Country: United Kingdom
Language: English
Source: MHRA (Medicines & Healthcare Products Regulatory Agency)
Nifedipine
Zentiva Pharma UK Ltd
C08CA05
Nifedipine
60mg
Modified-release tablet
Oral
No Controlled Drug Status
Caution - AMP level prescribing advised
BNF: 02060200; GTIN: 5000283605508
FPO FPO Front Back PATIENT INFORMATION LEAFLET VALNI XL 30MG & 60MG PROLONGED RELEASE TABLETS Nifedipine Read all of this leaflet carefully before you start taking this medicine. • 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. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. • If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist (See section 4). In this leaflet: 1. What VALNI XL is and what it is used for 2. Before you take VALNI XL 3. How to take VALNI XL 4. Possible side effects 5. How to store VALNI XL 6. Contents of the pack and other information 1. WHAT VALNI XL IS AND WHAT IT IS USED FOR VALNI XL Prolonged Release Tablets contain nifedipine which belongs to a group of medicines called calcium- channel blockers that act on the cardiovascular system (the heart and blood vessels). VALNI XL has been prescribed by your doctor to treat your high blood pressure or to reduce the frequency of your anginal attacks. They are called prolonged release tablets because they are manufactured in a way that allows the nifedipine to be released and slowly absorbed by your body over a period of several hours. In high blood pressure, nifedipine works by widening the blood vessels. This creates less resistance to the blood flow, and results in lower blood pressure, which in turn reduces the strain on your heart. In angina, nifedipine works by opening up the arteries supplying the heart muscle and this allows more blood and oxygen to reach the muscle, decreasing the chances of angina (chest pains) occurring when extra strain is placed upon the heart. 2. BEFORE YOU TAKE VALNI XL Do not take VALNI XL: • if you are allergic to nifedipine, other calcium-channel blockers (e.g verapamil, diltiazem or felodipine) or any of the other ingredients of VALNI XL • if you have been told t Read the complete document
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT VALNI XL 60 mg PROLONGED RELEASE TABLETS 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each prolonged release tablet contains 60 mg of nifedipine For the full list of excipients see section 6.1. 3 PHARMACEUTICAL FORM Prolonged release tablet Each pale red tablet is round and biconvex and embossed with "60" on one side. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS The tablets are indicated for: - the treatment of all grades of hypertension - the prophylaxis of chronic stable angina pectoris, either as monotherapy or in combination with a beta-blocker 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology It is recommended that each dose should be taken at approximately 24 hours intervals i.e. at the same time each day, preferably in the morning. _Adults:_ In mild to moderate hypertension the recommended initial dose is one 20 mg tablet once daily. In severe hypertension and the prophylaxis of angina pectoris the recommended initial dose is one 30 mg tablet once daily. The dose may be adjusted to a maximum of 90 mg once daily. Prophylactic anti-anginal efficacy is maintained when patients are switched from other calcium antagonists e.g. verapamil or diltiazem to Valni XL. When patients are switched from other calcium antagonists, the recommended initial dose is 30 mg nifedipine, once daily. Subsequent titration to a higher dosage should be according to clinical response. Co-administration with CYP 3A4 inhibitors or CYP 3A4 inducers may result in the recommendation to adapt the nifedipine dose or not to use nifedipine at all (see Section 4.5). _Elderly:_ Based on pharmacokinetic data for nifedipine. No dose adaption in elderly people above 65 years is necessary _Patients with Renal Impairment:_ Based on pharmacokinetic data, dosage adjustments should not be required for patients with impaired renal function (see section 5.2). _ _ _Paediatric population:_ The safety and efficacy of nifedipine in children below 18 years of age has not been established. Read the complete document