Patient Medication Information: uses, side effects, how to take - Sandoz Tamsulosin (Sandoz Canada, PM 00075848)
What is Sandoz Tamsulosin used for?
Sandoz Tamsulosin is used to treat the urinary tract symptoms associated with a medical condition called benign prostatic hyperplasia (BPH).
How does Sandoz Tamsulosin work?
Sandoz Tamsulosin works by relaxing muscles in the prostate and bladder neck at the site of blockage, resulting in improved urine flow, and reduced BPH symptoms.
BPH is an enlargement of the prostate gland. BPH is the most common cause of lower urinary tract symptoms (LUTS) in older males.
After age 50, most men develop enlarged prostates. The prostate is located below the bladder. As the prostate enlarges, it may slowly restrict the flow of urine. This can lead to symptoms such as:
- frequent sleep interruption caused by a need to urinate;
- having a weak urinary stream;
- a sensation of not emptying your bladder completely after you finish urinating;
- pushing or straining to begin urination;
- stopping and starting again several times when urinating;
- urinating again less than 2 hours after you finish urinating;
- finding it difficult to delay urination.
What are the ingredients in Sandoz Tamsulosin?
Medicinal ingredient: Tamsulosin hydrochloride
Non-medicinal ingredients: methacrylic acid-ethyl acrylate copolymer, microcrystalline cellulose, polyacrylate, polysorbate 80, purified water, sodium lauryl sulphate and talc.
Capsule shell contains: black iron oxide, gelatine, indigo carmine, red iron oxide, titanium dioxide, yellow iron oxide.
Capsule imprinting ink contains TekPrint SW-9008 Blank Ink: black iron oxide, butyl alcohol, dehydrated alcohol, isopropyl alcohol, potassium hydroxide, propylene glycol, purified water, shellac, strong ammonia solution. Opacode Black S-1-27794: Industrial methylated spirit 74 OP, Iron oxide black JPE, Isopropyl alcohol, N-butyl alcohol, Propylene glycol, Purified water, Shellac glaze – 47.5 % (22 % esterified) IN IMS 74 OP
Sandoz Tamsulosin comes in the following dosage forms:
Sustained-release capsules containing 0.4 mg tamsulosin hydrochloride.
Do not use Sandoz Tamsulosin if:
- you are allergic to tamsulosin or any of the other ingredients in Sandoz Tamsulosin or any part of the container.
- you are taking ketoconazole (an antifungal used to treat fungal skin infection).
To help avoid side effects and ensure proper use, talk to your healthcare professional before you take Sandoz Tamsulosin. Talk about any health conditions or problems you may have, including if you:
- have severe liver problems;
- have fainted due to low blood pressure when going to sit or stand up;
- are allergic to medicines used to treat infections called “sulfonamides” or “sulfa drugs”;
- have kidney problems;
- have previously taken tamsulosin and became unwell;
- are going to have eye surgery for cataracts (cloudiness of the lens of the eye) and/or glaucoma (high pressure inside the eye).
Other warnings you should know about:
Driving and Using Machines:
- Sandoz Tamsulosin may cause dizziness. Do NOT drive, use machines or perform hazardous tasks for 12 hours after taking Sandoz Tamsulosin, or until you know how it affects you.
Fainting:
- Sandoz Tamsulosin may cause you to faint. If you feel dizzy or weak, you should sit or lie down until you feel better.
Check-ups and testing:
- You must see your healthcare professional regularly. While taking Sandoz Tamsulosin, you must have regular checkups. Follow your healthcare professional’s advice about when to have these checkups.
- Sandoz Tamsulosin should not be used in women or children.
Surgery:
- Tell the healthcare professional you are seeing for the surgery that you are taking this medicine.
If you are going to have eye surgery because of cataracts (cloudiness of the lens of the eye) or glaucoma (high pressure inside the eye) and are already taking or have previously taken Sandoz Tamsulosin, tell your healthcare professional.
- The pupil may dilate poorly, and the iris (the coloured circular part of the eye) may become floppy during the surgery. This condition is known as “Intraoperative Floppy Iris Syndrome (IFIS)”.
- This condition has been seen in patients using Sandoz Tamsulosin and have surgery for cataracts or glaucoma.
- Ask your healthcare professional if you need to stop taking this medicine for a period of time before your surgery.
Fertility – information for men:
Taking Sandoz Tamsulosin may lead to a condition called “ejaculation disorder.” This is when you have an abnormal ejaculation where the semen does not leave the body through the urethra but instead goes into your bladder (retrograde ejaculation).
- It is also possible for less semen or no semen to be released at all (ejaculation failure).
- Talk to your healthcare professional if you experience this condition.
You may also experience a condition called “Priapism.” This is when you experience a painful and prolonged unwanted erection of the penis (that will not go away through sexual intercourse or masturbation).
- If not addressed, this condition can lead to the permanent loss of the ability to have an erection (erectile dysfunction or impotence).
- If you experience this condition, stop taking the drug and get immediate medical help.
Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements, or alternative medicines.
The following may interact with Sandoz Tamsulosin:
medicines used to lower blood pressure
- Taking Sandoz Tamsulosin with other medicines from the same class (alpha1- adrenoceptor blockers like doxazosin, prazosin, and terazosin) may cause an unwanted decrease in blood pressure.
- medicines used to treat erectile dysfunction called “PDE5 inhibitors” like sildenafil and tadalafil.
- ketoconazole (used to treat fungal infections on the skin).
- cimetidine (used to treat heartburn and stomach ulcers).
- warfarin (used to prevent blood clots).
How to take Sandoz Tamsulosin:
- Take Sandoz Tamsulosin exactly as your healthcare professional has told you.
- Swallow Sandoz Tamsulosin capsules whole. Do NOT crush, chew or open Sandoz Tamsulosin capsules.
- This medicine has been prescribed specifically for you. Do NOT give your Sandoz Tamsulosin to anyone else. It may harm them, even if their symptoms seem to be similar to yours.
- If you stop your medicine for several days or more, talk to your healthcare professional before taking Sandoz Tamsulosin again.
- Sandoz Tamsulosin should be taken approximately one-half hour following the same meal each day.
Usual dose:
You should take one capsule (0.4 mg) once a day following the same meal every day.
Overdose:
| If you think you, or a person you are caring for, have taken too much Sandoz Tamsulosin, contact a healthcare professional, hospital emergency department, or regional poison control centre immediately, even if there are no symptoms. |
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Missed Dose:
- If you miss a dose of Sandoz Tamsulosin at your usual time, you may take the missed dose later in the same day.
- If you miss a dose for a day, skip the missed dose. Take your next dose at the usual time.
- Do NOT take two doses to make up for a missed dose.
What are possible side effects from using Sandoz Tamsulosin?
These are not all the possible side effects you may have when taking Sandoz Tamsulosin. If you experience any side effects not listed here, tell your healthcare professional.
- abnormal ejaculation
- headache
- runny or blocked nose (rhinitis)
- diarrhea
- vomiting
- feeling sick (nausea)
- constipation
- weakness (asthenia)
- blurred or impaired vision
- nose bleeds (epistaxis)
- serious skin rashes (erythema multiform, dermatitis exfoliative)
- dry mouth
- skin sensitivity to light
- chest discomfort
Serious side effects and what to do about them
| Symptom / effect | Talk to your healthcare professional | Stop taking drug and get immediately medical help | |
|---|---|---|---|
| Only if severe | In all cases | ||
| COMMON | |||
| Dizziness: particularly when getting up from a seated or lying position | ✓ | ||
| UNCOMMON | |||
| Palpitations (feeling of rapid beating of the heart that may be more forceful) | ✓ | ||
| Urticaria (Rashes, itching and hives) | ✓ | ||
| Orthostatic Hypotension (Reduced blood pressure): when getting up quickly from a seated or lying position, sometimes associated with dizziness | ✓ | ||
| RARE | |||
| Fainting | ✓ | ||
| Allergic Reaction (Hypersensitivity): Sudden local swelling of the soft tissues of the body (e.g., the throat or tongue), difficulty breathing and/or itching and rash (angioedema) | ✓ | ||
| VERY RARE | |||
| Priapism (painful prolonged unwanted erection) | ✓ | ||
| Stevens-Johnson syndrome (SJS) (severe skin rash): redness, blistering and/or peeling of the skin and/or inside of the lips, eyes, mouth, nasal passages or genitals, accompanied by fever, chills, | ✓ | ||
Serious side effects and what to do about them
| Symptom / effect | Talk to your healthcare professional | Stop taking drug and get immediately medical help |
|---|---|---|
| Only if severe | In all cases | |
| headache, cough, body aches or swollen glands | ||
If you have a troublesome symptom or side effect that is not listed here or becomes bad enough to interfere with your daily activities, tell your healthcare professional.
Reporting Side Effects
You can report any suspected side effects associated with the use of health products to Health Canada by:
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. |
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Storage:
Store at room temperature (15 – 30°C), protect from heat and moisture.
Keep out of reach and sight of children.
If you want more information about Sandoz Tamsulosin:
- Talk to your healthcare professional.
- Find the full product monograph that is prepared for healthcare professionals and includes this Patient Medication Information by visiting the Health Canada website: (https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database.html), the manufacturer’s website (www.sandoz.ca), or by calling the manufacturer, Sandoz Canada Inc., at: 1-800-361-3062.
