Negara: Inggris
Bahasa: Inggris
Sumber: MHRA (Medicines & Healthcare Products Regulatory Agency)
Nifedipine
Chiesi Ltd
C08CA05
Nifedipine
10mg
Modified-release tablet
Oral
No Controlled Drug Status
Caution - AMP level prescribing advised
BNF: 02060200; GTIN: 5028613000939
WHAT IS IN THIS LEAFLET 1. What Adipine™ MR is and what it is used for 2. What you need to know before you take Adipine™ MR 3. How to take Adipine™ MR 4. Possible side effects 5. How to store Adipine™ MR 6. Contents of the pack and other information 1. WHAT ADIPINE™ MR IS AND WHAT IT IS USED FOR Adipine™ MR contains the active substance nifedipine, which belongs to a group of medicines called _calcium antagonists. _ ADIPINE™ MR IS USED TO TREAT HIGH BLOOD PRES- SURE OR ANGINA (chest pain). For high blood pressure: Adipine™ MR works by relaxing and expanding the blood vessels. This makes the blood flow more easily and lowers blood pressure. Lower blood pressure reduces the strain on your heart. For angina: Adipine™ MR works by relaxing and expanding the arteries supplying the heart. This allows more blood and oxygen to reach the heart and decreases the strain on it. Your angina attacks will be less severe and less frequent if there is less strain on the heart. 2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE ADIPINE™ MR DO NOT TAKE ADIPINE™ MR • IF YOU ARE ALLERGIC to the active substance, to any other similar medicines (known as dihydro - pyridines) or to any of the other ingredients of this medicine (listed in section 6). • IF YOU HAVE HAD A HEART ATTACK within the last month. • IF YOU GET A SUDDEN ANGINA ATTACK. Adipine™ MR will not help relieve symptoms of angina quickly. • IF YOU HAVE UNSTABLE ANGINA. • IF YOU ARE TAKING RIFAMPICIN, an antibiotic. • IF YOU HAVE BEEN TOLD THAT YOU HAVE A NARROW- ING OF THE AORTIC HEART VALVE (stenosis). • IF YOU HAVE EVER HAD A COLLAPSE caused by a HEART PROBLEM (cardiogenic shock), during which you became breathless, pale and had a cold sweat and dry mouth. • IF YOUR BLOOD PRESSURE CONTINUES TO RISE despite treatment (malignant hypertension). • If you have been told to AVOID LACTOSE, that you have a hereditary condition called _LAPP LACTASE_ _DEFICIENCY_ or _ GLUCOSE-GALACTOSE MALABSORP-_ _TION._ WARNINGS AND PRECAUTIONS Talk to your doctor o Baca dokumen lengkapnya
OBJECT 1 ADIPINE MR 10MG TABLETS Summary of Product Characteristics Updated 16-Sep-2016 | Chiesi Limited 1. Name of the medicinal product Adipine MR 10 Adipine MR 20 2. Qualitative and quantitative composition _Adipine MR 10 _ One modified release tablet contains 10mg of nifedipine Excipient(s) with known effect: lactose monohydrate 39 mg _Adipine MR 20 _ One modified release tablet contains 20mg of nifedipine Excipient(s) with known effect: lactose monohydrate 36.2 mg For the full list of excipients, see section 6.1 3. Pharmaceutical form Modified release tablet Round, slightly biconvex, pink coated tablets with smooth surface. 4. Clinical particulars 4.1 Therapeutic indications • Hypertension • Prophylaxis of chronic stable angina pectoris 4.2 Posology and method of administration Posology The recommended starting dose of Adipine MR is 10 mg every 12 hours swallowed with water with subsequent titration of dosage according to response. Adipine MR permit titration of the initial dosage, which may be adjusted to 40 mg every 12 hours, to a maximum daily dose of 80 mg. 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). Method of administration Oral use. As a rule, tablets are swallowed whole with a little liquid, either with or without food. Adipine MR should not be taken with grapefruit juice (see section 4.5). Duration of treatment Treatment may be continued indefinitely. _Additional information on special populations_ _Older people (> 65 years)_ The pharmacokinetics of nifedipine are altered in older people so that lower maintenance doses of nifedipine may be required compared to younger patients. _Patients with hepatic impairment_ Nifedipine is metabolised primarily by the liver and therefore patients with liver dysfunction should be carefully monitored and in severe cases, a dose reduction may be necessary. _Patients with renal impairment_ Based on pharmacokinetic data, no dosage adjus Baca dokumen lengkapnya