Tertensif SR 1.5 mg. 30 capsules

WHAT IS Tertensif SR  1.5 mg AND WHAT IT IS USED FOR
This medicine is designed to reduce high blood pressure (hypertension).
Prolonged-release film-coated tablets contain indapamide as an active substance. Indapamide is a diuretic. Most diuretics increase the amount of urine produced by the kidneys. However, indapamide is different from other diuretics, as it only causes a slight increase in the quantity of urine produced.

2. BEFORE YOU TAKE  Tertensif SR  1.5 mg
Do not take Tertensif SR  1.5 mg:

If you are allergic to indapamide or another sulphonamide or to any of the excipients of Tertensif SR  1.5 mg;
If you have severe kidney disease;
If you have severe liver disease or if you suffer from a condition called hepatic encephalopathy (degenerative brain disease);
If you have low levels of potassium in the blood.
Take special care with Tertensif SR  1.5 mg:

if you have liver problems;
if you have diabetes;
if you suffer from gout;
if you have any problems with heart rhythm or kidney problems;
if you need a review to check how your gynecologist works.
Tell your doctor if you have had photosensitivity reactions to light.
Your doctor may order you blood tests to check for low sodium or potassium levels or for high calcium levels.
If you think any of these things may apply to you or if you have any questions or doubts about taking this medicine, talk to your doctor or pharmacist.
Athletes should keep in mind that this drug contains an active substance that can give a positive reaction during a doping test.

Using other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any medicines, including medicines obtained without a prescription.
Do not take Tertensif SR 1.5 mg with lithium-based medicines (used to treat depression) due to the risk of rising lithium levels in the blood.
Tell your doctor if you are taking any of the following medicines, as this may require particular attention:

medicines used for heart rhythm problems (for example: quinidine, hydroquinidine, disopyramide, amiodarone, sotalol, ibutilide, dofetilide, digitalis);
medicines used to treat mental illnesses such as depression, anxiety, schizophrenia (tricyclic antidepressants, antipsychotic drugs, neuroleptics);
bepridil (used to treat angina pectoris - a condition that causes chest pain);
cisapride, difemanil (used to treat gastrointestinal problems);
sparfloxacin, moxifloxacin (antibiotics used to treat infections);
halofantrine (a parasitic medicine used to treat certain types of malaria);
pentamidine (used to treat certain types of pneumonia);
mizolastine (used to treat allergic reactions such as pollen allergy);
non-steroidal anti-inflammatory pain relievers (eg ibuprofen) or high doses of aspirin;
angiotensin converting enzyme (ACE) inhibitors (used to treat high blood pressure and heart failure);
oral corticosteroids used to treat various conditions including asthma and rheumatoid arthritis;
stimulating laxatives;
baclofen (for the treatment of muscle stiffness occurring in diseases such as multiple sclerosis);
potassium-sparing diuretics (amiloride, spironolactone, triamterene);
metformin (to treat diabetes);
iodized contrast agents (used for studies, including X-rays);
calcium or other calcium supplements;
ciclosporin, tacrolimus or other immunosuppressive drugs after organ transplantation, for the treatment of autoimmune diseases or acute rheumatic or dermatological diseases;
tetracosactide (for the treatment of Crohn's disease).
Pregnancy and breastfeeding
Ask your doctor or pharmacist before taking any medicine.
This medicine is not recommended during pregnancy. When pregnancy is planned or confirmed, alternative treatment should be switched as quickly as possible. Please tell your doctor if you are pregnant or want to become pregnant.
The active substance is excreted in the milk. If you take this medicine, breast-feeding is not recommended.

Driving and using machines
This medicine can cause side effects like lowering of blood pressure such as dizziness or tiredness (see section 4). These side effects occur most often at the start of treatment and after increasing the dose. If this happens, you should refrain from driving and other activities requiring caution. However, under good control, these undesirable effects are unlikely to occur.
Important information about some of the ingredients of TERTSYF SR 1,5 mg
This medicine contains lactose monohydrate. If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this medicine.

3. HOW TO TAKE Tertensif SR 1.5 mg
Instructions for proper use
One tablet per day, preferably in the morning. Tablets can be taken regardless of meals. Swallows should be swallowed with water. Do not chew or break. The treatment of high blood pressure usually lasts throughout life.

If you take more Tertensif SR 1.5 mg of the required dose
If you have taken too many tablets, contact your doctor or pharmacist immediately. Very high doses of TERTSHIP SR 1.5 mg can cause nausea, vomiting, low blood pressure, cramps, dizziness, drowsiness, confusion and a change in the amount of urine produced by the kidneys.

If you forget to take Tertensif SR 1.5 mg
If you have forgotten to take a dose of your medicine, take the next dose at the usual time. Do not take a double dose to make up for the missed dose.

If you stop taking Tertensif SR 1.5 mg
Since high blood pressure usually lasts throughout your life, talk to your doctor before stopping taking this medicine.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
As with any medicine, Tertensif SR 1.5 mg can cause side effects, although not everybody gets them.

These may include:
Common (less than 1 patient in 10 but more than 1 in 100): low potassium in the blood, which may cause muscle weakness.

Uncommon (less than 1 patient in 100 but more than 1 in 1000): vomiting, allergic reactions, mostly skin as skin rash, purpura (red spots on the skin) in people with a predisposition to allergic and asthmatic reactions.

Rare (less than 1 patient in 1000 but more than 1 in 10,000):

Feeling of fatigue, dizziness, headache, tingling (paresthesia);
Gastrointestinal disorders (such as nausea, constipation), dry mouth;
Increased risk of dehydration in elderly patients and in patients with heart failure.
Very rare (less than 1 patient in 10,000):

Cardiac rhythm disorders, low blood pressure;
Kidney disease;
Pancreatitis (inflammation of the pancreas that causes upper abdominal pain), abnormal liver function. In cases of hepatic failure, hepatic encephalopathy (degenerative brain disease) may occur;
Changes in blood cells such as thrombocytopenia (decreased platelet counts, which can easily cause bruising and also bleeding from the nose), leucopenia (a decrease in white blood cells that may cause fever of unknown origin, sore throat or other flu-like symptoms symptoms - if this occurs, contact your doctor) and anemia (reduction of red blood cells);
Angioedema and / or urticaria, severe skin manifestations. Angioedema is characterized by swelling of the skin of the limbs or face, swelling of the lips or tongue, swelling of the lining of the throat or the airways, resulting in shortness of breath or difficulty in swallowing. If this happens, contact your doctor immediately.
If you suffer from systemic lupus erythematosus (a kind of connective tissue disease), it may get worse. Cases of hypersensitivity to light (change in skin type) after exposure to sunlight or artificial UVA rays have also been reported.
Some changes may occur in your lab and your doctor may direct you to do blood tests to check your condition. The following lab changes may occur:

Low potassium level in the blood;
Low sodium levels in the blood, which can lead to dehydration and low blood pressure;
Uric acid elevation - a condition that can cause or worsen gout (painful joints especially on the feet);
Increased blood glucose levels in diabetics;
Increase in calcium in the blood.
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 pharmacist.

5. HOW TO STORE Tertensif SR 1.5 mg
Keep out of the reach and sight of children.
Do not use this medicine after the expiry date which is stated on the outer carton and blister. The expiry date refers to the last day of that month.
Store below 30 ° C.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to destroy your unnecessary medicines. These measures will help to protect the environment.
MORE INFORMATION
What Tertensif SR  1.5 mg contains
The active substance is indapamide. Each tablet contains 1.5 mg of indapamide.
The other ingredients are:
In the tablet core: silica, colloidal anhydrous (E551), hypromellose (E464), lactose monohydrate, magnesium stearate (E470V) povidone.
In the film coating of the tablet: glycerol (E422), macrogol 6000, magnesium stearate (E470B), titanium dioxide (E171).

What Tertensif SR 1.5 mg looks like and contents of the pack
White, round, prolonged-release film-coated tablets. The tablets are available in cartons of 30 tablets in blisters.

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