Pharmacy Guide

Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.

Pharmacy Guide

Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.

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Amiloride 5mg Tablets

⚠ This medicine appears to have been discontinued

The electronic medicines compendium (emc) no longer publishes a Summary of Product Characteristics for this product, which usually means it is no longer marketed in the UK. The patient leaflet below is kept for reference, but the product may not be available.

If you were prescribed this medicine, other products containing Amiloride hydrochloride may still be available. Do not stop your treatment — ask your pharmacist or GP what to use instead.

Active substance: Amiloride hydrochloride
Source: electronic medicines compendium (emc)
Official leaflet: Read the PIL on emc

What it is and what it is used for

for The name of your medicine is Amiloride 5mg Tablets. It contains amiloride hydrochloride. This belongs to a group of medicines called diuretics (water tablets). Amiloride can be used to stop the build up of extra water in your body. It does this without loss of potassium from your body. This extra water can lead to high blood pressure, heart problems (congestive heart failure) and liver problems (hepatic cirrhosis). It works by helping you to pass more water (urine) than you usually do.

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2. Before you take Amiloride Tablets Do not take Amiloride Tablets and tell your doctor if:

  • You are allergic (hypersensitive) to amiloride or any other ingredients in this medicine (listed in Section 6 below). Signs of an allergic reaction include: a rash, itching or shortness of breath
  • You have kidney problems
  • Your doctor has told you that you have high potassium levels or you are taking other potassium conserving drugs or potassium supplements
  • The person taking the medicine is a child under 18 years old. Do not take this medicine if any of the above apply to you. If you are not sure, talk to your doctor before taking Amiloride Tablets. Take special care with Amiloride Tablets Before you take Amiloride Tablets tell your doctor if:
  • You are elderly or seriously ill
  • You have diabetes
  • You have liver problems
  • Your doctor has told you that you have too much acid in your blood. This can be caused by diabetes or heart or lung disease.

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Amiloride Tablets. Tests Tell your doctor or nurse you are taking Amiloride Tablets if you are going to have a glucose tolerance test. This is because this medicine can affect the results. You will need to stop taking this medicine three days before your test. Taking other medicines Please tell your doctor of 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 Amiloride Tablets can affect the way some other medicines work. Also, some medicines can affect the way Amiloride Tablets work. In particular, tell your doctor if you are taking any of the following:

  • Lithium – used for depression
  • Medicines used to treat high blood pressure including ACE inhibitors, angiotensin-II antagonists, alpha-blockers, beta-blockers, calcium channel blockers and hydralazine
  • Nitrates – used for angina
  • Quinidine – used to treat heart rhythm disorders
  • Medicines or supplements containing potassium (including table salt substitutes)
  • Trilostane – used to treat kidney and skin cancer (melanoma)
  • Ciclosporin or tacrolimus – used after transplants to stop the rejection of organs
  • General anaesthetics, used to stop pain during surgery
  • Non-steroidal anti-inflammatory (NSAID) medicines such as indometacin, diclofenac and ibuprofen. Your doctor may want to carry out tests on your kidneys and the level of potassium in your blood, especially if you are an older person
  • Chlorpropramide – used to treat diabetes
  • Carbamazepine – used for epilepsy
  • Levodopa – used to treat Parkinson's disease
  • Medicines used to treat depression including tricyclic antidepressants (such as amitriptyline) and monoamine oxidase inhibitors (MAOIs – such as phenelzine)
  • Phenothiazines – used to treat mental illness
  • Medicines used to treat inflammation (such as cortisone and hydrocortisone)
  • Tizanidine or baclofen – used to relax muscles
  • Carbenoxolone – used to treat stomach ulcers
  • Some oral contraceptives (the pill) or oestrogen (female sex hormone) preparations
  • Alprostadil – used to treat male impotence and for heart defects in infants. This medicine does not cause loss of potassium from your body as other water tablets do. Therefore, it is not necessary for you to get extra potassium in your diet or take supplements. Too much potassium could even be harmful. Taking Amiloride Tablets with food and drink If you feel dizzy while taking the tablets drinking alcohol can make this problem worse. Pregnancy and breast-feeding Talk to your doctor before taking this medicine if you are pregnant, planning to become pregnant or are breast-feeding. Driving and using machines If you feel dizzy while taking Amiloride Tablets do not drive or operate dangerous machinery. Important information about what is in Amiloride Tablets This medicine contains:
  • Lactose monohydrate. If your doctor has told you that you cannot tolerate some sugars, see your doctor before taking this medicine. 108299/2

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ART WORK CHECK BOX

Process Black

PRODUCT : CUSTOMER : FP CODE: PLANT LOCATION : DIMENSIONS : PHARMACODE : SAP CODE No. : TEXT FONT SIZE : FILE NAME : SOFTWARE : TYPEFACES : ARTWORK (DETAILS) RECEIVED ON : PROOF REVISION :

Amiloride HCL 5mg – 28 Tablets Wockhardt UK FP1936 Daman (Bhimpore) (w)148 x (h)275mm 2824 227617 (PREVIOUS VERSION SAP CODE No. : 225708) 9pt. Amiloride_Lit_108299-2.ai Adobe Illustrator CS6 Myriad Pro Regular / Bold 22nd & 29th December, 2022 R 1st PDF sent on – 2ND JAN. 2023 R 2ndPDF sent on – 6TH JAN. 2023

CHANGE CONTROL : Version changes due to change in: Size/Layout Regulatory Non-Regulatory Changes in detail: • Removed MT details to create UK specific artwork

  • Changed text font size from 8pt. to 9pt.
  • Updated dimensions from 148 x 210mm to 148 x 275mm to accommodate bigger font size text

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6. Further information What Amiloride Tablets contains

  • The active ingredient is amiloride hydrochloride
  • The other ingredients are lactose monohydrate, starch, povidone, sodium starch glycollate, magnesium stearate, dispersed quinoline yellow lake E104 and isopropanol. What Amiloride Tablets look like and contents of the pack Amiloride Tablets are yellow, round tablets marked AML5 with a breakline on one side and CP on the reverse. They are available in blister packs of 28 tablets. Other formats: To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge: 0800 198 5000 (UK only) Please be ready to give the following information: Product name Reference number Amiloride 5mg Tablets PL 29831/0006 This service is provided by the Royal National Institute of Blind People. Marketing Authorisation Holder and Manufacturer Marketing Authorisation Holder Wockhardt UK Ltd, Ash Road North, Wrexham, LL13 9UF, UK Manufacturer CP Pharmaceuticals Ltd, Ash Road North, Wrexham, LL13 9UF, UK This leaflet was last revised in 01/2023

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  • Keep this medicine out of the sight and reach of children.
  • Do not store above 25°C
  • Do not use after the expiry date which is stated on the blister and carton (Exp: month, year)
  • The expiry date refers to the last day of that month
  • Do not use Amiloride Tablets if you notice a change in the appearance of the medicine. Talk to your pharmacist
  • Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicine no longer required. These measures will help to protect the environment.

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Like all medicines, Amiloride Tablets can cause side effects although not everybody gets them. If you have an allergic reaction to Amiloride Tablets see a doctor straight away An allergic reaction may include:

  • Any kind of skin rash, flaking skin, boils or sore lips and mouth
  • Sudden wheezing, fluttering or tightness of the chest or collapse. If you get any of the following side effects, stop taking Amiloride Tablets and see your doctor as soon as possible:
  • Chest pain including angina pain
  • Unusual heart beats
  • Yellowing of the skin and the whites of the eyes (jaundice)
  • Feeling dizzy, particularly when standing up
  • Disease of the brain (encephalopathy)
  • Difficulty breathing
  • Problems with your sight
  • Changes in the results of blood tests. These include changes in the way your liver is working or changes in red or white blood cell levels. They also include changes in sodium or potassium levels which can cause dry mouth, thirst, headaches, muscle cramps and weakness. Tell your doctor if you get any of these side effects:
  • Feeling sick or being sick

How to take it

Amiloride Tablets Take this medicine as your doctor or pharmacist has told you. Look on the label and ask the doctor or pharmacist if you are not sure. Taking this medicine

  • Take this medicine by mouth
  • If you are taking a single dose, take it in the morning
  • If you are taking more than one dose, take the last dose before 6pm, unless your doctor tells you otherwise
  • Plan your doses so that they do not affect your personal activities and sleep
  • Your doctor will check your progress regularly to make sure the medicine is working properly. Adults The usual doses for adults are: Amiloride Tablets taken alone
  • 10mg each day
  • This may be increased to 20mg each day. Amiloride Tablets taken with other diuretics High blood pressure and Congestive heart failure
  • 5mg or 10mg each day. Cirrhosis of the liver
  • 5mg each day. Children This medicine is not usually given to children under the age of 18. Older People Your doctor will decide how many Amiloride Tablets to give you. If you take more Amiloride Tablets than you should Talk to a doctor or go to a hospital straight way. Take the medicine pack with you so the doctor knows what you have taken. If you forget to take Amiloride Tablets Do not take a double dose (two doses at the same time) to make up for a forgotten dose. Take your next dose as soon as you remember, then go on as before. However, if it is nearly time for the next dose, skip the missed dose. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

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Possible side effects

not listed in this leaflet. You can also report side effects directly via the yellow card scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

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How to store it

Amiloride Tablets

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4. Possible side effects

  • Diarrhoea or constipation
  • Stomach pain
  • Skin rash, itching
  • Hair loss
  • Pins and needles
  • Feeling confused
  • Mood or personality changes
  • Feeling sleepy
  • Coughing
  • Changes in your sexual drive and function. Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible

Frequently asked questions about Amiloride 5mg Tablets

How do I take Amiloride 5mg Tablets?

Amiloride 5mg Tablets comes as tablet containing 5mg. Always follow the dose your doctor or pharmacist has given you, and read the leaflet that comes with the medicine.

What is the active substance in Amiloride 5mg Tablets?

The active substance in Amiloride 5mg Tablets is amiloride hydrochloride.

Where does this information come from?

This leaflet reproduces the patient information leaflet approved for Amiloride 5mg Tablets, as published on the electronic medicines compendium (emc). The version printed inside your medicine’s packaging is the one that applies to you.

Can I get Amiloride 5mg Tablets without a prescription?

Whether a medicine is available over the counter or on prescription only depends on its licence. Check the leaflet, or ask your pharmacist — they can tell you straight away.

About this leaflet

The text above reproduces the patient information leaflet approved for this medicine, restructured for easier reading.

Medical disclaimer: This page is for information only and does not replace advice from your doctor or pharmacist. Always read the leaflet supplied with your medicine. If you are unwell, call NHS 111; in an emergency, call 999.

Medicines with the same active substance: Amiloride hydrochloride (8 medicines)
See every medicine containing this substance, or browse the full A–Z of active substances.
⚕For healthcare professionals — Summary of Product Characteristics (SmPC)Full SmPC: dosage, interactions, contraindications, warnings+
Technical information intended for healthcare professionals (doctors and pharmacists). The Summary of Product Characteristics (SmPC) is the official document approved by the MHRA/EMA. It does not replace the patient leaflet or a doctor’s advice.

4.1. Therapeutic indications

Amiloride is a diuretic used alone or as an adjunct to other diuretics in the treatment of oedema and hypertension.

4.2. Posology and method of administration

Adults:

Initially 10mg daily or 5mg twice daily, adjusted according to response. The dosage may be increased up to a maximum of 20mg daily. Used as an adjunct to other diuretics for hypertension and congestive heart failure: Initially 5mg or 10mg daily. Cirrhosis with ascites: Initially 5mg daily. Elderly:

The dosage should be adjusted according to renal function, blood electrolytes and diuretic response. Children under 18 years : Not indicated.

4.3. Contraindications

Hyperkalaemia, severe renal impairment, prior sensitivity to amiloride. Other potassium-sparing drugs and potassium supplements are contraindicated during amiloride therapy. The safety of amiloride hydrochloride for use in children under 18 years of age has not been established.

4.4. Special warnings and precautions for use

Amiloride should be given with caution to elderly patients, patients likely to develop acidosis, patients with diabetes mellitus and those with impaired hepatic or renal function. Patients with impaired renal function should be monitored carefully for serum electrolytes and blood urea levels, as should seriously ill patients, such as those with hepatic cirrhosis with ascites and metabolic alkalosis or those with resistant oedema who are also taking diuretics. Patients taking amiloride either alone or with other diuretics or angiotensin-converting enzyme inhibitors may develop hyperkalaemia. Serum electrolytes and blood urea should be monitored periodically. If hyperkalaemia occurs, amiloride hydrochloride should be discontinued immediately and, if necessary, active measures taken to reduce the plasma potassium level. Amiloride should be discontinued at least three days before a glucose tolerance test because of the risk of provoking severe hyperkalaemia. Patients with rare hereditary problems of galactose intolerance, the Lapp lactose deficiency or glucose-galactose malabsorption should not take this medicine.

4.5. Interaction with other medicinal products and other forms of interaction

Alcohol: Postural hypotension associated with diuretic therapy may be enhanced. Aldesleukin: Enhanced hypotensive effect may occur when aldesleukin and amiloride are used concomitantly. Anaesthetics, general: Enhanced hypotensive effect may occur when general anaesthetics and amiloride are used concomitantly.Analgesics: Diuretics increase the risk of nephrotoxicity with NSAIDs. Indometacin and possibly other NSAIDs increase the risk of hyperkalaemia with potassium-sparing diuretics. Indometacin and ketorolac antagonise the diuretic effect. Antiarrhythmics: The antiarrhythmic activity of quinidine can be opposed by amiloride.Antidepressants: increased risk of postural hypotension with tricyclics. Enhanced hypotensive effect with monoamine oxidase inhibitors (MAOIs).Antidiabetic agents: Chlorpropamide increases the risk of hyponatraemia associated with thiazides in combination with potassium sparing diuretics. Antiepileptics: increased risk of hyponatraemia with carbamazepine.Antihypertensives: An enhanced hypotensive effect (which can be extreme) can occur with antihypertensives, including ACE inhibitors, angiotensin-II antagonists, calcium channel blockers, beta blockers, alpha blockers (increased risk of first dose hypotension) or hydralazine. With ACE inhibitors and angiotensin-II antagonists there is also an increased risk of hyperkalaemia.Antipsychotics: Lithium should not be given with diuretics because they reduce its renal clearance and add a high risk of lithium toxicity. Enhanced hypotensive effect may occur when phenothiazines and amiloride are used concomitantly.Corticosteroids: Fluid retention associated with corticosteroid use may antagonise the diuretic/antihypertensive response.Dopaminergics: Enhanced hypotensive effect may occur when levodopa and amiloride are used concomitantly.Hormones and other endocrine drugs: Combined oral contraceptives and oestrogens may antagonise the diuretic effect. There is an increased risk of hyperkalaemia with trilostane.Immunosuppressants: increased risk of hyperkalaemia with ciclosporin and tacrolimus. Increased risk of nephrotoxicity with concomitant use of ciclosporin and amiloride.Muscle relaxants: enhanced hypotensive effect with baclofen and tizanidine.Nitrates: Enhanced hypotensive effect may occur when nitrates and amiloride are used concomitantly.Potassium conserving agents, potassium supplements: When amiloride is administered concomitantly with potassium conserving agents or potassium supplements, there is an increased risk of hyperkalaemia (see 4.3 Contraindications).Prostaglandins: Hypotensive effect may be potentiated by alprostadil.Ulcer-healing agents: Amiloride antagonises the ulcer-healing effect of carbenoxolone.Laboratory value alterations: Creatinine clearance: Amiloride blocks the tubular secretion of creatinine, leading to falsely high measurements of creatinine clearance.

4.6. Pregnancy and lactation

Amiloride is not recommended for use during pregnancy or lactation. The potential benefits of the drug must be weighed against possible hazards to the foetus if it is administered to a woman of child bearing age.

4.7. Effects on ability to drive and use machines

Reduced mental alertness may impair ability to drive or operate dangerous machinery.

4.8. Undesirable effects

Amiloride is usually well tolerated. Except for hyperkalaemia significant side effects are infrequent. Reported side-effects include the following:Blood and lymphatic system disorders: Aplastic anaemia and neutropenia have been reported rarely.Psychiatric disorders: Decreased libido, somnolence, mental confusion, or minor psychiatric changes may occur.Nervous system disorders: Encephalopathy, paraesthesia. Eye disorders: Visual changes. Cardiac disorders: Angina pectoris, arrhythmias, palpitations, postural hypotension, dizziness.Respiratory, thoracic and mediastinal disorders: Dyspnoea, cough.Gastrointestinal disorders: Nausea, vomiting, constipation or diarrhoea, abdominal pain. Hepatobiliary disorders: Abnormal liver function. A deepening of jaundice has occurred in cirrhotic patients receiving amiloride hydrochloride alone, but the relationship to amiloride is uncertain.Skin and subcutaneous tissue disorders: Alopecia, rash, pruritus.Renal and urinary disorders: Effects on electrolyte balance e.g. hyperkalaemia (particularly in elderly patients, diabetics and patients with renal impairment) and hyponatraemia occasionally occur. Signs include dry mouth, thirst, headache, muscle cramps and weakness. Rises in blood-urea-nitrogen concentrations may occur with amiloride.Reproductive and breast disorders: Impotence. Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.

4.9. Overdose

Symptoms

The most likely signs and symptoms are dehydration and electrolyte imbalance which should be treated by established methods. Amiloride should be discontinued and the patient observed closely. Treatment

No specific antidote is available. Patients who present within one hour of overdose may be administered activated charcoal. Treatment should be symptomatic and supportive. If hyperkalaemia occurs, active measures should be taken to reduce plasma potassium levels.

🇵🇱 Known in Poland as

Medicines sold in Poland with the same active substance: W Polsce znany jako

⚠ Not the same combination. This medicine contains Amiloride hydrochloride. The products below do not contain exactly the same set of active substances — they are not direct substitutes.

  • Tialorid partial — not the same combinationAmiloridi hydrochloridum + Hydrochlorothiazidum · taken by mouth
  • Tialorid mite partial — not the same combinationAmiloridi hydrochloridum + Hydrochlorothiazidum · taken by mouth

Some of these do not contain exactly the same active substances — check each one. The strength, the form and whether you need a prescription can differ. Always ask a pharmacist before you switch. Polish medicines in the UK →

💬 Ask about this leaflet

Ask anything about Amiloride 5mg Tablets. The assistant answers only from this leaflet — if the leaflet does not cover it, it will say so. It does not give medical advice.

Answers come from the patient leaflet published on the electronic medicines compendium (emc). They are not medical advice. Ask a pharmacist or your GP if you are unsure. For urgent help call NHS 111, or 999 in an emergency.

Medicines containing Amiloride hydrochloride

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