When a pharmaceutical company changes an SPC or PIL, a new version is published on medicines.ie. For each version, we show the dates it was published on medicines.ie and the reasons for change.
Thiazides in high doses causing intense dieresis can inhibit the milk production. If Co-Diovan is used during breast feeding, doses should be kept as low as possible.
If Co-Diovan is used during breast feeding, doses should be kept as low as possible.
The changes in most of the outlined sections were minor re-formatting and re-wording for clarity and harmonisation purposes. The main change of signficance was in section 4.6 Pregnancy and Lactation, where Co-Diovan has gone from being totally contraindicated in pregnancy to now being not recommended in the first trimester of pregnancy and contraindicated in the second and third trimesters of pregnancy.