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Latanoprost 0.005% W/V Eye Drops Solution

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Package Leaflet: Information for the User

Latanoprost 0.005% w/v eye drops solution

Read all of this leaflet carefully before you start using this medicine.

Even if you have already used Latanoprost 0.005% w/v eye drops solution or a similar medicine before, we advise you to read this text carefully.

The information may have been changed.


•    Keep this leaflet. You may need to read it again.

•    If you have any further questions, ask your doctor or the doctor treating your child or your pharmacist.

•    This medicine has been prescribed for you or for your child. 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 gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or the doctor treating your child or your pharmacist.

In this leaflet:

1.    What Latanoprost 0.005% w/v eye drops solution is and what it is used for

2.    Before you use Latanoprost 0.005% w/v eye drops solution

3.    How to use Latanoprost 0.005% w/v eye drops solution

4.    Possible side effects

5.    How to store Latanoprost 0.005% w/v eye drops solution

6.    Further information

1.    What Latanoprost 0.005% w/v eye drops solution is and what it is used for

Latanoprost 0.005% w/v eye drops solution belongs to a group of medicines known as prostaglandin analogues. It works by increasing the natural outflow of fluid from inside the eye into the bloodstream.

Latanoprost 0.005% w/v eye drops solution is used to treat conditions known as open angle glaucoma and ocular hypertension in adults. Both of these conditions are linked with an increase in the pressure within your eye, eventually affecting your eye sight.

Latanoprost 0.005% w/v eye drops solution is also used to treat increased eye pressure and glaucoma in all ages of children and babies.

2.    Before you use Latanoprost 0.005% w/v eye drops solution

Latanoprost 0.005% w/v eye drops solution can be used in adult men and women (including the elderly) and in children from birth to 18 years of age. Latanoprost 0.005% w/v eye drops solution has not been investigated in prematurely born infants (less than 36 weeks gestation).

Do not use Latanoprost 0.005% w/v eye drops solution if you are

•    Allergic (hypersensitive) to latanoprost or any of the other ingredients of Latanoprost 0.005% w/v eye drops solution (see section 6 for the list of ingredients in your medicine)

•    Pregnant or trying to become pregnant

•    Breast-feeding

Take special care with Latanoprost 0.005% w/v eye drops solution

Talk to your doctor or the doctor treating your child or your pharmacist before you take Latanoprost 0.005% w/v eye drops solution or before you give this to your child if you think any of the following apply to you or your child:

•    If you or your child are about to have or have had eye surgery (including cataract surgery)

•    If you or your child suffer from eye problems (such as eye pain, irritation or inflammation, blurred vision)

•    If you or your child know that you suffer from dry eyes

•    If you or your child have severe asthma or your asthma is not well controlled

•    If you or your child wear contact lenses. You can still use Latanoprost 0.005% w/v eye drops solution, but follow the instruction for contact lens wearers in Section 3

•    If you have suffered or are currently suffering from a viral infection of the eye caused by the herpes simplex virus (HSV)

Taking other medicines

Latanoprost 0.005% w/v eye drops solution may interact with other medicines. Please tell your doctor, the doctor treating your child or pharmacist if you or your child are taking or have taken any other medicines including those medicines (or eye drops) obtained without a prescription.

Pregnancy

Do not use Latanoprost 0.005% w/v eye drops solution when you are pregnant. Tell your doctor immediately if you are pregnant, think you are pregnant, or are planning to become pregnant.

Breast-feeding

Do not use Latanoprost 0.005% w/v eye drops solution when you are breast-feeding.

Driving and using machines

Latanoprost 0.005% w/v eye drops solution has minor or moderate influence on the ability to drive and use machines.

When you use Latanoprost 0.005% w/v eye drops solution you might have blurred vision, for a short time. If this happens to you, do not drive or use any tools or machines until your vision becomes clear again.

Important information about some of the ingredients of Latanoprost

0.005% w/v eye drops solution

Latanoprost 0.005% w/v eye drops solution contains a preservative called benzalkonium chloride.

•    Benzalkonium chloride may cause eye irritation.

•    Avoid contact with soft contact lenses.

•    If you or your child wears contact lenses, remove contact lenses prior to application and wait at least 15 minutes before reinsertion.

•    Benzalkonium chloride is known to discolour soft contact lenses.

See the instructions for contact lens wearers in Section 3.

3. How to use Latanoprost 0.005% w/v eye drops solution

Always use Latanoprost 0.005% w/v eye drops solution exactly as your doctor or the doctor treating your child has told you. You should check with your doctor or the doctor treating your child or pharmacist if you are not sure.

The usual dosage for adults (including the elderly) and children is one drop once a day in the affected eye(s). The best time to do this is in the evening.

Do not use Latanoprost 0.005% w/v eye drops solution more than once a day, because the effectiveness of the treatment can be reduced if you administer it more often.

Use Latanoprost 0.005% w/v eye drops solution as instructed by your doctor or by the doctor treating your child until your doctor tells you to stop.

Contact lens wearers

If you or your child wear contact lenses, you should remove them before using Latanoprost 0.005% w/v eye drops solution. After using Latanoprost 0.005% w/v eye drops solution you should wait 15 minutes before putting your contact lenses back in.

Instructions for use

1.    Wash your hands and sit or stand comfortably.

2.    Unscrew the protective cap.

The protective cap should be retained.

3.    Use your finger to gently pull down the lower eyelid of your affected eye.

4.    Place the tip of the dropper container close to, but not touching your eye.

5.    Squeeze the dropper container gently so that only one drop goes into your eye, then release the lower eyelid.

6.    Press a finger against the corner of the affected eye by the nose. Hold for 1 minute whilst keeping the eye closed.

7.    Repeat in your other eye if your doctor has told you to do this.

8.    Put the protective cap back on the dropper container.

If you use Latanoprost 0.005% w/v eye drops solution with other eye drops

Wait at least 5 minutes between using Latanoprost 0.005% w/v eye drops solution and taking other eye drops.

If you use more Latanoprost 0.005% w/v eye drops solution than you should

If you put too many drops into your eye, you may experience some minor irritation in your eye and your eyes may water and turn red, this should pass, but if you are worried contact your doctor or the doctor treating your child for advice.

Contact your doctor as soon as possible if you or your child swallows Latanoprost 0.005% w/v eye drops solution accidentally.

If you forget to use Latanoprost 0.005% w/v eye drops solution

Carry on with the usual dosage at the usual time. Do not take a double dose to make up for the dose you have forgotten. If you are unsure about anything talk to your doctor or pharmacist.

If you stop using Latanoprost 0.005% w/v eye drops solution

You should speak to your doctor or the doctor treating your child if you want to stop taking Latanoprost 0.005% w/v eye drops solution.

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

4. Possible side effects

In very rare cases, some patients with severe damage to the clear layer

at the front of the eye (the cornea) have developed cloudy patches on the

cornea due to calcium build-up during treatment.

If any of the side effects become serious, or if you notce any ide effects

not listed in this leaflet, please contact your doctor or pharmacist.

5. How to store Latanoprost 0.005% w/v eye drops solution

•    Keep out of the sight and reach of children.

•    Do not use Latanoprost 0.005% w/v eye drops solution after the expiry date which is stated on the carton and dropper container. The expiry date refers to the last day of that month.

•    Store the unopened dropper container in a refrigerator (between 2°C and 8°C), protected from light.

•    After opening the dropper container, it is not necessary to store the dropper container in a refrigerator but do not store it above 25°C. Use within 4 weeks of opening. When you are not using Latanoprost 0.005% w/v eye drops solution, keep the dropper container in the outer carton, in order to protect it from light.

•    If your medicine becomes discoloured or shows any sign of deterioration, return it to your pharmacist.

•    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.

Like all medicines, Latanoprost 0.005% w/v eye drops solution can cause side effects, although not everybody gets them.

Very common effects (likely to affect more than 1 in 10 people):

•    A gradual change in your eye colour by increasing the amount of brown pigment in the coloured part of the eye known as the iris. If you have mixed-colour eyes (blue-brown, grey-brown, yellow-brown or green-brown) you are more likely to see this change than if you have eyes of one colour (blue, grey, green or brown eyes). Any changes in your eye colour may take years to develop although it is normally seen within 8 months of treatment. The colour change may be permanent and may be more noticeable if you use Latanoprost 0.005% w/v eye drops solution in only one eye. There appears to be no problems associated with the change in eye colour. The eye colour change does not continue after Latanoprost 0.005% w/v eye drops solution treatment is stopped.

•    Redness of the eye.

•    Eye irritation (a feeling of burning, grittiness, itching, stinging or the sensation of a foreign body in the eye).

•    A gradual change to eyelashes of the treated eye and the fine hairs around the treated eye, seen mostly in people of Japanese origin. These changes involve an increase of the colour (darkening), length, thickness and number of your eye lashes.

Common effects (likely to affect less than 1 in 10 people):

•    Irritation or disruption to the surface of the eye, eyelid inflammation (blepharitis) and eye pain.

Uncommon effects (likely to affect less than 1 in every 100 people):

•    Eyelid swelling, dryness of the eye, inflammation or irritation of the surface of the eye (keratitis), blurred vision and conjunctivitis.

•    Skin rash.

Rare effects (likely to affect less than 1 in every 1000 people):

•    Inflammation of the iris, the coloured part of the eye (iritis/uveitis); swelling of the retina (macular oedema), symptoms of swelling or scratching/damage to the surface of the eye, swelling around the eye (periorbital oedema) misdirected eyelashes or an extra row of eyelashes, light sensitivity (photophobia).

•    Skin reactions on the eyelids, darkening of the skin of the eyelids.

•    Asthma, worsening of asthma and shortness of breath (dyspnoea).

Very rare effects (likely to affect less than 1 in 10,000 people):

•    Worsening of angina in patients who also have heart disease, chest pain, sunken eye appearance (eye sulcus deepening).

Patients have also reported the following side-effects: fluid filled area within the coloured part of the eye (iris cyst), headache, dzziness, palpitations, muscle pain and joint pain and developing a viral infection of the eye caused by the herpes simplex virus (HSV).

Side effects seen more often in children compared to adults are: runny itchy nose and fever.

6. Further Information

What Latanoprost 0.005% w/v eye drops solution contains

Contains latanoprost 50 micrograms/ml.

1 ml of eye drops contains 50 micrograms of latanoprost.

2.5 ml of eye drops solution (content of a dropper container) contains 125 micrograms of latanoprost.

The other ingredients are: sodium chloride, benzalkonium chloride, sodium dihydrogen phosphate monohydrate (E339a), disodium phosphate anhydrous (E339b) and water for injections.

What Latanoprost 0.005% w/v eye drops solution looks like and contents of the pack

Latanoprost 0.005% w/v eye drops solution is a clear colourless eye drops solution.

Each pack contains one dropper container of Latanoprost 0.005% w/v eye drops solution. Each dropper container contains 2.5ml of Latanoprost 0.005% w/v eye drops solution.

Product Licence Holder

Procured from within the EU by the Product Licence holder MPT Pharma Ltd, Westgate Business Park, Unit 5-7 Tintagel Way, Aldridge, Walsall WS9 8ER.

Repackaged by xxxxxxxxxxx

Manufacturer: Pfizer Manufacturing Belgium NV, Rijksweg 12, 2870 Puurs, Belgium.

Latanoprost 0.005% w/v eye drops solution PLPI: 33532/0415

Leaflet dated: 18 October 2013 Leaflet code xxxxxxxxxxxxx

POM