Celiprolol Vitabalans
Celiprolol Vitabalans is a beta-blocker medication used to treat high blood pressure and prevent chest pain (angina pectoris).
How to Use
Dosage
Start with 200 mg once daily, which may be increased to 400 mg once daily after 2-4 weeks if needed, as determined by your doctor.
Method
Take the tablet with a glass of water, at least 30 minutes before a meal or 2 hours after a meal; do not take it with food as it reduces effectiveness. Tablets can be divided into equal doses.
The maximum daily dose is 400 mg.
Possible Side Effects
- •Tiredness, dizziness, drowsiness
- •Headache, confusion, nervousness
- •Sweating
- •Insomnia, nightmares
- •Depression, psychosis or hallucinations
- •Numbness and coldness in limbs (hands and feet)
- •Nausea, vomiting, constipation, diarrhea
- •Low blood pressure, slow heart rate, sudden loss of consciousness (fainting), palpitations, heart conduction problems, heart failure
- •Allergic skin reactions (redness, itching, rash) and hair loss
- •Low platelet count or small bleeds on skin/mucous membranes
- •Muscle weakness or cramps
- •Dry eyes (especially with contact lenses), eye inflammation (conjunctivitis), dry mouth
- •Airway narrowing (bronchospasm), asthma-related breathing problems, inflammatory lung disease
- •Onset or worsening of diabetes
- •Worsening of muscle weakness (myasthenia gravis)
- •Corneal and conjunctival inflammation, vision problems
- •Hearing loss, ringing in the ears (tinnitus)
- •Increased frequency of chest pain attacks in angina patients
- •Poor circulation in limbs (e.g., Raynaud's syndrome)
- •Psoriasis appearing or worsening, or psoriasis-like skin reactions
- •Long-term joint disease (inflammation of one or more joints)
- •Worsening of kidney function in severe kidney failure
- •Decreased libido and potency
- •Abnormal liver enzyme levels in blood
- •Low or high blood sugar
- •Tremor, hot flashes
- •Dryness of the outer eye (xerophthalmia)
- •Heart failure, changes in heart rhythm
- •Sinus arrest (heart stops beating or beats very slowly), especially in elderly or those with heart conditions
- •Stomach pain
- •Reversible lupus-like syndrome
- •Impotence
- •Antinuclear antibodies
Important Warnings
- Do not take this medicine if you are allergic to celiprolol hydrochloride, other beta-blockers, or any of its ingredients.
- Do not take if you have severe heart failure, a very slow heartbeat (under 50 beats/min), very low blood pressure, or severe heart rhythm problems.
- Do not take if you have severe lung diseases like COPD, acute asthma attacks, or sudden airway narrowing (bronchospasm).
- Do not take if you have an untreated adrenal gland tumor (pheochromocytoma), severe kidney or liver problems, or if your blood is too acidic (metabolic acidosis).
- Do not take this medicine if you are currently using certain MAO inhibitor antidepressants (except MAO-B inhibitors).
Show 3 more warnings
- Always talk to your doctor before stopping this medicine; do not stop abruptly, as the dose needs to be reduced gradually over 1-2 weeks.
- Tell your doctor or anesthesiologist if you are having surgery, as this medicine may affect anesthesia.
- This medicine may cause dizziness or tiredness. Do not drive or operate machines if you feel dizzy or tired.
Use in Elderly Patients
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)