Ranolazine Umedica 500 mg Prolonged-Release Tablets

• 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 any possible side effects not listed in this leaflet. See section 4.

1. What Ranolazine Umedica is and what it is used for
2. What you need to know before you take Ranolazine Umedica
3. How to take Ranolazine Umedica
4. Possible side effects
5. How to store Ranolazine Umedica
6. Contents of the pack and other information

• if you are allergic to ranolazine or any of the other ingredients of this medicine listed in section 6 of this leaflet
• if you have severe kidney problems
• if you have moderate or severe liver problems
• if you are using certain medicines to treat bacterial infections (clarithromycin, telithromycin), fungal infections (itraconazole, ketoconazole, voriconazol, posaconazol), HIV infection (protease inhibitors), depression (nefazodone) or heart rhythm disorders (e.g. quinidine, dofetilide, or sotalol).

Talk to your doctor before taking Ranolazine Umedica:

• if you have mild or moderate kidney problems
• if you have mild liver problems
• if you have ever had an abnormal electrocardiogram (ECG)
• if you are elderly
• if you have low weight (60 kg or less)
• if you have heart failure

Your doctor may decide to give you a lower dose or take other precautions if any of these apply to you.

Do not use the following medicines if you take this medicine:

• certain medicines to treat bacterial infections (clarithromycin, telithromycin), fungal infections (itraconazole, ketoconazole, voriconazole, posaconazole), HIV infection (protease inhibitors), depression (nefazodone), or heart rhythm disorders (e.g. quinidine, dofetilide, or sotalol).

Tell your doctor or pharmacist before you take Ranolazine Umedica medicine if you use:

• certain medicines to treat a bacterial infection (erythromycin), or a fungal infection (fluconazole), a medicine used to prevent rejection of a transplanted organ (ciclosporin), or if you are taking some heart tablets such as diltiazem or verapamil. These medicines may cause an increase in the number of side effects, such as dizziness, nausea, or vomiting, which are possible side effects of Ranolazine Umedica (see section 4). Your doctor may decide to give you a lower dose.
• medicines to treat epilepsy or another neurologic disorder (e.g. phenytoin, carbamazepine, or phenobarbital); are taking rifampicin for an infection (e.g. tuberculosis); or are taking the herbal remedy St. John's Wort, as these medicines may cause Ranolazine Umedica to be less effective.
• heart medicines containing digoxin or metoprolol, as your doctor may want to change the dose of this medicine whilst you are taking Ranolazine Umedica.
• certain medicines to treat allergies (e.g. terfenadine, astemizole, mizolastine), heart rhythm disorders (e.g. disopyramide, procainamide), and depression (e.g. imipramine, doxepin, amitriptyline), as these medicines may affect your ECG.
• certain medicines to treat depression (bupropion), psychosis, HIV infection (efavirenz), or cancer (cyclophosphamide).
• certain medicines to treat high levels of cholesterol in the blood (e.g. simvastatin, lovastatin, atorvastatin). These medicines may cause muscle pain and muscle injury. Your doctor may decide to change the dose of this medicine while you are taking Ranolazine Umedica.
• certain medicines used to prevent transplanted organ rejection (e.g. tacrolimus, ciclosporin, sirolimus, everolimus) as your doctor may decide to change the dose of this medicine while you are taking Ranolazine Umedica.

Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines.

Ranolazine Umedica can be taken with or without food. While being treated with Ranolazine Umedica, you should not drink grapefruit juice.

You should not take Ranolazine Umedica if you are pregnant unless your doctor has advised you to do so.

You should not take Ranolazine Umedica if you are breast-feeding. Ask your doctor for advice if you are breast-feeding.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine.

No studies on the effects of Ranolazine Umedica on the ability to drive and use machines have been performed. Ask your doctor for advice about driving or using machines.

Ranolazine Umedica may cause side effects such as dizziness (common), blurred vision (uncommon), confusional state (uncommon), hallucination (uncommon), double vision (uncommon), coordination problems (rare), that may affect your ability to drive or use machines. If you experience these symptoms, do not drive or operate machinery until they have resolved completely.

This medicine contain lactose monohydrate. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

This medicine contains less than 1 mmol sodium (23 mg) per prolonged-release tablet, that is to say essentially ‘sodium-free’.

Children and adolescents under 18 years old should not take Ranolazine Umedica.

If you accidentally take too many Ranolazine Umedica or take a higher dose than recommended by your doctor, it is important that you tell your doctor at once. If you cannot contact your doctor, go to the nearest accident and emergency department. Take along any tablets that are left, including the container and the carton, so that the hospital staff can easily tell what you have taken.

If you forget to take a dose, take it as soon as you remember unless it is nearly time (less than 6 hours) to take your next dose. Do not take a double dose to make up for a forgotten dose.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below). By reporting side effects you can help provide more information on the safety of this medicine.

United Kingdom

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The active substance in Ranolazine Umedica is ranolazine. Each tablet contains 375 mg, 500 mg and 750 mg ranolazine.

The other ingredients are: microcrystalline cellulose, lactose monohydrate, methacrylic acid-ethyl acrylate copolymer, sodium hydroxide pellets, hydroxypropyl methylcellulose, magnesium stearate.

Depending on the tablet strength, the tablet coatings also contain:

375mg tablet: hypromellose, titanium dioxide, lactose monohydrate, macrogol, triacetin, Indigo carmine Aluminium Lake (E132)

500 mg tablet: hypromellose, titanium dioxide, lactose monohydrate, macrogol, triacetin, iron oxide yellow (E172)

750 mg tablet: hypromellose, titanium dioxide, lactose monohydrate, macrogol, triacetin, Brilliant Blue FCF Aluminium Lake (E133)

Ranolazine prolonged-release tablets are oblong shaped tablets.

The 375 mg tablets are pale blue approx. 15.00mm x 7.20mm and are debossed with RAN375 on one side.

The 500 mg tablets are yellow approx. 16.50mmx 8.00mm and are debossed with RAN500 on one side.

The 750 mg tablets are light blue approx. 19.00mm x 9.20mm and are debossed with RAN750 on one side.

Ranolazine Umedica is supplied in cartons containing 28, 30, 56, 60 or 100 tablets in blister strip. Not all pack-sizes may be marketed.

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