Ciprofibrate 100mg Tablets

Read all of this leaflet carefully before you start taking this medicine

• 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. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours
• 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
• Your doctor may have given you this medicine before from another company. It may have looked slightly different. However, either brand will have the same effect

In this leaflet:

1. What ciprofibrate is and what it is used for
2. Before you take ciprofibrate
3. How to take ciprofibrate
4. Possible side effects
5. How to store ciprofibrate
6. Further information

Do not take ciprofibrate if

• You are allergic (hypersensitive) to ciprofibrate or any of the other ingredients of ciprofibrate (see Section 6: Further information)
  Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue
• You are pregnant, might become pregnant or think you may be pregnant (see “Pregnancy and breast-feeding" section below)
• You are breast-feeding (see “Pregnancy and breast-feeding" section below)
• You have severe liver or kidney problems
• You are taking ‘fibrates’ (such as clofibrate, bezafibrate, fenofibrate or gemfibrozil) - used to treat high blood fat levels

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 ciprofibrate.

Take special care with ciprofibrate. Check with your doctor or pharmacist before taking ciprofibrate if:

• You have unexpected muscle pains, tenderness or weakness
• You have liver or kidney problems
• You have an under-active thyroid gland
• You are over 70 years of age
• You or a member of your family have had muscle problems in the past.

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

Blood Tests

• Taking ciprofibrate may affect the results of some blood tests. During treatment your doctor may do blood tests to check how your liver is working
• It you are going to have any other blood tests, it is important to tell the person taking the test that you are taking ciprofibrate

Taking other medicines

Please 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 ciprofibrate can affect the way some other medicines work. Also some medicines can affect the way ciprofibrate works.

Tell your doctor if you are taking any of the following medicines:

• Statins (such as simvastatin, atorvastatin, pravastatin, fluvastatin and rosuvastatin)- used to treat high blood fat levels
• Warfarin - used for thinning the blood
• Insulin or Metformin - used for diabetes
• Contraceptive medicines (such as ‘The Pill) or hormone replacement therapy (HRT)

Taking ciprofibrate with alcohol

One of the side effects of this medicine is muscle problems. Drinking a lot of alcohol may increase the chance of muscle problems. This means that you must limit the amount of alcohol you drink while you are taking ciprofibrate. Ask your doctor for more advice.

Pregnancy and breast-feeding

Do not take ciprofibrate if you are:

• Pregnant, might become pregnant, or think you may be pregnant
• Breast-feeding or planning to breast-feed. This is because small amounts of ciprofibrate may pass into the mother's milk

Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breast-feeding.

Driving and using machines

If you get dizzy, drowsy and tired while taking ciprofibrate, then you should not drive or use any tools or machinery.

Important information about some of the ingredients of ciprofibrate

If you have been told by your doctor that you cannot tolerate some sugars, contact your doctor before taking ciprofibrate.

Taking this medicine

• Take this medicine by mouth
• Do not give to children under 12 years
• It is important while you are taking ciprofibrate to keep to any special diet you have been given
• 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

• The usual dose for adults is 1 tablet every day
• Do not take any more than 1 tablet each day
• If you have kidney problems, only take 1 tablet every other day

If you take more ciprofibrate than you should

If you take more of this medicine than you should, talk to a doctor or go to a hospital straight away. Take the medicine pack with you.

If you forget to take ciprofibrate

• If you forget a dose, take it as soon as you remember it
• However, if it is 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 ciprofibrate

Keep taking your medicine until your doctor tells you to stop. Do not stop taking ciprofibrate just because you feel better. If you stop, your illness may get worse.

Stop taking your medicine and see a doctor or go to a hospital straight away - you may need urgent medical treatment.

• Muscle problems, such as cramps, pain or tenderness. This can lead to kidney failure

Tell your doctor as soon as possible if you have any of the following side effects:

• An allergic reaction. The signs may include: a rash (which may be itchy and lumpy), itching and being more sensitive to the sun than usual
• Inflammation of the lungs which causes breathlessness, cough and raised temperature.
• Scarring of the lungs which causes shortness of breath.
• Liver problems. This may cause the eyes or skin to go yellow (jaundice)
• Severe pain in the upper right corner of your stomach, which could reach through to your back. You may also have a fever and feel or be sick. This could be a sign of biliary colic or gallstones.

Other side effects are:

Common: may affect up to 1 in 10 people.

• Hair loss, balding
• Headache, balance problems
• Feeling dizzy, drowsy or tired
• Feeling sick (nausea) or being sick (vomiting)
• Diarrhoea, indigestion or stomach pains
• Pain in your muscles

Not known: frequency cannot be estimated from the available data.

• Impotence
• You may bruise more easily than usual. This could be because of a blood disorder (thrombocytopenia).
• Muscle weakness, cramps, stiffness and spasm.
• Inflammation of your muscles

Reporting of side effects

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 via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.

What ciprofibrate contains

• The active substance is ciprofibrate
• The other ingredients are maize starch, lactose monohydrate, microcrystalline cellulose, hypromellose, powdered vegetable stearine, sodium laurilsulfate

What ciprofibrate looks like and contents of the pack

Ciprofibrate tablets are round and white with a breakline on one side and S170 stamped on the other. They are supplied in cartons of 28 tablets.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Manufacturer

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.