<?xml version="1.0" encoding="UTF-8" standalone="no"?><?xml-stylesheet href="../../stylesheet/spl.xsl" type="text/xsl"?><document xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 http://www.accessdata.fda.gov/spl/schema/spl.xsd">
  <id root="7e7c2115-72fe-9ca5-e053-2a91aa0ae101"/>
  <code code="34391-3" codeSystem="2.16.840.1.113883.6.1" displayName="HUMAN PRESCRIPTION DRUG LABEL"/>
  <title>GUNA®-DIUR</title>
  <effectiveTime value="20181221"/>
  <setId root="3f91cd92-eb6d-4bda-9cad-2e11e0b0fbe2"/>
  <versionNumber value="2"/>
  <author>
    <time/>
    <assignedEntity>
      <representedOrganization>
        <id extension="430538264" root="1.3.6.1.4.1.519.1"/>
        <name>Guna spa</name>
        <assignedEntity>
          <assignedOrganization>
            <assignedEntity>
              <assignedOrganization>
                <id extension="338587646" root="1.3.6.1.4.1.519.1"/>
                <name>Guna spa</name>
              </assignedOrganization>
              <performance>
                <actDefinition>
                  <code code="C43360" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="manufacture"/>
                  <product>
                    <manufacturedProduct classCode="MANU">
                      <manufacturedMaterialKind>
                        <code code="17089-260" codeSystem="2.16.840.1.113883.6.69"/>
                      </manufacturedMaterialKind>
                    </manufacturedProduct>
                  </product>
                </actDefinition>
              </performance>
            </assignedEntity>
          </assignedOrganization>
        </assignedEntity>
      </representedOrganization>
    </assignedEntity>
  </author>
  <component>
    <structuredBody>
      <component>
        <section>
          <id root="84aed54d-882a-f71f-e053-2a91aa0a0fa5"/>
          <code code="48780-1" codeSystem="2.16.840.1.113883.6.1" displayName="SPL product data elements section"/>
          <effectiveTime value="20181221"/>
          <subject>
            <manufacturedProduct>
              <manufacturedProduct>
                <code code="17089-260" codeSystem="2.16.840.1.113883.6.69"/>
                <name>GUNA-DIUR</name>
                <formCode code="C60992" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="SOLUTION/ DROPS"/>
                <asEntityWithGeneric>
                  <genericMedicine>
                    <name>amiloride - apis mellifera - berberis vulgaris fruit - hieracium pilosella flowering top - hydrochlorothiazide - solidago virgaurea flowering top - spironolactone - sus scrofa pituitary gland -</name>
                  </genericMedicine>
                </asEntityWithGeneric>
                <ingredient classCode="IACT">
                  <ingredientSubstance>
                    <code code="3K9958V90M" codeSystem="2.16.840.1.113883.4.9"/>
                    <name>ALCOHOL</name>
                  </ingredientSubstance>
                </ingredient>
                <ingredient classCode="ACTIB">
                  <quantity>
                    <numerator unit="[hp_X]" value="4"/>
                    <denominator unit="mL" value="30"/>
                  </quantity>
                  <ingredientSubstance>
                    <code code="7DZO8EB0Z3" codeSystem="2.16.840.1.113883.4.9"/>
                    <name>AMILORIDE</name>
                    <activeMoiety>
                      <activeMoiety>
                        <code code="7DZO8EB0Z3" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>AMILORIDE</name>
                      </activeMoiety>
                    </activeMoiety>
                  </ingredientSubstance>
                </ingredient>
                <ingredient classCode="ACTIB">
                  <quantity>
                    <numerator unit="[hp_X]" value="2"/>
                    <denominator unit="mL" value="30"/>
                  </quantity>
                  <ingredientSubstance>
                    <code code="7S82P3R43Z" codeSystem="2.16.840.1.113883.4.9"/>
                    <name>APIS MELLIFERA</name>
                    <activeMoiety>
                      <activeMoiety>
                        <code code="7S82P3R43Z" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>APIS MELLIFERA</name>
                      </activeMoiety>
                    </activeMoiety>
                  </ingredientSubstance>
                </ingredient>
                <ingredient classCode="ACTIB">
                  <quantity>
                    <numerator unit="g" value="0.3"/>
                    <denominator unit="mL" value="30"/>
                  </quantity>
                  <ingredientSubstance>
                    <code code="6XEF22AHC3" codeSystem="2.16.840.1.113883.4.9"/>
                    <name>BERBERIS VULGARIS FRUIT</name>
                    <activeMoiety>
                      <activeMoiety>
                        <code code="6XEF22AHC3" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>BERBERIS VULGARIS FRUIT</name>
                      </activeMoiety>
                    </activeMoiety>
                  </ingredientSubstance>
                </ingredient>
                <ingredient classCode="ACTIB">
                  <quantity>
                    <numerator unit="[hp_X]" value="4"/>
                    <denominator unit="mL" value="30"/>
                  </quantity>
                  <ingredientSubstance>
                    <code code="0J48LPH2TH" codeSystem="2.16.840.1.113883.4.9"/>
                    <name>HYDROCHLOROTHIAZIDE</name>
                    <activeMoiety>
                      <activeMoiety>
                        <code code="0J48LPH2TH" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>HYDROCHLOROTHIAZIDE</name>
                      </activeMoiety>
                    </activeMoiety>
                  </ingredientSubstance>
                </ingredient>
                <ingredient classCode="ACTIB">
                  <quantity>
                    <numerator unit="[hp_X]" value="12"/>
                    <denominator unit="mL" value="30"/>
                  </quantity>
                  <ingredientSubstance>
                    <code code="E8S87O660T" codeSystem="2.16.840.1.113883.4.9"/>
                    <name>SUS SCROFA PITUITARY GLAND</name>
                    <activeMoiety>
                      <activeMoiety>
                        <code code="E8S87O660T" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>SUS SCROFA PITUITARY GLAND</name>
                      </activeMoiety>
                    </activeMoiety>
                  </ingredientSubstance>
                </ingredient>
                <ingredient classCode="ACTIB">
                  <quantity>
                    <numerator unit="g" value="0.3"/>
                    <denominator unit="mL" value="30"/>
                  </quantity>
                  <ingredientSubstance>
                    <code code="08A7Y81S1P" codeSystem="2.16.840.1.113883.4.9"/>
                    <name>HIERACIUM PILOSELLA FLOWERING TOP</name>
                    <activeMoiety>
                      <activeMoiety>
                        <code code="08A7Y81S1P" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>HIERACIUM PILOSELLA FLOWERING TOP</name>
                      </activeMoiety>
                    </activeMoiety>
                  </ingredientSubstance>
                </ingredient>
                <ingredient classCode="ACTIB">
                  <quantity>
                    <numerator unit="g" value="0.3"/>
                    <denominator unit="mL" value="30"/>
                  </quantity>
                  <ingredientSubstance>
                    <code code="5405K23S50" codeSystem="2.16.840.1.113883.4.9"/>
                    <name>SOLIDAGO VIRGAUREA FLOWERING TOP</name>
                    <activeMoiety>
                      <activeMoiety>
                        <code code="5405K23S50" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>SOLIDAGO VIRGAUREA FLOWERING TOP</name>
                      </activeMoiety>
                    </activeMoiety>
                  </ingredientSubstance>
                </ingredient>
                <ingredient classCode="ACTIB">
                  <quantity>
                    <numerator unit="[hp_X]" value="4"/>
                    <denominator unit="mL" value="30"/>
                  </quantity>
                  <ingredientSubstance>
                    <code code="27O7W4T232" codeSystem="2.16.840.1.113883.4.9"/>
                    <name>SPIRONOLACTONE</name>
                    <activeMoiety>
                      <activeMoiety>
                        <code code="27O7W4T232" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>SPIRONOLACTONE</name>
                      </activeMoiety>
                    </activeMoiety>
                  </ingredientSubstance>
                </ingredient>
                <asContent>
                  <quantity>
                    <numerator unit="mL" value="30"/>
                    <denominator value="1"/>
                  </quantity>
                  <containerPackagedProduct>
                    <code/>
                    <formCode code="C43171" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="BOTTLE, DROPPER"/>
                    <asContent>
                      <quantity>
                        <numerator unit="1" value="1"/>
                        <denominator value="1"/>
                      </quantity>
                      <containerPackagedProduct>
                        <code code="17089-260-18" codeSystem="2.16.840.1.113883.6.69"/>
                        <formCode code="C43178" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="BOX"/>
                      </containerPackagedProduct>
                      <subjectOf>
                        <marketingAct>
                          <code code="C53292" codeSystem="2.16.840.1.113883.3.26.1.1"/>
                          <statusCode code="active"/>
                          <effectiveTime>
                            <low value="20181221"/>
                          </effectiveTime>
                        </marketingAct>
                      </subjectOf>
                    </asContent>
                  </containerPackagedProduct>
                  <subjectOf>
                    <characteristic>
                      <code code="SPLCMBPRDTP" codeSystem="2.16.840.1.113883.1.11.19255"/>
                      <value code="C112160" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="Type 0: Not a Combination Product" xsi:type="CV"/>
                    </characteristic>
                  </subjectOf>
                </asContent>
              </manufacturedProduct>
              <subjectOf>
                <approval>
                  <code code="C73614" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="unapproved homeopathic"/>
                  <author>
                    <territorialAuthority>
                      <territory>
                        <code code="USA" codeSystem="2.16.840.1.113883.5.28"/>
                      </territory>
                    </territorialAuthority>
                  </author>
                </approval>
              </subjectOf>
              <subjectOf>
                <marketingAct>
                  <code code="C53292" codeSystem="2.16.840.1.113883.3.26.1.1"/>
                  <statusCode code="active"/>
                  <effectiveTime>
                    <low value="20060523"/>
                  </effectiveTime>
                </marketingAct>
              </subjectOf>
              <consumedIn>
                <substanceAdministration>
                  <routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="ORAL"/>
                </substanceAdministration>
              </consumedIn>
            </manufacturedProduct>
          </subject>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7c877e-6c77-3c4c-e053-2991aa0aeb07">
          <id root="7e7c877e-6c76-3c4c-e053-2991aa0aeb07"/>
          <code code="34067-9" codeSystem="2.16.840.1.113883.6.1" displayName="INDICATIONS &amp; USAGE SECTION"/>
          <title>1. INDICATIONS AND USAGE</title>
          <text>
            <paragraph>
              <br/>
1.1 Temporary relief of fluid retention 
  <br/>
1.2 Tissue swelling and related disconforts 
  <br/>
              <br/>
              <br/>
              <br/>
              <br/>
            </paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7c7fc0-4d0c-4443-e053-2991aa0a18dd">
          <id root="7e7c7fc0-4d0b-4443-e053-2991aa0a18dd"/>
          <code code="34068-7" codeSystem="2.16.840.1.113883.6.1" displayName="DOSAGE &amp; ADMINISTRATION SECTION"/>
          <title>2. DOSAGE AND ADMINISTRATION</title>
          <text>
            <paragraph>Adults: 20 drops in a little water, 2 times per day for an avarage of two months.</paragraph>
            <paragraph>Stop use and ask a doctor if symptoms persist more than 5 days.</paragraph>
            <paragraph>Administration may very according to individual needs.</paragraph>
            <paragraph>GUNA-DIUR may be used together with other homeopthic medicines.</paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7cb50d-c97d-5c01-e053-2a91aa0a68a5">
          <id root="7e7cb50d-c97c-5c01-e053-2a91aa0a68a5"/>
          <code code="43678-2" codeSystem="2.16.840.1.113883.6.1" displayName="DOSAGE FORMS &amp; STRENGTHS SECTION"/>
          <title>3. DOSAGE FORMS AND STRENGTHS</title>
          <text>
            <paragraph>3.1.    30 ml Bottle dropper container contains: 
  <br/>
Active ingredients:  Amiloride 4X 0.006 ml, Apis Mellifica 2X 0.626 ml, Berberis Vulgaris T 0.314 ml, Hydrochlorothiazide 4X 0.006 ml, Hypophysis 12X 6.314 ml, Mouse-Ear Hawkweed T 6.314 ml, Solidago Virgaurea T 0.314 ml, Spironolactone 4X 0.006 ml.
  <br/>
Inactive Ingredient: Ethylic Alcohol 30%
  <br/>
              <br/>
              <br/>
            </paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7cae9d-954f-d131-e053-2991aa0a26ef">
          <id root="7e7cae9d-954e-d131-e053-2991aa0a26ef"/>
          <code code="34070-3" codeSystem="2.16.840.1.113883.6.1" displayName="CONTRAINDICATIONS SECTION"/>
          <title>4. CONTRAINDICATIONS</title>
          <text>
            <paragraph>4.1.    There is no history of hypersensitivity to GUNA-DIUR. However, do not use if you are hypersensitive to any of the active ingredients of Guna-Diur.</paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7cbd03-2fb6-574b-e053-2a91aa0a58db">
          <id root="7e7cbd03-2fb5-574b-e053-2a91aa0a58db"/>
          <code code="43685-7" codeSystem="2.16.840.1.113883.6.1" displayName="WARNINGS AND PRECAUTIONS SECTION"/>
          <title>5. WARNINGS AND PRECAUTIONS</title>
          <text>
            <paragraph>5.1.    GUNA-DIUR is contraindicated in patients with anuria and in patients with a history of hypersensitivity to Spironolactone, Amiloride, or Hydrocholorthiazide.
  <br/>
              <br/>
5.2.    Use with caution in patients taking diuretic medications.
 </paragraph>
            <paragraph/>
            <paragraph>5.3 Keep out of reach of children.
  <br/>
              <br/>
              <br/>
            </paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section>
          <id root="7e7c2115-7304-9ca5-e053-2a91aa0ae101"/>
          <code code="34084-4" codeSystem="2.16.840.1.113883.6.1" displayName="ADVERSE REACTIONS SECTION"/>
          <title>6. ADVERSE REACTIONS</title>
          <text>
            <paragraph>6.1.    None known (see CONTRAINDICATIONS for hypersensitivity information).
       
 
  <br/>
            </paragraph>
          </text>
          <effectiveTime value="20100621"/>
        </section>
      </component>
      <component>
        <section>
          <id root="7e7c2115-7305-9ca5-e053-2a91aa0ae101"/>
          <code code="34073-7" codeSystem="2.16.840.1.113883.6.1" displayName="DRUG INTERACTIONS SECTION"/>
          <title>7. DRUG INTERACTIONS</title>
          <text>
            <paragraph>7.1.    None Known
       
 
  <br/>
            </paragraph>
          </text>
          <effectiveTime value="20100621"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7c2115-7315-9ca5-e053-2a91aa0ae101">
          <id root="7e7c2115-7314-9ca5-e053-2a91aa0ae101"/>
          <code code="43684-0" codeSystem="2.16.840.1.113883.6.1" displayName="USE IN SPECIFIC POPULATIONS SECTION"/>
          <title>8. USE IN SPECIFIC POPULATIONS</title>
          <text>
            <paragraph>8.1.    
  <content styleCode="bold">
                <content styleCode="italics">Pregnancy</content>
              </content>:  Pregnancy  category  C.  Animal reproduction studies have not been conducted with GUNA-DIUR.  GUNA®- DIUR should not be given to a pregnant woman. 
  <br/>
              <br/>
8.2.    
  <content styleCode="bold">
                <content styleCode="italics">Lactation</content>
              </content>:    It is not known whether any of the ingredients in GUNA- DIUR are secreted in human milk.  However, since many drugs are secreted in human milk, caution should be exercised when GUNA- DIUR is administered to a nursing woman.
  <br/>
              <br/>
8.3.    
  <content styleCode="bold">
                <content styleCode="italics">Pediatric use:</content>
              </content> Safety and effectiveness in pediatric patients have not been established.
 </paragraph>
            <paragraph>
              <br/>
8.4.    
  <content styleCode="bold">
                <content styleCode="italics">Geriatric use</content>
              </content>: No restrictions.
  <br/>
            </paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section>
          <id root="7e7c2115-7307-9ca5-e053-2a91aa0ae101"/>
          <code code="42227-9" codeSystem="2.16.840.1.113883.6.1" displayName="DRUG ABUSE AND DEPENDENCE SECTION"/>
          <title>9. DRUG ABUSE AND DEPENDENCE</title>
          <text>
            <paragraph>9.1.    No Known.</paragraph>
          </text>
          <effectiveTime value="20100621"/>
        </section>
      </component>
      <component>
        <section>
          <id root="7e7c2115-7308-9ca5-e053-2a91aa0ae101"/>
          <code code="34088-5" codeSystem="2.16.840.1.113883.6.1" displayName="OVERDOSAGE SECTION"/>
          <title>10. OVERDOSAGE</title>
          <text>
            <paragraph>10.1.    No Known.
       
 
  <br/>
            </paragraph>
          </text>
          <effectiveTime value="20100621"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7cb50d-c987-5c01-e053-2a91aa0a68a5">
          <id root="7e7cb50d-c986-5c01-e053-2a91aa0a68a5"/>
          <code code="34089-3" codeSystem="2.16.840.1.113883.6.1" displayName="DESCRIPTION SECTION"/>
          <title>11. DESCRIPTION</title>
          <text>
            <paragraph>11. 1 GUNA-DIUR is a homeopathic medicine indicated for the temporary relief of fluid retention, tissue swelling and related disconforts.</paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7cccdc-30da-675d-e053-2991aa0a0425">
          <id root="7e7cccdc-30d9-675d-e053-2991aa0a0425"/>
          <code code="34090-1" codeSystem="2.16.840.1.113883.6.1" displayName="CLINICAL PHARMACOLOGY SECTION"/>
          <title>12. CLINICAL PHARMACOLOGY</title>
          <text>
            <paragraph>12.1.   GUNA-DIUR exerts a diuretic effect. This is based on homeopthica Materia Medica and homeopathic principles.
  <br/>
              <br/>
12.2.    Pharmacodynamics
  <br/>
Not applicable to homeopthic medicinal products.
 </paragraph>
            <paragraph/>
            <paragraph>12.3.    Pharmacokinetics</paragraph>
            <paragraph>Not applicable to homeopthic medicinal products.</paragraph>
            <paragraph>
              <br/>
            </paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7cccdc-30dc-675d-e053-2991aa0a0425">
          <id root="7e7cccdc-30db-675d-e053-2991aa0a0425"/>
          <code code="43680-8" codeSystem="2.16.840.1.113883.6.1" displayName="NONCLINICAL TOXICOLOGY SECTION"/>
          <title>13. NONCLINICAL TOXICOLOGY</title>
          <text>
            <paragraph>13.1.  Not available.
  <br/>
              <br/>
              <br/>
            </paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7cccdc-30ff-675d-e053-2991aa0a0425">
          <id root="7e7cccdc-30fe-675d-e053-2991aa0a0425"/>
          <code code="34092-7" codeSystem="2.16.840.1.113883.6.1" displayName="CLINICAL STUDIES SECTION"/>
          <title>14. CLINICAL STUDIES</title>
          <text>
            <paragraph>14.1.    GUNA-DIUR efficacy is not supported by clinical studies. It is based on homeopathic Materia Medica and scientific literature.
  <br/>
            </paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section>
          <id root="7e7c2115-730d-9ca5-e053-2a91aa0ae101"/>
          <code code="34093-5" codeSystem="2.16.840.1.113883.6.1" displayName="REFERENCES SECTION"/>
          <title>15. REFERENCES</title>
          <text>
            <paragraph>15.1.    H.H. Reckeweg. Homeopathic Materia Medica.  Aurelia Verlag.
       
 
  <br/>15.2.    Boericke,  William,  Materia  Medica  with  Reperatory,  1927,  ninth edition
       
 
  <br/>
              <br/>
            </paragraph>
          </text>
          <effectiveTime value="20100621"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7cad32-02b9-4ab5-e053-2a91aa0ad233">
          <id root="7e7cad32-02b8-4ab5-e053-2a91aa0ad233"/>
          <code code="44425-7" codeSystem="2.16.840.1.113883.6.1" displayName="STORAGE AND HANDLING SECTION"/>
          <title>16. HOW SUPPLIED/STORAGE AND HANDLING</title>
          <text>
            <paragraph>16.1.    NDC  17089-260-18   Oral  Solution/Drops 30 mL
  <br/>
              <br/>
16.2.    Store at 20-25°C (68-77° F). Excursions permitted between 15°-30°C (59°-86°F).
  <br/>
              <br/>
            </paragraph>
          </text>
          <effectiveTime value="20181221"/>
        </section>
      </component>
      <component>
        <section>
          <id root="7e7c2115-730f-9ca5-e053-2a91aa0ae101"/>
          <code code="34076-0" codeSystem="2.16.840.1.113883.6.1" displayName="INFORMATION FOR PATIENTS SECTION"/>
          <title>17. PATIENT COUNSELING INFORMATION</title>
          <text>
            <paragraph>17.1.    Patients should be informed about Homeopathy and the main differences with conventional clinical approaches.
       
 
  <br/>
            </paragraph>
          </text>
          <effectiveTime value="20100621"/>
        </section>
      </component>
      <component>
        <section ID="id_link_7e7cad32-02bc-4ab5-e053-2a91aa0ad233">
          <id root="7e7cad32-02bb-4ab5-e053-2a91aa0ad233"/>
          <code code="51945-4" codeSystem="2.16.840.1.113883.6.1" displayName="PACKAGE LABEL.PRINCIPAL DISPLAY PANEL"/>
          <title>PACKAGE LABEL</title>
          <text>
            <paragraph>
              <renderMultiMedia referencedObject="img_7e7cad32-02ba-4ab5-e053-2a91aa0ad233"/>
            </paragraph>
          </text>
          <effectiveTime value="20181221"/>
          <component>
            <observationMedia ID="img_7e7cad32-02ba-4ab5-e053-2a91aa0ad233">
              <text>5USPIL-GUNA-DIUR-rev05-10-18</text>
              <value mediaType="image/jpeg" xsi:type="ED">
                <reference value="5USPIL-GUNA-DIUR-rev05-10-18.jpg"/>
              </value>
            </observationMedia>
          </component>
        </section>
      </component>
    </structuredBody>
  </component>
</document>