Patient Information Leaflet AMLOCOR 5 mg and 10 mg tablets (Аmlodipine) Dear patients, please read carefully this leaflet since it contains important information regarding the effective and safe use of this medicinal product. - Keep this leaflet. You may need to read it again. - This medicinal product is prescribed to you and you must not give it or recommend it to other people. The medicinal product may not be suitable for them and may harm their health even if their symptoms are same or similar. If you have any further questions, please ask your doctor or a pharmacist. - This medicine has been prescribed for you personally and you should not pass it on to others. It may harm them, even if their symptoms are the same as yours. IN THIS LEAFLET: What is AMLOCOR and what is it used for Before you take AMLOCOR How to take AMLOCOR Possible side effects Storing AMLOCOR Further information AMLOCOR 5 mg/ 10 mg Active substance: Each tablet AMLOCOR contains amlodipine besilate, equivalent to 5 mg or 10 mg аmlodipine respectively. Excipients: Microcrystalline cellulose; Calcium hydrogen phosphate, anhydrous; Sodium starch glycolate; Magnesium stearate. MARKETING AUTHORIZATION HOLDER ADIPHARM EAD 130, Simeonovsko shosse Blvd. Sofia 1700, Bulgaria 1 1 1. WHAT IS AMLOCOR AND WHAT IS IT USED FOR AMLOCOR belongs to a group of drugs called calcium channel blockers (calcium antagonists). AMLOCOR is indicated for treatment of: High blood pressure (hypertension): as a single agent or in combination with other blood pressure lowering agents. Angina (various forms of coronary disease in which blood supply to the heart is disturbed resulting in a chest pain); as a single therapy or in combination with organic nitrates or beta blockers for treatment of Prinzmetal angina (variant angina). 2. BEFORE YOU TAKE AMLOCOR Do not take AMLOCOR: if you are hypersensitivity to аmlodipine or other dihydropyridine derivatives (e.g. nifedipinе, nitrendipinе) as well as hypersensitivity to any of the excipients. are pregnant or become to be pregnant; are breast-feeding; if you have unstable angina, cardiogenic shock and aortic stenosis. If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist. The medicinal product should be used with caution in patients with liver failure since its elimination depends on liver function. Usually no special dose adjustment is required. The use of AMLOCOR in patients with acute myocardial infarction as well as for a month thereafter is not recommended. The consumption of grapefruit, grapefruit juice as well as food supplements containing grapefruit extracts is strictly prohibited during treatment with AMLOCOR due to a risk of clinically significant inhibition of drug metabolism and the respective increase of the risk of potentiation of the active substance effect and adverse drug reactions occurrence. No dose adjustment is required in case of renal failure since the elimination of the drug is not significantly changed. 2 1 Usually no dose adjustment is required in elderly patients. due to a possible delay of the elimination of amlodipine in these patients, careful monitoring is necessary. it is recommended to avoid administration of doses higher than 5 mg once daily. Taking AMLOCOR with food and drink It is recommended to stop using grapefruits and grapefruit juice during treatment with AMLOCOR. the use of products containing grapefruit extracts (allowed as food supplements) is contraindicated during treatment with AMLOCOR. Pregnancy and lactation Ask your doctor or pharmacist for advice before taking any medicine. The use of the medicinal product in these groups of patients is contraindicated. Driving and using machines The present clinical experience with AMLOCOR shows no effect of the medicinal product on the ability for driving and use of machines or any other activities requiring alertness. Taking other medicines There is no risk taking this medicinal product simultaneously with other drugs however if you are using other medicinal products or you have to start taking other drugs, please inform your doctor. Please inform your doctor or pharmacist if you taking or have recently taken any other medicines, even those not prescribed. 3. HOW TO TAKE AMLOCOR Dosage and duration of treatment are determined by your doctor. Take the medicinal product following the instructions below if your doctor has not prescribed any other dosage regime. AMLOCOR is taken orally with sufficient quantity of water. Food has no effect on the absorption of the active substance. Adult patients: The usual dosage for treatment of high blood pressure and angina is 5 mg once daily which can be increased by your doctor to a single dose of 10 mg daily. In combination pharmacotherapy, simultaneous administration of thiazide diuretics and analogues, angiotensin-converting enzyme inhibitors or beta-adrenergic antagonists does not require dose adjustment. Elderly patients: The usual dosage regimen is recommended. 3 1 Children: The use of AMLOCOR in children is contraindicated. Method of administration Oral use. If you have the impression that the effect of AMLOCOR is too strong or too weak, talk to your doctor or pharmacist. If you take more AMLOCOR than you should: In case of overdose severe peripheral vasodilation with prolonged hypotension and possible complications from the cardiovascular system may occur. Due to the risk of severe reactions seek medical attention in every case of intentional or inadvertent overdose. If you forget to take AMLOCOR: AMLOCOR has a long-lasting effect and therefore it is safer to rather wait for the time of the next intake (on the next day after the missed dose) than to disregard the dosing regime, especially the interval between the intakes and take the missed dose within the same day. 4. POSSIBLE SIDE EFFECTS Like all drugs, AMLOCOR tablets may induce some undesirable effects. The most common ones are: drowsiness, headache, palpitations, flushing, stomach pain, nausea, peripheral edema, fatigue. If the adverse drug reactions cause you discomfort and/or last more than a few days please inform your doctor. The following reactions are rarely observed in patients taking AMLOCOR: itching, rash, larynx edema, skin pigmentation (red spots on the skin). Severe allergic reactions are extremely rare. You should immediately inform your doctor about every sudden occurrence of wheezing, disturbed breathing, swelling of the eyelids, face or lips, rash or itching (especially over your whole body). If you have an effect that is not described in this leaflet, please inform your doctor or a pharmacist. 4 1 5. STORING AMLOCOR Keep out of the reach and sight of children. Do not store above 25oC. Do not take this medicinal product after the expiry date noted on the package. 6. FURTHER INFORMATION For any information about this medicinal product, please contact the local representative of the Marketing Authorization Holder. Date of the last text revision December, 2006 5 1