Nchi: Malta
Lugha: Kiingereza
Chanzo: Malta Medicines Authority
ENALAPRIL MALEATE, LERCANIDIPINE HYDROCHLORIDE
Recordati Ireland Limited Raheens East, Ringaskiddy Co. Cork, Ireland
C09BB02
ENALAPRIL MALEATE 20 mg LERCANIDIPINE HYDROCHLORIDE 20 mg
FILM-COATED TABLET
ENALAPRIL MALEATE 20 mg LERCANIDIPINE HYDROCHLORIDE 20 mg
POM
AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM
Authorised
2014-05-15
Page 1 of 9 PACKAGE LEAFLET: INFORMATION FOR THE USER _ZANIPRESS_ 20 MG/20 MG FILM-COATED TABLETS ENALAPRIL MALEATE/LERCANIDIPINE HYDROCHLORIDE 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 _Zanipress_ is and what it is used for 2. What you need to know before you take _Zanipress_ 3. How to take _Zanipress_ 4. Possible side effects 5. How to store _Zanipress_ 6. Contents of the pack and other information 1. WHAT _ZANIPRESS_ IS AND WHAT IT IS USED FOR _Zanipress_ is a fixed combination of an ACE-inhibitor (enalapril maleate) and a calcium channel blocker (lercanidipine hydrochloride), two medicines that lower blood pressure. _Zanipress_ is used to treat high blood pressure (hypertension) in adult patients who are currently taking enalapril and lercanidipine as separate tablets. 2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE _ZANIPRESS_ DO NOT TAKE _ZANIPRESS_: • If you are allergic (hypersensitive) to enalapril maleate or lercanidipine hydrochloride or to any other ingredients of this medicine (listed in section 6). • If you have ever had an allergic reaction to a type of medicine similar to those contained in _Zanipress_ , i.e. medicines called ACE-inhibitors or calcium channel blockers. • If you have ever had swelling of your face, lips, mouth, tongue or throat which caused difficulty in swallowing or breathing (angioedema) after taking a type of medicine called ACE-inhibitors, or when the reason why was not known or it was inherited. • If you have taken or are currently taking sacubitril Soma hati kamili
Page 1 of 23 SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCT _Zanipress_ 20 mg/20 mg film-coated tablets 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each film-coated tablet contains 20 mg enalapril maleate (equivalent to 15.29 mg enalapril) and 20 mg lercanidipine hydrochloride (equivalent to 18.88 mg lercanidipine). Excipient with known effects: each tablet contains 204 mg lactose monohydrate. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Film-coated tablet. Orange, circular, biconvex, tablets of 12 mm. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Treatment of essential hypertension as substitution therapy in adult patients whose blood pressure is adequately controlled with enalapril 20 mg lercanidipine 20 mg and given concurrently as separate tablets. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology The recommended dose is one tablet once a day at least 15 minutes before a meal. _ _ _Elderly:_ The dose should depend on the patient's renal function (see "Use in renal impairment"). _Renal impairment:_ _Zanipress_ is contraindicated in patients with severe renal dysfunction (creatinine clearance <30 ml/min) or in patients undergoing haemodialysis (see section 4.3 and 4.4). Particular caution is needed when initiating treatment in patients with mild to moderate renal dysfunction. _Hepatic impairment: _ _Zanipress_ is contraindicated in severe hepatic dysfunction. Particular caution is needed when initiating treatment in patients with mild to moderate hepatic dysfunction. _Paediatric population: _ There is no relevant use of _Zanipress_ in the paediatric population in the indication of hypertension. Method of administration _Precautions to be taken before handling or administering the medicinal product_ : - Treatment should be preferably administered in the morning at least 15 minutes before breakfast. - This product should not be administered with grapefruit juice (see section 4.3 and 4.5). Page 2 of 23 4.3 CONTRAINDICATIONS • Hypersensitivity to any ACE-inh Soma hati kamili