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Finasteride 5mg Tablets

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Document: leaflet MAH BRAND_PLPI 18799-0281 change

PACKAGE LEAFLET: INFORMATION FOR THE USER

PROSCAR® 5mg TABLETS

(finasteride)

This medicine is for use in men only

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

•    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 only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

•    If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

The name of your medicine is Proscar 5mg Tablets, but it will be referred to as Proscar throughout this leaflet.

In this leaflet:

1.    What Proscar is and what it is used for

2.    What you need to know before you take Proscar

3.    How to take Proscar

4.    Possible side effects

5.    How to store Proscar

6.    Contents of the pack and other information

1. What Proscar is and what it is used for

Proscar contains a medicine called finasteride. This belongs to a group of medicines called ‘5-alpha reductase inhibitors'.

Proscar shrinks the prostate gland in men when it is swollen. The prostate gland is found underneath the bladder (but only in men). It produces the fluid found in semen.

A swollen prostate gland can lead to a condition called ‘benign prostatic hyperplasia' or BPH.

What is BPH?

If you have BPH it means that your prostate gland is swollen.

It can press on the tube that urine passes through, on its way out of your body.

This can lead to problems such as:

•    feeling like you need to pass urine more often, especially at night

•    feeling that you must pass urine right away

•    finding it difficult to start passing urine

• when you pass urine the flow of urine is weak

• when you pass urine the flow stops and starts

•    feeling that you cannot empty your bladder completely

In some men, BPH can lead to more serious problems, such as:

•    urinary tract infections

•    a sudden inability to pass urine

•    the need for surgery

What else should you know about BPH?

•    BPH is not cancer and does not lead to cancer, but the two conditions can be present at the same time.

•    Before you start Proscar, your doctor will do some simple tests to check whether you have prostate cancer.

Talk to your doctor if you have any questions about this.

2. What you need to know before you take Proscar

Do not take Proscar:

•    If you are a woman (because this medicine is for men)

•    If you are allergic (hypersensitive) to finasteride or any of the other ingredients of this medicine (listed in Section 6)

Do not take Proscar if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist.

Warnings and precautions

Talk to your doctor or pharmacist before taking Proscar if:

•    your partner is pregnant or planning to become pregnant. You should use a condom or other barrier method of contraception when taking Proscar. This is because your semen could contain a tiny amount of the drug and may affect the normal development of the baby’s sex organs.

•    you are going to have a blood test called PSA. This is because Proscar can affect the results of this test.

If you are not sure, talk to your doctor or pharmacist before taking Proscar.

Children

Proscar should not be used in children.

Taking other medicines

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Proscar does not usually affect other medicines.

Taking Proscar with food and drink

Proscar can be taken with or without food.

Pregnancy and breast-feeding

•    Proscar should not be taken by women.

•    Do not touch crushed or broken Proscar if you are a woman who is pregnant or planning to become pregnant (whole tablets are coated to stop contact with the medicine during normal use). This is because this medicine may affect the normal development of the baby’s sex organs.

•    If a woman who is pregnant comes into contact with crushed or broken Proscar, speak to your doctor.

Driving and using machines

Proscar is not likely to affect you being able to drive, use tools or machines.

Proscar contains

•    Lactose. This is a type of sugar. If you have ever been told by your doctor that you cannot tolerate or digest some sugars (have an intolerance to some sugars), talk to your doctor or pharmacist before taking this medicine.

3. How to take Proscar

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

Taking this medicine

•    The usual dose is one tablet each day.

•    Take this medicine by mouth.

•    Your doctor may prescribe Proscar along with another medicine (called doxazosin) to help control your BPH.

If you take more Proscar than you should

If you take too many tablets by mistake, contact your doctor immediately.

If you forget to take Proscar

•    If you forget to take a tablet, skip the missed dose.

•    Take the next dose as usual.

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


If you stop taking Proscar

Your condition may show an early improvement after taking Proscar. However, it may take at least six months for the full effect to develop. It is important to keep taking Proscar for as long as your doctor tells you, even if you do not feel any benefit straight away.

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

If the days of the week appear on the blisters in Spanish, see translation into English as below:

LUNES - MONDAY MARTES - TUESDAY MIERCOLES - WEDNESDAY JUEVES - THURSDAY VIERNES - FRIDAY SABADO - SATURDAY DOMINGO - SUNDAY

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects may happen with this medicine:

Allergic reactions

Stop using Proscar and immediately contact a doctor if you experience any of the following symptoms:

•    Swelling of face, lips, tongue or throat, difficulty swallowing and breathing difficulties (angioedema)

•    Skin rashes, itching, or lumps under your skin (hives).

Other side effects may include:

•    You may be unable to have an erection (impotence)

•    You may have less desire to have sex

•    You may have problems with ejaculation, for example a decrease in the amount of semen released during sex.

This decrease in the amount of semen does not appear to affect normal sexual function.

These side effects above may disappear after a while if you continue taking Proscar. If not, they usually resolve after stopping Proscar.Other side effects reported in some men are:

•    Breast swelling or tenderness

•    Palpitations (feeling your heart beat)

•    Changes in the way your liver is working, which can be shown by a blood test

•    Pain in your testicles

•    An inability to have an erection which may continue after stopping the medication

•    Male infertility and/or poor quality of semen.

Improvement in the quality of the semen has been reported after stopping medication

•    Depression

•    Decrease in sex drive that may continue after stopping the medication

•    Problems with ejaculation that may continue after stopping the medication

You should promptly report to your doctor any changes in your breast tissue such as lumps, pain, enlargement or nipple discharge as these may be signs of a serious condition, such as breast cancer.

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. It will help if you make a note of what happened, when it started and how long it lasted.

What else should you know about Proscar?

Proscar (finasteride) is not licensed to treat prostate cancer. Information collected for a clinical trial in men taking finasteride for 7 years showed:

•    The number of men who developed prostate cancer was lower in men taking finasteride compared with those taking nothing.

•    The number of men who had a high score in a tumour grading system was higher in some of those taking finasteride compared to those taking nothing.

•    The effect of long-term use of finasteride on tumours of this kind is not known.

If you would like further information about the tumour grading system or this trial, please talk to your doctor.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via at: 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 Proscar

Keep out of the sight and reach of children.

Do not store above 30°C. Store in the original package.

Do not use Proscar after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

If the tablets get discoloured or show any other signs of deterioration, stop using them and take them to your pharmacist.

6. Contents of the pack and other information

What Proscar contains

•    The active ingredient in Proscar is finasteride. Each tablet contains 5mg of the active ingredient finasteride

•    The other ingredients in Proscar are: docusate sodium, hydroxypropyl cellulose, hypromellose, indigo carmine aluminium lake E132, lactose, magnesium stearate, microcrystalline cellulose E460, pregelatinised maize starch, sodium starch glycollate, talc, titanium dioxide E171 and yellow iron oxide E172.

What Proscar looks like and the content of the pack

Proscar are blue, apple-shaped tablets which are plain on

one side and marked ‘72' on the other side.

Proscar are supplied in blister packs of 15 tablets.

Manufactured by: Merck Sharp & Dohme Ltd, Cramlington,

UK.

Procured from within the EU and repackaged by the

Product Licence holder: B&S Healthcare, Unit 4,

Bradfield Road, Ruislip, Middlesex, HA4 0NU, UK

PROSCAR® 5mg TABLETS, PLPI No: 18799/0281 -

Leaflet date: 07.09.2015

Proscar is a registered trademark of Merck & Co., Inc.

FINASTERIDE 5mg TABLETS

This medicine is for use in men only

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

•    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 only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

•    If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

The name of your medicine is Finasteride 5mg Tablets, but it will be referred to as Finasteride throughout this leaflet.

In this leaflet:

1.    What Finasteride is and what it is used for

2.    What you need to know before you take Finasteride

3.    How to take Finasteride

4.    Possible side effects

5.    How to store Finasteride

6.    Contents of the pack and other information

1. What Finasteride is and what it is used for

Finasteride contains a medicine called finasteride. This belongs to a group of medicines called ‘5-alpha reductase inhibitors'.

Finasteride shrinks the prostate gland in men when it is swollen. The prostate gland is found underneath the bladder (but only in men). It produces the fluid found in semen.

A swollen prostate gland can lead to a condition called ‘benign prostatic hyperplasia' or BPH.

What is BPH?

If you have BPH it means that your prostate gland is swollen.

It can press on the tube that urine passes through, on its way out of your body.

This can lead to problems such as:

•    feeling like you need to pass urine more often, especially at night

•    feeling that you must pass urine right away

•    finding it difficult to start passing urine

• when you pass urine the flow of urine is weak

• when you pass urine the flow stops and starts

•    feeling that you cannot empty your bladder completely

In some men, BPH can lead to more serious problems, such as:

•    urinary tract infections

•    a sudden inability to pass urine

•    the need for surgery

What else should you know about BPH?

•    BPH is not cancer and does not lead to cancer, but the two conditions can be present at the same time.

•    Before you start Finasteride, your doctor will do some simple tests to check whether you have prostate cancer.

Talk to your doctor if you have any questions about this.

2. What you need to know before you take Finasteride

Do not take Finasteride:

•    If you are a woman (because this medicine is for men)

•    If you are allergic (hypersensitive) to finasteride or any of the other ingredients of this medicine (listed in Section 6)

Do not take Finasteride if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist.

Warnings and precautions

Talk to your doctor or pharmacist before taking Finasteride if:

•    your partner is pregnant or planning to become pregnant. You should use a condom or other barrier method of contraception when taking Finasteride. This is because your semen could contain a tiny amount of the drug and may affect the normal development of the baby's sex organs.

•    you are going to have a blood test called PSA. This is because Finasteride can affect the results of this test.

If you are not sure, talk to your doctor or pharmacist before taking Finasteride.

Children

Finasteride should not be used in children.

Taking other medicines

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Finasteride

does not usually affect other medicines.

Taking Finasteride with food and drink

Finasteride can be taken with or without food.

Pregnancy and breast-feeding

•    Finasteride should not be taken by women.

•    Do not touch crushed or broken Finasteride if you are a woman who is pregnant or planning to become pregnant (whole tablets are coated to stop contact with the medicine during normal use). This is because this medicine may affect the normal development of the baby’s sex organs.

•    If a woman who is pregnant comes into contact with crushed or broken Finasteride, speak to your doctor.

Driving and using machines

Finasteride is not likely to affect you being able to drive, use tools or machines.

Finasteride contains

•    Lactose. This is a type of sugar. If you have ever been told by your doctor that you cannot tolerate or digest some sugars (have an intolerance to some sugars), talk to your doctor or pharmacist before taking this medicine.

3. How to take Finasteride

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

Taking this medicine

•    The usual dose is one tablet each day.

•    Take this medicine by mouth.

•    Your doctor may prescribe Finasteride along with another medicine (called doxazosin) to help control your BPH.

If you take more Finasteride than you should

If you take too many tablets by mistake, contact your doctor immediately.

If you forget to take Finasteride

•    If you forget to take a tablet, skip the missed dose.

•    Take the next dose as usual.

•    Do not take a double dose to make up for a forgotten dose. If you stop taking Finasteride

Your condition may show an early improvement after taking Finasteride. However, it may take at least six months for the full effect to develop. It is important to keep taking Finasteride for as long as your doctor tells you, even if you do not feel any benefit straight away.

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

If the days of the week appear on the blisters in Spanish, see translation into English as below:

LUNES - MONDAY MARTES    -    TUESDAY

MIERCOLES - WEDNESDAY JUEVES - THURSDAY VIERNES    -    FRIDAY

SABADO    -    SATURDAY

DOMINGO    -    SUNDAY

What else should you know about Finasteride?

Finasteride (finasteride) is not licensed to treat prostate cancer. Information collected for a clinical trial in men taking finasteride for 7 years showed:

•    The number of men who developed prostate cancer was lower in men taking finasteride compared with those taking nothing.

•    The number of men who had a high score in a tumour grading system was higher in some of those taking finasteride compared to those taking nothing.

•    The effect of long-term use of finasteride on tumours of this kind is not known.

If you would like further information about the tumour grading system or this trial, please talk to your doctor.

Reporting of side effects

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

4. Possible side effects

5. How to store Finasteride

Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects may happen with this medicine:

Allergic reactions

Stop using Finasteride and immediately contact a doctor if you experience any of the following symptoms:

•    Swelling of face, lips, tongue or throat, difficulty swallowing and breathing difficulties (angioedema)

•    Skin rashes, itching, or lumps under your skin (hives).

Other side effects may include:

•    You may be unable to have an erection (impotence)

•    You may have less desire to have sex

•    You may have problems with ejaculation, for example a decrease in the amount of semen released during sex.

This decrease in the amount of semen does not appear to affect normal sexual function.

These side effects above may disappear after a while if you continue taking Finasteride. If not, they usually resolve after stopping Finasteride.Other side effects reported in some men are:

•    Breast swelling or tenderness

•    Palpitations (feeling your heart beat)

•    Changes in the way your liver is working, which can be shown by a blood test

•    Pain in your testicles

•    An inability to have an erection which may continue after stopping the medication

•    Male infertility and/or poor quality of semen.

Improvement in the quality of the semen has been reported after stopping medication

•    Depression

•    Decrease in sex drive that may continue after stopping the medication

•    Problems with ejaculation that may continue after stopping the medication

You should promptly report to your doctor any changes in your breast tissue such as lumps, pain, enlargement or nipple discharge as these may be signs of a serious condition, such as breast cancer.

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. It will help if you make a note of what happened, when it started and how long it lasted.

Keep out of the sight and reach of children.

Do not store above 30°C. Store in the original package.

Do not use Finasteride after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

If the tablets get discoloured or show any other signs of deterioration, stop using them and take them to your pharmacist.

6. Contents of the pack and other information

What Finasteride contains

•    The active ingredient in Finasteride is finasteride. Each tablet contains 5mg of the active ingredient finasteride

•    The other ingredients in Finasteride are: docusate sodium, hydroxypropyl cellulose, hypromellose, indigo carmine aluminium lake E132, lactose, magnesium stearate, microcrystalline cellulose E460, pregelatinised maize starch, sodium starch glycollate, talc, titanium dioxide E171 and yellow iron oxide E172.

What Finasteride looks like and the content of the pack

Finasteride are blue, apple-shaped tablets which are plain on one side and marked ‘72' on the other side.

Finasteride are supplied in blister packs of 15 tablets. Manufactured by: Merck Sharp & Dohme Ltd, Cramlington, UK.

Procured from within the EU and repackaged by the Product Licence holder: B&S Healthcare, Unit 4,

Bradfield Road, Ruislip, Middlesex, HA4 0NU, UK i pQ^

FINASTERIDE 5mg TABLETS, PLPI No: 18799/0281-

Leaflet date: 07.09.2015