Celipress 200mg

Do not take Celiprolol Hydrochloride if you:

• are allergic to celiprolol hydrochloride or any of the ingredients of this medicine. Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue
• have suffered an allergic reaction to a beta-blocker (propranolol, sotalol, timolol etc.) in the past
• suffer from an irregular/very slow heartbeat (known as bradycardia) or low blood pressure (hypotension)
• suffer from heart failure which is not under control (heart failure is a condition in which your heart is not pumping blood as well as it should), have an abnormal heart rhythm, difficulty breathing and swollen ankles
• suffer from missed heart beats (heart block) or other heart problems or you suffer from hardened arteries
• have severe kidney problems
• have, or have had, episodes of asthma, wheezing or other severe breathing problems
• have a rare tumour called a phaeochromocytoma that is not being treated
• have abnormal levels of acid in your blood (metabolic acidosis), usually as a result of severe illness
• are already taking theophylline (an anti-asthma medicine).
• have late stage peripheral arterial occlusive disease or Raynaud’s syndrome.

Serious side effects: Allergic reaction: a rash, swallowing or breathing problems, swelling of your face, lips, throat or tongue. You get flu like symptoms, swollen or painful joints, increased sensitivity to sunlight, hair loss, abdominal pain, anaemia. This may mean you have a condition called Systemic Lupus Erythematosus (SLE). These symptoms will usually go away after Celipress has been stopped. These are very serious side effects. If you have them you may have had a serious allergic reaction to Celipress. You may need urgent medical attention or hospitalization.

Common side effects (may affect up to 1 in 10 people): Dizziness or light headedness, weakness, or fainting especially when standing up from a lying position. These could be signs of low blood pressure. Skin rashes, excessive itching

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 advise before taking this medicine. If your doctor cannot find any safer alternative you may be given Celiprolol Hydrochloride. If you take Celiprolol Hydrochloride during pregnancy, you should tell your midwife. In the new born of the treated mother, activity of these kind of medicines remains for several days. The effects can include slow heart beat, heart failure or having trouble breathing. Therefore close monitoring of the neonate is recommended for the first 3 to 5 days of life. If you are already taking Celiprolol Hydrochloride and have just found out you are pregnant, you should talk to your doctor immediately. You should not breast-feed if you are taking Celiprolol Hydrochloride. If you are breast-feeding or planning to breast-feed you should talk to your doctor or pharmacist before taking this medicine.

Take special care and consult your doctor before taking Celipress if you:

• have liver or kidney problems
• have Prinzmetal’s angina (chest pain while resting)
• have poor blood circulation e.g. Raynaud’s, Burger’s Disease. Symptoms of Raynaud’s disease include fingers and toes changing colour when cold and tingling or painful on warming up. Your doctor will closely monitor you while taking this medicine.
• have inadequate circulation of blood through the coronary arteries.
• have ever had a skin condition known as psoriasis. Your doctor will stop this medicine if you have.
• have asthma or breathing problems due to long term lung problems (called bronchitis or emphysema)
• have a thyroid problem as the effects of an overactive thyroid gland (thyrotoxicosis) may be hidden by beta blocker medicine
• have a history of severe allergies, particularly to other medicines, including anaphylactic reactions
• need anti-allergic treatment eg. following a wasp or bee sting; your doctor may wish to interupt your Celipress treatment to prevent a possible allergic reaction.
• are diabetic. Patients with diabetes should be aware that the symptoms of low blood pressure (hypoglycaemia) may be hidden by beta blocker medicines
• have any heart failure that is under control with medication. Your doctor will give this medicine under strict medical surveillance
• have a slow or irregular heartbeat.

Use in children: Celipress is not recommended for use in children.

Use in elderly: Your doctor may decide to lower your dose of Celipress if necessary.

You may have symptoms such as slow heart beats, low blood pressure, feeling dizzy or weak, difficulty in breathing, wheezing or heart problems. Contact your doctor or go to the nearest hospital causalty department immediately. Take this leaflet or some tablets with you so your doctor will know what you have taken.