

Consumer Medicine Information

What is in this leaflet

This leaflet answers some common questions about Visken.
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Keep this leaflet with the medicine.
You may need to read it again.

What Visken is used for

Visken belongs to a group of medicines called beta-blockers.
It works by affecting the body's response to some nerve impulses, especially in the heart. As a result, the heart needs less blood and oxygen and does not have to work as hard. Blood vessels in the rest of the body are also widened, causing blood pressure to decrease.
Visken can be used alone or in combination with other medicines to treat your condition.
Visken is used to treat high blood pressure, also called hypertension. Everyone has blood pressure. This pressure helps to move your blood around your body. Your blood pressure may be different at various times of the day, depending on how busy you are. You have hypertension when your blood pressure stays higher than is needed, even when you are calm and relaxed.
Visken is used to prevent a type of chest pain called angina. Angina is a pain or uncomfortable feeling in the chest, often spreading to the arms or neck and sometimes to the shoulders and back. This may be caused by too little blood and oxygen getting to the heart. Exercise or stress usually brings on the pain of angina but it can also happen while you are resting. Visken helps to prevent angina from happening. It is not used to treat an attack once it starts.
Irregular heart beat (arrhythmia)
Visken is used to treat irregular heart beat (arrhythmia). An irregular heart beat, also known as an arrhythmia, is a disturbance in the normal rhythm or beat of the heart. Arrhythmias may be caused by a number of factors, including some heart diseases, an overactive thyroid gland, and chemical imbalances. Visken helps to restore the normal rhythm of the heart.
Your doctor may have prescribed it for another reason.
Visken is only available with a doctor's prescription. It is not addictive.
There is not enough information to recommend its use in children.

Before you take Visken

When you must not take it

Do not take Visken if you have ever had an allergy to:
pindolol (the active ingredient in Visken )
any of the other ingredients of Visken listed at the end of this leaflet
any other beta-blocker medicines
Some of the symptoms of an allergic reaction may include:
shortness of breath, wheezing or difficulty breathing;
rash, itching or hives on the skin.
Do not take Visken if you have any of the following health problems / medical conditions:
a history of bronchial asthma, wheezing, difficulty breathing, chronic cough or other severe lung problems
a history of allergic problems, including hay fever
irregular or a very slow heart beat, less than 45 to 50 beats per minute
an alteration in the structure and function of the right ventricle of the heart caused by a primary disorder of respiratory system (called "Cor pulmonale")
sudden loss of consciousness in the past
chest pain, mainly occurring when at rest
severe heart disease or certain other heart conditions
severe blood flow disturbances of your blood vessels causing paleness or poor circulation in the arms and legs
too much acid in your blood (metabolic acidosis)
Do not take Visken after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
In that case, return it to your pharmacist.

Before you start to take it

Tell your doctor if you have any of the following health problems / medical conditions:
diabetes mellitus (sugar diabetes)
an overactive thyroid gland
severe kidney problems
certain types of angina such as Prinzmetal angina (also known as variant angina)
milder forms of circulatory disturbances of blood vessels (conditions marked e.g. by paleness, cold hands or feet)
phaeochromocytoma (a rare tumour of the adrenal gland) which is not being treated already with other medicines
psoriasis (a skin disease characterised by thickened patches of red skin, often with silvery scales)
shock or severely low blood pressure
Visken may affect your baby, especially if you take it in the last stages of pregnancy. Your doctor can discuss the risks and benefits of taking this medicine during pregnancy.
Very small amounts of the active ingredient in Visken pass into breast milk and could affect your baby.
Tell your doctor if you are allergic to bee or wasp stings or to any other medicines, foods, dyes or preservatives.

Taking other medicines

Other medicines and Visken may interfere with each other. These medicines include:
other beta-blocker medicines including eye drops
other medicines used to treat high blood pressure such as calcium channel blockers or calcium antagonists
clonidine, a medicine used to treat high blood pressure
disopyramide, quinidine, and other medicines used to treat irregular heart beat (arrhythmias)
insulin, and oral medicines to treat diabetes
medicines used to treat high blood pressure, chest pain (angina pectoris), disturbances of heart rhythm
digoxin, a medicine used to treat heart failure
digitalis glycosides
medicines commonly used during surgery or in emergency situations, such as dopamine, noradrenaline, and certain anaesthetics
medicines containing adrenaline or similar substances that raise blood pressure, such as those found in some nose and eye drops, cough medicines, or remedies for the common cold
non-steroidal anti-inflammatory drugs (known as NSAIDs), which are medicines used to relieve pain or inflammation or to treat arthritis
monoamine oxidase inhibitors, a class of medicines used to treat depression
cimetidine, a medicine used to relieve heartburn and gastrointestinal ulcers
You may need to take different amounts of your medicines or to take different medicines while you are taking Visken. Your doctor and pharmacist have more information.

How to take Visken

These directions may differ from the information contained in this leaflet.

How much to take

The dose of this medicine will be different for different patients. Also, the number of doses you take each day and the time allowed between doses depend on the condition for which you are taking Visken.
Treatment is usually started with the lowest dose. Depending on how you respond to the treatment, your doctor may suggest a higher or lower dose.
To treat high blood pressure, the usual dose is from 10 to 30 mg each day. Doses up to 15 mg are usually taken as a single dose in the morning. Doses above 15 mg are divided into two or three smaller doses.
To prevent angina, the usual dose is from 7.5 to 20 mg each day, divided into three doses.
To treat irregular heart beat, the usual dose is from 10 to 30 mg each day, divided into three doses.
Follow your doctor's instructions carefully. Do not exceed the recommended dose.

How to take it

Swallow the tablet with a full glass of water.
You can take Visken with a meal or on an empty stomach.
If your stomach is upset after taking the tablet, take it with a meal or after a snack.

How long to take it

Your doctor may want to gradually reduce the amount of medicine you are taking before stopping it completely. This helps to reduce the chance of your condition becoming worse and to prevent other unwanted effects on your heart.
Continue taking Visken as your doctor tells you.

If you forget to take it

Taking Visken at the same time each day will help you remember when to take your medicine.

If you take too much

Immediately telephone your doctor or Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and Emergency at your nearest hospital if you think that you or anyone else may have taken too much Visken. Do this even if there are no signs of discomfort or poisoning. Keep the telephone numbers for these places handy.
Some of the symptoms of an overdose may include:
feeling sick and vomiting
dizziness or light headedness (signs of very low blood pressure)
abnormally slow or irregular heart beat
sweating, weakness, hunger, dizziness, trembling, headache, flushing or paleness, numbness, or having a fast, pounding heart beat (signs of low blood sugar)
shortness of breath, and swelling of the feet or legs due to fluid build-up (signs of heart failure)
shortness of breath
difficulty breathing with wheezing or coughing
convulsions, fits or seizures.

While you are taking Visken

Things you must do

If you have an allergic reaction to another medicine, a food or an insect sting while you are taking Visken, tell your doctor immediately.
Visken could make the allergic reaction worse or harder to treat.
If you become pregnant while taking Visken, tell your doctor.
Tell any other doctor, dentist or pharmacist who treats you that you are taking Visken.
These symptoms may be due to a sudden fall in your blood pressure.
If this problem does not go away, talk to your doctor.

Things you must not do

Do not suddenly stop the treatment with Visken without asking your doctor for advice, because this may cause worsening of your condition.

Things to be careful of

Be careful driving, operating machinery or doing jobs that require you to be alert while you are taking Visken until you know how it affects you.
As with other beta-blocker medicines, Visken may cause dizziness, light-headedness or decreased alertness in some people. If you have any of these symptoms, do not drive or do anything else that could be dangerous.
If you experience eye problems (dry, gritty, or burning eyes), talk to your doctor.
Visken can be used by older people at the same dose as for younger people. Older people may experience more side effects than young people, and so might be monitored closely by their doctor.

Things that may help your condition

Alcohol - your doctor may advise you to limit your alcohol intake.
Diet - eat a healthy low-fat diet which includes plenty of fresh vegetables, bread, fruits, cereals and fish. Eat less sugar, salt and fat. To reduce your salt intake you should avoid using salt in cooking or at the table.
Exercise - regular exercise helps to reduce blood pressure and allows you to do more without getting angina. Try regular walking, swimming, cycling or games such as tennis and golf. Before starting any exercise, ask your doctor about the best kind of programme for you.
Smoking - your doctor may advise you to stop smoking or at least cut down.

Side effects

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Visken.
tiredness, drowsiness, decreased alertness
dizziness or light-headedness (sometimes with fainting), especially on standing up
shakiness or trembling
headache or other aches and pains
disturbed sleep, vivid dreams
feeling depressed
stomach upset (mainly nausea or feeling sick) or vomiting
diarrhoea or abdominal discomfort
runny, itchy, red, dry or irritated eyes
excess sweating
sleep disturbances
muscle cramps
Tell your doctor immediately if you notice any of the following:
skin reactions (rash, itching, hives, flaking of skin, worsening of psoriasis)
abnormal thinking, or hallucinations (seeing or hearing things that are not there)
Tell your doctor immediately or go to Accident and Emergency at your nearest hospital if any of the following side effects happen to you:
coldness, burning, tingling or numbness in arms and legs
changes in heart rate, such as abnormally slow heart beat (called bradycardia), irregular heart beat or palpitations
disturbed heart rhythm (called cardiac conduction disorder)
weakness, hunger, trembling, flushing or paleness
convulsions, fits or seizures
chest tightness, wheezing, rattly breathing
sudden, oppressive chest pain
shortness of breath, sometimes with tiredness, weakness and reduced ability to exercise, swelling of the feet or legs due to fluid build up
difficulty breathing with coughing or wheezing

After taking Visken


Store it in a cool dry place.
Do not store Visken or any other medicine in the bathroom or near a sink.
Do not leave it in the car or on window sills.
Keep this medicine where children cannot reach it.


If your doctor tells you to stop taking Visken or the expiry date has passed, ask your pharmacist what to do with any medicine that is left over.

Product description

What it looks like

Visken 15 mg tablets are white, marked with a score line and JU on one side; packs of 50 tablets.


Visken tablets contain 15 mg pindolol as the active ingredient. The tablets also contain:
colloidal anhydrous silica
magnesium stearate
pregelatinised maize starch
microcrystalline cellulose
Visken does not contain sucrose, gluten, tartrazine or any other azo dyes.


Visken is supplied in Australia by:
NOVARTIS Pharmaceuticals Australia Pty Limited
ABN 18 004 244 160
54 Waterloo Road
North Ryde NSW 2113
Telephone 1 800 671 203
® = Registered Trademark
This leaflet was prepared in
July 2011
Australian Registration Number
Visken 15 mg AUST R 13393
For internal use only:
(CMI vis291111c based on PI vis291111i)