{"id":24304,"date":"2022-08-20T09:48:56","date_gmt":"2022-08-20T09:48:56","guid":{"rendered":"https:\/\/zeepedia.com\/?p=24304"},"modified":"2022-08-22T10:51:22","modified_gmt":"2022-08-22T10:51:22","slug":"tambocor-retard","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/tambocor-retard\/","title":{"rendered":"Tambocor Retard &#8211; Flecainide acetate uses, dose and side effects"},"content":{"rendered":"\n<p>100 mg, 200 mg&nbsp;hard<br>prolonged-release capsules flecainide acetate<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Tambocor Retard is and what it is used for<\/h2>\n\n\n\n<p>Tambocor&nbsp;Retard&nbsp;is used for the treatment and prevention of changes in the rhythm and speed of the heart.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Tambocor Retard<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Tambocor Retard<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are hypersensitive to the active ingredient (\u00a0flecainide\u00a0) or any other ingredient in this medicine (listed in section 6)<\/li><li>in heart diseases such as heart attack and\u00a0heart failure<\/li><li>in conduction disorders that are not treated with a pacemaker<\/li><li>in case of medication with\u00a0beta-blockers\u00a0in connection with\u00a0heart failure<\/li><li>in some cases of persistent\u00a0atrial fibrillation<\/li><li>at certain types of flaps<\/li><li>Brugada syndrome (disease of the conduction system of the heart)<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before using Tambocor Retard:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have any other heart disease<\/li><li>if you have an abnormally low&nbsp;heart rate&nbsp;(&nbsp;bradycardia&nbsp;) or very low&nbsp;blood pressure<\/li><li>if you have a pacemaker<\/li><li>if you have impaired liver or kidney function<\/li><\/ul>\n\n\n\n<p>Elderly patients and patients with severely impaired renal function should exercise caution as the&nbsp;dose&nbsp;may need to be lowered.<\/p>\n\n\n\n<p>The concentration of the drug in the blood may need to be checked in patients with severely impaired liver or kidney function and patients treated with high\u00a0doses.<\/p>\n\n\n\n<p>Before treatment is started, cardiac function should be carefully examined.&nbsp;Disturbances in the salt balance may need to be corrected.<\/p>\n\n\n\n<p>If you have certain types of rhythm disorders, a specialist must start this treatment, and hospitalization may be necessary.<\/p>\n\n\n\n<p>Like other medicines used to treat changes in the rhythm of the heart, Tambocor&nbsp;Retard&nbsp;can induce rhythm disturbances or worsen an existing disturbance.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Tambocor&nbsp;Retard&nbsp;is not recommended for children under 12 years of age because there is no experience with treatment.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Tambocor Retard<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.\u00a0This also applies to over-the-counter medicines and herbal remedies.<\/p>\n\n\n\n<p>Tambocor&nbsp;Retard&nbsp;can affect or be affected if it is taken simultaneously with certain other medicinal substances against:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>diseases of the heart (eg,\u00a0digoxin\u00a0,\u00a0amiodarone\u00a0,\u00a0quinidine\u00a0, beta-\u00a0blockers\u00a0, or verapamil)<\/li><li>depression (eg\u00a0fluoxetine,\u00a0paroxetine, moclobemide, and\u00a0tricyclic antidepressants\u00a0)<\/li><li>epilepsy\u00a0(eg\u00a0phenytoin, phenobarbital, or carbamazepine)<\/li><li>mental illnesses (eg, clozapine)<\/li><li>treatment of\u00a0allergies\u00a0(e.g. mizolastine or terfenadine)<\/li><li>viral infections (eg, ritonavir)<\/li><li>peptic ulcer\u00a0(eg, cimetidine)<\/li><li>smoking cessation (eg bupropion)<\/li><li>fungal infections (eg, terbinafine)<\/li><li>heart failure\u00a0and fluid accumulation in the body&#8217;s\u00a0tissues\u00a0(e.g.\u00a0diuretics\u00a0)<\/li><li>inflammatory conditions (eg\u00a0corticosteroids\u00a0)<\/li><li>constipation (e.g. high\u00a0doses\u00a0or frequent intake of\u00a0laxatives\u00a0that can disturb the salt balance<\/li><li>malaria\u00a0(eg quinine)<\/li><\/ul>\n\n\n\n<p>Some combinations should be completely avoided and others require dose adjustment, so it is therefore very important that you consult your doctor before starting medication with Tambocor\u00a0Retard.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p><em>Pregnancy<\/em><\/p>\n\n\n\n<p>The child may be affected during pregnancy.\u00a0Tambocor\u00a0Retard\u00a0should only be used during pregnancy if necessary.<\/p>\n\n\n\n<p><em>Breast-feeding<\/em><\/p>\n\n\n\n<p>Tambocor\u00a0Retard\u00a0passes into breast milk.\u00a0The child is not likely to be affected.\u00a0Breastfeeding may only take place with the doctor&#8217;s permission during treatment with Tambocor\u00a0Retard.\u00a0Consult your doctor or\u00a0pharmacist\u00a0before starting treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>The ability to drive and use machines may be affected in some patients who experience&nbsp;side effects&nbsp;such as dizziness and\/or visual disturbances.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform risky work.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found under other headings in the package insert.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Tambocor Retard<\/h2>\n\n\n\n<p>Always use this medicine as directed by your doctor or pharmacist.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>Dosage&nbsp;for adults:<\/strong><\/p>\n\n\n\n<p>A usual&nbsp;dose&nbsp;for adults is 200 mg and should be taken once a day at approximately the same time of day.&nbsp;To be swallowed whole.<\/p>\n\n\n\n<p><strong>Dosage&nbsp;for children and adolescents:<\/strong><\/p>\n\n\n\n<p>Tambocor&nbsp;Retard&nbsp;is not recommended for children under 12 years of age because there is no experience with treatment.<\/p>\n\n\n\n<p><strong>Dosage&nbsp;for elderly patients:<\/strong><\/p>\n\n\n\n<p>Elderly patients and patients with severely impaired kidney function or impaired liver function may need a lower\u00a0dose.<\/p>\n\n\n\n<p>If you feel that the effect of Tambocor\u00a0Retard\u00a0is too strong or too weak, contact your doctor or\u00a0pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have used too much Tambocor Retard<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has accidentally ingested the medicine, contact a doctor or hospital for an assessment of the risk and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Tambocor Retard<\/h2>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0to make up for a missed\u00a0dose.<\/p>\n\n\n\n<p>If you have any further questions about this medicine, ask your doctor or pharmacist.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, Tambocor\u00a0Retard\u00a0can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><em>Very common (may affect more than 1 in 10 users):<\/em>&nbsp;Dizziness, a feeling of unsteadiness, and visual disturbances in the form of blurring and difficulty focusing.&nbsp;These&nbsp;side effects&nbsp;are usually transient and may disappear with continued treatment.<\/p>\n\n\n\n<p><em>Common (may affect up to 1 in 10 people):<\/em>\u00a0Weakness, extreme tiredness, fever, and fluid accumulation in your\u00a0tissues.\u00a0Like other medicines used to treat changes in the rhythm of the heart, Tambocor\u00a0Retard\u00a0can induce rhythm disturbances or worsen an existing disturbance.\u00a0Respiratory distress.<\/p>\n\n\n\n<p><em>Uncommon (may affect up to 1 in 100 people)<\/em>: Decrease in red and\u00a0white blood cells\u00a0and\u00a0platelets.\u00a0Nausea, vomiting, constipation, stomach pain, loss of appetite, diarrhea, digestive problems, tension.\u00a0Arrhythmia in patients with a certain type of arrhythmia (\u00a0atrial flutter\u00a0).\u00a0Allergic reactions such as skin rashes and hair loss.<\/p>\n\n\n\n<p><em>Rare (may affect up to 1 in 1,000 people):<\/em>\u00a0Elevated levels of certain liver enzymes, sometimes with jaundice, which return to normal when treatment is stopped.\u00a0Depression, anxiety, difficulty sleeping.\u00a0Confusion, hallucinations, memory loss.\u00a0An ant crawls\/tingles, disturbances in the coordination of muscle movements, movement difficulties, reduced sensitivity to touch, tremors.\u00a0Increased sweating,\u00a0and redness.\u00a0Somnolence.\u00a0Fainting due to a sudden drop in blood pressure.\u00a0Headache.\u00a0Nerve disease in hands and feet, cramp.\u00a0Dizziness and ringing in the ears (\u00a0tinnitus\u00a0).\u00a0Pneumonia.\u00a0Severe\u00a0hives.<\/p>\n\n\n\n<p><em>Very rare (may affect up to 1 in 10,000 users):<\/em>\u00a0Increase in certain\u00a0antibodies.\u00a0Deposit in the cornea\u00a0of \u200b\u200bthe eye.\u00a0Photosensitivity (reaction with skin changes on light-exposed areas).<\/p>\n\n\n\n<p><em>Frequency not known (cannot be estimated from the available data):<\/em>\u00a0Various types of changes in heart activity and heart rhythm including heart attack, cardiac arrest,\u00a0heart failure,\u00a0and chest pain have been reported.\u00a0Impaired liver function.\u00a0Impact on the lungs, for example, connective tissue growth, which causes the elasticity to decrease, which makes it difficult to breathe, and the absorption of oxygen deteriorates.<\/p>\n\n\n\n<p>Different types of rhythm disturbances, some of which are dose-related.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Tambocor Retard<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Use before the expiry date stated on the packaging.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store at a maximum of 25&nbsp;<sup>o<\/sup>&nbsp;C.<\/p>\n\n\n\n<p>The medicine must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacy what to do with medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<p>Tambocor&nbsp;Retard&nbsp;100 mg contains:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is flecainide acetate.<\/li><li>Other ingredients are microcrystalline cellulose, methacrylic acid-methyl methacrylate copolymer, macrogol 400, and talc.\u00a0Capsule shell: Gelatin, titanium dioxide (E 171), and black iron oxide (E 172).\u00a0Printing ink: Shellac, black iron oxide (E 172), propylene glycol, ammonium hydroxide, and potassium hydroxide.<\/li><\/ul>\n\n\n\n<p>Tambocor&nbsp;Retard&nbsp;200 mg contains:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is flecainide acetate.<\/li><li>Other ingredients are microcrystalline cellulose, methacrylic acid-methyl methacrylate copolymer, macrogol 400, and talc.\u00a0Capsule shell: Gelatin, titanium dioxide (E 171), black iron oxide (E 172), and erythrosine (E 127).\u00a0Printing ink: Shellac, black iron oxide (E 172), propylene glycol, ammonium hydroxide, and potassium hydroxide.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>Tambocor&nbsp;Retard&nbsp;100 mg prolonged-release&nbsp;capsule&nbsp;is a gray and white capsule marked with M and 100.<\/p>\n\n\n\n<p>Tambocor&nbsp;Retard&nbsp;200 mg prolonged-release&nbsp;capsule&nbsp;is a gray and pink capsule marked with M and 200.<\/p>\n\n\n\n<p>Tambocor&nbsp;Retard&nbsp;is packed in blisters and each pack contains 30 or 60 prolonged-release capsules.&nbsp;Not all packages may be marketed.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Viatris AB<\/p>\n\n\n\n<p>Box 23033<\/p>\n\n\n\n<p>104 35 Stockholm<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Meda Pharma GmbH &amp; Co.&nbsp;KG<\/p>\n\n\n\n<p>Benzstrasse 1<\/p>\n\n\n\n<p>61352 Bad Homburg vd H\u00f6he<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p>Allphamed Pharbil Arzneimittel GmbH<\/p>\n\n\n\n<p>Hildebrandstrasse 12<\/p>\n\n\n\n<p>37081 G\u00f6ttingen<\/p>\n\n\n\n<p>Germany<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tambocor\u00a0Retard\u00a0is used for the treatment and prevention of changes in the rhythm and speed of the heart.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18530],"tags":[25232,25236,25233,25237,25241,25240,25234,25235,25238,25239],"class_list":["post-24304","post","type-post","status-publish","format-standard","hentry","category-medicines","category-s","tag-flecainide-acetate","tag-flecainide-acetate-capsule","tag-flecainide-acetate-side-effects","tag-tambocor-retard","tag-tambocor-retard-capsule","tag-tambocor-retard-side-effects","tag-what-flecainide-acetate-is-used-for","tag-what-is-flecainide-acetate","tag-what-is-tambocor-retard","tag-what-tambocor-retard-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24304","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=24304"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24304\/revisions"}],"predecessor-version":[{"id":24351,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24304\/revisions\/24351"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=24304"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=24304"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=24304"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}