The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL 08829/0153.
Clipper 5mg sustained release tablets
clipper® 5 mg
Gastro-resistant Prolonged-release Tablets
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. This leaflet was last updated in May 2019.
Keep this leaflet. You may need to read it again.
1. What Clipper Tablets is and what it is used for
2. What you need to know before you take Clipper Tablets
3. How to take Clipper Tablets
4. Possible side effects
5. How to store Clipper Tablets
6. Contents of the pack and other information
Clipper tablets contain the active substance beclometasone dipropionate belonging to a group of medicines called steroids. Their full name is corticosteroids. These corticosteroids occur naturally in the body, and help to maintain health and well-being. Boosting your body with extra corticosteroids (such as beclometasone dipropionate) is an effective way to treat various illnesses involving inflammation in the body.
Beclometasone dipropionate reduces this inflammation, which could otherwise go on making your condition worse. You must take this medicine regularly to get maximum benefit from it.
Clipper Tablets have been prescribed by your doctor to treat your ulcerative colitis. This is a disease which affects the colon (the large intestine or bowel), the rectum (the lower end of the large intestine), and causes the lining of the colon to become ulcerated and inflamed, resulting in pain, redness and swelling.
These tablets act locally in the affected area to reduce the inflammation.
They are called gastro-resistant prolonged release tablets because they are made with a coating that allows them to pass through the stomach without dissolving until they reach the large intestine or bowel, where the coating breaks down for the beclometasone dipropionate to be released slowly.
You must talk to a doctor if you do not feel better or if you feel worse.
Talk to your doctor, pharmacist or nurse before taking Clipper Tablets
Take special care with Clipper Tablets and always tell your doctor if you have:
Contact your doctor if you experience blurred vision or other visual disturbances.
If you are going to start taking, or are already taking steroid medicines, such as Clipper, for more than three weeks, your doctor or pharmacist will give you a “steroid warning card”. It is important that you always carry this card with you until your doctor tells you that you don’t need to.
If you have never had chickenpox, shingles or measles, do not have close contact with people whom you know have these diseases. If you become ill, or are exposed to someone with chickenpox, shingles, measles or an infectious disease contact your doctor immediately.
Mental problems while taking beclometasone dipropionate
Mental health problems can happen while taking steroids like beclometasone dipropionate (see also section 4 – Possible side effects):
Talk to a doctor if you (or someone taking this medicine), show any signs of mental problems. This is particularly important if you are depressed, or might be thinking of suicide. In a few cases, mental problems have happened when doses are being lowered or stopped.
Before starting treatment, please tell your doctor if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription.
In particular, if you are already using or taking other steroid medicines.
Some medicines may increase the effects of Clipper Tablets and your doctor may wish to monitor you carefully if you are taking these medicines (including some medicines for HIV: ritonavir, cobicistat).
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.
Clipper Tablets should not affect your ability to drive or operate machinery.
However, some patients may feel sleepy or drowsy after taking this medicine.
If these tablets affect you in this way after taking them, you must not drive or operate machinery or perform any tasks which require you to concentrate and remain alert.
Clipper Tablets 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.
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. It is important that you take your tablets regularly.
Clipper Tablets are specially formulated so that you only have to take your tablets once a day, preferably in the morning. It is best to take your tablets on an empty stomach or after a light breakfast. Take your tablets with a glass of liquid, e.g. water. Do not break or chew your tablets.
The usual adult dose, including the elderly is one 5 mg tablet once a day.
Your treatment will usually last up to four weeks. Do not stop taking your medicine until your doctor tells you.
Children must not take this medicine.
If you take more Clipper Tablets than you should, immediately contact your doctor or pharmacist.
If you forget to take a dose, take it as soon as you remember. If it is almost time for your next dose, do not take the missed dose, just take the next dose when it is due. Do not take a double dose to make up for a forgotten dose.
Do not stop taking your tablets, even if you feel better, unless told to do so by your doctor.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist or nurse.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Steroids including dexamethasone can cause serious mental health problems.
These are common in both adults and children. They can affect about 5 in every 100 people taking medicines like dexamethasone:
If you notice any of these problems talk to a doctor straight away.
The following side effects have also been reported. Tell your doctor as soon as possible if you suffer from any of these side effects but do not stop treatment unless told to do so. If you are not sure what the side effects below are, ask your doctor to explain them to you.
Uncommon: may affect up to 1 in 100 people:
Taking high doses of beclometasone dipropionate over a long period of time can cause systematic effects. These are rare side effects which may affect up to 1 in 1000 people and include:
Not known side effects (frequency cannot be estimated from the available data) have been identified as class risk effect of corticosteroids: blurred vision, hiccups.
If you experience any of the above side effects and they cause you distress, are severe or last for several days, please tell your doctor or pharmacist. Whilst taking these tablets if you notice anything unusual or a side effect which is not mentioned in this leaflet, contact your doctor or pharmacist immediately.
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.
Clipper 5 mg Gastro-resistant Prolonged-release Tablets are ivory white and are round and convex in shape. They are available in blister packs of 10 and 30 tablets. Not all pack sizes may be marketed.
The Marketing Authorisation Holder of Clipper is
The manufacturer of Clipper is
This medicinal product is authorised in the Member States of the EEA under the following names:
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