The appellants, Adcock Ingram Intellectual Property (Pty) Ltd and its licensee Adcock Healthcare (Pty) Ltd, were proprietors and users of the registered trade mark ZETOMAX in class 5 for pharmaceutical and related goods. ZETOMAX is a generic prescription medicine containing Lisinopril. The first respondent, Cipla Medpro (Pty) Ltd, later registered the trade mark ZEMAX, also in class 5, for a wide range of pharmaceutical and related goods, and marketed ZEMAX as a generic Lisinopril medicine. Adcock sought removal of ZEMAX from the trade marks register under s 24 read with s 10(14) of the Trade Marks Act 194 of 1993, contending that ZEMAX was so similar to ZETOMAX that its use would be likely to deceive or cause confusion. The High Court dismissed the application, holding that in the specialised prescription medicine market confusion was unlikely. Adcock appealed to the Supreme Court of Appeal.