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Active substance(s): NIFEDIPINE

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Your medicine is available using the name Adalat LA 60mg
Tablets but will be referred to as Adalat LA throughout this

Read all of this leaflet carefully before you
start taking this medicine because it contains
important information for you.

Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or
This medicine has been prescribed for you only. Do not
pass it on to others. It may harm them, even if their
signs of illness are the same as yours.
If you get any side effects, talk to your doctor or
pharmacist. This includes any possible side effects not
listed in this leaflet. See section 4.

What is in this leaflet


What Adalat LA is and what it is used for
What you need to know before you take Adalat LA
How to take Adalat LA
Possible side effects
How to store Adalat LA
Contents of the pack and other information

1. What Adalat LA is and what it is used for
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.

2. What you need to know 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 nifedipine, any other similar
medicines (known as dihydropyridines) or any of the
other ingredients of this medicine (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 disease.
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
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 hypertension).
Tell your doctor and do not take Adalat LA if any of
these apply to you.

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Warnings and precautions

Talk to your doctor before taking Adalat LA

If you have low blood pressure and you were
prescribed Adalat LA for your angina. Your blood
pressure may be decreased further by this treatment.

If you have a heart condition where your heart
cannot cope with increased strain (poor cardiac

If you are pregnant.

If you are breast-feeding. If you need to take Adalat
LA, you should stop breast-feeding 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.
If you have chest pains after taking your first dose
of Adalat LA. Your doctor may wish to change your
If you notice increased breathlessness.
If you notice swelling of the ankles.
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 function.

Other medicines and Adalat LA

Tell your doctor if you are taking, have recently taken or
might take any other medicines.

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
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 (antifungal medicines).
Indinavir, nelfinavir, ritonavir, saquinavir or
amprenavir (to treat HIV).
Fluoxetine or nefazodone (to treat depression).
Tacrolimus (to prevent the rejection of transplanted
Phenobarbital (usually used to treat insomnia or

Adalat LA with food and drink

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 60mg contains 48mg salt (sodium
Tell your doctor if you are on a low-salt diet.

Pregnancy and breast-feeding

If you are pregnant, think you may be pregnant or are
planning to have a baby, ask your doctor for advice
before taking this medicine.
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 breast-feeding

If you need to take Adalat LA, you should stop breast-feeding
before you start taking this medicine.

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.

3. How to take Adalat LA
Adalat LA is specially formulated so that you only have to
take one dose each day.
There is a memory aid on the blister packs for the daily
The translation of the days of the week is as follows:




Always take this medicine exactly as your doctor has told
you. Check with your doctor if you are not sure.

Dose for high blood pressure: the usual dose is
1 tablet, once a day.

Dose for angina: the dose depends on your individual
requirements. Your doctor will decide how much you
should take.

Swallow the tablets whole. Do not bite, chew or
break them – if you do they will not work properly. If
you have difficulty swallowing tablets, consult 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
Take your tablets with a glass of water. Do not take them
with grapefruit juice.
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 body.

Use in children and adolescents:

Adalat LA is not recommended for use in children and
adolescents below 18 years of age, because there is only
limited data on the safety and efficacy in this population.

If you take more Adalat LA than you should

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 Adalat LA

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 a forgotten dose.
If you have any further questions on the use of this medicine,
ask your doctor.

4. Possible side effects

Other side effects

Like all medicines, this medicine can cause 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 outcome)
fast heart beat (tachycardia)
shortness of breath (frequency not known) or difficulty
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 severe.

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

(Frequency not known: frequency cannot be estimated from
the available data)

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


a reduction in the number of white blood cells

a more severe decrease in a specific class of white blood
cell (agranulocytosis)

increased blood sugar (hyperglycaemia)

decreased skin sensitivity (hypoaesthesia)

drowsiness (somnolence)

eye pain

chest pain (angina pectoris)

heartburn or indigestion (gastroesophageal sphincter

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

joint pain

muscle pain
All of these symptoms usually go away when treatment with
Adalat LA is stopped.

Reporting of side effects

Less serious side effects

If you get any side effects, talk to your doctor or pharmacist.
This includes any possible side effects not listed in this leaflet.
You can also report side effects directly via the
Yellow Card Scheme at: or
search for MHRA Yellow Card in the Google Play or Apple
App Store.

Common side effects

By reporting side effects, you can help provide more
information on the safety of this medicine.

Apart from the side effects listed above, these are the other
side effects of Adalat LA, starting with the more common
(These may affect up to 1 in 10 people)



general feeling of being unwell


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


low blood pressure when standing up (symptoms include
fainting, dizziness, light headedness, occasional
palpitations, blurred vision and sometimes confusion)


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)




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

5. How to store Adalat LA

Store in the original container. The tablets should be
protected from strong light, so only remove the tablet
from the container or blister strip when you are about to
take it.
Do not store above 30°C.
Do not use the tablets after the expiry date which is
marked on both the outer carton and on each blister
strip of tablets. The expiry date refers to the last date of
the month.
If your doctor decides to stop the treatment, return any
leftover tablets to the pharmacist. Only keep then if your
doctor tells you to.
If the tablets appear discoloured or show any other
signs of deterioration, take them to your pharmacist
who will advise you.
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 pack and other
What Adalat LA contains

Each prolonged release tablet contains 60mg nifedipine in a
modified release formulation.
Adalat LA also contains polyethylene oxide, hypromellose,
magnesium stearate (salt), propylene glycol, macrogol 3350,
hydroxypropylcellulose, titanium dioxide (E171),
red iron oxide (E172), black iron oxide (E172) and
cellulose acetate.
Each tablet also contains 48mg of sodium chloride (salt).

What Adalat LA looks like and contents of the pack

Adalat LA are prolonged release, pink, circular convex tablets
with 'Adalat 60' marked on one side.
Adalat LA comes in calendar packs of 28 tablets.

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Manufactured by:
Bayer AG, D-51368 Leverkusen, Germany.
Procured within the EU and repackaged by:
Doncaster Pharmaceuticals Group Ltd., Kirk Sandall,
Doncaster, DN3 1QR.
Product Licence holder:
BR Lewis Pharmaceuticals Ltd., Kirk Sandall, Doncaster,
DN3 1QR.
PL No: 08929/0090


Leaflet revision and issue date (Ref): 04.12.17
Adalat® is a registered trademark of Bayer AG.

Blind or partially sighted?
Is this leaflet hard to see or
read? Call +44 1302 365000
Please be ready to give the
following information:
Product name: Adalat LA
60mg Tablets
Reference No: 08929/0090

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.