CIBADREX. 20 mg. 25 mg. 28 tablets
CIBADREX. 20 mg. / 25 mg. 28 tablets
Cibadrex 20/25 mg - containing 20 mg of benazepril hydrochloride and 25 mg hydrochlorothiazide.
The excipients are: hydrogenated castor oil, lactose, hydroxypropyl methylcellulose, crospovidone, macrogol 8000, talc, titanium dioxide and red iron oxide (E172).
In what package is available Cibadrex?
Cibadrex comes in a pack of 28 tablets (2 blister packs of 14 tablets).
1 WHAT IS CIBADREX AND WHAT IT IS USED?
Cibadrex belongs to a class of medicines known as angiotensin-converting enzyme (ACE) inhibitors, which help to control blood pressure. These drugs act in the body by blocking a substance that causes constriction of blood vessels. They relax blood vessels and lower blood pressure. Diuretics reduce the amount of salt and water in the body by increasing the amount of urine. With continued use, it helps to control blood pressure.
Marketing Authorisation Holder
Novartis Pharma GmbH,
What is it used Cibadrex?
Cibadrex be used for the treatment of high blood pressure. High blood pressure increases the workload of the heart and arteries. If it continues for a long time, can damage blood vessels in the brain, heart and kidneys and cause a stroke, heart failure or kidney failure. High blood pressure increases the risk of myocardial infarction. Less likely to occur these problems if your blood pressure is well controlled.
2 BEFORE YOU TAKE CIBADREX
You can take Cibadrex only after medical examination. Cibadrex is not suitable for all patients.
Do not use Cibadrex
• If you are allergic (hypersensitive) to Cibadrex or any of the excipients of Cibadrex nachalito listed in this leaflet.
• If you have or have had any unusual or allergic reaction to other ACE inhibitors, hydrochlorothiazide or other sulfonamide;
• If you have previously suffered from hoarseness, swelling of the face, mouth, hands or feet, and sudden breathing difficulties resulting from the use of ACE inhibitors;
• If you have severe kidney or liver disease;
• If you have gout (or have ever had gout);
• If you are pregnant or intend to become pregnant.
If you think you may be allergic / on, contact your doctor for advice. Caution should be exercised with Cibadrex and kolsultatsiya doctor
• If there is a disease of the heart valve;
• If you recently surgery (including dental surgery) or emergency treatment;
• If you have fever, rash and joint pain that may be a sign of lupus erythematosus (or the occurrence of this disease in the past);
• If you have diabetes;
• If you have high cholesterol levels in the blood;
• If you have vomiting or diarrhea;
• If you are treated with Hymenoptera venom (poison used for testing or treatment of allergy to insect stings);
• If you are or you are on dialysis.
If any of the above apply to you, tell your doctor before you start taking Cibadrex.
Taking other medicines
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines. Remember also cancer, and those which are not prescribed by a doctor.
Before you start taking Cibadrex with another medicine, ask your doctor or pharmacist. You may need a dosage adjustment or in some cases discontinuation. This applies to drugs, prescription medicines and non-prescription, especially:
• drugs used to lower blood pressure;
• Lithium - a drug used in treating psychiatric conditions;
• Potassium-sparing diuretics, potassium-containing medicines, potassium supplements or salt substitutes containing potassium;
• Medicines used to relieve pain or inflammation, especially non-steroidal anti-inflammatory drugs;
• Drugs like cortisone and steroids;
• digoxin (heart medicine);
• Insulin and other antidiabetic medicines taken by mouth;
• Cholestyramine and colestipol resins used mainly to treat high levels of lipids in the blood.
Avoid alcohol, at least until discuss this with your doctor. The alcohol can be greatly reduced blood pressure and / or increase the possibility of dizziness or fainting.
Cibadrex and elderly
If you are 65 or older, you may be more sensitive / of the effects of Cibadrex.
Cibadrex and children
Not recommended for use in children Cibadrex.
Cibadrex not take if you are pregnant. ACE inhibitors (including Cibadrex) taken during pregnancy can cause serious birth defects. It is therefore necessary to immediately tell your doctor if you are pregnant.
Your doctor will discuss with you the possible risks of taking Cibadrex during pregnancy.
Cibadrex passes into breast milk. The diuretic component Cibadrex can reduce milk supply. Tell your doctor if you are breastfeeding.
Driving and using machines
Like many other medicines used to treat high blood pressure Cibadrex may cause dizziness and affect your concentration. Therefore, before you drive or operate machinery, or perform other activities that require high concentration, you should know how you act Cibadrex.
3 HOW TO TAKE CIBADREX?
Carefully follow your doctor's instructions. Do not take more than the recommended dose.
Take your medicine exactly as explained by your doctor or pharmacist. Do not change your dose or stop treatment without explicit instructions from your doctor.
Patients who have high blood pressure often fail to notice the signs of the problem. Many ottyah feel normal.
Remember that this medicine will not cure your high blood pressure, although it can help his control. It is therefore necessary to continue taking it as prescribed, if you want to lower your blood pressure and keep it low.
How much should you take?
Treatment is started with the lowest dose, which is then gradually increased. In some cases, if you are already taking any of the active substances of Cibadrex or both, it is possible for your doctor to change your treatment with the most appropriate dose for you Cibadrex. Your doctor will prescribe the lowest dose suitable for you, you should take once a day. In some cases, your doctor may start you at the highest dose in two divided doses daily.
Over a period of time, you may need to be measured the levels of potassium and other minerals in your blood, especially if you are over 65, if you have certain heart, liver or kidney disease, or if you are taking potassium supplements. Your doctor will advise you about it.
Your doctor will tell you exactly how many tablets to take Cibadrex.
Depending on how you respond to treatment, your doctor may suggest a higher or lower dose.
When and how to take Cibadrex?
It is advisable to take your medicine at the same time every morning. You can take Cibadrex before, during and after meals.
If you forget to take Cibadrex?
If you miss a dose of the usual dose, take it as soon as you remember. If almost time for your next dose, skip the missed dose and take the next right dose at the usual time.
If you take more than Cibadrex need?
Contact your doctor as soon as possible if you notice any of the following symptoms:
• Severe dizziness and / or fainting;
• Severe nausea, vomiting or diarrhea that does not subside;
• Unusual fatigue, weakness or muscle cramps;
• Irregular heartbeat.
If you accidentally take too many tablets Cibadrex, inform your doctor immediately. You may need medical supervision.
What you should know while taking Cibadrex?
Your doctor is important to monitor your condition through regular reviews to ensure that the drug acts accordingly.
Immediately contact your doctor if there is a strong stomach discomfort, especially nausea, vomiting, diarrhea that does not subside. Such conditions can lead to accelerated loss of body fluids and can lead to a decrease in blood pressure.
During physical activity or in hot weather is also possible to occur dizziness or fainting. Intensive sweating can cause significant loss of water and cause severe drop in blood pressure. Be careful when exercising or in hot weather.
4 POSSIBLE SIDE EFFECTS
Cibadrex there may be some side effects in some people.
Like all medicines Cibadrex may cause side effects than the beneficial effect it has. Although not all adverse reactions are common, if they occur, may require medical supervision.
Tell your doctor immediately if any of the following conditions:
Swelling of the face, eyes, lips or tongue, or difficulty in breathing or prelashtaneto (sudden).
Tell your doctor as soon as possible if any of the following conditions:
Dizziness (especially during the first few days of treatment).
Sore throat, fever and chills (sign of a breach by the blood); jaundice; abdominal pain and nausea, fever (sign of pancreatitis); stiffness or trembling of hands, feet, or lips; skin rash with / without pruritus; chest pain; skin reactions (eg. blisters), sometimes painful; hemolytic anemia.
Many of the side effects will subside without having to discontinue therapy. Tell your doctor if any of these conditions last longer or disturbing:
Cough (dry, persistent, mainly at night), stomach discomfort, increased heart rate, flushing, flu-like symptoms, headache, often urinirane.chuvstvitelnost to sunlight, loss of appetite, difficulty in erection.
Diarrhea, nausea, nervousness, difficulty sleeping, loss of taste, tinnitus, joint pain, muscle pain.
If you notice other effects not listed in this leaflet, tell your doctor or pharmacist.
5.SAHRANENIE OF CIBADREX
Store at a temperature lower than 30 °, away from direct sunlight and moisture.
Keep the medicine out of the reach of children, as it may harm them.
Cibadrex not use after the expiry date stated on the packaging.