2.5 mg, 5 mg and 10 mg prolonged-release tablets are
felodipine
1. What Felodipine Teva is and what it is used for
Felodipine Teva contains the active substance felodipine and belongs to a group of medicines called calcium channel blockers. It lowers blood pressure by dilating the small blood vessels. It has no negative effect on the function of the heart.
Felodipine Teva is used to treat high blood pressure ( hypertension ) and pain in the heart and chest caused by e.g. physical exertion or stress ( angina pectoris, or angina).
Felodipine contained in Felodipine Teva may also be approved for the treatment of other conditions not mentioned in this leaflet. Ask your doctor, pharmacist, or other healthcare professional if you have any further questions, and always follow their instructions.
What you need to know before you take Felodipine Teva
Do not take Felodipine Teva:
- if you are pregnant. Tell your doctor as soon as possible if you become pregnant while taking this medicine
- if you are allergic to felodipine or any of the other ingredients of this medicine (listed in section 6)
- if you have untreated heart failure
- if you have an acute heart attack (heart attack)
- if you have recent chest pain or angina that lasts for 15 minutes or more or is more severe than usual
- if you have any disease of the heart valves or heart muscle before talking to your doctor.
Warnings and cautions
Felodipine Teva, like other antihypertensive drugs, may in rare cases lead to a sharp drop in blood pressure, which in some patients may cause the heart to have an insufficient blood supply. Symptoms of very low blood pressure and insufficient blood supply to the heart itself often include dizziness and chest pain. If you get such symptoms, you should seek emergency care immediately.
Talk to your doctor before taking Felodipine Teva, especially if you have liver problems.
When you take Felodipine Teva you may get swollen gums. Good oral hygiene helps prevent the gums from swelling (see section 4).
Children
Felodipine Teva is not recommended for use in children.
Other medicines and Felodipine Teva
Tell your doctor if you are taking, have recently taken, or might take any other medicines. Some medicines / herbal medicines may affect the treatment with Felodipine Teva.
Examples of this are:
- cimetidine (medicine for stomach ulcers )
- erythromycin (medicines for infections )
- itraconazole (a medicine used to treat fungal infections)
- ketoconazole (medicine for fungal infections)
- drugs for the treatment of HIV (eg ritonavir, which is a protease inhibitor )
- drugs for the treatment of HIV (eg efavirenz, nevirapine)
- phenytoin (medicine for epilepsy )
- carbamazepine (medicine for epilepsy )
- rifampicin (medicines for infections )
- barbiturates (medicines for anxiety, sleep problems, and epilepsy )
- tacrolimus (a medicine used in organ transplants).
Products containing St. John’s wort (Hypericum perforatum) (herbal remedy for depression) may reduce the effect of Felodipine Teva and should therefore be avoided.
Felodipine Teva with food and drink
Do not drink grapefruit juice when you are being treated with Felodipine Teva, as it may increase the effect of Felodipine Teva and the risk of side effects.
Pregnancy and breastfeeding
Pregnancy
Do not take Felodipine Teva if you are pregnant.
Breast-feeding
Tell your doctor if you are breast-feeding or planning to start breast-feeding. Felodipine Teva is not recommended for breastfeeding mothers and your doctor may choose another treatment for you if you want to start breast-feeding.
Driving and using machines
Felodipine Teva may have a minor or moderate influence on your ability to drive and use machines. If you suffer from headaches, nausea, dizziness, or fatigue, your ability to react may be impaired. Caution is advised, especially at the beginning of treatment.
You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased vigilance. One of the factors that can affect your ability in these respects is the use of drugs due to their effects and/or side effects. Descriptions of these effects and side effects can be found in other sections. Read all the information in this leaflet for guidance. If you are not sure, talk to your doctor or pharmacist
Felodipine Teva contains lactose
Felodipine Teva contains lactose, which is sugar. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
How to take Felodipine Teva
Always take this medicine exactly as your doctor has told you. Consult a doctor if you are unsure.
Felodipine Teva prolonged-release tablets should be taken in the morning and swallowed with water. The tablets must not be split, crushed, or chewed. This medicine can be taken without food or after a light meal with a low fat and carbohydrate content.
High blood pressure
Treatment should be started with 5 mg once daily. If necessary, your doctor may increase the dose one or add another antihypertensive drug. The usual dose for long-term treatment is 5-10 mg once daily. For elderly patients, a starting dose of 2.5 mg per day may be considered.
Stable angina
Treatment should be started with 5 mg once daily. If necessary, your doctor may increase the dose from one to 10 mg once a day.
If you have liver problems
The concentration of felodipine in the blood may be increased. The doctor may reduce the dose one.
Elderly
Your doctor may start treatment with the lowest possible dose.
If you take more Felodipine Teva then you should
If you have ingested too much medicine or if e.g. If a child has inadvertently ingested the medicine, contact a doctor, hospital, or the Poison Information Center for risk assessment and advice.
If you have taken more doses of Felodipine Teva than recommended, you may have very low blood pressure and sometimes palpitations, fast or in rare cases slower heart rate. Therefore, you must take the number of doses prescribed by your doctor. If you get symptoms such as feeling dizzy or dizzy, contact your doctor immediately.
If you have taken more doses of Felodipine Teva than recommended, you may have very low blood pressure and sometimes palpitations, fast or in rare cases slower heart rate. Therefore, you must take the number of doses prescribed by your doctor. If you get symptoms such as feeling dizzy or dizzy, contact your doctor immediately.
If you forget to take Felodipine Teva
If you forget to take a tablet, skip that dose altogether. Take the next dose at the right time. Do not take a double dose to make up for a forgotten dose.
If you stop taking Felodipine Teva
If you stop taking the medicine, the disease may return. Contact your doctor for advice before stopping Felodipine Teva. Your doctor will tell you how long to take your medicine.
If you have any further questions on the use of this product, ask your doctor.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If any of the following happens to you, stop taking Felodipine Teva immediately and tell a doctor:
- Hypersensitivity reactions and allergic reactions. Signs of this may be raised streaks/swellings in the skin or swelling of the face, lips, mouth, tongue, or throat.
The following side effects have occurred. Most side effects occur at the beginning of treatment or after a dose increase. If such reactions occur, they are usually short-lived and subside over time. If you get any of the following symptoms and they do not go away, tell your doctor.
Mild gum swelling has been reported in patients with inflammation of the mouth (inflamed gums or tooth loss ). This swelling can be avoided or reduced by careful oral hygiene.
Very common (may affect more than 1 in 10 people):
- Swollen ankles/legs
Common (may affect up to 1 in 10 people):
- Headache
- Blush
Uncommon (may affect up to 1 in 100 people):
- Abnormally fast heart rate
- Palpitation
- For low blood pressure ( hypotension )
- Nausea
- Abdominal pain
- Burning / stinging sensation, numbness
- Skin rash or itching
- Fatigue
- Dizziness
Rare (may affect up to 1 in 1,000 people):
- Fainting
- Vomiting
- Hives
- Joint pain
- Muscle aches
- Impotence / sexual dysfunction
Very rare (may affect up to 1 in 10,000 people):
- Gingivitis (swollen gums)
- Elevated liver enzyme values
- Skin reactions due to increased sensitivity to sunlight
- Inflammation of small blood vessels in the skin
- Frequent urination
- Hypersensitivity reactions such as fever or swelling of the lips and tongue.
Other side effects may also occur. If you get any unpleasant or unusual reactions while taking Felodipine Teva, talk to your doctor immediately.
5. How to store Felodipine Teva
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton, blister, and can after “EXP”. The expiration date is the last day of the specified month
Do not store above 25 ° C.
Do not use this medicine if you notice that the package is open or damaged.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. Contents of the packaging and other information
Content declaration
The active substance is felodipine.
Felodipine Teva 2.5 mg
Each tablet contains 2.5 mg felodipine.
Felodipine Teva 5 mg
Each tablet contains 5 mg felodipine.
Felodipine Teva 10 mg
Each tablet contains 10 mg felodipine.
Other ingredients are:
2.5 mg
microcrystalline cellulose
lactose monohydrate
hypromellose
povidone K25
propyl gallate ( Ph .Eur.)
colloidal anhydrous silica
magnesium stearate ( Ph .Eur.)
talc
propylene glycol
yellow iron oxide (E 172)
titanium dioxide (E 171)
5 mg and 10 mg
microcrystalline cellulose
lactose monohydrate
hypromellose
povidone K25
propyl gallate ( Ph .Eur.)
colloidal anhydrous silica
magnesium stearate ( Ph .Eur.)
talc
propylene glycol
yellow iron oxide (E 172)
red iron oxide (E 172)
titanium dioxide (E 171)
What the medicine looks like and the contents of the pack
2.5 mg
Felodipine Teva 2.5 mg prolonged-release tablet is round, yellow, and film-coated.
5 mg
Felodipine Teva 5 mg prolonged-release tablet is round, light pink, and film-coated.
10 mg
Felodipine Teva 10 mg prolonged-release tablet is round, reddish-brown, and film-coated.
2.5 mg
Available in blister packs containing 10, 20, 28, 30, 50,100 or 100×1 prolonged-release tablets .
Available in tablet cans containing 100 or 250 prolonged-release tablets.
5 and 10 mg
Available in blister packs containing 20, 28, 30, 30 x 1, 50, 50 x 1, 98, 100, 100 x 1 or 250 prolonged-release tablets .
Available in tablet cans containing 100 or 250 prolonged-release tablets.
Not all pack sizes may be marketed.
Manufacturer
Merckle GmbH, Blaubeuren, Germany