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CO-CAPS METHYDOPA 250MG
Active substance(s): METHYLDOPA
PATIENT INFORMATION LEAFLET
INFORMATION FOR THE USER
CO-CAPS Methyldopa 250 mg
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 a 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
1. What CO-CAPS is and what it is used for
2. What you need to know before you take CO-CAPS
3. How to take CO-CAPS
4. Possible side effects
5. How to store CO-CAPS
6. Contents of the pack and other information
1. WHAT CO-CAPS IS AND WHAT IT IS USED FOR
The name of your medicine is CO-CAPS Methyldopa 250 mg
Capsules (referred to as Co-Caps throughout this leaflet). It
contains a substance called Methyldopa.
Methyldopa belongs to the general class of medicines called
anti-hypertensives which are used to treat high blood pressure
(hypertension). This medicine works by controlling impulses
along certain nerve pathways. As a result it relaxes blood
vessels so that blood passes through them more easily. This
helps to lower blood pressure.
Your doctor has prescribed Co-Caps to treat high blood pressure
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE
Do not take Co-Caps if you:
are allergic to methyldopa or any of the other
ingredients of this medicine (listed in section 6)
have ever had a liver disease
have ever had depression
have high blood pressure due to a tumour near your
kidney called ‘phaeochromocytoma’ or ‘paraganglioma’
have been taking a type of medicine called a
‘monoamine oxidase inhibitor’(MAO inhibitor)
have porphyria ( a rare ,inherited blood disorder).
Do not take Co-Caps if any of the above applies to you. If you
are not sure talk to your doctor or pharmacist before taking CoCaps.
Warnings and precautions
Talk to your doctor or pharmacist before taking Co-Caps if you
a blood disorder called haemolytic anaemia
jaundice (yellowing of the skin and eyes)
fever. (This is particularly important during the first few
weeks you take methyldopa since fever may be a sign of a
reaction to this medicine)
any abnormal movements (involuntary)
Check with your doctor while taking this medicine if you are
going to have:
a blood transfusion.
Tests you may have while taking Co-Caps
Your doctor may do blood tests to check how your liver is
working during the first 6-12 weeks. He or she may use similar
tests if you have a fever at any time while you are taking CoCaps. Tell your doctor you are taking Co-Caps if you have a
laboratory test where a urine or blood sample is taken. This is
because Co-Caps may affect the results of some types of tests.
Rarely, in patients taking Co-Caps urine may darken when it is
exposed to air after voiding.
If you are not sure if any of the above applies to you, talk to
your doctor or pharmacist before taking Co-Caps.
Other medicines and Co-Caps
Tell your doctor or pharmacist if your are taking, have recently
taken or might take any other medicines.
over-the-counter (non-prescription) medicines for appetite
control, asthma, cold, cough, hay fever, or sinus problems
since they may tend to increase your blood pressure
monoamine oxidase inhibitors (MAOI) for depression
other medicines for high blood pressure (antihypertensives)
such as diuretics, beta blockers, ACE inhibitors etc.
medicines for psychological disorders ,depression including
medicines called ‘phenothiazine,’ such as chlorpromazineused for mental illness and sometimes feeling and being sick
medicines called ‘tricyclic antidepressants’– used to treat
iron and supplements containing iron, such as multivitamins
Before you begin using any new medicine (either prescription,
non-prescription or herbal), or if you develop any new medical
problem while you are using this medicine, check with your
doctor, nurse or pharmacist.
Before having any kind of surgery (including dental surgery) or
emergency treatment that requires an anaesthesia, make sure the
medical doctor or dentist in charge knows that you are taking
Co-Caps with food, drink and alcohol
You are advised not to drink alcohol while taking co-Caps
tablets. Discuss this with your doctor if you have any questions.
Pregnancy and breast feeding
If you are pregnant or breast feeding, think you may be pregnant
or are planning to have a baby, ask your doctor or pharmacist
for advice before taking this medicine.
Driving and using machines
You may feel drowsy or light-headed while taking Co-Caps. If
this happens do not drive or use any tools or machines.
3. HOW TO TAKE CO-CAPS
Always take this medicine exactly as your doctor has told you.
Check with your doctor or pharmacist if you are not sure.
Taking this medicine
Take this medicine by mouth and only in the doses prescribed
by your doctor.
The amount you take each day will depend on your condition. It
is very important to continue taking Co-Caps for as long as your
doctor has prescribed. Do not take more or less than your doctor
The recommended dose is:
Adults: The normal starting dose is 250mg 2-3 times daily for 2
days, which may then be adjusted by your doctor up to a
maximum of 3 g daily.
Elderly: The normal staring dose is 125mg, not more than 250
mg each day, slowly adjusted if necessary to a maximum of 2 g
by your doctor.
Use in Children: The doctor will work out the numbers of
tablets. The dose is based on weight of the child. The initial
dosage is based upon 10mg/kg of body weight daily in 2-4 oral
doses. Your doctor may then change the dose, depending on
how the child responds. A child will not usually take more than
65 mg for each kg (or 3000 mg a day), whichever is less.
If you take more Co-Caps than you should
If you think you may have taken an overdose of this medicine,
obtain emergency help at once at your nearest casualty ward.
Some signs of an overdose are weakness, dizziness, lightheadedness, constipation, diarrhoea, sickness and vomiting. Tell
the doctor in charge, or the nurse or pharmacist, that you are
taking this medicine.
If you forgot to take Co-Caps
If you do miss a dose, take it right away if you remember within
a hour or so of the missed dose. However, if you do not
remember until later then skip the missed dose and go back to
your regular dosing schedule. Do not double the dose.
If you stop taking Co-Caps
Do not stop taking Co-Caps without talking to your doctor.
If you have any further questions on the use of this medicine,
ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects,
although not everybody gets them.
Contact your doctor IMMEDIATELY if you have any of the
following side effects as they are serious and require medical
an allergic reaction-symptoms such as shortness of breath ,
skin rash or itching ,hives, swelling of your lips, face or
tongue, chills or
fever or painful joints
chest pain ,slow heart rate, existing angina made worse,
problems with electrical current in the heart(AV block)
severe skin reaction (such as painful reddening,
followed by blistering and peeling of layers of skin)
liver problems, including jaundice and hepatitis-signs
including yellowing of your skin and eyes, sometimes with a
fever ,pale stools and dark urine
pain in the gut and diarrhoea causes by inflammation of the
severs pain in the gut and back caused by inflammation of
the pancreas (pancreatitis).
The following reactions have also been reported:
reduction in red blood cells (anaemia) this can make
your skin pale and make you weak or breathless
abnormal blood test causing symptoms such as pale
skin ,tiredness, fever and sore throat
bruising and prolonged bleeding after injury
your medicine may alter the numbers and types of
your blood cells and cause a rise in urea in the blood.
feeling sleepy or tired this may happen at the start of
treatment or when the dose is increased, and usually
headache or feeling weak-this may happen at the start
of treatment and usually goes away
pins and needles
being unable to move part of your face (paralysis)
having movements you cannot control
Parkinsonism-with symptoms such as tremor, a decrease in
body movements with an inability to move your muscles
frequent dizziness or fainting
dizziness due to low blood pressure and light-headedness
(particularly when standing up quickly).
Nose and chest:
Stomach and gut:
sore or black tongue.
Skin and hair:
skin rash or peeling skin.
Joints and muscles:
painful and/or swollen joints
swelling of salivary glands.
water retention causing swelling and weight gain
breast development in men
loss of period in women
abnormal production of milk
changes in sexual function such as impotence and not
being able to ejaculate
decreased sex drive.
mental changes, including nightmares or depression
delusion and paranoia-which will stop when you stop taking
Your doctor may need to carry out simple blood tests
during the first few months of therapy with Co-Caps .
Results could show:
a decreased in blood cells production
an increase in some white blood cells
abnormal levels of prolactin.
Co-Caps may also interfere with the interpretation of certain
blood and urine tests.
Reporting of 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 Yellow Card
Scheme [www.mhra.gov.uk/yellowcard]. By reporting side
effects you can help provide more information on the safety of
5. HOW TO STORE CO-CAPS
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 label. The expiry date refers to the last day of that month.
Keep your medicine in a dry place and store below 25°C. Keep
container tightly closed and protect from light.
Do not throw away any medicines via wastewater or household
waste. Ask your pharmacist how to throw away medicines you
no longer use. These measures will help to protect the
6. Contents of the pack and other information
What Co-Caps contains
The active substance is Methyldopa. Each Co-Caps Methyldopa
250 mg contains 250 mg Methyldopa.
The other ingredients are: Starch 1500, Sodium Starch
Glycollate, Magnesium Stearate, Gelatin, Titanium Dioxide
(E171), Tartrazine (E102).
What Co-Caps looks like and contents of the pack
CO-CAPS Methyldopa 250 mg is a bright yellow opaque
capsule engraved METHYLDOPA CO-CAPS 250 mg.
It is available in plastic containers of 100 and 500 capsules.
Marketing Authorisation Holder
Chelonia Healthcare Limited,
11 Boumpoulinas, 3rd Floor,
Nicosia, P.C. 1060, Cyprus
DDSA Pharmaceuticals Ltd.,
Chatfield Road, off York Road,
London SW11 3SE.
For more information about this product, please contact the
Marketing Authorisation Holder.
This leaflet was revised in March 2017
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.