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TILDIEM 60 MG MODIFIED-RELEASE TABLETS, CONVERDIEM 60 MG PROLONGED-RELEASE TABLETS - Patient leaflet, side effects, dosage

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Patient leaflet - TILDIEM 60 MG MODIFIED-RELEASE TABLETS, CONVERDIEM 60 MG PROLONGED-RELEASE TABLETS

1. what tildiem is and what it is used for

Tildiem 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, which makes it easier for your heart to pump blood around the body. This helps to prevent the chest pain caused by angina.

Tildiem is used for:

  • ■ Angina (chest pain)

  • ■ Stopping you getting angina in the future

2. what you need to know before you take tildiem

Do not take this medicine if:

  • ■ You are allergic (hypersensitive) to diltiazem hydrochloride or any of the other ingredients of Tildiem (listed in Section 6)

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: ‘Pregnancy and breast-feeding’)

  • ■ You are having a medicine called dantrolene used for severe muscle spasms or severe fever (see Section: ‘Other medicines and Tildiem’)

  • ■ You have a very slow heartbeat – less than 50 beats per minute

  • ■ 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 are already taking a medicine containing ivabradine for the treatment of certain heart diseases

  • ■ You have any other serious problems with your heart. This includes having an uneven heartbeat (unless you have a pacemaker).

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.

Warnings and precautions

Talk to your doctor or pharmacist before taking your medicine if:

  • ■ You have a history of heart failure, new shortness of breath, slow heartbeat or low blood pressure. Cases of kidney injury in patients with such conditions have been reported

  • ■ 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 tablets if:

  • ■ You are over 65 years old

  • ■ You have liver or kidney problems

  • ■ You have diabetes

  • ■ You have or ever had asthma

  • ■ You take any beta blocker medicines.

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Tildiem.

Other medicines and Tildiem

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 can affect the way some other medicines work. Also, some medicines can affect the way Tildiem 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 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 trinitrate

  • ■ 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 and carbamazepine used for epilepsy

  • ■ Antiplatelet medicines used to reduce the chance of blood clots forming, such as aspirin or clopidogrel

  • ■ Iodinated contrast media (used for tests involving X-rays)

  • ■ Theophylline used for breathing problems

  • ■ Lithium used for some types of mental illness

  • ■ Medicines used for sleeplessness or anxiety, such as triazolam or midazolam

  • ■ Methylprednisolone used for inflammation

  • ■ Cilostazol used for intermittent cramp-like pain in your legs when you walk caused by insufficient blood supply in your legs.

Tildiem may make the following medicine work less well:

  • ■ Rifampicin used for tuberculosis.

The following medicines can increase the effect of Tildiem:

  • ■ Medicines for stomach ulcers such as cimetidine and ranitidine.

Tildiem with food and drink

It is advisable to limit the amount of grapefruit juice you drink while taking Tildiem 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 if you are pregnant, might become pregnant or think you may be pregnant. This is because Tildiem can cause problems for your baby. Talk to your doctor if you might be pregnant

  • ■ Do not breast-feed if you are taking Tildiem. This is because small amounts may pass into mother’s milk. If you are breast-feeding 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.

Tildiem contains:

  • Lactose. If you have been told by your doctor that you

cannot tolerate some sugars, talk to your doctor before taking this medicine.

  • Hydrogenated castor oil. May cause stomach upset and diarrhoea.

3. how to take tildiem

Always take Tildiem 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

  • ■ 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

Adults:

  • ■ The usual dose is one tablet three times a day. If necessary, your doctor may increase this to:

  • ■ Two tablets three times a day or

  • ■ Two tablets four times a day.

Over 65 years or adults with liver or kidney problems:

  • ■ The usual dose is one tablet twice a day.

Children and adolescents:

  • ■ Tildiem should not be given to children.

If you take more Tildiem than you should

If you take more 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 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, sudden death and decrease of kidney function.

If, in an emergency situation, the patient is treated quickly sudden death is not only the potential outcome.

If you forget to take Tildiem

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

Keep taking Tildiem 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.

Tests

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 can cause side effects, although not everyone gets them.

Stop taking and see a doctor or go to a hospital straight away if:

Frequency unknown (cannot be estimated from the available data)

  • ■ 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 in swallowing

  • ■ Your asthma gets worse

  • ■ You have difficulty breathing, wheezing, tightness in the chest (called ‚bronchospasm‘)

  • ■ 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 Necrolysis’

  • ■ 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 of 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 (cannot be estimated from the available data)

  • ■ Skin rash caused by narrow or blocked blood vessels (called ‘vasculitis’)

  • ■ 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 (hyperglycaemia)

  • ■ 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 (cannot be estimated from the available data) ■ 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 (cannot be estimated from the available data)

  • ■ 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: 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 tildiem

  • Keep out of the sight and reach of children.

  • ■ Do not use Tildiem after the expiry date which is stated on the carton after ‘Exp’. The expiry date refers to the last date of that month.

  • ■ This medicinal product does not require any special storage conditions.

  • ■ If your doctor tells you to stop taking the tablets, please take them back to the pharmacist for safe disposal. Only keep the tablets if your doctor tells you to.

  • ■ If the tablets become discoloured or show signs of deterioration, you should seek the advice of your pharmacist.

  • ■ 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.

6. contents of the pack and other information

What Tildiem contains

The active ingredient is diltiazem hydrochloride.

Each modified release tablet contains 60mg diltiazem hydrochloride.

The other ingredients are lactose, macrogol 6000, hydrogenated castor oil and magnesium stearate.

What Tildiem looks like and contents of the pack

Tildiem are white, round, biconvex tablets engraved with ‚DTZ 60‘ on one side and scored on the other.

Tildiem is available in blister packs of 50, 90 or 100 tablets.

Manufacturer

Manufactured by:

Sanofi Winthrop Industrie, 30–36 Avenue Gustave Eiffel – Tours, France.

Procured from within the EU and repackaged by: Doncaster Pharmaceuticals Group Ltd., Kirk Sandall, Doncaster, DN3 1QR.

Product Licence holder:

Landmark Pharma Ltd., 7 Regents Drive, Prudhoe, Northumberland, NE42 6PX.

PL No: 21828/0640 POM

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.

Tildiem® is a registered trademark of sanofi-aventis.

Leaflet revision and issue date (Ref): 11.06.20

Blind or partially sighted?

Is this leaflet hard to see or read?

Call +44 (0) 1302 365000 (Regulatory)

Please be ready to give the following information: Product name: TILDIEM 60MG MODIFIED-RELEASE TABLETS

Reference No: 21828/0640

PACKAGE LEAFLET: INFORMATION FOR THE USER

Converdiem 60mg Prolonged-Release Tablets

(Diltiazem hydrochloride)

This medicine is available using the name Converdiem 60mg Prolonged-Release Tablets but will be referred to as Converdiem throughout this leaflet.

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 pharmacist.

  • ■ 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 any side effects, talk to your doctor or pharmacist. This includes possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

  • 1. What Converdiem is and what it is used for

  • 2. What you need to know before you take Converdiem

  • 3. How to take Converdiem

  • 4. Possible side effects

  • 5. How to store Converdiem

  • 6. Contents of the pack and other information

1. what converdiem is and what it is used for

Converdiem 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, which makes it easier for your heart to pump blood around the body. This helps to prevent the chest pain caused by angina.

Converdiem is used for:

  • ■ Angina (chest pain)

  • ■ Stopping you getting angina in the future

2. what you need to know before you take converdiem

Do not take this medicine if:

  • ■ You are allergic (hypersensitive) to diltiazem hydrochloride or any of the other ingredients of Converdiem (listed in Section 6) 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: ‘Pregnancy and breast-feeding’)

  • ■ You are having a medicine called dantrolene used for severe muscle spasms or severe fever (see Section: ‘Other medicines and Converdiem’)

  • ■ You have a very slow heartbeat – less than 50 beats per minute

  • ■ 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 are already taking a medicine containing ivabradine for the treatment of certain heart diseases

  • ■ You have any other serious problems with your heart. This includes having an uneven heartbeat (unless you have a pacemaker).

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 Converdiem.

Warnings and precautions

Talk to your doctor or pharmacist before taking your medicine if:

  • ■ You have a history of heart failure, new shortness of breath, slow heartbeat or low blood pressure. Cases of kidney injury in patients with such conditions have been reported

  • ■ 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 tablets if:

  • ■ You are over 65 years old

  • ■ You have liver or kidney problems

  • ■ You have diabetes

  • ■ You have or ever had asthma

  • ■ You take any beta blocker medicines.

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Converdiem.

Other medicines and Converdiem

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 Converdiem can affect the way some other medicines work. Also, some medicines can affect the way Converdiem 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.

Converdiem 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 trinitrate

  • ■ 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 and carbamazepine used for epilepsy

  • ■ Antiplatelet medicines used to reduce the chance of blood clots forming, such as aspirin or clopidogrel

  • ■ Iodinated contrast media (used for tests involving X-rays)

  • ■ Theophylline used for breathing problems

  • ■ Lithium used for some types of mental illness

  • ■ Medicines used for sleeplessness or anxiety, such as triazolam or midazolam

  • ■ Methylprednisolone used for inflammation

  • ■ Cilostazol used for intermittent cramp-like pain in your legs when you walk caused by insufficient blood supply in your legs.

Converdiem may make the following medicine work less well:

  • ■ Rifampicin used for tuberculosis.

The following medicines can increase the effect of Converdiem:

  • ■ Medicines for stomach ulcers such as cimetidine and ranitidine.

Converdiem with food and drink

It is advisable to limit the amount of grapefruit juice you drink while taking Converdiem 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 Converdiem if you are pregnant, might become pregnant or think you may be pregnant. This is because Converdiem can cause problems for your baby. Talk to your doctor if you might be pregnant

  • ■ Do not breast-feed if you are taking Converdiem. This is because small amounts may pass into mother’s milk. If you are breast-feeding 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.

Converdiem contains:

  • Lactose. If you have been told by your doctor that you cannot tolerate some sugars, talk to your doctor before taking this medicine.

  • Hydrogenated castor oil. May cause stomach upset and diarrhoea.

3. how to take converdiem

Always take Converdiem 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

  • ■ 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

Adults:

  • ■ The usual dose is one tablet three times a day. If necessary, your doctor may increase this to:

  • ■ Two tablets three times a day or

  • ■ Two tablets four times a day.

Over 65 years or adults with liver or kidney problems:

  • ■ The usual dose is one tablet twice a day.

Children and adolescents:

  • ■ Converdiem should not be given to children.

If you take more Converdiem than you should

If you take more 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 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, sudden death and decrease of kidney function.

If, in an emergency situation, the patient is treated quickly sudden death is not only the potential outcome.

If you forget to take Converdiem

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 Converdiem

Keep taking Converdiem 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.

Tests

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, Converdiem can cause side effects, although not everyone gets them.

Stop taking and see a doctor or go to a hospital straight away if:

Frequency unknown (cannot be estimated from the available data)

  • ■ 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 in swallowing

  • ■ Your asthma gets worse

  • ■ You have difficulty breathing, wheezing, tightness in the chest (called ‚bronchospasm‘)

  • ■ 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 Necrolysis’

  • ■ 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 of 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 (cannot be estimated from the available data)

  • ■ Skin rash caused by narrow or blocked blood vessels (called ‘vasculitis’)

  • ■ 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 (hyperglycaemia)

  • ■ Get sunburnt easier, and which may be more severe than in someone not taking Converdiem. 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 (cannot be estimated from the available data) ■ 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 (cannot be estimated from the available data)

  • ■ Mood changes, including depression ■ Bleeding or bruising under the skin.

Blood tests

Converdiem 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: 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.

  • Keep out of the sight and reach of children.

  • ■ Do not use Converdiem after the expiry date which is stated on the carton after ‘Exp’. The expiry date refers to the last date of that month.

  • ■ This medicinal product does not require any special storage conditions.

  • ■ If your doctor tells you to stop taking the tablets, please take them back to the pharmacist for safe disposal. Only keep the tablets if your doctor tells you to.

  • ■ If the tablets become discoloured or show signs of deterioration, you should seek the advice of your pharmacist.

  • ■ 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.

6. Contents of the pack and other information

What Converdiem contains

The active ingredient is diltiazem hydrochloride.

Each prolonged release tablet contains 60mg diltiazem hydrochloride.

The other ingredients are lactose, macrogol 6000, hydrogenated castor oil and magnesium stearate.

What Converdiem looks like and contents of the pack

Converdiem are white, round, biconvex tablets engraved with ‚DTZ 60‘ on one side and scored on the other.

Converdiem is available in blister packs of 90 or 100 tablets.

Manufacturer

Manufactured by:

Sanofi Winthrop Industrie,

30–36 Avenue Gustave Eiffel – Tours, France.

Procured from within the EU and repackaged by:

Doncaster Pharmaceuticals Group Ltd., Kirk Sandall, Doncaster, DN3 1QR.

Product Licence holder:

Landmark Pharma Ltd., 7 Regents Drive, Prudhoe, Northumberland, NE42 6PX.

PL No: 21828/0640 POM

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.

Leaflet revision and issue date (Ref): 11.06.20

Blind or partially sighted?

Is this leaflet hard to see or read?

Call +44 (0) 1302 365000 (Regulatory)

Please be ready to give the following information:

Product name: CONVERDIEM 60MG PROLONGED RELEASE TABLETS

Reference No: 21828/0640

Page 2 of 2

Frequently Asked Questions

What is TILDIEM 60 mg modified-release tablets used for?

TILDIEM 60 mg modified-release tablets are primarily used to treat high blood pressure and certain types of angina (chest pain). They help to relax blood vessels, improving blood flow.

How does CONVERDIEM 60 mg prolonged-release tablets work?

CONVERDIEM 60 mg prolonged-release tablets work by blocking calcium channels in the heart and blood vessels. This leads to a decrease in heart rate and relaxation of blood vessels, ultimately lowering blood pressure.

Can I take TILDIEM if I am pregnant or breastfeeding?

It's important to consult your doctor before taking TILDIEM if you are pregnant or breastfeeding, as it may not be safe for the baby.

What should I do if I miss a dose of CONVERDIEM?

If you miss a dose of CONVERDIEM, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at once.

Are there any common side effects of TILDIEM?

Common side effects of TILDIEM include dizziness, headache, flushing, and swelling in the ankles or feet. If these persist or worsen, contact your doctor.

Is it safe to drink alcohol while taking CONVERDIEM?

Drinking alcohol while taking CONVERDIEM may increase the risk of side effects like dizziness or light-headedness. It's best to limit alcohol intake.

Can TILDIEM be taken with other medications?

Yes, but it's crucial to inform your doctor about all other medications you're taking to avoid potential interactions. Some drugs may affect how TILDIEM works.

How long does it take for CONVERDIEM to start working?

You may start to notice the effects of CONVERDIEM within a few hours, but it can take several weeks for its full benefit in controlling blood pressure.

What should I do if I experience severe side effects from TILDIEM?

If you experience severe side effects such as difficulty breathing, swelling of the face or throat, or severe chest pain, seek medical attention immediately.

Can children take TILDIEM or CONVERDIEM?

Both medications are generally prescribed for adults. The use of these drugs in children should be determined by a healthcare provider based on individual circumstances.

What lifestyle changes should I consider while taking CONVERDIEM?

Along with taking CONVERDIEM, consider adopting a healthy diet low in salt, regular exercise, maintaining a healthy weight, and avoiding smoking to help manage your blood pressure.

How should I store TILDIEM tablets?

Store TILDIEM tablets at room temperature away from moisture and heat. Keep them out of reach of children.

Can I stop taking CONVERDIEM without consulting my doctor?

No, do not stop taking CONVERDIEM abruptly without consulting your healthcare provider. Doing so can cause your blood pressure to rise suddenly.

Is there a specific time of day when I should take TILDIEM?

TILDIEM is usually taken once daily at the same time each day. Follow your doctor's instructions regarding timing.

Does TILDIEM affect my heart rate?

Yes, TILDIEM can lower your heart rate as part of its mechanism to reduce blood pressure and relieve angina symptoms.

What should I do if I experience a rapid heartbeat while on CONVERDIEM?

Notify your healthcare provider if you experience a rapid heartbeat or any unusual heart rhythms while on CONVERDIEM as it might require medical assessment.

Can diet impact how well TILDIEM works?

Yes, a diet high in sodium can counteract the effectiveness of TILDIEM. Following a balanced diet can help improve results.

Are there any alternatives to TILDIEM for treating high blood pressure?

There are several alternatives available for treating high blood pressure including other classes of antihypertensives. Discuss with your doctor which option may be best for you.

Where can I find more information about my medication?

For more information about TILDIEM or CONVERDIEM, consult your pharmacist or visit reputable health websites like those from government health departments or patient advocacy groups.