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Ref: 0186/061014/1/F


Adalat LA 30mg Prolonged-release Tablets
Patient Information Leaflet

* If you have chest pains after taking your first dose of Adalat LA.

Your medicine is called Adalat LA 30mg prolonged-release Tablets and will
be referred to as Adalat LA throughout this Patient Information Leaflet.

* If you notice increased breathlessness.
* If you notice swelling of the ankles.

Read all of this leaflet carefully before you start taking this medicine.
* Keep this leaflet. You may need to read it again.
* If you have more questions, ask your doctor or pharmacist.
* This medicine has been prescribed for you.
* Do not pass it on to others. It may harm them, even if their symptoms are
the same as yours.
* If any of the side effects gets serious, or if you notice any side
effects not listed in this leaflet, please tell your doctor or pharmacist.
In this leaflet:
1 What Adalat LA is
2 Before you take Adalat LA
3 How you take Adalat LA
4 Possible side effects
5 How to store Adalat LA
6 Further information


What Adalat LA is

Adalat LA contains nifedipine, which belongs to a group of medicines called
calcium antagonists.
Adalat LA is used to treat high blood pressure or angina (chest pain).
For high blood pressure: Adalat LA works by relaxing and expanding the
blood vessels. This makes the blood flow more easily and lowers blood
pressure. Lower blood pressure reduces the strain on your heart.
For angina: Adalat LA works by relaxing and expanding the arteries
supplying the heart. This allows more blood and oxygen to reach the heart
and decreases the strain on it. Your angina attacks will be less severe and
less frequent if there is less strain on the heart.


Before you take Adalat LA

Do not take Adalat LA:
* If you have had a heart attack within the last month.
* If you get a sudden angina attack. Adalat LA will not help relieve
symptoms of angina quickly.
* If you have unstable angina.
* If you are allergic to the active ingredient (nifedipine), to any other similar
medicines (known as dihydropyridines) or to any of the other ingredients.
The ingredients of Adalat LA are listed in section 6.
* If you are taking rifampicin, an antibiotic.
* If you have a liver disease that prevents your liver from working properly.
* If you have inflammation of the bowel or intestines, such as Crohn’s
* If you have an obstruction or narrowing in your intestines, or have
had this in the past.
* If you have ever had an obstruction in the gullet (the oesophagus - the
tube connecting the throat to the stomach).
* If you have been told that you have a narrowing of the aortic heart
valve (stenosis).
* If you have ever had a collapse caused by a heart problem
(cardiogenic shock), during which you became breathless, pale and had a
cold sweat and dry mouth.
* If you have a “Kock pouch” (a surgically constructed intestinal reservoir
with an opening through the abdominal wall) in your gut.
* If your blood pressure continues to rise despite treatment (malignant

Your doctor may wish to change your treatment.
Tell your doctor before you take the next dose if any of these apply
to you.
Also tell your doctor:
* If you are giving a urine sample. Adalat LA may interfere with the results
of certain urine tests.
* If you are to have a barium contrast x-ray (barium meal).
These tablets may affect the results of the test.
* If you are a man who has been unable to father a child by in vitro
fertilisation. Drugs like Adalat LA have been shown to impair sperm
Other medicines and Adalat LA
Tell your doctor about any other medicines that you are taking, or took
recently. This includes any products you bought without a prescription.
Some medicines may affect the way Adalat LA works. Tell your doctor if
you are taking:
* Other medicines to treat high blood pressure.
* Rifampicin (an antibiotic).
* Cimetidine (to treat stomach ulcers).
* Digoxin, diltiazem, quinidine or beta-blockers (to treat heart conditions).
* Quinupristin/dalfopristin (a combination antibiotic).
* Phenytoin, carbamazepine or valproic acid (to treat epilepsy).
* Cisapride (to treat reduced movements of the gullet and stomach).
* Magnesium sulphate injections during pregnancy (may cause a severe
fall in blood pressure).
* Erythromycin (an antibiotic).
* Ketoconazole, itraconazole or fluconazole (anti-fungal medicines).
* Indinavir, nelfinavir, ritonavir, saquinavir or amprenavir (to treat HIV).
* Fluoxetine or nefazodone (to treat depression).
* Tacrolimus (to prevent the rejection of transplanted organs).
* Phenobarbital (usually used to treat insomnia or anxiety).
Food and drink with Adalat LA
You can take Adalat LA with or without food.
Do not drink grapefruit juice or eat grapefruit while taking Adalat LA.
Do not start taking Adalat LA within 3 days of drinking grapefruit juice or
eating grapefruit. Tell your doctor if you have had grapefruit or grapefruit
juice in this time.
Also, do not drink grapefruit juice or eat grapefruit whilst taking
Adalat LA. Grapefruit juice is known to increase the blood levels
of the active ingredient, nifedipine. This effect can last for at least
3 days.
One tablet of Adalat LA 30 mg contains 24mg salt (sodium chloride).
Tell your doctor if you are on a low-salt diet.
Pregnancy and breastfeeding
If you are pregnant, think you might be pregnant or are planning a
family, tell your doctor before taking Adalat LA.
You may be able to use Adalat LA, but only after special consideration and
agreement by your doctor.
Do not take Adalat LA if you are breastfeeding. If you need to take Adalat
LA, you should stop breastfeeding before you start taking the tablets.
Driving and using machines
Adalat LA may make you feel dizzy, faint, extremely tired or have visual
disturbances. Do not drive or operate machinery if you are affected in
this way.
This may be more likely when you first start treatment, if you change tablets,
or if you have drunk alcohol.

Tell your doctor and do not take Adalat LA if any of these apply to
Your doctor will take special care:
* If you have low blood pressure and you were prescribed Adalat LA for
your angina. Your blood pressure may be decreased further by this
* If you have a heart condition where your heart cannot cope with
increased strain (poor cardiac reserve).
* If you are pregnant.
* If you are breastfeeding. If you need to take Adalat LA, you should stop
breastfeeding before you start to take this medicine.
* If you are a diabetic. The treatment for your diabetes may need to be
adjusted. If you have any questions about this, ask your doctor.
* If you are on kidney dialysis. If you have a very high blood pressure and
a low blood volume, you might experience a sudden drop in blood
pressure when you take Adalat LA.
* If your liver is not working properly. Your doctor may need to do some
blood tests. You may also be given a lower dose of Adalat LA.
Talk to your doctor before you take Adalat LA if any of these apply
to you.
Tell your doctor:
* If your chest pain (angina) gets worse (comes on more often or more
severely) over a matter of hours or days. You may be advised not to take
Adalat LA.


How to take Adalat LA

Adalat is specially formulated so that you only have to take one dose each
Take the tablets as prescribed by your doctor.
* Dose for high blood pressure: the usual dose is 1 tablet, once a day.
* Dose for angina: howdose depends on your individual requirements. Your
doctor will decide
much you should take.
the tablets whole.
or break them – if you do
* Swallow not work properly. If Do not bite, chew swallowing tablets, consult
they will
you have difficulty
your doctor as he or she may wish to change your medicine.
Continue to take these tablets for as long as your doctor has told you to.


Take your dose at the same time each day, preferably in the morning.
Take your tablets with a glass of water. Do not take them with grapefruit
You can take Adalat LA with or without food.
You may see what looks like a complete tablet in the toilet or in your stools.
This is normal – it’s the outer shell of the tablet which is not digested by the

Ref: 0186/061014/1/B


Adalat LA 30mg Prolonged-release Tablets
Patient Information Leaflet (continued)
Use in children: Adalat LA is not recommended for use in
children and adolescents below 18 years of age, because there
are only limited data on the safety and efficacy in this population.
If you take too many tablets
Get medical help immediately. If possible, take your tablets or the box
with you to show the doctor.
Taking too many tablets may cause your blood pressure to become too low
and your heartbeats to speed up or slow down. It may also lead to an
increase in your blood sugar level or an increase in the acidity of your blood,
swelling in the lungs, low blood oxygen levels and disturbances in
consciousness, possibly leading to unconsciousness.
If you forget to take the tablets
Take your normal dose immediately and continue taking your tablets at the
usual time of day, waiting at least 12 hours before taking the next dose.
Do not take a double dose to make up for the missed dose.


Possible side effects

Like all medicines, Adalat LA can have side effects, although not everybody
gets them.
Serious side effects
If you notice:
* Severe, sudden generalised allergic reaction including very rarely
life-threatening shock (e.g. difficulty in breathing, drop of blood pressure,
fast pulse), swelling (including potentially life-threatening swelling of the
* other allergic reactions causing swelling under the skin (possibly severe
and including swelling of the larynx that may result in a life-threatening
* fast heart beat (tachycardia)
* shortness of breath or difficulty breathing
* mild to moderate allergic reactions
* itching (possibly severe), a rash or hives
Contact your doctor immediately and do not take the next dose as
these may be the first signs of allergic reaction which may become
If you develop:
* a skin reaction or blistering / peeling of the skin and/or mucosal reactions
(in the mouth/nose or at the penis/vagina) (Toxic Epidermal Necrolysis)
Contact your doctor immediately before you continue treatment as
these may be signs of a severe reaction
Less serious side effects
Apart from the side effects listed above, these are the other side effects of
Adalat LA, starting with the more common ones:
Common side effects
(These may affect up to 1 in 10 people)
* headache
* flushing
* general feeling of being unwell
* constipation
* swelling, particularly of the ankles and legs
Uncommon side effects
(These may affect up to 1 in 100 people)
* stomach pain (abdominal pain)
* unspecific pain
* chills
* low blood pressure when standing up (symptoms include fainting,
dizziness, light headedness, occasional palpitations, blurred vision and
sometimes confusion)
* fainting
* irregular heartbeat (palpitations)
* dry mouth
* indigestion or upset stomach
* wind (flatulence)
* feeling sick (nausea)
* muscle cramps
* joint swelling
* sleep disorders
* anxiety or nervousness
* reddening of the skin
* nose bleeds
* nasal congestion
* sensation of spinning or whirling motion (vertigo)
* migraine
* dizziness
* trembling
* increase in the need to pass water (urinate)
* painful or difficult urination
* inability to achieve or maintain an erection (impotence)
* blurred vision
* temporary increase in certain liver enzymes
Rare side effects
(These may affect up to 1 in 1,000 people)
* pins and needles
* inflammation of the gums, tender or swollen gums, bleeding gums

Other side effects
(Frequency unknown)
* stomach pain or distress caused by a mass of foreign material
found in the stomach which may require surgery for removal
* difficulty swallowing
* abdominal pain, caused by obstruction of the gut or ulcers in the gut
* vomiting
* a reduction in the number of white blood cells (leucopenia)
* a more severe decrease in a specific class of white blood cell
* increased blood sugar (hyperglycaemia)
* decreased skin sensitivity (hypoaesthesia)
* drowsiness (somnolence)
* eye pain
* chest pain (angina pectoris)
* heartburn or indigestion (gastroesophageal sphincter insufficiency)
* yellowing of the whites of the eyes or skin (jaundice)
* sensitivity to light (photosensitivity allergic reaction)
* small, raised areas of bleeding in the skin (palpable purpura)
* joint pain
* muscle pain
All of these symptoms usually go away when treatment with Adalat LA is
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
By reporting side effects, you can help provide more information on the
safety of this medicine.


How to store Adalat LA

Expiry date
Do not use this medicine after the expiry date shown on the carton label or
blister strip.
If your doctor tells you to stop taking this medicine, return any unused tablets
to your pharmacist (chemist) for safe disposal. Only keep this medicine, if
your doctor tells you to.
If your tablets become discoloured or show any other signs of deterioration,
consult your pharmacist (chemist) who will tell you what to do.

Storing your medicine


* Do not store above 25°C. Protect from strong light.
* Do not take your tablet out of the blister until it is time to take your dose.
Remember this medicine is for you. Only a doctor can prescribe it. Never
give your medicine to other people. It may harm them, even if their
symptoms are the same as yours.
This leaflet does not tell you everything about your medicine. If you have any
questions or are not sure about anything, ask your doctor or pharmacist
(chemist). He/she will have additional information about this medicine and
will be able to advise you.


Further information

What Adalat LA contains
Each tablet contains 30mg Nifedipine in a prolonged release formulation as
the active ingredient.
Your medicine also contains the following inactive ingredients:
Polyethylene oxide, hypromellose, magnesium stearate, cellulose acetate,
macrogol, hydroxypropyl cellulose, propylene glycol, red iron oxide (E172),
black printing ink, titanium dioxide (E171) and sodium chloride.
Each 30mg tablet also contains 24mg of sodium chloride (salt) to be taken
into consideration by patient on controlled sodium diet.

What Adalat LA looks like and contents of the pack
Adalat LA are pink coloured, film coated tablets, round in shape and marked
'Adalat 30' on one side and plain on the other.
Each calendar blister pack contains 28 tablets.
Each tablet contains 24mg of sodium chloride (salt).

Manufacturer and Licence Holder
The tablets are manufactured by Bayer Pharma AG, Leverkusen, Germany
and are procured from within the EU and repackaged by the Product Licence
Holder: Lexon (UK) Limited, Unit 18, Oxleasow Road, East Moons Moat,
Redditch, Worcestershire, B98 0RE.


PL 15184/0186

Adalat LA 30mg prolonged release Tablets

Adalat is a registered trademark of Bayer Atkiengesellschaft.
Revision date: 06/10/14

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.