CAPOTEN TABLETS 25MG

Active substance: CAPTOPRIL

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If you take more Capoten than you should
If you or any one else takes too many tablets you should go to your nearest hospital emergency department or tell
your doctor immediately. Take the carton and any remaining tablets you have with you.
If you forget to take Capoten
If you miss a dose do not worry. Just carry on taking your normal dose when the next one is due.
Do not take a double dose to make up for the one you missed.
If you have any further questions on the use of this product, ask your Doctor or Pharmacist.
4. Possible side effects
Like all medicines, Capoten may cause some unwanted side effects although not everybody gets them.
If you experience any of the following reactions stop taking Capoten and contact your doctor immediately:
• Swelling of the hands, face, lips or tongue.
• Difficulty in breathing,
• A sudden, unexpected rash or burning, red or peeling skin,
• Sore throat or fever,
• Severe dizziness or fainting,
• Severe stomach pain,
• Unusually fast or irregular heartbeat,
• Yellowing of the skin and/or eyes (jaundice).
Common side effects (affecting between 1 in 10 and 1 in 100 people)
• Dizziness,
• Dry mouth,
• Itching,
• Sleep problems,
• Rashes,
• Diarrhoea or constipation,
• Hair loss,
• Dry, irritating cough,
• Changes in the way things taste,
• Upset stomach, sickness, abdominal pain,
• Shortness of breath,
Uncommon side effects (affecting between 1 in 100 and 1 in 1000 people)
• Fast, irregular, louder heartbeat,
• Tiredness,
• Chest pain,
• Generally feeling unwell,
• Low blood pressure,
• Looking pale,
• Reduced blood flow to the hands and feet
• Swelling of the eyes and lips (angioedema).
(e.g. Raynaud syndrome),
• Flushing,
Rare side effects (affecting between 1 in 1000 and 1 in 10,000 people)
• Loss of appetite,
• Mouth ulcers,
• Drowsiness,
• Kidney disorders or failure,
• Headache,
• Changes in frequency of passing urine.
• Pins and needles, numbness or tingling,
Very rare side effects (affecting less than 1 in 10,000 people)
• Impaired liver function and raised liver enzymes,
• Liver damage, inflammation of the liver or jaundice,
• Confusion, depression, fainting,
• Stomach ulcers,
• Mini-stroke,
• Muscle pain,
• Blurred vision,
• Joint pain,
• Heart problems including heart attack,
• Wheezing or difficulty breathing
and chest infections,
• Rashes or skin reactions,
• Inflammation of the pancreas,
• Swelling of breast tissue in men,
• Runny nose,
• Fever,
• Swollen tongue,
• Sensitivity of the skin to light,
• Impotence,
• Changes in levels of chemicals
• Stevens-Johnson syndrome
in the blood or lymphatic systems
(a serious illness with blistering of the skin,
(e.g. potassium, sugars).
mouth, eyes and genitals),

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PACKAGE LEAFLET: INFORMATION FOR THE USER

CAPOTEN™ 25mg Tablets
CAPOTEN™ 50mg Tablets
Captopril
Please read this leaflet carefully before you start taking your medicine.
• This leaflet provides a summary of the information available on your medicine.
• This medicine has been prescribed for you. Do not pass it on to others as it may harm them, even if their
symptoms are the same as yours.
• If you want to know more or are not sure ask your doctor or pharmacist.
In this leaflet:
1. What Capoten is and what it is used for
2. Before you take Capoten
3. Taking your medicines
4. Possible side effects
5. How to store your medicine
6. Further information
1. What Capoten is and what it is used for
The name of this medicine is Capoten. Each tablet contains captopril (25mg or 50mg) as the active ingredient.
Capoten belongs to the group of medicines called Angiotensin Converting Enzyme (ACE) Inhibitors. ACE inhibitors
work by helping to widen your blood vessels, which then make it easier for your heart to pump blood through them.
Capoten is used to treat high blood pressure and certain heart conditions. If high blood pressure is left uncontrolled
it can increase the risk of heart disease or stroke. Capoten works by lowering your blood pressure which reduces
this risk.
Capoten can also help people whose heart no longer pumps blood as well as it once did.
This condition is known as heart failure.
Capoten may also be used to treat patients who recently suffered a heart attack. A heart attack happens once one
of the major blood vessels supplying blood to the heart muscle becomes blocked. This means that the heart does
not receive the oxygen it needs and the heart muscle becomes damaged.
In addition, Capoten can be used for the treatment of kidney disease in patients with diabetes.
2. Before you take Capoten
Do not take Capoten tablets if you:
• Are more than 3 months pregnant. (It is also better to avoid Capoten in early pregnancy – see pregnancy
section.),
• Have ever had an allergic reaction to any ingredients of Capoten or to any other medicines, including other
ACE inhibitors,
• Have ever had a reaction which included swelling of the hands, lips, face or tongue where the cause was
unknown,
• Suffer from any auto-immune disease (e.g. rheumatoid arthritis, systemic lupus erythematosus or scleroderma).
If any of the above affects you, or you are unsure if they do, tell your doctor who will be able to advise you.
Take special care with Capoten
You must tell your doctor if you:
• think you are (or might become) pregnant. Capoten is not recommended in early pregnancy, and must not be
taken if you are more than 3 months pregnant, as it may cause serious harm to your baby if used at that stage
(see pregnancy section).
• suffer from kidney disease,
• suffer from liver disease,
• are undergoing dialysis,
• suffer from heart disease, in particular problems with the valves of the heart,
• have diabetes,
• have recently suffered from excessive vomiting or diarrhoea,
• are receiving immuno-suppressant therapy.
If you are to have desensitisation treatment for wasp or bee stings you should tell the doctor who is treating you
that you are taking Capoten.
If you are about to have treatment for the removal of cholesterol from your blood by a machine, (called LDL
apheresis) you should tell your doctor you are taking Capoten.
Tell your doctor you are taking Capoten tablets before you have any blood or urine tests as Capoten tablets may
interfere with the results of some tests.
Some Afro-Caribbean patients may require higher doses of Capoten to obtain an adequate reduction in blood
pressure.

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SENSO DI SVOLGIMENTO

For children with kidney problems, premature babies and newborn babies and infants
The starting dose should be 0.15mg/kg bodyweight.
Doctors sometimes prescribe different doses to the above and if this applies to you, you should discuss it with
your doctor.
Sometimes patients may feel dizzy after taking the first one or two doses of Capoten. If this happens to you, lie
down until these symptoms disappear.
You should try to take Capoten at about the same time each morning. It can be taken before, during or after meals.
Even if you feel well continue to take Capoten until your doctor tells you otherwise.

5. How to store your medicine
Do not store above 25°C. Store in the original package to protect from moisture, and make sure they do not get
too hot or damp; so do not leave your tablets near a radiator, on a window sill or in the bathroom.
Please check the expiry date of the product, shown on the outer packaging. Do not use the tablets after this date.
Keep all medicines out of sight and reach of children.
If your doctor decides to stop the tablets, ask your pharmacist to tell you what to do with any you
have left.
6. Further information
What Capoten contains
Each tablet contains captopril (either 25 or 50mg). In addition, Capoten contains lactose monohydrate,
maize starch, microcrystalline cellulose and stearic acid.
What Capoten looks like and the contents of the pack
The tablets come in the following different strengths: 25mg and 50mg in blister packs of
28 tablets with a new tablet appearance:
Capoten 25mg: White, square, biconvex tablet, with "25" embossed on one side and cross scored on
the other side.

Breastfeeding
Tell your doctor if you are breast-feeding or about to start breast-feeding. Breast-feeding newborn babies (first few
weeks after birth), and especially premature babies, is not recommended whilst taking Capoten.
In the case of an older baby your doctor should advise you on the benefits and risks of taking Capoten whilst
breast-feeding, compared with other treatments.

Capoten 50mg: White, oval, biconvex tablet, with "50" embossed on one side and scored on the
other side.
The scoreline is only to facilitate breaking for the ease of swallowing and not to divide into equal
doses.

If you are due to have surgery
Before surgery and anaesthesia (even at the dentist) you should tell your doctor or dentist that you are taking
Capoten as there may be a sudden fall in your blood pressure.

Marketing Authorisation Holder and Manufacturer:
UK
Ireland
E R Squibb & Sons Ltd
Bristol-Myers Squibb Pharmaceuticals Ltd
Uxbridge Business Park,
Swords,
Sanderson Road,
County Dublin, Ireland
Uxbridge,
Tel: 1 800 749 749
Middlesex UB8 1DH
Tel: 0800 7311736

Taking with Food or Drink
Capoten can be taken with or without food.
Moderate amounts of alcohol will not affect Capoten, however, you should check with your doctor first to see if
drinking is advisable for you.
Driving or operating machinery
Capoten can affect your ability to drive, usually when you first start taking your medicine or if your doctor changes
your dose. If you do feel light-headed or dizzy when taking Capoten tablets, you should not drive or use machinery.
Important information about some of the ingredients in Capoten
Capoten contains 25mg to 50mg lactose which is a type of sugar. If you have been told by your doctor that you
have an intolerance to some sugars, contact your doctor before taking this medicinal product.
3. Taking your medicine
Take Capoten as instructed. Your pharmacist may also help if you are not sure.
The usual doses are:

Manufacturer:
Bristol-Myers Squibb, S.r.l.
Contrada Fontana del Ceraso
03012 Anagni (FR)
Italy
Date of last revision:
06/2012

For the treatment of high blood pressure
The usual starting dose is 12.5 - 25mg twice a day. Your doctor may gradually increase this dose to 100 - 150mg
a day. You may also need to be given other medicines to lower your blood pressure.
Older patients and those with kidney problems may be given a lower starting dose.
In heart failure
The usual starting dose is 6.25 – 12.5mg two or three times a day. Your doctor may gradually increase this dose to
a maximum of 150mg a day.
After a heart attack
The usual starting dose is 6.25mg, which will then be increased by your doctor to a maximum of 150mg a day.
For the treatment of diabetic patients with kidney disease
The usual dose is 75 - 100mg a day.
For children
The starting dose is 0.3mg/kg bodyweight, which may be increased gradually by the doctor.

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Pregnancy and breastfeeding
Pregnancy
You must tell your doctor if you think you are (or might become) pregnant. Your doctor will normally advise you to
stop taking Capoten before you become pregnant or as soon as you know you are pregnant and will advise you to
take another medicine instead of Capoten. Capoten is not recommended in early pregnancy, and must not be taken
when more than 3 months pregnant, as it may cause serious harm to your baby if used after the third month of
pregnancy.

If any of the side effects become serious, or if you notice any side effects not listed in this leaflet, please tell your
doctor or pharmacist immediately. It will help if you make a note of what you experienced, when it started and how
long it lasted.

SENSO DI SVOLGIMENTO

Taking Capoten with other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including
medicines obtained without a prescription. It is especially important to tell your doctor if you are taking any of the
following:
• Non steroidal anti-inflammatory painkillers NSAIDs (e.g. indomethacin, ibuprofen),
• Immunosuppressants (e.g. azathioprine and cyclophosphamide),
• Potassium supplements, salt substitutes containing potassium or any other medicines which can increase
potassium in your body, e.g. (amiloride, spironolactone),
• Water tablets (diuretics),
• Medicines for gout (e.g. allopurinol),
• Medicines for diabetes (as the amount you need to use may have to be changed while taking Capoten),
• Medicines that cause dilation of the blood vessels (e.g. minoxidil, clonidine),
• Medicines to treat mental health problems including depression (such as lithium or amitriptyline),
• Any other medicines to treat high blood pressure (e.g. beta-blockers such as propanolol, atenolol or calcium
channel blockers such as amlodipine, nifedipine),
• Any medicine that may be used during and after a heart attack.

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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.

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