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Acipimox 250mg Capsules

Document: leaflet MAH BRAND_PLPI 20636-2606 change

2606

23.10.14[2]


Olbetam® 250 mg Capsules

(acipimox)

PATIENT INFORMATION LEAFLET

This medicine is available using any one of the above names but will be referred to as Olbetam Capsules throughout this 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 any possible side effects not listed in this leaflet.

What is in this leaflet

1.    What Olbetam Capsules are and what they are used for

2.    What you need to know before you take Olbetam Capsules

3.    How to take Olbetam Capsules

4.    Possible side effects

5.    How to store Olbetam Capsules

6.    Contents of the pack and other information

1. WHAT OLBETAM CAPSULES ARE AND WHAT THEY ARE USED FOR

This medicine contains acipimox, which is used to treat lipid disorders by reducing high blood levels of certain types of fats called triglycerides. Olbetam Capsules should only be used in patients where diet alone or other non-drug measures (weight loss or exercise) failed to correct the levels of these fats.

Olbetam Capsules should be used in addition to other medicines, such as medicines called ‘statins' or ‘fibrates' or instead of these medicines where they may not be appropriate or of expected benefit.

Olbetam Capsules prevent the release of fatty acids from fatty tissue and decrease the blood level of triglyceride and cholesterol.

Your doctor will advise you whether Olbetam Capsules will be of benefit to you in reducing the level of fat in your blood.

Your doctor will prescribe this medicine to you only once it is clear that low fat diets and stopping drinking alcohol are not having the desired effect.

You must talk to your doctor if you do not feel better or if you feel worse.

2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE OLBETAM CAPSULES

Do not take Olbetam Capsules:

-    If you are allergic to acipimox or any of the other ingredients of this medicine (listed in section 6).

-    If you have an ulcer affecting the stomach or gut.

-    If you have a severe kidney problem. Your doctor will tell you if this is the case.

Warnings and precautions

Talk to your doctor or pharmacist before taking Olbetam Capsules.

-    This medicine is not effective for all lipid disorders.

-    You should have made changes to your diet, alcohol intake and physical exercise before being given this medicine.

-    This medicine is for long term use, blood tests should be performed before taking this medicine, and at regular intervals during treatment.

-    Your kidney and liver functions should be monitored while you are taking this medicine.

-    Tell your doctor if you are taking other medicines to reduce blood fat levels (see Other medicines and Olbetam).

-    This medicine is not given to prevent heart disease.

-    Your doctor will assess how well this medicine is working for you based on your response to it over time.

-    Tell your doctor immediately if you have unexplained muscle pain, muscle tenderness or muscle weakness while you are taking this medicine.

Other medicines and Olbetam

Tell your doctor if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription. Please tell your doctor if you are taking any other lipid lowering agents. Although no interaction has been shown with other lipid lowering agents, caution should be taken if Olbetam Capsules are used in combination with statins (e.g. simvastatin) or fibrates (e.g. clofibrate).

The absorption of Olbetam Capsules is not affected by taking colestyramine (another lipid lowering agent) at the same time.

Pregnancy and Breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Olbetam does not affect the ability to drive and operate machines, however please consult your doctor if you wish to drive whilst taking Olbetam Capsules.

3. HOW TO TAKE OLBETAM CAPSULES

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

The usual dosage is one 250 mg capsule 2 or 3 times a day. This should be taken with or after main meals. The capsules should be swallowed with a glass of water.

If you have mild kidney problems you may need to take a lower dose and to take your tablets less often. The doctor will advise you how much to take and how often (usually one capsule 1 or 2 times a day).

If you take more Olbetam Capsules than you should

If you accidentally take more than the recommended dose, your doctor should be contacted immediately.

If you forget to take Olbetam Capsules

If you forget to take your medicine, take it as soon as you remember. If it is nearly time for the next dose, take it at the usual time. Do not take a double dose to make up for a forgotten dose.

If you stop taking Olbetam Capsules

Do not stop taking your medicine or alter the dose you are currently taking without seeing your doctor first.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Please contact your doctor immediately if any of the following side effects occur:

-    Serious allergic reaction which causes difficulty in breathing (due to narrowing of the airways), swelling of the tongue, throat, face and / or neck. These effects are uncommon.

-    Dilation of blood vessels in the skin causing a feeling of heat, flushing or itching, rash or redness. These reactions usually disappear quickly during the first day of treatment.

Other side effects may include:

Very common side effects which may affect more than 1 user in 10:

-    Headache

-    Flushing

-    Indigestion

Common side effects which may affect up to 1 in 10 users:

-    Stomach ache

-    Weakness

-    Hives

Uncommon side effects may affect up to 1 in 100 users:

-    Serious allergic reaction which causes difficulty in breathing or dizziness

-    Difficulty in breathing or wheezing

-    Nausea (feeling sick)

-    Rash, itching, redness

-    Inflammation of muscle tissue causing pain in the muscles and joints

-    Feeling hot, malaise (generally not feeling well)

Other side effects (it is not known how often they affect people):

-    Eye problems including dry or gritty eye

-    Vasodilatation (widening of the blood vessels)

-    Diarrhoea

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. Also you can help to make sure that medicines remain as safe as possible by reporting any unwanted side effects via the internet at www.mhra.gov.uk/vellowcard. or fill in a paper form available from your local pharmacy.

5.    HOW TO STORE OLBETAM CAPSULES

Keep out of the sight and reach of children.

Do not store above 25oC.

Store in the original package in order to protect from light.

Do not use this medicine after the expiry date printed on the carton or blister after EXP. The expiry date refers to the last day of that month.

If your doctor decides to stop treatment, return any left over capsules to your pharmacist. Only keep them if your doctor tells you to.

If your capsules become discoloured or any other signs of deterioration please contact your doctor or pharmacist before taking this medicine.

Medicines should not be disposed of via wastewater or household waste. Ask you pharmacist how to dispose of medicine if no longer required.

These measures will help to protect the environment

6.    CONTENTS OF THE PACK AND OTHER INFORMATION What Olbetam contains

Each capsule contains 250mg acipimox.

The capsules also contain pregelatinised maize starch, silicon dioxide, magnesium stearate, sodium lauryl sulphate, gelatin, titanium dioxide (E171), red iron oxide (E172) and yellow iron oxide (E172).

What Olbetam look like and contents of the pack

Olbetam are hard gelatin capsules, dark pink body and red-brown cap, containing a white to cream powder.

The capsules are available in blister packs (strips of 10) packed in cartons of 30, 60 and 90 capsules.

MANUFACTURER AND PRODUCT LICENCE HOLDER

Manufactured by Pfizer Italia S.r.l., Ascoli Piceno, Italy. Procured from the EU by Product Licence holder

Star Pharmaceuticals Ltd., 5 Sandridge Close, Harrow, Middlesex,

HA1 1XD. Repackaged by Servipharm Ltd.

| POM | | PL No: 20636/2606

Leaflet revision and issue date (Ref) 23.10.14[2]

Olbetam is a trademark of Pfizer Italia Srl.

2606

23.10.14[2]


Acipimox 250 mg Capsules

PATIENT INFORMATION LEAFLET

This medicine is available using any one of the above names but will be referred to as Acipimox Capsules throughout this 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 any possible side effects not listed in this leaflet.

What is in this leaflet

1.    What Acipimox Capsules are and what they are used for

2.    What you need to know before you take Acipimox Capsules

3.    How to take Acipimox Capsules

4.    Possible side effects

5.    How to store Acipimox Capsules

6.    Contents of the pack and other information

1.    WHAT ACIPIMOX CAPSULES ARE AND WHAT THEY ARE USED FOR

This medicine contains acipimox, which is used to treat lipid disorders by reducing high blood levels of certain types of fats called triglycerides. Acipimox Capsules should only be used in patients where diet alone or other non-drug measures (weight loss or exercise) failed to correct the levels of these fats.

Acipimox Capsules should be used in addition to other medicines, such as medicines called ‘statins' or ‘fibrates' or instead of these medicines where they may not be appropriate or of expected benefit.

Acipimox Capsules prevent the release of fatty acids from fatty tissue and decrease the blood level of triglyceride and cholesterol.

Your doctor will advise you whether Acipimox Capsules will be of benefit to you in reducing the level of fat in your blood.

Your doctor will prescribe this medicine to you only once it is clear that low fat diets and stopping drinking alcohol are not having the desired effect.

You must talk to your doctor if you do not feel better or if you feel worse.

2.    WHAT YOU NEED TO KNOW BEFORE YOU TAKE ACIPIMOX CAPSULES

Do not take Acipimox Capsules:

-    If you are allergic to acipimox or any of the other ingredients of this medicine (listed in section 6).

-    If you have an ulcer affecting the stomach or gut.

-    If you have a severe kidney problem. Your doctor will tell you if this is the case.

Warnings and precautions

Talk to your doctor or pharmacist before taking Acipimox Capsules.

-    This medicine is not effective for all lipid disorders.

-    You should have made changes to your diet, alcohol intake and physical exercise before being given this medicine.

-    This medicine is for long term use, blood tests should be performed before taking this medicine, and at regular intervals during treatment.

-    Your kidney and liver functions should be monitored while you are taking this medicine.

-    Tell your doctor if you are taking other medicines to reduce blood fat levels (see Other medicines and Acipimox).

-    This medicine is not given to prevent heart disease.

-    Your doctor will assess how well this medicine is working for you based on your response to it over time.

-    Tell your doctor immediately if you have unexplained muscle pain, muscle tenderness or muscle weakness while you are taking this medicine.

Other medicines and Acipimox

Tell your doctor if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription. Please tell your doctor if you are taking any other lipid lowering agents. Although no interaction has been shown with other lipid lowering agents, caution should be taken if Acipimox Capsules are used in combination with statins (e.g. simvastatin) or fibrates (e.g. clofibrate).

The absorption of Acipimox Capsules is not affected by taking colestyramine (another lipid lowering agent) at the same time.

Pregnancy and Breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Acipimox does not affect the ability to drive and operate machines, however please consult your doctor if you wish to drive whilst taking Acipimox Capsules.

3. HOW TO TAKE ACIPIMOX CAPSULES

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

The usual dosage is one 250 mg capsule 2 or 3 times a day. This should be taken with or after main meals. The capsules should be swallowed with a glass of water.

If you have mild kidney problems you may need to take a lower dose and to take your tablets less often. The doctor will advise you how much to take and how often (usually one capsule 1 or 2 times a day).

If you take more Acipimox Capsules than you should

If you accidentally take more than the recommended dose, your doctor should be contacted immediately.

If you forget to take Acipimox Capsules

If you forget to take your medicine, take it as soon as you remember. If it is nearly time for the next dose, take it at the usual time. Do not take a double dose to make up for a forgotten dose.

If you stop taking Acipimox Capsules

Do not stop taking your medicine or alter the dose you are currently taking without seeing your doctor first.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Please contact your doctor immediately if any of the following side effects occur:

-    Serious allergic reaction which causes difficulty in breathing (due to narrowing of the airways), swelling of the tongue, throat, face and / or neck. These effects are uncommon.

-    Dilation of blood vessels in the skin causing a feeling of heat, flushing or itching, rash or redness. These reactions usually disappear quickly during the first day of treatment.

Other side effects may include:

Very common side effects which may affect more than 1 user in 10:

-    Headache

-    Flushing

-    Indigestion

Common side effects which may affect up to 1 in 10 users:

-    Stomach ache

-    Weakness

-    Hives

Uncommon side effects may affect up to 1 in 100 users:

-    Serious allergic reaction which causes difficulty in breathing or dizziness

-    Difficulty in breathing or wheezing

-    Nausea (feeling sick)

-    Rash, itching, redness

-    Inflammation of muscle tissue causing pain in the muscles and joints

-    Feeling hot, malaise (generally not feeling well)

Other side effects (it is not known how often they affect people):

-    Eye problems including dry or gritty eye

-    Vasodilatation (widening of the blood vessels)

-    Diarrhoea

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. Also you can help to make sure that medicines remain as safe as possible by reporting any unwanted side effects via the internet at www.mhra.gov.uk/vellowcard. or fill in a paper form available from your local pharmacy.

5.    HOW TO STORE ACIPIMOX CAPSULES

Keep out of the sight and reach of children.

Do not store above 25oC.

Store in the original package in order to protect from light.

Do not use this medicine after the expiry date printed on the carton or blister after EXP. The expiry date refers to the last day of that month.

If your doctor decides to stop treatment, return any left over capsules to your pharmacist. Only keep them if your doctor tells you to.

If your capsules become discoloured or any other signs of deterioration please contact your doctor or pharmacist before taking this medicine.

Medicines should not be disposed of via wastewater or household waste. Ask you pharmacist how to dispose of medicine if no longer required.

These measures will help to protect the environment

6.    CONTENTS OF THE PACK AND OTHER INFORMATION What Acipimox contains

Each capsule contains 250mg acipimox.

The capsules also contain pregelatinised maize starch, silicon dioxide, magnesium stearate, sodium lauryl sulphate, gelatin, titanium dioxide (E171), red iron oxide (E172) and yellow iron oxide (E172).

What Acipimox look like and contents of the pack

Acipimox are hard gelatin capsules, dark pink body and red-brown cap, containing a white to cream powder.

The capsules are available in blister packs (strips of 10) packed in cartons of 30, 60 and 90 capsules.

MANUFACTURER AND PRODUCT LICENCE HOLDER

Manufactured by Pfizer Italia S.r.l., Ascoli Piceno, Italy. Procured from the EU by Product Licence holder

Star Pharmaceuticals Ltd., 5 Sandridge Close, Harrow, Middlesex,

HA1 1XD. Repackaged by Servipharm Ltd.

| POM | | PL No: 20636/2606

Leaflet revision and issue date (Ref) 23.10.14[2]