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1. Desitrend 1000 Mg Coated Granules In Sachet
2. Desitrend 1000 Mg Coated Granules In Sachet

Format: 190 x 420 mm Code: 258 Schrift: 10 p MOCKUP

Package Leaflet: Information for the patient

250 mg coated 500 mg coated 750 mg coated 1000 mg coated

granules in sachet granules in sachet granules in sachet granules in sachet

What is in this leaflet

1.    What Desitrend® is and what it is used for

2.    What you need to know before you take Desitrend®

3.    How to take Desitrend®

4.    Possible side effects

5.    How to store Desitrend®

6.    Contents of the pack and other information

1.    What Desitrend® is and what it is used for

Desitrend® is an antiepileptic medicine (a medicine used to treat seizures in epilepsy).

Desitrend® is used alone in the treatment of partial seizures in adults and adolescents from 16 years of age with newly diagnosed epilepsy.

Desitrend® is used in patients who are already taking another antiepileptic medicine:

•    in the treatment of partial seizures in adults, adolescents, children and infants from one month of age;

•    in the treatment of myoclonic (brief, shock-like muscle jerks) seizures in adults and adolescents from 12 years of age with Juvenile Myoclonic Epilepsy;

•    in the treatment of primary generalised tonic-clonic seizures (grand mal seizures) in adults and adolescents from 12 years of age with Idiopathic Generalised Epilepsy.

2.    What you need to know before you take Desitrend®

Do not take Desitrend®

•    if you are allergic (hypersensitive) to levetiracetam or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Talk to your doctor before taking Desitrend®

•    if you suffer from kidney problems, follow your doctor's instructions. He/she may decide if your dose should be adjusted.

Contact your doctor immediately:

•    if you notice an increase in seizure severity (e.g. increased number);

•    if you have thoughts of harming or killing yourself. A small number of people being treated with anti-epileptics such as levetiracetam have had thoughts of harming or killing themselves.

Children

Desitrend® coated granules are not recommended in children under the age of 6 years as well as in the initial treatment of children weighing less than 25 kg.

If you notice any slow down in the growth or unexpected puberty development of your child, please contact your doctor.

Other medicines and Desitrend®

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Desitrend® with food, drink and alcohol

You may take Desitrend® with or without food.

As a safety precaution, do not take Desitrend® alcohol.

Pregnancy and breast-feeding

Ask your doctor or pharmacist for advice before taking any medicine.

If you are pregnant or if you think you may be pregnant, please inform your doctor.

Desitrend® should not be used during pregnancy unless clearly necessary. A risk of birth defects for your unborn child cannot be completely excluded. Levetiracetam has shown unwanted reproductive effects in animal studies at dose levels higher than you would need to control your seizures.

Breast-feeding is not recommended during treatment.

Driving and using machines

Desitrend® may impair your ability to drive or operate any tools or machinery, as Desitrend® may make you feel sleepy. This is more likely at the beginning of treatment or after an increase in the dose. You should not drive or use machines until it is established that your ability to perform such activities is not affected.

3. How to take Desitrend®

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

Monotherapy:

Dosage in adults and adolescents (from 16 years of age):

Take the number of sachets with coated granules according to your doctor's instructions.

•    General dose: between 1,000 mg and 3,000 mg each day.

•    When you will first start taking Desitrend®, your doctor will prescribe you a lower dose during 2 weeks before giving you the lowest usual dose.

•    Desitrend® must be taken twice a day, half of the daily dose in the morning and half of the daily dose in the evening, at about the same time each day.

Add-on therapy:

Dosage in adults and adolescents (12 to 17 years) weighing 50 kg or more

Take the number of sachets with coated granules according to your doctor's instructions.

•    General dose: between 1,000 mg and 3,000 mg each day.

•    Desitrend® must be taken twice a day, half of the daily dose in the morning and half of the daily dose in the evening, at about the same time each day.

Dosage in infants (6 to 23 months), children (2 to 11 years) and adolescents (12 to 17 years) weighing less than 50 kg

Take / give to your child the dosage as instructed by your doctor.

•    General dose: between 20 mg/kg and 60 mg/kg each day.

•    Levetiracetam oral solution is a presentation more appropriate to infants and children under the age of 6 years.

•    Desitrend® must be taken twice a day, half of the daily dose in the morning and half of the daily dose in the evening, at about the same time each day.

Dosage in infants (1 month to less than 6 months)

Levetiracetam oral solution is a presentation more appropriate to infants.

Administration

1.    Hold sachet above arrow and shake content downwards.

2.    Tear off at incision (arrowhead) or cut off at dotted line.

3.    Pour content directly into the mouth and swallow the granules immediately with a sufficient quantity of liquid (e.g. a glass of water). Do not chew the coated granules, as they may be of bitter taste.

The coated granules may also be suspended by shaking for a minimum of 2 minutes in at least 10 ml of water and administered via a feeding tube that should be rinsed twice with 10 ml of water each immediately after administration. If this method of administration is used, the suspension should be prepared immediately before administration.

Each sachet is for single use only.

Duration of treatment

•    Desitrend® is used as chronic treatment. You should continue Desitrend® treatment for as long as your doctor has told you.

•    Do not stop your treatment without your doctor’s advice as this could increase your seizures. Should your doctor decide to stop your Desitrend® treatment, he/she will instruct you about the gradual withdrawal of Desitrend®.

If you take more Desitrend® than you should

The possible side effects of an overdose of Desitrend® are sleepiness, agitation, aggression, decrease of alertness, inhibition of breathing and coma. Contact your doctor if you took too much Desitrend®. Your doctor will establish the best possible treatment of overdose.

If you forget to take Desitrend®

Contact your doctor if you have missed one or more doses.

Do not take a double dose to make up for a forgotten dose.

If you stop taking Desitrend®

Never alter the dose without consulting the doctor. Do not stop using your medication without first consulting your doctor, or else you may put the success of therapy at risk.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Very common: may affect more than 1 user in 10

•    sleepiness, headache;

•    nasopharyngitis (nose or throat inflammation).

Common: may affect 1 to 10 users in 100

•    dizziness, convulsion, lethargy;

^    • involuntary trembling, balance disorder;

•    inability to sleep, nervousness;

•    depression, anxiety, hostility, aggression, irritability;

•    tiredness, feeling of weakness;

•    abdominal pain, dyspepsia (indigestion), diarrhoea;

•    vomiting, nausea;

•    anorexia (loss of appetite);

•    vertigo (sensation of rotation);

•    cough;

•    rash.

Uncommon: may affect 1 to 10 users in 1,000

•    decreased number of blood platelets, decreased number of white blood cells;

•    paraesthesia (a skin sensation, such as burning, prickling, itching, or tingling, with no apparent physical cause);

•    ataxia (impaired movement coordination);

•    amnesia (loss of memory), forgetfulness, impaired ability to concentrate;

•    abnormal behaviour, anger, confusion;

•    panic attack, emotional instability, mood swings, agitation;

•    hallucination, psychotic disorder (abnormal thoughts and perceptions);

•    suicide attempt and suicidal ideation;

•    liver function test abnormal;

•    weight loss; weight increase;

•    double vision, blurred vision;

•    muscle weakness, muscle pain;

•    injury;

•    hair loss, eczema, pruritus.

Rare: may affect 1 to 10 users in 10,000

•    decreased number of a certain type of white blood cells (neutrophil granulocytes), or all types of blood cells;

•    severe hypersensitivity reactions (DRESS)

•    decreased blood sodium concentration

•    uncontrollable muscle spasms affecting the head, torso and limbs, difficulty in controlling movements;

•    hyperkinesia (increased movements and inability to keep still);

•    suicide, personality disorders (changes in thoughts, feelings and behaviour);

•    difficulty in thinking (e.g. slow thinking);

•    inflammation of the pancreas;

•    liver failure, liver inflammation;

•    infection;

•    skin rash, which may form blisters and looks like small targets (central dark spots surrounded by a paler area, with a dark ring around the edge) (erythema multiforme), a widespread rash with blisters and peeling skin, particularly around the mouth, nose, eyes and genitals (Stevens-John-son syndrome), and a more severe form causing skin peeling in more than 30% of the body surface (toxic epidermal necrolysis).

Some of the side effects like sleepiness, tiredness and dizziness may be more common at the beginning of the treatment or at dosage increase. These effects should however decrease over time.

Reporting of side effects

If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme: Website: www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.

5.    How to store Desitrend®

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date stated on the carton box and sachet after EXP:. The expiry date refers to the last day of that month.

This medicinal product does not require any special storage conditions.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

6.    Contents of the pack and other information

What Desitrend® contains

The active substance is levetiracetam. Each sachet contains 250 or 500 or 750 or 1000 mg of levetiracetam.

The other ingredients are:

Povidone K30 Cellulose, microcrystalline Silica, colloidal anhydrous Magnesium stearate Poly(vinyl alcohol)

Titanium dioxide (E171)

Macrogol 3350 Talc

What Desitrend^® looks like and contents of the pack

Coated granules in sachets; the coated granules are white or almost white and round (diameter approx. 2 mm).

Desitrend® 250 mg coated granules in sachet Pack size of 20, 30, 50, 60, 100, 200 sachets

Desitrend® 500 mg coated granules in sachet Pack size of 20, 30, 50, 60, 100, 200 sachets

Desitrend® 750 mg coated granules in sachet Pack size of 20, 30, 50, 60, 100, 200 sachets

Desitrend® 1000 mg coated granules in sachet Pack size of 20, 30, 50, 60, 100, 200 sachets

Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Desitin Arzneimittel GmbH Weg beim Jaeger 214 22335 Hamburg Germany

E-mail: medinfo@desitin.co.uk

This leaflet was last revised in 03/2014

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# Desitrend-GB MOCKUP.indd 2 10.04.14 14:30