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Tildiem® LA 200mg
Prolonged Release Capsules,
(diltiazem hydrochloride)
Your medicine is available using the above name, but will be
referred to as Tildiem LA throughout the remainder of this
Your medicine is available in a higher strength.
Read all of this leaflet carefully before you start taking this
 Keep this leaflet. You may need to read it again
 If you have any further 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
In this leaflet:
1. What Tildiem LA is and what it is used for
2. Before you take Tildiem LA
3. How to take Tildiem LA
4. Possible side effects
5. How to store Tildiem LA
6. Further information

1. What Tildiem LA is and what it is used for
Tildiem LA contains a medicine called diltiazem hydrochloride. This
belongs to a group of medicines called ‘calcium-channel blockers’.
It works by making your blood vessels wider.
This helps to lower your blood pressure. It also makes it easier for
your heart to pump blood around the body. This helps to prevent
the chest pain caused by angina.
Tildiem LA is used for:
 High blood pressure
 Angina (chest pain)

2. Before you take Tildiem LA
Do not take this medicine and tell your doctor if:
 You are allergic (hypersensitive) to diltiazem hydrochloride or any
of the other ingredients of Tildiem LA (listed in Section 6 below)
Signs of an allergic reaction include: a rash, swallowing or
breathing problems, swelling of your lips, face, throat or tongue
 You are breast-feeding or planning to breast-feed (see Section
below: ‘Pregnancy and breast- feeding’)
 You are having a medicine called dantrolene used for severe
muscle spasms or severe fever (see Section below: ‘Taking other

 You have a very slow heartbeat - less than 50 beats per minute
 You are already taking a medicine containing ivabradine for the
treatment of certain heart diseases
 You have heart failure and problems with blood flow to your
lungs. With these illnesses, you may feel out of breath and have
swollen ankles
 You have any other serious problems with your heart. This
includes having an uneven heartbeat (unless you have a
Do not take this medicine if any of the above apply to you. If you
are not sure, talk to your doctor or pharmacist before taking Tildiem
Take special care with Tildiem LA
Check with your doctor or pharmacist before taking your
medicine if:
 You have any other problem with your heart,
apart from angina or those described in the
previous section
 You are going to have an operation
 You are at risk of mood changes, including depression
 You are at risk of gut problems
Your doctor will check you more closely particularly when you
first start taking the
capsules if:
 You are over 65 years old
 You have liver or kidney problems
 You have diabetes
If you are not sure if any of the above apply to you, talk to your
doctor or pharmacist before taking Tildiem LA.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have
recently taken any other medicines. This includes medicines you
buy without a prescription, including herbal medicines. This is
because Tildiem LA can affect the way some other medicines work.
Also some medicines can affect the way Tildiem LA works.
In particular, do not take this medicine and tell your doctor if
you are taking:
 Dantrolene (an infusion) used for severe muscle spasms or
severe fever (called ‘malignant hyperthermia’)
 Medicines containing ivabradine used for the treatment of certain
heart diseases
Tildiem LA may increase the effect of the following medicines:
 Medicines for high blood pressure such as doxazosin,
tamsulosin, atenolol, propranolol or acebutolol
 Medicines used for an uneven heartbeat such as amiodarone
and digoxin
 Medicines used for angina such as glyceryl trinitrate or isosorbide
 Medicines used for high levels of cholesterol such as simvastatin,
fluvastatin and atorvastatin
 Ciclosporin used to stop the rejection of organs after a transplant
 Phenytoin used for epilepsy
 Aspirin used for relieving pain and reducing fever
 Iodinated contrast media (used for tests involving X-rays)
 Carbamazepine used for epilepsy

 Theophylline used for breathing problems
 Lithium used for some types of mental illness
 Medicines used for sleeplessness and anxiety, such as triazolam
and midazolam
 Methylprednisolone used for inflammation and allergic reactions
Tildiem LA may make the following medicine work less well:
 Rifampicin used for tuberculosis
The following medicines can increase the effect of Tildiem LA:
 Medicines for stomach ulcers such as cimetidine and ranitidine
Tildiem LA with food and drink
It is advisable to limit the amount of grapefruit juice you drink while
taking Tildiem LA as it can increase the blood levels of the active
ingredient diltiazem and may increase your chance of getting side
effects. If you are concerned you should stop drinking grapefruit
juice and consult your doctor.
Pregnancy and breast-feeding
 You should not take Tildiem LA if you are pregnant, might
become pregnant or think you may be pregnant. This is because
Tildiem LA can cause problems for your baby. Talk to your doctor
if you might be pregnant.
 Do not breast-feed if you are taking Tildiem LA. This is because
small amounts may pass into mothers’ milk. If you are breastfeeding or planning to breast-feed, talk to your doctor or
pharmacist before taking any medicine
Driving and using machines
You may feel dizzy while taking this medicine. If this happens, do
not drive or use any tools or machines.

3. How to take Tildiem LA
Always take Tildiem LA exactly as your doctor has told you. You
should check with your doctor or pharmacist if you are not sure.
Taking this medicine
 Take this medicine by mouth
 Do not break, crush or chew your capsules
 Swallow the capsules whole with a drink of water
 Take before or during a meal
 If you feel the effect of your medicine is too weak or too strong,
do not change the dose yourself, but ask your doctor
How much to take
Angina and high blood pressure:
 The usual starting dose is one Tildiem LA 200mg capsule a
If necessary, your doctor may increase this to:
 One Tildiem LA 300mg capsule a day or
 Two Tildiem LA 200mg capsules a day.
 One Tildiem LA 300mg capsule and one LA Tildiem 200mg
capsule a day.
Over 65 years or adults with liver or kidney problems:
Angina and high blood pressure
 The usual starting dose is one Tildiem LA 200mg capsule a
If necessary, your doctor may increase this dose to:
 One Tildiem LA 300mg capsule a day.

Tildiem LA should not be given to children.
If you take more Tildiem LA than you should
If you take more capsules than you should, tell a doctor or go to a
hospital casualty department straight away. Take the medicine
pack with you. This is so the doctor knows what you have taken.
The following effects may happen: feeling dizzy or weak, blurred
vision, chest pain, shortness of breath, fainting, an unusually fast or
slow heartbeat, slurred speech, confusion, coma and sudden
If, in an emergency situation, the patient is treated quickly, sudden
death is not only the potential outcome.
If you forget to take Tildiem LA
If you forget a dose, take it as soon as you remember it. However,
if it is nearly time for the next dose, skip the missed dose. Do not
take a double dose to make up for a forgotten dose.
If you stop taking Tildiem LA
Keep taking Tildiem LA until your doctor tells you to stop. Do not
stop taking them just because you feel better. If you stop, your
illness may get worse.
Your doctor may do regular tests while you are taking this
medicine. These might include a check on your heart and blood
tests to check on your liver and kidneys.
If you have any further questions on the use of this product, ask
your doctor or pharmacist.

4. Possible side effects
Like all medicines, Tildiem LA can cause side effects, although not
everyone gets them.
Stop taking and see a doctor or go to a hospital straight away
Frequency unknown
 You have an allergic reaction. The signs may include: a rash,
swallowing or breathing problems, swelling of your lips, face,
throat or tongue
 You have a red or lumpy skin rash, swollen eyelids, face, lips,
throat, or tongue, difficulty breathing or swallowing.
 You get blistering or peeling of the skin around the lips, eyes,
mouth, nose and genitals, flu-like symptoms and fever. This
could be an illness called ‘Stevens-Johnson syndrome’
 You get a severe blistering rash in which layers of the skin may
peel off to leave large areas of raw exposed skin over the body.
You may feel generally unwell and have a fever, chills and aching
muscles. This could be an illness called ‘Toxic Epidermal
 You have a skin rash or skin lesions with a pink/red ring and a
pale centre which may be itchy, scaly, or filled with fluid. The rash
may appear especially on the palms or soles or your feet. These
could be signs of a serious allergy to the medicine called
‘erythema multiforme’
Tell your doctor straight away if you notice any of the
following serious side effects
– you may need urgent medical treatment:

Common (affects less than 1 in 10 people)
 Slow or uneven heartbeat
 Very fast, uneven or forceful heartbeat (palpitations)
Frequency unknown
 Skin rash caused by narrow or blocked blood vessels (called
 Being short of breath, feeling tired along with swollen ankles and
legs. This could be signs of heart failure
 Unusual movements of the tongue, muscle spasms in your face,
rolling eyes and trembling
 High temperature, feeling tired, loss of appetite, stomach pain,
feeling sick. These can be signs of inflammation of the liver
(called ‘hepatitis’)
 Passing large amounts of urine, excessive thirst and having a dry
mouth or skin. These may be signs of high blood sugar
 Get sunburnt easier, and which may be more severe than in
someone not taking Tildiem.
You should use sun protection whilst taking this medicine.
 Breast enlargement in men
Tell your doctor as soon as possible if you have any of the
following side-effects:
Very common (affects more than 1 in 10 people)
 Swelling of the lower legs
Common (affects less than 1 in 10 people)
 Indigestion, stomach pain, constipation, and diarrhoea
Uncommon (affects less than 1 in 100 people)
 Feeling dizzy, light-headed or faint when you stand or sit up
quickly (low blood pressure)
Rare (affects less than 1 in 1000 people)
 Dry mouth
 Itchy, lumpy rash (called ‘urticaria’)
Frequency unknown
 Swollen gums
Tell your doctor or pharmacist if any of the following side
effects get serious or lasts longer than a few days:
Common (affects less than 1 in 10 people)
 Headache
 Flushing (feeling of warmth)
 Feeling sick (nausea) or being sick (vomiting)
 General feeling of being unwell
 Weakness or tiredness
 Feeling dizzy
 Skin redness
Uncommon (affects less than 1 in 100 people)
 Difficulty sleeping
Frequency unknown
 Mood changes, including depression
 Bleeding or bruising under the skin

Blood tests
Tildiem can change the levels of liver enzymes shown up in blood
tests. This can mean that your liver is not working properly.
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

5. How to store Tildiem LA
Keep out of the sight and reach of children.
Do not store above 25°C.
Do not use Tildiem LA after the expiry date stated on the blister
and carton. The expiry date refers to the last day of that month.
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.
If your medicine becomes discoloured or shows any signs of
deterioration, you should seek the advice of your pharmacist.

6. Further Information
What Tildiem LA contains
The active substance is diltiazem hydrochloride.
Each capsule contains 200 mg diltiazem hydrochloride.
The other ingredients: microcrystalline cellulose, acrylic and
methacrylic esters co-polymer, ethylcellulose, carmellose sodium,
diacetylated monoglycerides, magnesium stearate, black iron oxide
(E172), titanium dioxide (E171), gelatin and red iron oxide (E172).
What Tildiem LA looks like and contents of the pack
Tildiem LA is available as opaque capsules with a grey body and
pink cap, containing white to off-white pellets.
The capsules are packaged in clear PVC/aluminium blisters.
Your medicine is contained in packs of 30 capsules.
Sanofi Winthrop Industrie, Tours, France.
Procured from within the EU and repackaged by Product
Licence Holder: Kosei Pharma UK Limited, 956 Buckingham
Avenue, Slough, SL1 4NL, UK.

Tildiem® LA 200 mg Prolonged Release Capsules,
PL No: 39352/0358
Leaflet date: 03/10/2016
Tildiem® LA is a registered trademark of sanofi-aventis.
This leaflet does not contain all the information about your
medicine. If you have any questions or are not sure about anything,
ask your doctor or pharmacist.

+ Expand Transcript

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.