Krajina: Spojené kráľovstvo
Jazyk: angličtina
Zdroj: MHRA (Medicines & Healthcare Products Regulatory Agency)
Diltiazem hydrochloride
Sigma Pharmaceuticals Plc
C08DB01
Diltiazem hydrochloride
60mg
Modified-release tablet
Oral
No Controlled Drug Status
Caution - AMP level prescribing advised
BNF: 02060200
PACKAGE LEAFLET: INFORMATION FOR THE USER TILDIEM® 60MG MODIFIED-RELEASE TABLETS (diltiazem hydrochloride) The name of your medicine is Tildiem 60mg Modified-Release Tablets, but will be referred to as Tildiem throughout the remainder of the leaflet. 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 possible side effects not listed in this leaflet. See section 4. WHAT IS IN THIS LEAFLET: 1. What Tildiem is and what it is used for 2. What you need to know before you take Tildiem 3. How to take Tildiem 4. Possible side effects 5. How to store Tildiem 6. Contents of the pack and other information 1. WHAT TILDIEM IS AND WHAT IT IS USED FOR Tildiem contains a medicine called diltiazem hydrochloride. This belongs to a group of medicines called ‘calcium-channel blockers’. It works by making your blood vessels wider, which makes it easier for your heart to pump blood around the body. This helps to prevent the chest pain caused by angina. TILDIEM IS USED FOR: • Angina (chest pain) • Stopping you getting angina in the future 2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE TILDIEM DO NOT TAKE THIS MEDICINE IF: • You are allergic (hypersensitive) to diltiazem hydrochloride or any of the other ingredients of Tildiem (listed in section 6). • Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue. • You are breast-feeding or planning to breast-feed (see below: ‘Pregnancy and breast-feeding’). • You are having a medicine called dantrolene used for severe muscle spasms or severe fever (see below: ‘Other medicines and T Prečítajte si celý dokument
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Tildiem 60mg Modified-Release Tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains 60 mg of the active substance diltiazem hydrochloride. Also contains: 125.5 mg of lactose monohydrate and 28 mg of hydrogenated castor oil. For a full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Modified release tablet. White, round, biconvex tablets engraved with`TILDIEM 60' or `DILT 60' or `DTZ 60' on one side. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Prophylaxis and treatment of Angina Pectoris 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Adults The usual dose is one tablet (60 mg) three times daily. However, patient responses may vary, and dosage requirements can differ significantly between individual patients. If necessary, the divided dose may be increased to 360mg/day. Higher doses up to 480mg/day have been used with benefit in some patients especially in unstable angina. There is no evidence of any decrease in efficacy at these high doses. Elderly and patients with impaired hepatic or renal function The recommended starting dose is one tablet (60 mg) twice daily. The heart rate should be measured regularly in these groups of patients and the dose should not be increased if the heart rate falls below 50 beats per minute. Paediatric population Safety and efficacy in children have not been established. Therefore, diltiazem is not recommended for use in children. 4.3 CONTRAINDICATIONS • Hypersensitivity to diltiazem or to any of the excipients listed in section 6.1. • Sick sinus syndrome, 2nd or 3rd degree AV block in patients without a functioning pacemaker. • Severe bradycardia (less than 50 beats per minute). Left ventricular failure with pulmonary stasis. • Lactation. • Concurrent use with dantrolene infusion (see section 4.5). • Combination with ivabradine (see section 4.5). 4.4 SPECIAL WARNINGS AND PRECAUTIONS FOR USE Patients with rare hereditary problems of galactose intolerance, the Lapp lactase defi Prečítajte si celý dokument