Patient leaflet - Nadolol 80 mg tablets
1. What Nadolol Tablets are and what they are used for
Nadolol Tablets contain a medicine called nadolol. This belongs to a group of medicines called beta-blockers. It works by slowing your heart rate or lowering your blood pressure.
Nadolol Tablets are used for:
- Chest pain (angina)
- High blood pressure
- Uneven or unusually fast heart beats (arrhythmia)
- Symptoms of an overactive thyroid gland
- Stopping migraine attacks happening
2. What you need to know before you take Nadolol Tablets
Do not take Nadolol Tablets
× if you are allergic to nadolol or any of the other ingredients of this medicine (listed in section 6). Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue.
× if you have or have had asthma, or wheezing. × if you have a very slow heartbeat.
× if you have heart problems – where you have difficulty breathing and swollen ankles.
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 Nadolol Tablets.
Warnings and precautions
Talk to your doctor or pharmacist before taking Nadolol Tablets.
In particular check with your doctor or pharmacist before taking your medicine if:
- You have any heart problems.
- You have breathing problems due to long term. lung problems (called ‘bronchitis’ or ‘emphysema’).
- You have diabetes. Nadolol Tablets may cause low blood sugar levels even in patients who are not diabetic such as children, the elderly and those who are fasting.
- You have liver problems.
- You have an overactive thyroid gland.
- You have kidney problems.
- You have a history of severe allergies. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Nadolol Tablets.
Hypoglycaemic seizures
In children, the blood sugar lowering effect of Nadolol tablets can occur more rapidly. This can sometimes lead to seizures.
842773 90004267/13 Stress tests
The accuracy of stress tests (used by your doctor to find out whether you have a decrease in blood flow to your heart muscle) is affected by the use of beta-blockers including Nadolol.
Operations or anaesthetics
Tell your doctor or dentist you are taking Nadolol Tablets if you are going to have an anaesthetic or an operation (including dental surgery).
Other medicines and Nadolol Tablets
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
This is because Nadolol Tablets can affect the way some other medicines work. Also some medicines can affect the way Nadolol Tablets work.
In particular, tell your doctor if you are taking any of the following:
- Water tablets (diuretics) such as amiloride
- Insulin or tablets to treat diabetes
- Medicines for high blood pressure (such as guanethidine or hydralazine)
- Medicines for depression (mono-amine oxidase inhibitors) such as phenelzine
- Medicines used for migraine (such as clonidine, ergotamine or methysergide)
- Medicines used for asthma, bowel problems or Parkinson’s disease (such as atropine, ipratropium and benzatropine)
- Medicines for chest pain (angina) - such as verapamil, nifedipine, and diltiazem
- Medicines used for heart problems - such as lidocaine (also used as a local anaesthetic), procainamide, isoprenaline, verapamil, adrenaline (also used for severe allergies), noradrenaline, amiodarone, disopyramide and quinidine
- Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) – used to relieve pain (such as ibuprofen, naproxen, diclofenac, indometacin and piroxicam)
- Medicines used for mental problems (antipsychotic medicines) – such as chlorpromazine, fluphenazine and haloperidol
- Medicines used to raise blood pressure (vasoconstrictors – used to narrow blood vessels) – such as ephedrine and phenylephrine
- Fingolimod - a medicine used for multiple sclerosis
- Diltiazem as it may lead to increased risk of depression
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.
You should not breast-feed if you are taking Nadolol Tablets. This is because small amounts may pass into the mothers milk. If you are breast-feeding or planning to breast-feed, talk to your doctor or pharmacist before taking this medicine.
Driving and using machines
You may feel tired or dizzy whilst taking Nadolol Tablets. If this happens, do not drive or use any tools or machines.
3. How to take Nadolol Tablets
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.
- Swallow the tablets with a drink of water.
- If you feel the effect of your medicine is too weak or too strong, do not change the dose yourself, but ask your doctor.
The recommended dose:
The dose of Nadolol Tablets depends on your needs and the illness being treated. Your doctor will advise you. Chest pain (angina)
- 40 mg (half a tablet) to 160 mg (2 tablets) each day High blood pressure
80 mg (1 tablet) to 240 mg (3 tablets) each day
Uneven or unusually fast heart beats (arrhythmias)
- 40 mg (half a tablet) to 160 mg (2 tablets) each day Stop migraine attacks happening
- 40 mg (half a tablet) to 160 mg (2 tablets) each day Overactive thyroid gland
- 80 mg (1 tablet) to 160 mg (2 tablets) each day
Use in elderly patients and patients with kidney problems
Your doctor may decide to lower your dose of Nadolol Tablets if necessary.
Use in children
Nadolol Tablets should not be given to children.
If you take more Nadolol Tablets than you should
If you take more Nadolol Tablets 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 doctors know what you have taken. The following effects may happen: feeling dizzy or weak, difficulty in breathing or wheezing, seizures caused by low blood sugar.
If you forget to take Nadolol Tablets
Do not take a double dose to make up for a forgotten dose.
If you stop taking Nadolol tablets
Keep taking Nadolol Tablets until your doctor tells you to stop. If you stop treatment suddenly your illness may get worse. When your doctor says that you can stop taking Nadolol Tablets, you need to do this gradually. Your doctor will help you do this.
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.
Stop taking Nadolol Tablets and see a doctor or go to a hospital straight away if:
- You have an allergic reaction. The signs may include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue.
Tell your doctor as soon as possible if you have any of the following side effects:
Common reported side effects
(may affect up to 1 in 10 people)
- Pain in your chest and feeling weak or dizzy. These could be signs of heart problems.
- Slow heart rate
- Feeling dizzy or weak. These could be signs of low blood pressure
Uncommon reported side effects
(may affect up to 1 in 100 people)
- Stomach pain, stomach feels full or tight (bloating), wind (flatulence), constipation, diarrhoea, indigestion and loss of appetite
- Changes in behaviour
- Slurred speech
- Cough and blocked nose
- Ringing in the ears
- Headache
- Feeling or being sick
- Breathing problems such as asthma
- Dry mouth, eyes or skin
- Weight gain
- Sweating
- Difficulty in getting or maintaining an erection, or in ejaculating (impotence)
- Lack of interest in sexual activities (libido)
Other side effects with frequency not known
(frequency cannot be estimated from available data)
- Feeling nervous, anxious, shaky or sweaty. These could be signs of low blood sugar levels (hypoglycaemia)
- Inflammation, irritation or swelling caused by blood flow to the stomach
- Difficulty sleeping (insomnia)
- Seeing or hearing things that are not there (hallucinations), confusion, blurred vision
- Depression and short-term memory loss
- High temperature and sore throat
- A cold or numb feeling on your fingers or toes
- Unusual skin sensation such as numbness, tingling, pricking, burning or creeping on the skin
- Hair loss (usually grows back when you stop using the medicine)
Changes in your blood cell count shown up on blood tests. This can lead to skin rashes or feeling weak
Blood tests
The results of some blood tests may show higher levels of liver enzymes than normal. The blood tests may also show higher levels of white blood cells than normal.
If you get any side effects or if any of the side effects get serious or last longer than a few days, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.
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: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Nadolol Tablets
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 carton after 'EXP'. The expiry date refers to the last day of that month.
Store below 25 °C.
Do not throw away any medicine via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
6. Content of the pack and other information
What Nadolol Tablets contain:
- The active substance is nadolol 80 mg.
- The other ingredients are microcrystalline cellulose and magnesium stearate.
What Nadolol Tablets look like and contents of the pack
Nadolol 80 mg Tablets are white, capsule-shaped, scored tablets, engraved with '80' on one side.
They are supplied in cartons of 28 tablets.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder
Neon Healthcare Ltd.
8 The Chase, John Tate Road,
Hertford,
SG13 7NN
United Kingdom
Manufacturer
Opella Healthcare Poland Sp. z o.o.
Oddział w Rzeszowie
ul. Lubelska 52
Rzeszów 35-233
Poland
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.