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Colesevelam hydrochloride 625 mg film-coated tablets

Active Ingredient:
colesevelam hydrochloride
Glenmark Pharmaceuticals Europe Ltd See contact details
ATC code: 
About Medicine
The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine.
Last updated on emc: 20 Oct 2022

Below is a text only representation of the Patient Information Leaflet (ePIL).

The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on {phone} 0800 198 5000. The product code(s) for this leaflet is: PL 25258/0342.

Colesevelam hydrochloride 625 mg film-coated tablets


Colesevelam hydrochloride 625 mg film-coated tablets

Colesevelam hydrochloride

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, pharmacist or nurse.
  • 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, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

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


Colesevelam hydrochloride tablets (referred to as Colesevelam tablets or Colesevelam in this leaflet) contain the active substance colesevelam hydrochloride. Taking Colesevelam tablets helps to lower the level of cholesterol in your blood. Your doctor should only give you Colesevelam tablets if a diet low in fat and cholesterol did not work well enough on its own.

Colesevelam tablets works in your intestinal system by binding bile acids produced by your liver and carrying the bile acids out of your body with your faeces. This prevents your body from recycling the bile acids from your intestines in the usual way. Without the recycling process, your liver has to make additional bile acids. Your liver uses cholesterol from your blood to do this, which lowers the level of cholesterol in your blood.

Colesevelam tablets are prescribed to treat a condition known as primary hypercholesterolaemia (when cholesterol in the blood is elevated) in adults.

  • Colesevelam tablets may be prescribed on its own in addition to a diet low in fat and cholesterol when treatment with a statin (a class of cholesterol-lowering medicines that work in the liver) is inappropriate or not well tolerated.
  • Colesevelam tablets may be used together with a statin and the diet low in fat and cholesterol when patients are not appropriately controlled by the statin on its own.
  • Colesevelam tablets may also be used together with ezetimibe (a cholesterol-lowering medicine that works by reducing cholesterol absorption from the gut), with or without a statin.

Do not take Colesevelam tablets if:
  • you are allergic to colesevelam or to any of the other ingredients of this medicine (listed in section 6)
  • you have a blockage in your intestines or bile ducts (tubes that carry bile)

If you are prescribed Colesevelam tablets and any other medicine together you must also read the patient information leaflet that comes with that particular medicine before you start to take your medicine.

Warnings and precautions

Talk to your doctor or pharmacist before taking Colesevelam tablets:

  • if your triglyceride levels (a blood fat) are greater than 3.4 mmol/L
  • if you have difficulty in swallowing, or have a major stomach or intestinal disorder
  • if you suffer from constipation, as Colesevelam tablets may induce or worsen this condition. This is especially important for patients with coronary heart disease and angina pectoris.

If you think any of these apply to you, you should inform your doctor or pharmacist before taking Colesevelam tablets.

Before starting therapy with Colesevelam tablets, your physician should make sure that certain conditions do not contribute to your elevated cholesterol levels. These could include poorly controlled diabetes, untreated hypothyroidism (low levels of thyroid hormone for which no treatment is being given currently), proteins in urine (nephrotic syndrome), altered protein levels in the blood (dysproteinaemias), and blockage of the bile transport to your gall bladder (obstructive liver disease).

Children and adolescents

The safety and efficacy in children (below the age of 18 years) has not been studied. Therefore, Colesevelam tablets is not recommended for use in this population.

Other medicines and Colesevelam tablets

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

If your doctor suspects that Colesevelam may have an effect on the absorption of the other medication, you may be advised to take Colesevelam at least 4 hours before or at least 4 hours after taking the other medication. If you need to take other medicines more than once a day, remember that your Colesevelam tablets can be taken once a day.

Colesevelam tablets may affect the way in which the following medicines work:

  • Anticoagulant therapy (medicines, such as warfarin, used to thin blood). If you are taking anticoagulant therapy you should consult with your physician to closely monitor anticoagulation levels, as Colesevelam may affect the absorption of vitamin K and therefore interfere with the activity of warfarin.
  • Thyroid replacement therapy (medicines, such as thyroxine or levothyroxine, used to treat low thyroid hormone levels)
  • Oral contraceptives (medicines to prevent pregnancy)
    It is important you take Colesevelam at least 4 hours after you take the oral contraceptive to ensure that the effectiveness of the contraceptive is not affected.
  • Verapamil or olmesartan (medicines used to treat high blood pressure). It is important that you take olmesartan at least 4 hours before you take Colesevelam.
  • Antidiabetic medications (medicines used to treat diabetes, such as metformin extended-release (ER) tablets, glimepiride, glipizide, pioglitazone, repaglinide or glyburide).
    If you are taking medicines for diabetes, you should consult with your physician so that you can be closely monitored. It is important that you take glimepiride and glipizide at least 4 hours before you take Colesevelam.
  • Anti-epileptic medicines (medicines, such as phenytoin, used to treat epilepsy).
  • Ciclosporin (a medicine used to suppress the immune system).
  • Ursodeoxycholic acid (a medicine used to dissolve gallstones or treat specific chronic liver diseases).

If you are going to take Colesevelam and one of these medicines, your doctor may want to do tests to make sure that Colesevelam does not interfere with these medicines.

Additionally, if you have any condition that could cause you to have a deficiency of vitamins A, D, E or K, your doctor may want to check your vitamin levels periodically while you are taking Colesevelam. If necessary, your doctor may advise you to take vitamin supplements.

Pregnancy, breast-feeding

Contact your doctor immediately if you become pregnant, think you might be pregnant or are planning to become pregnant or breast-feeding while taking this medicine.

If you are prescribed Colesevelam and a statin together it is important that you tell your doctor if you are pregnant or if you are planning to become pregnant because statins must not be used during pregnancy; the patient information leaflet that comes with that particular statin should be consulted. Tell your doctor if you are breast-feeding. Your doctor may stop your medicine.

Driving and using machines

Your ability to drive or operate machines is not affected by taking Colesevelam tablets.


Before starting therapy with Colesevelam, you should be advised to follow a cholesterol-lowering diet and you should continue this diet during treatment.

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. As described in Section 2, if you will be taking Colesevelam along with another medicine it is possible that your doctor will advise you to take Colesevelam at least 4 hours before or at least 4 hours after taking the other medicine.

If you take a medicine called either Neoral® or ciclosporin, please ensure to take it with Colesevelam in a consistent pattern over the day; either always together or always separate for a set number of hours.

You should take your Colesevelam tablets with food and liquid. The tablets should be swallowed whole. Do not break, crush or chew the tablets.

Combination therapy:

The recommended dose for Colesevelam, when used with a statin or ezetimibe or both together, is 4 to 6 tablets a day by mouth. Your doctor may tell you to take this medicine dose either once a day or twice a day; in either case Colesevelam should be taken with a meal. The dosing of the statin and the ezetimibe should follow the instructions for that particular medicine. The medicines may be taken at the same time or at separate times according to what your doctor has prescribed.


The recommended dose for Colesevelam is 3 tablets taken twice a day with meals or 6 tablets a day with a meal. Your doctor may increase your dose to 7 tablets per day.

If you take more Colesevelam

tablets than you should Please contact your doctor. Constipation or bloating could occur.

If you forget to take Colesevelam

You may take your dose with a later meal, but never take in one day more than the total number of tablets that your doctor has prescribed to you in a single day.

If you stop taking Colesevelam tablets

Your cholesterol may increase to the level it was before treatment was started.

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


Like all medicines, this medicine can cause side effects, although not everyone gets them.

The following side effects may happen with this medicine:

Very common (may affect more than 1 in 10 people): flatulence (wind), constipation.

Common (may affect up to 1 in 10 people): vomiting, diarrhoea, indigestion, abdominal pain, abnormal stools, feeling sick, bloating, headache, raised levels of triglycerides (fats) in your blood.

Uncommon (may affect up to 1 in 100 people): muscle pain, raised levels of liver enzymes in your blood, difficulty in swallowing.

Very rare (may affect up to 1 in 10,000 people): inflammation of the pancreas.

Not known (frequency cannot be estimated from the available data): blockage of the intestines (which can increase among patients with a history of blockage of the intestines or intestinal removal).

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.
  • Keep the bottle tightly closed in order to protect from moisture.
  • Store in the original package.
  • This product does not require any special temperature storage conditions.
  • Do not use after the expiry date (month, year) stated on the label and carton after EXP. The expiry date refers to the last day of that month.
  • Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

What Colesevelam tablet contains:
  • The active substance is Colesevelam hydrochloride. Each tablet contains 625 mg colesevelam hydrochloride.
  • The other ingredients are:
    Core tablet: Cellulose, microcrystalline (E460), Silica colloidal anhydrous, Magnesium stearate, Pregelatinised Starch LM, Hypromellose (E464) (Methocel K 100 Premium LV).
    Film-coating Hypromellose (E464) (Methocel E50 LV), Diacetylated monoglycerides.
    Printing ink (Shellac, Iron oxide black (E172), Propylene Glycol, Ammonium hydroxide (E527)).

What Colesevelam tablets look like and contents of the pack

Colesevelam tablets are off-white to pale yellow capsule shaped, biconvex film-coated tablets with ‘G433’ imprinted on one side and plain on other side, approximately 18.90 ± 0.3 mm in length. The tablets are packed in plastic bottles containing silica gel as desiccant and filter coil with closure. Pack size is 180 tablets.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Glenmark Pharmaceuticals Europe Limited
Laxmi House
2B Draycott Avenue
United Kingdom


Glenmark Pharmaceuticals Europe Limited
Building 2
Croxley Business Park
Croxley Green
WD18 8YA
United Kingdom

This leaflet was last revised in 04/2022

Glenmark Pharmaceuticals Europe Ltd
Company image
Building 2, Croxley Park, Watford, WD18 8YA
+44 (0)1923 202 950
+44 (0)1923 251137
Medical Information Direct Line
0800 458 0383
Stock Availability
+44 (0)1923 202 950