Country: Malta
Bahasa: Inggeris
Sumber: Medicines Authority
NIFEDIPINE
Remedica Limited Limassol Industrial Estate, Aharnon Street, 3056 Limassol, Cyprus
C08CA05
NIFEDIPINE 20 mg
TABLET
NIFEDIPINE 20 mg
POM
CALCIUM CHANNEL BLOCKERS
Authorised
2006-11-07
Page 1 of 7 PACKAGE LEAFLET: INFORMATION FOR THE PATIENT NIFELAT R 20 MG MODIFIED-RELEASE TABLETS Nifedipine READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START TAKING THIS MEDICINE BECAUSE IT CONTAINS IMPORTANT INFORMATION FOR YOU. - 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 only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. - If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4. WHAT IS IN THIS LEAFLET 1. What Nifelat R is and what it is used for 2. What you need to know before you take Nifelat R 3. How to take Nifelat R 4. Possible side effects 5. How to store Nifelat R 6. Contents of the pack and other information 1. WHAT NIFELAT R IS AND WHAT IT IS USED FOR Nifelat R contains nifedipine, which belongs to a group of drugs called calcium antagonists_. _ Nifelat R is used to treat high blood pressure or angina (chest pain). For high blood pressure: Nifelat R 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: Nifelat R 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 NIFELAT R DO NOT TAKE NIFELAT R: if you are allergic to the active ingredient (nifedipine), to any of the other ingredients or to any other similar medicines (known as dihydropyridines). The ingredients of Nifelat R are listed in section 6. if you have been told that you have a narrowing of the aortic heart valve (stenosis). Page 2 of 7 if you have ever had a collapse caused by a heart problem (cardiogenic sho Baca dokumen lengkap
Page 1 of 10 SUMMARY OF PRODUCT CHARACTERISTICS 1. TRADE NAME OF THE MEDICAL PRODUCT Nifelat R 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Nifedipine BP 20 mg 3. PHARMACEUTICAL FORM Film-coated tablets. 4. CLINICAL INFORMATION 4.1 THERAPEUTIC INDICATIONS For the prophylaxis of chronic stable angina pectoris and the treatment of hypertension. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Method of administration Oral use. As a rule, tablets are swallowed whole with a little liquid, either with or without food. Nifelat R should not be taken with grapefruit juice (see Section 4.5). Dosage regimen After treatment with 20mg per day the dose may be titrated 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). Duration of treatment Treatment may be continued indefinitely. Additional information on special populations Children and adolescents The safety and efficacy of Nifelat R in children below 18 years of age has not been established. Geriatric patients The pharmacokinetics of Nifelat R are altered in the elderly 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 Page 2 of 10 Based on pharmacokinetic data, no dosage adjustment is required in patients with renal impairment (see Section 5.2). 4.3 CONTRA-INDICATIONS Nifelat R must not be administered to patients with known hypersensitivity to nifedipine, or to other dihydropyridines because of the theoretical risk of cross- reactivity, or to any of the excipients. Nifelat R is contraindicated in pregnancy before week 20 and during breastfeeding (see Sections 4.4, 4.6 and 5.3). Nifelat R must not be used in cases of c Baca dokumen lengkap