Dutasteride 0.5mg Soft Capsules
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Avodart ® 0.5mg Soft Capsules
(dutasteride)
Patient Information Leaflet
Read all of this leaflet carefully before you start taking this medicine
* Keep this leaflet. You may need to read it again.
* If you have any further questions, ask your doctor or pharmacist.
* This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
* If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Your medicine is called Avodart 0.5mg Soft Capsules, and will be referred to as Avodart throughout this leaflet.
In this leaflet:
Q What Avodart is and what it's used for Q Before you take Avodart ^ How to take Avodart Q Possible side effects Q How to store Avodart Q Further information
0 What Avodart is and what it’s used for
Avodart is used to treat men with an enlarged prostate (benign prostatic hyperplasia) - a non-cancerous growth of the prostate gland, caused by producing too much of a hormone called dihydrotestosterone.
The active ingredient is dutasteride. It belongs to a group of medicines called 5-alpha reductase inhibitors.
As the prostate grows, it can lead to urinary problems, such as difficulty in passing urine and a need to go to the toilet frequently. It can also cause the flow of the urine to be slower and less forceful. If left untreated, there is a risk that your urine flow will be completely blocked (acute urinary retention). This requires immediate medical treatment. In some situations surgery is necessary to remove or reduce the size of the prostate gland. Avodart lowers the production of dihydrotestosterone, which helps to shrink the prostate and relieve the symptoms. This will reduce the risk of acute urinary retention and the need for surgery.
Avodart may also be used with another medicine called tamsulosin (used to treat the symptoms of an enlarged prostate).
0 Before you take Avodart
Do not take Avodart
* if you’re allergic (hypersensitive) to dutasteride, other 5-alpha reductase inhibitors, soya, peanut or to any of the other ingredients of Avodart.
* if you have a severe liver disease.
■+ Tell your doctor if you think any of these apply to you.
This medicine is for men only. It must not be taken by women, children or
adolescents.
Take special care with Avodart
* In some clinical studies, more patients taking dustasteride and another medicine called an alpha-blocker, like tamsulosin experienced heart failure than patients taking only dustasteride or only an alpha-blocker. Heart failure means your heart does not pump blood as well as it should.
* Make sure your doctor knows about liver problems. If you have had any illness affecting your liver, you may need some additional check-ups while you are taking Avodart.
* Women, children and adolescents must not handle leaking Avodart capsules, because the active ingredient can be absorbed through
the skin. Wash the affected area immediately with soap and water if there is any contact with the skin.
* Use a condom during sexual intercourse. Dutasteride has been found in the semen of men taking Avodart. If your partner is or may be pregnant, you must avoid exposing her to your semen as dutasteride may affect the normal development of a male baby. Dutasteride has been shown to decrease sperm count, semen volume and sperm motility.
This could reduce your fertility.
* Avodart can affect a blood test for PSA (prostate-specific antigen), which is sometimes used to detect prostate cancer. Your doctor should be aware of this effect and can still use the test to detect prostate cancer. If you are having a blood test for PSA, tell your doctor that you are taking Avodart. Men taking Avodart should have their PSA rested regulary.
* In a clinical study of men at increased risk of prostate cancer, men taking Avodart had a serious form of prostate cancer more often than men who did not take Avodart. The effect of Avodart on this serious form of prostate cancer is not clear.
* Avodart may cause breast enlargement and tenderness. If this becomes troublesome, or if you notice breast lumps or nipple discharge you should talk to your doctor about these changes as these may be signs of a serious condition, such as breast cancer.
^Contact your doctor or pharmacist if you have any questions about taking Avodart.
Taking other medicines
Tell your doctor if you’re taking, or have recently taken, any other medicines. This includes any medicines you've bought without a prescription.
Some medicines can react with Avodart and may make it more likely that you'll have side-effects. These medicines include:
* verapamil or diltiazem (for high blood pressure)
* ritonavir or indinavir (for HIV)
* itraconazole or ketaconazole (for fungal infections)
* nefazodone (an antidepressant)
* alpha-blockers (for enlarged prostate or high blood pressure).
■+ Tell your doctor if you are taking any of these medicines. Your dose of Avodart may need to be reduced.
Food and drink with Avodart
Avodart can be taken with or without food.
Pregnancy and breast-feeding
Women who are pregnant (or may be) must not handle leaking capsules. Dutasteride is absorbed through the skin and can affect the normal development of a male baby. This is a particular risk in the first 16 weeks of pregnancy
Use a condom during sexual intercourse. Dutasteride has been found in the semen of men taking Avodart. If your partner is or may be pregnant, you must avoid exposing her to your semen.
Avodart has been shown to reduce sperm count, semen volume and sperm movement. Therefore male fertility may be reduced.
■+ Contact your doctor for advice if a pregnant woman has come into contact with dutasteride.
Driving and using machines
Avodart is unlikely to affect your ability to drive or operate machinery.
Avodart ® 0.5mg Soft Capsules
(dutasteride)
Patient Information Leaflet (continued)
Q How to take Avodart
Always take Avodart exactly as your doctor has told you to. If you do
not take it regularly the monitoring of your PSA levels may be affected.
Check with your doctor or pharmacist if you are not sure.
How much to take
The usual dose is one capsule (0.5 mg) taken once a day. Swallow the capsules whole with water. Do not chew or break open the capsule.
Contact with the contents of the capsules may make your mouth or throat sore.
Avodart is a long term treatment. Some men notice an early improvement in their symptoms. However, others may need to take Avodart for 6 months or more before it begins to have an effect. Keep taking Avodart for as long as your doctor tells you.
If you take too much Avodart
Contact your doctor or pharmacist for advice if you take too many Avodart capsules.
If you forget to take Avodart
Don't take extra capsules to make up for a missed dose. Just take your next dose at the usual time.
Don’t stop Avodart without advice
Don't stop taking Avodart without talking to your doctor first. It may take up to 6 months or more for you to notice an effect.
-» If you have any further questions on the use of this product, ask your doctor or pharmacist.
Q Possible side effects
Like all medicines, Avodart can cause side effects, although not everybody gets them.
Allergic reaction
The signs of allergic reactions can include:
* skin rash (which can be itchy)
* hives (like a nettle rash)
* swelling of the eyelids, face, lips, arms or legs.
-» Contact your doctor immediately if you get any of these symptoms, and stop using Avodart.
Common side effects
These may affect up to 1 in 10 men taking Avodart:
* not able to achieve or maintain an erection (impotence), this may continue after you stop taking Avodart
* decreased sex drive (libido), this may continue after you stop taking Avodart
* difficulty with ejaculation, this may continue after you stop taking Avodart
* breast enlargement or tenderness (gynecomastia)
* dizziness when taken with tamsulosin.
Uncommon side effects
These may affect up to 1 in 100 men taking Avodart:
* heart failure (heart becomes less efficient at pumping blood around the body. You may have symptoms such as shortness of breath, extreme tiredness and swelling in your ankles and legs).
* hair loss (usually from the body) or hair growth
Not known side effects
The frequency cannot be estimated from the available data:
* depressed mood
* pain and swelling in your testicles
■+ If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.
By reporting side effects, you can help provide more information on the safety of this medicine.
0 How to store Avodart
* Keep out of the sight and reach of children of children.
* Do not use Avodart after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.
* Do not store above 30°C.
* If your doctor tells you to stop taking this medicine, return any unused tablets to your pharmacist for safe disposal. Only keep this medicine, if your doctor tells you to.
* If your capsules becomes discoloured or show any other signs of deterioration, consult your pharmacist who will tell you what to do.
Q Further information
What this medicine contains:
The active substance is dutasteride. Each soft capsule contains 0.5 mg dutasteride. The other ingredients are inside the capsule: medium chain mono - and diglycerides and butylated hydroxytoluene (E321)
Capsule shell: gelatin, glycerol, titanium dioxide (E171), iron oxide yellow (E172), triglycerides (medium chain), lecithin.
What this medicine looks like and contents of the pack
Avodart soft capsules are opaque, yellow, oblong soft gelatin capsules marked with GX CE2.
They are available in packs of 30 & 90 capsules.
Manufacturer and Licence Holder
This medicine is manufactured by Aspen Bad Oldesloe GmbH, Industriestrasse 32-36, 23843 Bad Oldesloe, Germany and procured from within the EU. Product licence holder: LTT Pharma Ltd, Unit 18, Oxleasow Road, East Moons Moat, Redditch, Worcestershire, B98 0RE. Repackaged by Lexon (UK) Ltd, B98 0RE.
If you have any questions or are not sure about anything, ask your doctor or pharmacist. They will have additional information about this medicine and will be able to advise you.
POM PL 33723/0169 Avodart 0.5mg Soft Capsules Avodart is a registered trademark of GlaxoSmithKline Group of companies. Revision date: 23/05/14
Blind or partially sighted?
Is this leaflet hard to see or read?
Phone Lexon (UK) Limited, Tel: 01527 505414 for help.
Patient Information Leaflet
Read all of this leaflet carefully before you start taking this medicine
* Keep this leaflet. You may need to read it again.
* If you have any further questions, ask your doctor or pharmacist.
* This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
* If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Your medicine is called Dutasteride 0.5mg Soft Capsules, and will be referred to as Dutasteride throughout this leaflet.
In this leaflet:
0 What Dutasteride is and what it's used for 0 Before you take Dutasteride 0 How to take Dutasteride 0 Possible side effects 0 How to store Dutasteride 0 Further information
Q What Dutasteride is and what it’s used for
Dutasteride is used to treat men with an enlarged prostate (benign prostatic hyperplasia) - a non-cancerous growth of the prostate gland, caused by producing too much of a hormone called dihydrotestosterone.
The active ingredient is dutasteride. It belongs to a group of medicines called 5-alpha reductase inhibitors.
As the prostate grows, it can lead to urinary problems, such as difficulty in passing urine and a need to go to the toilet frequently. It can also cause the flow of the urine to be slower and less forceful. If left untreated, there is a risk that your urine flow will be completely blocked (acute urinary retention). This requires immediate medical treatment. In some situations surgery is necessary to remove or reduce the size of the prostate gland. Dutasteride lowers the production of dihydrotestosterone, which helps to shrink the prostate and relieve the symptoms. This will reduce the risk of acute urinary retention and the need for surgery.
Dutasteride may also be used with another medicine called tamsulosin (used to treat the symptoms of an enlarged prostate).
0 Before you take Dutasteride
Do not take Dutasteride
* if you’re allergic (hypersensitive) to dutasteride, other 5-alpha reductase inhibitors, soya, peanut or to any of the other ingredients of Dutasteride.
* if you have a severe liver disease.
■+ Tell your doctor if you think any of these apply to you.
This medicine is for men only. It must not be taken by women, children or
adolescents.
Take special care with Dutasteride
* In some clinical studies, more patients taking dustasteride and another medicine called an alpha-blocker, like tamsulosin experienced heart failure than patients taking only dustasteride or only an alpha-blocker. Heart failure means your heart does not pump blood as well as it should.
* Make sure your doctor knows about liver problems. If you have had any illness affecting your liver, you may need some additional check-ups while you are taking Avodart.
* Women, children and adolescents must not handle leaking Dutasteride capsules, because the active ingredient can be absorbed through
the skin. Wash the affected area immediately with soap and water if there is any contact with the skin.
* Use a condom during sexual intercourse. Dutasteride has been found in the semen of men taking Dutasteride. If your partner is or may be pregnant, you must avoid exposing her to your semen as dutasteride may affect the normal development of a male baby. Dutasteride has been shown to decrease sperm count, semen volume and sperm motility.
This could reduce your fertility.
* Dutasteride can affect a blood test for PSA (prostate-specific antigen), which is sometimes used to detect prostate cancer. Your doctor should be aware of this effect and can still use the test to detect prostate cancer. If you are having a blood test for PSA, tell your doctor that you are taking Dutasteride. Men taking Dutasteride should have their PSA tested regulary.
* In a clinical study of men at increased risk of prostate cancer, men taking Avodart had a serious form of prostate cancer more often than men who did not take Avodart. The effect of Avodart on this serious form of prostate cancer is not clear.
* Avodart may cause breast enlargement and tenderness. If this becomes troublesome, or if you notice breast lumps or nipple discharge you should talk to your doctor about these changes as these may be signs of a serious condition, such as breast cancer.
■+ Contact your doctor or pharmacist if you have any questions about taking Dutasteride.
Taking other medicines
Tell your doctor if you’re taking, or have recently taken, any other medicines. This includes any medicines you've bought without a prescription.
Some medicines can react with Dutasteride and may make it more likely that you'll have side-effects. These medicines include:
* verapamil or diltiazem (for high blood pressure)
* ritonavir or indinavir (for HIV)
* itraconazole or ketaconazole (for fungal infections)
* nefazodone (an antidepressant)
* alpha-blockers (for enlarged prostate or high blood pressure).
■+ Tell your doctor if you are taking any of these medicines. Your dose of Dutasteride may need to be reduced.
Food and drink with Dutasteride
Dutasteride can be taken with or without food.
Pregnancy and breast-feeding
Women who are pregnant (or may be) must not handle leaking capsules. Dutasteride is absorbed through the skin and can affect the normal development of a male baby. This is a particular risk in the first 16 weeks of pregnancy
Use a condom during sexual intercourse. Dutasteride has been found in the semen of men taking Dutasteride. If your partner is or may be pregnant, you must avoid exposing her to your semen.
Dutasteride has been shown to reduce sperm count, semen volume and sperm movement. Therefore male fertility may be reduced.
■+ Contact your doctor for advice if a pregnant woman has come into contact with dutasteride.
Driving and using machines
Dutasteride is unlikely to affect your ability to drive or operate machinery.
Patient Information Leaflet (continued)
0 How to take Dutasteride
Always take Dutasteride exactly as your doctor has told you to. If you
do not take it regularly the monitoring of your PSA levels may be affected. Check with your doctor or pharmacist if you are not sure.
How much to take
The usual dose is one capsule (0.5 mg) taken once a day. Swallow the capsules whole with water. Do not chew or break open the capsule.
Contact with the contents of the capsules may make your mouth or throat sore.
Dutasteride is a long term treatment. Some men notice an early improvement in their symptoms. However, others may need to take Dutasteride for 6 months or more before it begins to have an effect. Keep taking Dutasteride for as long as your doctor tells you.
If you take too much Dutasteride
Contact your doctor or pharmacist for advice if you take too many Dutasteride capsules.
If you forget to take Dutasteride
Don't take extra capsules to make up for a missed dose. Just take your next dose at the usual time.
Don’t stop Dutasteride without advice
Don't stop taking Dutasteride without talking to your doctor first. It may take up to 6 months or more for you to notice an effect.
-» If you have any further questions on the use of this product, ask your doctor or pharmacist.
0 Possible side effects
Like all medicines, Dutasteride can cause side effects, although not everybody gets them.
Allergic reaction
The signs of allergic reactions can include:
* skin rash (which can be itchy)
* hives (like a nettle rash)
* swelling of the eyelids, face, lips, arms or legs.
-» Contact your doctor immediately if you get any of these symptoms, and stop using Dutasteride.
Common side effects
These may affect up to 1 in 10 men taking Dutasteride:
* not able to achieve or maintain an erection (impotence), this may continue after you stop taking Avodart
* decreased sex drive (libido), this may continue after you stop taking Dutasteride
* difficulty with ejaculation, this may continue after you stop taking Dutasteride
* breast enlargement or tenderness (gynecomastia)
* dizziness when taken with tamsulosin.
Uncommon side effects
These may affect up to 1 in 100 men taking Dutasteride:
* heart failure (heart becomes less efficient at pumping blood around the body. You may have symptoms such as shortness of breath, extreme tiredness and swelling in your ankles and legs).
* hair loss (usually from the body) or hair growth
Not known side effects
The frequency cannot be estimated from the available data:
* depressed mood
* pain and swelling in your testicles
^ If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.
By reporting side effects, you can help provide more information on the safety of this medicine.
0 How to store Dutasteride
* Keep out of the sight and reach of children.
* Do not use Dutasteride after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.
* Do not store above 30°C.
* If your doctor tells you to stop taking this medicine, return any unused tablets to your pharmacist for safe disposal. Only keep this medicine, if your doctor tells you to.
* If your capsules becomes discoloured or show any other signs of deterioration, consult your pharmacist who will tell you what to do.
0 Further information
What this medicine contains:
The active substance is dutasteride. Each soft capsule contains 0.5 mg dutasteride. The other ingredients are inside the capsule: medium chain mono - and diglycerides and butylated hydroxytoluene (E321)
Capsule shell: gelatin, glycerol, titanium dioxide (E171), iron oxide yellow (E172), triglycerides (medium chain), lecithin.
What this medicine looks like and contents of the pack
Dutasteride soft capsules are opaque, yellow, oblong soft gelatin capsules marked with GX CE2.
They are available in packs of 30 & 90 capsules.
Manufacturer and Licence Holder
This medicine is manufactured by Aspen Bad Oldesloe GmbH Industriestrasse 32-36, 23843 Bad Oldesloe, Germany and procured from within the EU. Product licence holder: LTT Pharma Ltd, Unit 18, Oxleasow Road, East Moons Moat, Redditch, Worcestershire, B98 0RE. Repackaged by Lexon (UK) Ltd, B98 0RE.
If you have any questions or are not sure about anything, ask your doctor or pharmacist. They will have additional information about this medicine and will be able to advise you.
POMl PL 33723/0169 Dutasteride 0.5mg Soft Capsules
Revision date: 23/05/14
Blind or partially sighted?
Is this leaflet hard to see or read?
Phone Lexon (UK) Limited, Tel: 01527 505414 for help.
Avodart 0.5mg Soft Capsules
(dutasteride)
Patient Information Leaflet
Read all of this leaflet carefully before you start taking this medicine
* Keep this leaflet. You may need to read it again.
* If you have any further questions, ask your doctor or pharmacist.
* This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
* If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Your medicine is called Avodart 0.5mg Soft Capsules, and will be referred to as Avodart throughout this leaflet.
In this leaflet:
Q What Avodart is and what it's used for Q Before you take Avodart Q How to take Avodart Q Possible side effects Q How to store Avodart Q Further information
Q What Avodart is and what it’s used for
Avodart is used to treat men with an enlarged prostate (benign prostatic hyperplasia) - a non-cancerous growth of the prostate gland, caused by producing too much of a hormone called dihydrotestosterone.
The active ingredient is dutasteride. It belongs to a group of medicines called 5-alpha reductase inhibitors.
As the prostate grows, it can lead to urinary problems, such as difficulty in passing urine and a need to go to the toilet frequently. It can also cause the flow of the urine to be slower and less forceful. If left untreated, there is a risk that your urine flow will be completely blocked (acute urinary retention). This requires immediate medical treatment. In some situations surgery is necessary to remove or reduce the size of the prostate gland. Avodart lowers the production of dihydrotestosterone, which helps to shrink the prostate and relieve the symptoms. This will reduce the risk of acute urinary retention and the need for surgery.
Avodart may also be used with another medicine called tamsulosin (used to treat the symptoms of an enlarged prostate).
Q Before you take this medicine
Do not take Avodart
* if you’re allergic (hypersensitive) to dutasteride, other 5-alpha reductase inhibitors, soya, peanut or to any of the other ingredients of Avodart.
* if you have a severe liver disease.
■+ Tell your doctor if you think any of these apply to you.
This medicine is for men only. It must not be taken by women, children or
adolescents.
Take special care with Avodart
* In some clinical studies, more patients taking dustasteride and another medicine called an alpha-blocker, like tamsulosin experienced heart failure than patients taking only dustasteride or only an alpha-blocker. Heart failure means your heart does not pump blood as well as it should.
* Make sure your doctor knows about liver problems. If you have had any illness affecting your liver, you may need some additional check-ups while you are taking Avodart.
* Women, children and adolescents must not handle leaking Avodart capsules, because the active ingredient can be absorbed through
the skin. Wash the affected area immediately with soap and water if there is any contact with the skin.
* Use a condom during sexual intercourse. Dutasteride has been found in the semen of men taking Avodart. If your partner is or may be pregnant, you must avoid exposing her to your semen as dutasteride may affect the normal development of a male baby. Dutasteride has been shown to decrease sperm count, semen volume and sperm motility.
This could reduce your fertility.
* Avodart can affect a blood test for PSA (prostate-specific antigen), which is sometimes used to detect prostate cancer. Your doctor should be aware of this effect and can still use the test to detect prostate cancer. If you are having a blood test for PSA, tell your doctor that you are taking Avodart. Men taking Avodart should have their PSA tested regulary.
* In a clinical study of men at increased risk of prostate cancer, men taking Avodart had a serious form of prostate cancer more often than men who did not take Avodart. The effect of Avodart on this serious form of prostate cancer is not clear.
* Avodart may cause breast enlargement and tenderness. If this becomes troublesome, or if you notice breast lumps or nipple discharge you should talk to your doctor about these changes as these may be signs of a serious condition, such as breast cancer.
■+ Contact your doctor or pharmacist if you have any questions about taking Avodart.
Taking other medicines
Tell your doctor if you’re taking, or have recently taken, any other medicines. This includes any medicines you've bought without a prescription.
Some medicines can react with Avodart and may make it more likely that you'll have side-effects. These medicines include:
* verapamil or diltiazem (for high blood pressure)
* ritonavir or indinavir (for HIV)
* itraconazole or ketaconazole (for fungal infections)
* nefazodone (an antidepressant)
* alpha-blockers (for enlarged prostate or high blood pressure).
■+ Tell your doctor if you are taking any of these medicines. Your dose of Avodart may need to be reduced.
Food and drink with Avodart
Avodart can be taken with or without food.
Pregnancy and breast-feeding
Women who are pregnant (or may be) must not handle leaking capsules. Dutasteride is absorbed through the skin and can affect the normal development of a male baby. This is a particular risk in the first 16 weeks of pregnancy
Use a condom during sexual intercourse. Dutasteride has been found in the semen of men taking Avodart. If your partner is or may be pregnant, you must avoid exposing her to your semen.
Avodart has been shown to reduce sperm count, semen volume and sperm movement. Therefore male fertility may be reduced.
■+ Contact your doctor for advice if a pregnant woman has come into contact with dutasteride.
Driving and using machines
Avodart is unlikely to affect your ability to drive or operate machinery.
Avodart 0.5mg Soft Capsules
(dutasteride)
Patient Information Leaflet (continued)
0 How to take Avodart
Always take Avodart exactly as your doctor has told you to. If you do
not take it regularly the monitoring of your PSA levels may be affected.
Check with your doctor or pharmacist if you are not sure.
How much to take
The usual dose is one capsule (0.5 mg) taken once a day. Swallow the capsules whole with water. Do not chew or break open the capsule.
Contact with the contents of the capsules may make your mouth or throat sore.
Avodart is a long term treatment. Some men notice an early improvement in their symptoms. However, others may need to take Avodart for 6 months or more before it begins to have an effect. Keep taking Avodart for as long as your doctor tells you.
If you take too much Avodart
Contact your doctor or pharmacist for advice if you take too many Avodart capsules.
If you forget to take Avodart
Don't take extra capsules to make up for a missed dose. Just take your next dose at the usual time.
Don’t stop Avodart without advice
Don't stop taking Avodart without talking to your doctor first. It may take up to 6 months or more for you to notice an effect.
-» If you have any further questions on the use of this product, ask your doctor or pharmacist.
Q Possible side effects
Like all medicines, Avodart can cause side effects, although not everybody gets them.
Allergic reaction
The signs of allergic reactions can include:
* skin rash (which can be itchy)
* hives (like a nettle rash)
* swelling of the eyelids, face, lips, arms or legs.
-» Contact your doctor immediately if you get any of these symptoms, and stop using Avodart.
Common side effects
These may affect up to 1 in 10 men taking Avodart:
* not able to achieve or maintain an erection (impotence), this may continue after you stop taking Avodart
* decreased sex drive (libido), this may continue after you stop taking Avodart
* difficulty with ejaculation, this may continue after you stop taking Avodart
* breast enlargement or tenderness (gynecomastia)
* dizziness when taken with tamsulosin.
Uncommon side effects
These may affect up to 1 in 100 men taking Avodart:
* heart failure (heart becomes less efficient at pumping blood around the body. You may have symptoms such as shortness of breath, extreme tiredness and swelling in your ankles and legs).
* hair loss (usually from the body) or hair growth
Not known side effects
The frequency cannot be estimated from the available data:
* depressed mood
* pain and swelling in your testicles
^ If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.
By reporting side effects, you can help provide more information on the safety of this medicine.
0 How to store Avodart
* Keep out of the sight and reach of children.
* Do not use Avodart after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.
* Do not store above 30°C.
* If your doctor tells you to stop taking this medicine, return any unused tablets to your pharmacist for safe disposal. Only keep this medicine, if your doctor tells you to.
* If your capsules becomes discoloured or show any other signs of deterioration, consult your pharmacist who will tell you what to do.
0 Further information
What this medicine contains:
The active substance is dutasteride. Each soft capsule contains 0.5 mg dutasteride. The other ingredients are inside the capsule: medium chain mono - and diglycerides and butylated hydroxytoluene (E321)
Capsule shell: gelatin, glycerol, titanium dioxide (E171), iron oxide yellow (E172), triglycerides (medium chain), lecithin.
What this medicine looks like and contents of the pack
Avodart soft capsules are opaque, yellow, oblong soft gelatin capsules marked with GX CE2.
They are available in packs of 30 & 90 capsules.
Manufacturer and Licence Holder
This medicine is manufactured by GlaxoSmithKline Pharmaceuticals S.A,
Ul. Grunwaldzka 189 60-322 Poznan Poland and procured from within the EU. Product licence holder: LTT Pharma Ltd, Unit 18, Oxleasow Road, East Moons Moat, Redditch, Worcestershire, B98 0RE. Repackaged by Lexon (UK) Ltd, B98 0RE.
If you have any questions or are not sure about anything, ask your doctor or pharmacist. They will have additional information about this medicine and will be able to advise you.
POM PL 33723/0169 Avodart 0.5mg Soft Capsules
Avodart is a registered trademark of GlaxoSmithKline Group of companies. Revision date: 23/05/14
Blind or partially sighted?
Is this leaflet hard to see or read?
Phone Lexon (UK) Limited, Tel: 01527 505414 for help.
Patient Information Leaflet
Read all of this leaflet carefully before you start taking this medicine
* Keep this leaflet. You may need to read it again.
* If you have any further questions, ask your doctor or pharmacist.
* This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
* If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Your medicine is called Dutasteride 0.5mg Soft Capsules, and will be referred to as Dutasteride throughout this leaflet.
In this leaflet:
0 What Dutasteride is and what it's used for 0 Before you take Dutasteride 0 How to take Dutasteride 0 Possible side effects 0 How to store Dutasteride 0 Further information
Q What Dutasteride is and what it’s used for
Dutasteride is used to treat men with an enlarged prostate (benign prostatic hyperplasia) - a non-cancerous growth of the prostate gland, caused by producing too much of a hormone called dihydrotestosterone.
The active ingredient is dutasteride. It belongs to a group of medicines called 5-alpha reductase inhibitors.
As the prostate grows, it can lead to urinary problems, such as difficulty in passing urine and a need to go to the toilet frequently. It can also cause the flow of the urine to be slower and less forceful. If left untreated, there is a risk that your urine flow will be completely blocked (acute urinary retention). This requires immediate medical treatment. In some situations surgery is necessary to remove or reduce the size of the prostate gland. Dutasteride lowers the production of dihydrotestosterone, which helps to shrink the prostate and relieve the symptoms. This will reduce the risk of acute urinary retention and the need for surgery.
Dutasteride may also be used with another medicine called tamsulosin (used to treat the symptoms of an enlarged prostate).
0 Before you take Dutasteride
Do not take Dutasteride
* if you’re allergic (hypersensitive) to dutasteride, other 5-alpha reductase inhibitors, soya, peanut or to any of the other ingredients of Dutasteride.
* if you have a severe liver disease.
■+ Tell your doctor if you think any of these apply to you.
This medicine is for men only. It must not be taken by women, children or
adolescents.
Take special care with Dutasteride
* In some clinical studies, more patients taking dustasteride and another medicine called an alpha-blocker, like tamsulosin experienced heart failure than patients taking only dustasteride or only an alpha-blocker. Heart failure means your heart does not pump blood as well as it should.
* Make sure your doctor knows about liver problems. If you have had any illness affecting your liver, you may need some additional check-ups while you are taking Avodart.
* Women, children and adolescents must not handle leaking Dutasteride capsules, because the active ingredient can be absorbed through
the skin. Wash the affected area immediately with soap and water if there is any contact with the skin.
* Use a condom during sexual intercourse. Dutasteride has been found in the semen of men taking Dutasteride. If your partner is or may be pregnant, you must avoid exposing her to your semen as dutasteride may affect the normal development of a male baby. Dutasteride has been shown to decrease sperm count, semen volume and sperm motility.
This could reduce your fertility.
* Dutasteride can affect a blood test for PSA (prostate-specific antigen), which is sometimes used to detect prostate cancer. Your doctor should be aware of this effect and can still use the test to detect prostate cancer. If you are having a blood test for PSA, tell your doctor that you are taking Dutasteride. Men taking Dutasteride should have their PSA tested regulary.
* In a clinical study of men at increased risk of prostate cancer, men taking Dutasteride had a serious form of prostate cancer more often than men who did not take Avodart. The effect of Avodart on this serious form of prostate cancer is not clear.
* Dutasteride may cause breast enlargement and tenderness. If this becomes troublesome, or if you notice breast lumps or nipple discharge you should talk to your doctor about these changes as these may be signs of a serious condition, such as breast cancer.
■+ Contact your doctor or pharmacist if you have any questions about taking Dutasteride.
Taking other medicines
Tell your doctor if you’re taking, or have recently taken, any other medicines. This includes any medicines you've bought without a prescription.
Some medicines can react with Dutasteride and may make it more likely that you'll have side-effects. These medicines include:
* verapamil or diltiazem (for high blood pressure)
* ritonavir or indinavir (for HIV)
* itraconazole or ketaconazole (for fungal infections)
* nefazodone (an antidepressant)
* alpha-blockers (for enlarged prostate or high blood pressure).
■+ Tell your doctor if you are taking any of these medicines. Your dose of Dutasteride may need to be reduced.
Food and drink with Dutasteride
Dutasteride can be taken with or without food.
Pregnancy and breast-feeding
Women who are pregnant (or may be) must not handle leaking capsules. Dutasteride is absorbed through the skin and can affect the normal development of a male baby. This is a particular risk in the first 16 weeks of pregnancy
Use a condom during sexual intercourse. Dutasteride has been found in the semen of men taking Dutasteride. If your partner is or may be pregnant, you must avoid exposing her to your semen.
Dutasteride has been shown to reduce sperm count, semen volume and sperm movement. Therefore male fertility may be reduced.
■+ Contact your doctor for advice if a pregnant woman has come into contact with dutasteride.
Driving and using machines
Dutasteride is unlikely to affect your ability to drive or operate machinery.
Patient Information Leaflet (continued)
Q How to take Dutasteride
Always take Dutasteride exactly as your doctor has told you to. If you
do not take it regularly the monitoring of your PSA levels may be affected. Check with your doctor or pharmacist if you are not sure.
How much to take
The usual dose is one capsule (0.5 mg) taken once a day. Swallow the capsules whole with water. Do not chew or break open the capsule.
Contact with the contents of the capsules may make your mouth or throat sore.
Dutasteride is a long term treatment. Some men notice an early improvement in their symptoms. However, others may need to take Dutasteride for 6 months or more before it begins to have an effect. Keep taking Dutasteride for as long as your doctor tells you.
If you take too much Dutasteride
Contact your doctor or pharmacist for advice if you take too many Dutasteride capsules.
If you forget to take Dutasteride
Don't take extra capsules to make up for a missed dose. Just take your next dose at the usual time.
Don’t stop Dutasteride without advice
Don't stop taking Dutasteride without talking to your doctor first. It may take up to 6 months or more for you to notice an effect.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
Q Possible side effects
Like all medicines, Dutasteride can cause side effects, although not everybody gets them.
Allergic reaction
The signs of allergic reactions can include:
* skin rash (which can be itchy)
* hives (like a nettle rash)
* swelling of the eyelids, face, lips, arms or legs.
-» Contact your doctor immediately if you get any of these symptoms, and stop using Dutasteride.
Common side effects
These may affect up to 1 in 10 men taking Avodart:
* not able to achieve or maintain an erection (impotence), this may continue after you stop taking Avodart
* decreased sex drive (libido), this may continue after you stop taking Dutasteride
* difficulty with ejaculation, this may continue after you stop taking Avodart
* breast enlargement or tenderness (gynecomastia)
* dizziness when taken with tamsulosin.
Uncommon side effects
These may affect up to 1 in 100 men taking Dutasteride:
* heart failure (heart becomes less efficient at pumping blood around the body. You may have symptoms such as shortness of breath, extreme tiredness and swelling in your ankles and legs).
* hair loss (usually from the body) or hair growth
Not known side effects
The frequency cannot be estimated from the available data:
* depressed mood
* pain and swelling in your testicles
^ If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.
By reporting side effects, you can help provide more information on the safety of this medicine.
0 How to store Dutasteride
* Keep out of the sight and reach of children.
* Do not use Dutasteride after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.
* Do not store above 30°C.
* If your doctor tells you to stop taking this medicine, return any unused tablets to your pharmacist for safe disposal. Only keep this medicine, if your doctor tells you to.
* If your capsules becomes discoloured or show any other signs of deterioration, consult your pharmacist who will tell you what to do.
0 Further information
What this medicine contains:
The active substance is dutasteride. Each soft capsule contains 0.5 mg dutasteride. The other ingredients are inside the capsule: medium chain mono - and diglycerides and butylated hydroxytoluene (E321)
Capsule shell: gelatin, glycerol, titanium dioxide (E171), iron oxide yellow (E172), triglycerides (medium chain), lecithin.
What this medicine looks like and contents of the pack
Dutasteride soft capsules are opaque, yellow, oblong soft gelatin capsules marked with GX CE2.
They are available in packs of 30 & 90 capsules.
Manufacturer and Licence Holder
This medicine is manufactured by GlaxoSmithKline Pharmaceuticals S.A,
Ul. Grunwaldzka 189 60-322 Poznan Poland and procured from within the EU. Product licence holder: LTT Pharma Ltd, Unit 18, Oxleasow Road, East Moons Moat, Redditch, Worcestershire, B98 0RE. Repackaged by Lexon (UK) Ltd, B98 0RE.
If you have any questions or are not sure about anything, ask your doctor or pharmacist. They will have additional information about this medicine and will be able to advise you.
POM PL 33723/0169 Dutasteride 0.5mg Soft Capsules
Revision date: 23/05/14