants) • ciprofloxacin (used to treat infections) • nitrendipine (used to treat high blood pressure) • dapsone (used to treat leprosy and other skin conditions). If you have any doubts about whether you should take this medicine then discuss matters with your doctor before taking it. Pregnancy and breast-feeding You should not take Ursodeoxycholic Acid Tablets if you are pregnant or trying to become pregnant. You should use extra contraceptive precautions that do not contain hormones (e.g. condoms, caps or certain coils) whilst taking Ursodeoxycholic Acid Tablets (but see precautions above in “Taking other medicines” section). If at any point during treatment with Ursodeoxycholic Acid Tablets you think you might have become pregnant, contact your doctor immediately. You should not breast-feed whilst taking Ursodeoxycholic Acid Tablets. Driving and operating machines Ursodeoxycholic Acid Tablets do not affect the ability to drive or operate machinery. Important information for patients who have an intolerance to some sugars If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product, as it contains lactose. 3. How you will be given Ursodeoxycholic Acid Tablets Your doctor will decide the dose which is best for you. Always follow your doctor’s instructions completely and also follow any special instructions or warnings which appear on the label which the pharmacist has put on the package. If you do not understand, or are in any doubt, ask your doctor or pharmacist. Unless instructed differently, take your tablets with a drink of water. During treatment you should have regular blood tests to check your liver function. Adults and Elderly To dissolve gall stones that contain cholesterol The usual daily dose is one to three tablets depending on your weight, either in divided doses or as a single night time dose. Your doctor may tell you to take Ursodeoxycholic Acid Tablets for up to two years depending on the size of your gall-stone. You should continue your treatment for three months after your stone appears to have gone. To treat primary biliary cirrhosis The usual daily dose is two to four tablets, depending on your weight, to be taken in two to four divided doses. Children The dose for a child may be less than the usual adult dose. The doctor will calculate the dose depending on the child's weight. For children with cystic fibrosis aged 6 years to less than 18 years The dose will be calculated by the doctor depending on the child's weight. If you take more Ursodeoxycholic Acid Tablets than you should Too many Ursodeoxycholic Acid Tablets may cause diarrhoea. If you accidentally take too many tablets contact your doctor, pharmacist or nearest hospital casualty department. Take this leaflet
  • 3. Ursodeoxy cholic Acid 300mg Film-Coated Tablets, Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Ursodeoxy cholic Acid Dosage & Rx Info | Ursodeoxycholic Acid Uses, Side Effects – Antifungal/ Antibacterial, Ursodeoxycholic Acid 300mg Film-Coated Tablets: Indications, Side Effects, Warnings, Ursodeoxycholic Acid - Drug Information - Taj Pharma, Ursodeoxycholic Acid dose Taj pharmaceuticals Ursodeoxycholic Acid interactions, Taj Pharmaceutical Ursodeoxy cholic Acid contraindications, Ursodeoxycholic Acid price, Ursodeoxycholic A cid , Taj Pharma Ursodeoxy cholic Acid 300mg Film-Coated Tablets, - Taj Pharma . Stay connected t o all updated on Ursodeoxycholic Acid Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Patient Information Leaflets, PIL. and any remaining tablets with you to show the doctor or pharmacist. If you miss a dose of Ursodeoxycholic Acid Tablets If you forget to take a dose, take another as soon as you remember. If it is almost time for your next dose, then do not take the missed dose at all. Do not take a double dose to make up for a forgotten tablet. Stopping Ursodeoxycholic Acid Tablets You should continue to take Ursodeoxycholic Acid Tablets for as long as your doctor tells you to. Do not stop taking the medicine without talking to your doctor first. 4. Possible Side Effects Like many medicines Ursodeoxycholic Acid Tablets may cause side effects in some patients, although not everybody gets them. The following side effects are common (affect less than 1 out of 10 people): • pasty stools • diarrhoea. The following side effects are very rare (affect less than 1 out of 10,000 people): • severe right upper stomach pain • worsening of liver disease • a red, itchy rash ('hives'). The following side effects may also occur (how often these side effects occur is not known): • feeling sick • being sick • itching. Very rarely gall-stones get a layer of calcium on them, which may mean you will need an operation to remove them. 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. By reporting side effects you can help provide more information on the safety of this medicine. 5. How Ursodeoxycholic Acid Tablets is stored Keep out of the reach and sight of children. Do not take this medicine if the expiry date on the label has passed. The expiry date refers to the last day of that month. Ursodeoxycholic Acid Tablets should not be taken if they show signs of deterioration. Do not store above 25°C. Store in the original container or package in order to protect from light and moisture. Do not transfer the tablets to another container. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment. 6. Further information What Ursodeoxycholic Acid Tablets contains The active ingredient in Ursodeoxycholic Acid Tablets is ursodeoxycholic acid. Each tablet contains 300mg. The other ingredients are lactose, maize starch, povidone, sodium starch glycollate, magnesium stearate, hydroxypropylmethylcellulose (E464), titanium dioxide (E171), polyethylene glycol and purified water. What Ursodeoxycholic Acid Tablets looks like and contents of the pack The tablets are white, film-coated, have a curved shape. Ursodeoxycholic Acid Tablets are available in polyethylene/polypropylene (plastic) containers containing 60, 100 or 500 tablets and in blister strips of 60 tablets in cartons. Not all pack sizes may be marketed.
  • 4. Ursodeoxy cholic Acid 300mg Film-Coated Tablets, Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Ursodeoxy cholic Acid Dosage & Rx Info | Ursodeoxycholic Acid Uses, Side Effects – Antifungal/ Antibacterial, Ursodeoxycholic Acid 300mg Film-Coated Tablets: Indications, Side Effects, Warnings, Ursodeoxycholic Acid - Drug Information - Taj Pharma, Ursodeoxycholic Acid dose Taj pharmaceuticals Ursodeoxycholic Acid interactions, Taj Pharmaceutical Ursodeoxy cholic Acid contraindications, Ursodeoxycholic Acid price, Ursodeoxycholic A cid , Taj Pharma Ursodeoxy cholic Acid 300mg Film-Coated Tablets, - Taj Pharma . Stay connected t o all updated on Ursodeoxycholic Acid Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Patient Information Leaflets, PIL. Manufactured in India by: TAJ PHARMACEUTICALS LTD. Mumbai, India At: 615, GIDC, Kerala, Bavla, Dist. Ahmedabad 438225, Gujarat, INDIA This leaflet was last revised in July 2019