Apo-Acebutolol: Uses, Side Effects and Dosage

ABOUT THIS MEDICATION

What the medication is used for:

APO-ACEBUTOLOL lowers high blood pressure (hypertension). APO-ACEBUTOLOL can be used alone or with other medicines to treat this condition.

APO-ACEBUTOLOL is also used to treat chest pains (angina) due to ischemic heart disease (disease caused by plaque building up along the inner walls of the arteries of the heart, which narrows the arteries and reduces blood flow to the heart).

What it does:

APO-ACEBUTOLOL belongs to a class of drugs called “beta- blockers”. These drugs block the action of certain chemicals on the heart that increase blood pressure and increase heart rate.

This medicine does not cure your disease. It helps to control it. Therefore, it is important to continue taking APO-ACEBUTOLOL regularly even if you feel fine.

When it should not be used:

Do not take APO-ACEBUTOLOL if you:

• have any other medical problems, especially if you have

  heart rhythm disorders, heart failure,

• low blood pressure (hypotension), or other heart or

  circulation problems;

• have a tumour of the adrenal gland;

• are allergic or hypersensitive to acebutolol hydrochloride or

  other beta blocking drugs (“beta blockers”), or to any of the other nonmedicinal ingredients in APO-ACEBUTOLOL

What the medicinal ingredient is:

acebutolol hydrochloride.

What the nonmedicinal ingredients are:

carnauba wax, colloidal silicon dioxide, dextrates, hydroxypropyl methylcellulose, magnesium stearate, polyethylene glycol and titanium dioxide.

What dosage forms it comes in:

Tablets, 100, 200, and 400 mg.

WARNINGS

WARNINGS AND PRECAUTIONS

BEFORE you use APO-ACEBUTOLOL, talk to your doctor, nurse or pharmacist if you:

• have psoriasis;
• have hyperthyroidism
• have any liver or kidney problems;
• have experienced heart failure in the past or have any other heart problems;
• have asthma, bronchitis, emphysema or chronic obstructive pulmonary disease (COPD);
• are currently taking any other prescription or over- the-counter medications;
• you have any known allergies;
• have diabetes or other problems with blood sugar levels;

• are pregnant or thinking of becoming pregnant. Taking

• APO-ACEBUTOLOL during pregnancy may cause injury to you or your baby;
• are breastfeeding. APO-ACEBUTOLOL passes from the mother into breast milk. You should not breast- feed while taking APO-ACEBUTOLOL;
• are less than 18 years old.

If you have to undergo any dental or other surgery, inform the dentist or the doctor that you are taking APO-ACEBUTOLOL.

Driving and using machines: Before you perform tasks which may require special attention, wait until you know how you respond to APO-ACEBUTOLOL. Dizziness, and/or fatigue can especially occur after the first dose and when the dose is increased.

INTERACTIONS WITH THIS MEDICATION

As with most medicines, interactions with other drugs are possible. Tell your doctor, nurse, or pharmacist about all the medicines you take, including prescription and over-the counter medicines.

The following medicines may interact with

APO-ACEBUTOLOL:

• medicines used to treat high blood pressure, including clonidine and calcium channel blockers (e.g. oral verapamil, diltiazem). Your doctor should carefully monitor you if you are taking these in combination with APO-ACEBUTOLOL. You may also have increased risk of depression if diltiazem is used with APO-ACEBUTOLOL;
• Reserpine, a drug used to treat high blood pressure and severe agitation;

• medicines used to treat angina (chest pain), hypertension

  (high blood pressure) and abnormal heart rhythms such as beta-blockers (e.g., atenolol, betaxolol, bisoprolol);

• medicines found in some cold remedies and nose drops

  (e.g. noradrenaline, isoprenaline, ephedrine, phenylephrine, phenylpropanolamine, xanthine derivative);

• medicines used to treat irregular heart beat (e.g.,

  disopyramide, amiodarone);

• Digoxin (a heart medication);
• Fingolimod, a medicine used to treat multiple sclerosis;

• medicines used to treat asthma, bronchitis, emphysema, or

  lung disease (e.g. bronchodilators such as albuterol, epinephrine, salmeterol, terbutaline);

• Nonsteroidal anti-inflammatory drugs (NSAIDs), used to

  reduce pain and swelling (e.g. ibuprofen, naproxen, celecoxib);

• medicines used to treat depression, seizures, schizophrenia,

  or psychotic disorders (e.g., tricyclic antidepressants, barbiturates, phenothiazines, monoamine oxidase inhibitors);

• medicines used for anesthesia (e.g., ether, cyclopropane,

  trichloroethylene).

PROPER USE OF THIS MEDICATION

Your doctor will determine your dose based on your individual medical needs and will tell you when and how to take APO-ACEBUTOLOL. Take APO-ACEBUTOLOL exactly as prescribed. It is recommended to take your dose at about the same time every day. APO-ACEBUTOLOL can be taken with or without food.

Usual adult dose:

To treat high blood pressure:

The usual starting dose is 100 mg twice a day. In some cases, your doctor may prescribe a higher dose or prescribe APO-ACEBUTOLOL in combination with other drugs to treat your high blood pressure.

To treat chest pains due to heart disease:

The usual starting dose is 200 mg twice a day. In some cases, your doctor may prescribe a higher dose if needed, up to a maximum recommended dose of 300 mg twice per day.

For elderly patients and patients with kidney/liver problems:

Smaller doses are generally used in older patients, and those with kidney problems.

Do not stop taking APO-ACEBUTOLOL or change your dose without first talking to your doctor. Serious side effects, such as chest pain or heart attack can occur if you abruptly stop taking this medication.

Overdose:

If you think you have taken too much APO-ACEBUTOLOL, contact your doctor, nurse pharmacist, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

Missed Dose:

If you miss a dose, skip the missed dose and carry on with the

next one at the usual time. Do not double the dose.

SIDE EFFECTS AND WHAT TO DO ABOUT THEM

Side effects may include:

• tiredness,
• nausea
• dizziness
• skin rashes

You should report any side effects to your doctor. APO- ACEBUTOLOL can cause abnormal blood test results. Your doctor will decide when to perform blood tests and will interpret the results.

This is not a complete list of side effects. For any unexpected effects while taking APO-ACEBUTOLOL, contact your doctor, nurse or pharmacist.

HOW TO STORE IT

Keep APO-ACEBUTOLOL and all medicines out of reach and sight of children.

Store between 15°C to 30°C. Protect from light.

Take APO-ACEBUTOLOL that is out of date or no longer needed to your pharmacy or to your municipal waste disposal depot.

Reporting Side Effects

You can report any suspected side effects associated with the use of health products to Health Canada by:

• Visiting the Web page on Adverse Reaction Reporting

  (https://www.canada.ca/en/health-canada/services/drugs-health-products/medeffect-canada/adverse-reaction-reporting.html) for information on how to report online, by mail or by fax; or

• Calling toll-free at 1-866-234-2345.

NOTE: Contact your health professional if you need information about how to manage your side effects. The Canada Vigilance Program does not provide medical advice.

MORE INFORMATION

If you want more information about APO-ACEBUTOLOL:

• Talk to your healthcare professional

• Find the full product monograph that is prepared for

  healthcare professionals and includes this Consumer Information by visiting the Health Canada website

  (https://www.canada.ca/en/health-canada.html); the manufacturer’s website http://www.apotex.ca/products, or by calling 1-800-667-4708.

Last revised: October 24, 2018