Zanidip 20mg Film-Coated Tablets

Document: leaflet MAH BRAND_PLPI 18799-1786 change

PACKAGE LEAFLET: INFORMATION FOR THE USER

Zanidip® 20mg film-coated tablets

(lercanidipine hydrochloride)

The name of your medicine is Zanidip 20mg film-coated tablets but will be referred to as Zanidip throughout the remainder of this leaflet Please note that this leaflet also contain information about other strength Zanidip 20mg Film-coated Tablets.

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 Zanidip is and what it is used for

2. What you need to know Before you take Zanidip

3. How to take Zanidip

4. Possible side effects

5. How to store Zanidip

6. Content of the pack and other information

1. WHAT ZANIDIP IS AND WHAT IT IS USED FOR

Zanidip, lercanidipine hydrochloride, belongs to a group of medicines called Calcium Channel Blockers (dihydropyridine derivatives) that lower Blood pressure.

Zanidip is used to treat high blood pressure also known as hypertension in adults over the age of 18 years (it is not recommended for children under 18 years old).

2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE ZANIDIP

DO NOT TAKE ZANIDIP:

• If you are allergic (hypersensitive) to lercanidipine hydrochloride or to any other ingredients of Zanidip tablets.

• If You have had allergic reactions to drugs closely related to Zanidip tablets (such as amlodipine, nicardipine, felodipine, isradipine, nifedipine or lacidipine).

• If you are suffering from certain heart diseases:

- Untreated heart failure

- Obstruction to flow of blood from the heart

- Unstable angina (angina at rest or progressively increasing)

- Within one month of heart attack

• If You have severe liver or kidney problems

• If You are taking drugs that are inhibitors of CYP3A4 isoenzyme:

- Antifungal medicines (such as ketoconazole or itraconazole)

- Macrolide antibiotics (such as erythromycin or troleandomycin)

- Antivirals (such as ritonavir)

• If You are taking another drug called ciclosporin or cyclosporine (used after transplants to prevent organ rejection)

• With grapefruit or grapefruit juice.

Warning and precautions

Talk to your doctor or pharmacist before taking Zanidip:

• If You have certain other heart conditions which have not been treated by insertion of a pacemaker or have preexisting angina.

• If you have problems with your liver or kidneys or you are on dialysis.

You must tell your doctor if you think you are (or might become) pregnant or breast-feeding (see pregnancy, breast-feeding and fertility section).

Children and adolescents

The safety and efficacy of Zanidip in children aged up to 18 years have not been established.

No data are available.

OTHER MEDICINES AND ZANIDIP

Please tell your doctor or pharmacist if:

• You are taking or have recently taken any other medicines, including medicines obtained without a prescription

• You are taking beta-blockers e.g. metoprolol, diuretics (water tablets) or ACE-inhibitors (medicines to treat high blood pressure)

• You are taking cimetidine (more than 800 mg, a medicine for ulcers, indigestion, or heartburn)

• You are taking digoxin (a medicine to treat a heart problem)

• You are taking midazolam (a medicine that helps you sleep)

• You are taking rifampicin (a medicine to treat tubercolosis)

• You are taking astemizole or terfenadine (medicines for allergies)

• You are taking amiodarone or quinidine (medicines to treat a fast heart beat)

• You are taking phenytoin or carbamazepine (medicines for epilepsy). Your doctor will want to monitor your blood pressure more frequently than usual.

ZANIDIP WITH FOOD, DRINK AND ALCOHOL

• Please do not consume alcohol during treatment with Zanidip tablets since it may increase the effect of Zanidip tablets.

• Please do not take Zanidip tablets with grapefruit or grapefruit juice.

PREGNANCY, BREAST-FEEDING AND FERTILITY

Zanidip should not be used if you are pregnant or breastfeeding, think you may be pregnant or or are planning to have a baby or you are not using any contraceptive method.

Ask your doctor or pharmacist for advice before taking this medicine.

DRIVING AND USING MACHINES

Caution should be exercised because of the possibility of dizziness, weakness and tiredness and rarely sleepiness. Do not drive or use machines until you know how Zanidip affects you.

ZANIDIP CONTAINS LACTOSE

If you have been told by your doctor that you have intolerance to some sugars, e.g. intolerance to lactose, galactosaemia or glucose/galactose malabsorption syndrome, contact your doctor before taking this medicinal product, as the tablets contain lactose.

Do not use if you are pregnant or breast-feeding (see section Pregnancy, Breast-feeding and fertility for more information).

3. HOW TO TAKE ZANIDIP

Other possible side effects:

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. Adults: The recommended dose is 10mg once daily at the same time each day, preferably in the morning at least 15 minutes before breakfast, because a high fat meal significantly increases blood levels of the drug. Your doctor may advise you to increase the dose to one Zanidip 20mg daily, if needed.

The tablets should preferably be swallowed whole with some water.

Uncommon (affecting less than 1 out of 100 patients): headache, dizziness, faster heart beats, palpitations (heart pounding or racing), sudden reddening of the face, neck or upper chest, ankle swelling.

Rare (affecting less than 1 out of 1000 patients): sleepiness, feeling sick, vomiting, heartburn, stomach pain, diarrhoea; skin rash, muscle pain, passage of large amounts of urine, tiredness.

Use in Children: This medicine should not be used in children under 18 years of age.

Elderly patients: No adjustment of the daily dose is required. However, special care should be exercised in starting treatment.

Patients with liver or kidney problems: special care is needed in starting treatment in these patients and an increase in daily dose to 20mg should be approached with caution.

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

IF YOU TAKE MORE ZANIDIP THAN YOU SHOULD

Do not exceed the prescribed dose

If you take more than the prescribed dose or in the event of overdose, seek medical advice immediately and, if possible, take your tablets and/or the container with you.

Exceeding the correct dosage may cause blood pressure to become too low, and the heart to beat irregularly or faster. It may also lead to unconsciousness.

IF YOU FORGET TO TAKE ZANIDIP

If you forget to take your tablet simply miss that dose and then go on as before.

Do not take a double dose to make up for a forgotten dose.

IF YOU STOP TAKING ZANIDIP

If you stop taking Zanidip your blood pressure may increase again. Please consult your doctor before stopping the treatment.

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.

Some side effects can be serious:

If you experience any of these side effects tell your doctor straight away.

Rare (affecting less than 1 out of 1000 patients): angina pectoris (chest pain due to lack of blood to your heart).

Very rare (affecting less than 1 out of 10,000 patients): chest pain, fall in blood pressure, fainting and allergic reactions (symptoms include itching, rash, hives).

If you suffer from pre existing angina pectoris, with the group of medicines to which Zanidip belongs, you may experience increased frequency, duration or severity of these attacks. Isolated cases of heart attack may be observed.

Very rare (affecting less than 1 out of 10,000 patients): swelling of gums, changes in liver function (detected by blood tests), increase in the usual number of times one urinates.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.

By reporting side effects, you can help provide more information on the safety of this medicine.

5. HOW TO STORE ZANIDIP

Store in the original package.

KEEP ALL MEDICINES OUT OF THE SIGHT AND REACH OF CHILDREN

Do not use tablets after the expiry date, which is marked on both the outer carton and on each blister strip of tablets. Remember: this medicine has been prescribed for you. Do not give it to anyone else under any circumstances.

If the tablets become discolored or show any signs of deterioration, you should seek the advice of your pharmacist.

If your doctor tells you to stop taking this medicine, take any unused tablets back to your pharmacist for safe disposal. Only keep them if your doctor tells you to.

6. CONTENT OF THE PACK AND OTHER INFORMATION

WHAT ZANIDIP CONTAINS

Each film coated tablet contains 20mg of lercanidipine hydrochloride (equivalent to 18.8mg of lercanidipine)

Zanidip 20mg tablets also contain lactose monohydrate, microcrystalline cellulose, sodium starch glycolate, povidone K30, magnesium stearate, hypromellose, talc, titanium dioxide (E171), macrogol 6000, and ferric oxide (E172).

WHAT ZANIDIP LOOKS LIKE AND CONTENTS OF THE PACK

Zanidip 20mg tablets are film-coated, pink, circular tablets with a score line on one side and plain on the other.

ZANIDIP is available in blister packs of 50 or 100 tablets.

Manufactured by: Recordati Industria Chimica e Farmaceutica S.p.A. - Via Matteo, Civitali, 1 - 20148 Milan, Italy

Procured from within the EU and repackaged by the Product Licence holder: B&S Healthcare, Unit 4, Bradfield Road, Ruislip, Middlesex, HA4 0NU, UK

Zanidip 20mg film-coated Tablets - PL No: 18799/1786

Leaflet date: 05.11.2014

POM

Lercanidipine hydrochloride 20mg film-coated tablets

The name of your medicine is Lercanidipine hydrochloride 20mg film-coated tablets but will be referred to as Lercanipidine hydrochloride throughout the remainder of this leaflet. Please note that this leaflet also contain information about other strength Lercanipidine hydrochloride 10mg Film-coated Tablets.

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 Lercanidipine hydrochloride is and what it is used for

2. What you need to know Before you take Lercanidipine hydrochloride

3. How to take Lercanidipine hydrochloride

4. Possible side effects

5. How to store Lercanidipine hydrochloride

6. Content of the pack and other information

1. WHAT LERCANIDIPINE HYDROCHLORIDE IS AND WHAT IT IS USED FOR

Lercanidipine hydrochloride,, belongs to a group of medicines called Calcium Channel Blockers (dihydropyridine derivatives) that lower Blood pressure.

Lercanidipine hydrochloride is used to treat high blood pressure also known as hypertension in adults over the age of 18 years (it is not recommended for children under 18 years old).

2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE LERCANIDIPINE HYDROCHLORIDE

DO NOT TAKE LERCANIDIPINE HYDROCHLORIDE:

• If you are allergic (hypersensitive) to lercanidipine hydrochloride or to any other ingredients of Lercanidipine hydrochloride tablets.

• If You have had allergic reactions to drugs closely related to Lercanidipine hydrochloride tablets (such as amlodipine, nicardipine, felodipine, isradipine, nifedipine or lacidipine).