Celiprolol Vitabalans
Celiprolol Vitabalans is a beta-blocker used to treat high blood pressure and prevent chest pain caused by heart conditions.
Form
tabletti, kalvopäällysteinen
Strength
200 mg
Active Ingredient
Celiprolol
Manufacturer
Vitabalans Oy
How to Use
Dosage
Start with 200 mg once daily. Your doctor may increase the dose to 400 mg once daily after 2-4 weeks.
Method
Take the tablet with a glass of water at least 30 minutes before eating or 2 hours after eating. You can split the tablet if needed.
Important
The maximum daily dose is 400 mg.
Possible Side Effects
COMMON
- •Tiredness, dizziness, drowsiness
- •Headache, confusion, nervousness
- •Sweating
- •Insomnia, nightmares
- •Depression, psychosis or hallucinations
- •Numbness and coldness in limbs
- •Nausea, vomiting, constipation, diarrhea
- •Very low blood pressure (hypotension), slow heart rate (bradycardia), sudden and brief loss of consciousness (fainting), heart palpitations, heart conduction problems, heart failure
- •Allergic skin reactions (redness, itching, rash) and hair loss
RARE
- •Low blood platelets (thrombocytopenia) or small bleeding spots on skin and mucous membranes (purpura)
- •Muscle weakness or abnormal weakness, muscle cramps
- •Dry eyes (important if you wear contact lenses), eye inflammation (conjunctivitis)
- •Dry mouth
- •Tightening of airways (bronchospasms), asthma-related breathing problems (asthmatic shortness of breath), inflammatory lung disease (interstitial pneumonitis)
- •Onset of diabetes (if hidden) or worsening of existing diabetes
- •Abnormal muscle weakness or increased weakness (myasthenia gravis)
- •Inflammation of the cornea and conjunctiva (keratoconjunctivitis), vision problems
- •Hearing loss, ringing in the ears (tinnitus)
- •Increased chest pain attacks in angina pectoris patients
- •Peripheral circulation disorders (intermittent claudication, Raynaud's syndrome)
- •Onset of psoriasis, worsening of psoriasis symptoms, psoriasis-like skin reactions
- •Chronic joint disease (inflammation of one or more joints)
- •Further worsening of kidney function in severe kidney failure
- •Decreased libido and potency
- •Abnormal liver enzyme levels in blood (transaminases ALAT and ASAT)
- •Low blood sugar (hypoglycemia), high blood sugar (hyperglycemia)
- •Tremor, hot flashes
- •Dryness of the outer parts of the eye (conjunctiva and cornea) (xerophthalmia)
- •Heart failure, changes in heart rate (arrhythmias)
- •Sinus arrest (heart beats very slowly or stops). This can happen especially in people over 65 or with other heart rhythm problems.
- •Stomach pain (gastralgia)
- •Reversible lupus-like syndrome
- •Impotence
- •Antinuclear antibodies
Important Warnings
- Do not take this medicine if you are allergic to celiprolol, other beta-blockers, or any other ingredient in it.
- Do not take this medicine if you have heart failure or a very slow heartbeat (under 50 beats per minute).
- Do not take this medicine if you have an untreated tumor near your kidney called pheochromocytoma, which causes high blood pressure.
- Do not take this medicine if your blood is too acidic (metabolic acidosis).
- Do not take this medicine if you have very low blood pressure.
Show 8 more warnings
- Do not take this medicine if you have severe kidney or liver problems.
- Do not take this medicine if you have chronic lung disease, sudden asthma attacks, or sudden muscle tightening in your airways.
- Do not take this medicine if you have narrowed blood vessels or circulation problems that cause tingling, paleness, or blueness in your fingers and toes.
- Do not take this medicine if you are also taking certain antidepressants called MAO inhibitors (except MAO-B inhibitors).
- Always tell your doctor or anesthesiologist that you are taking this medicine if you need to have surgery with general anesthesia.
- This medicine is not recommended if you are pregnant, planning to get pregnant, or breastfeeding. Talk to your doctor first.
- This medicine can make you feel dizzy or tired. Do not drive or use machines if you feel this way.
- Do not suddenly stop taking this medicine. You should stop gradually over 1-2 weeks under your doctor's guidance, especially if you have heart disease.
Use in Elderly Patients
Category A
Suitable for older adults. Reduce the dose in severe renal impairment. Do not use in end-stage renal impairment. Significant adverse effects include bradycardia and orthostatic hypotension. Consider potential interactions especially with with drugs affecting the conduction system of the heart. Avoid grapefruit. (updated 20.1.2025)