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Ref: LTT40/260215/1 /F

Lipantil Micro 267mg Capsules

(fenofibrate)

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.

*    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.

Your medicine is called Lipantil Micro 267mg Capsules and will be referred to as Lipantil throughout this leaflet.

In this leaflet:

What Lipantil is and what it is used for ^2 Before you take Lipantil ^2 How to take Lipantil ^2 Possible side effects ^2 How to store Lipantil ^2 Further information


M) What Lipantil is and what it is used for

Lipantil belongs to a group of medicines, commonly known as fibrates. These medicines are used to lower the level of fats (lipids) in the blood. For example the fats known as triglycerides.

Lipantil is used, alongside a low fat diet and other non-medical treatments such as exercise and weight loss, to lower levels of fats in the blood.

Lipantil can often also increase the amount of a“good” type of cholesterol, called HDL or high density lipoprotein cholesterol.

It is always essential to continue a low-fat diet during treatment with Lipantil.


[2 Before you take Lipantil

Do not take Lipantil if:

*    You are allergic (hypersensitive) to fenofibrate, or any of the other ingredients of Lipantil.

*    You suffer from liver or kidney disease or gallbladder disease.

*    Sunlight or UV light have caused an allergic reaction (photoallergy) or skin damage while you were taking fibrates or an anti-inflammatory drug called ketoprofen in the past.

*    You suffer from pancreatitis (inflammation of the pancreas leading to abdominal pain) unless it is caused by high levels of fat in the blood (hypertriglyceridemia)

Take special care with Lipantil

Tell your doctor before you start to take this medicine:

*    If you have any kidney problems

*    If you suffer from an under active thyroid gland (hypothyroidism)

*    If you have diabetes, especially Type 2 diabetes, that is not well controlled.

*    If you have liver problems.

*    If you have problems with certain proteins in your blood

*    If you have an alcohol problem.

*    You are taking other medicines.

*    If you or your family have had muscle problems

*    If you are over 70 years of age (some of the above conditions can lead to high levels of lipids in your blood and need to be corrected before you start therapy with fenofibrate).

Your doctor might want to test your blood or urine to check if Lipantil is

working properly and also if your kidneys,muscles and liver are working

properly.


Important advice regarding muscle effects:

Contact your doctor quickly if you experience unexplained muscle pain, tenderness or weakness. This is because on rare occasions, there is a risk of muscle problems which may be serious, including muscle breakdown which can cause kidney damage. Your doctor may perform a blood test to check the condition of your muscles before and after starting treatment.

The risk of muscle breakdown is greater in certain patients.

Tell your doctor if any of the following applies to you:

*    You have any kidney problems

*    You have an under active thyroid

*    You often drink large amounts of alcohol

*    You have ever had muscle problems during treatment with cholesterol lowering medicines called “statins” (such as simvastatin, atorvastatin, pravastatin, rosuvastatin or fluvastatin) or fibrates (such as fenofibrate, bezafibrate or gemfibrozil).

*    You or close family members have a hereditary muscle disorder

The risk of muscle problems can be greater if Lipantil is taken with cholesterol lowering medicines called “statins” (such as simvastatin, atorvastatin, pravastatin, rosuvastatin, fluvastatin). Tell your doctor if you are taking any of these medicines.

Taking other medicines

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

In particular please let your doctor know if you already take:

*    Anticoagulants to thin your blood (for example, warfarin).

*    Other drugs to control lipid (fat) levels in the blood (for example, drugs known as “statins” or “fibrates”). Taking a “statin” (e.g. simvastatin, atorvastatin) at the same time as Lipantil can increase the risk of muscle problems.

*    Ciclosporin (an immunosuppressant).

*    Drugs to control Type 2 diabetes (glitazones).

Pregnancy and breast-feeding Pregnancy

Tell your doctor if you are, you think you might be or are planning to become pregnant. Lipantil must not be taken if you are pregnant.

Breast-feeding

You must not use Lipantil if you are breast-feeding or if you are planning to breastfeed your baby.

Driving and using machines

This medicine should not affect your ability to drive or use machines.

Important information about some of the ingredients of Lipantil.

This medicine contains lactose which is a type of sugar.

If you have been told by your doctor that you have a intolerance to some sugars, contact your doctor before taking this medicinal product.


[2 How to take Lipantil

Always take Lipantil exactly as your doctor has told you.

Also, please read the label on the packet. You should check with your doctor if you are not sure.

Swallow the capsule whole with a glass of water. It is important to take the capsule with food, as it will not work as well if your stomach is empty.

The usual dose for adults is one capsule of Lipantil a day, taken at mealtimes. However your doctor may want you to take one capsule of Lipantil a day (a higher dose).

Use in children and adolescents

Lipantil is not recommended for use in children under the age of 18.


Lipantil ® Micro 267mg Capsules

(fenofibrate)

Patient Information Leaflet (continued)

People with kidney problems

If you have kidney problems, your doctor may tell you to take a lower dose. Ask your doctor or pharmacist about this.

If you take more Lipantil than you should

If you accidentally take more Lipantil than you should or if someone else has taken your medicine, contact your nearest hospital casualty department or tell your doctor immediately.

If you forget to take Lipantil

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

the next dose with your next meal and then carry on taking your capsules as

usual. If you are worried about this talk to your doctor.

If you stop taking Lipantil

Do not stop taking the medicine unless your doctor tells you to, or your medicine makes you feel unwell. This is because raised cholesterol levels need treating for a long period of time.

Remember you should also continue with a low-fat diet whilst taking Lipantil. If your doctor stops your medicine, do not keep any left over capsules unless your doctor tells you to. If you have any further questions on the use of this product, ask your doctor.


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.


[£) How to store Lipantil

*    Store in the original package.

*    Do not store above 30°C

*    Keep out of sight and reach of children.

*    Do not use this medicine after the expiry date shown on the carton and blister.

*    If your doctor tells you to stop taking this medicine, return any unused tablets to your pharmacist (chemist) for safe disposal. Only keep this medicine if your doctor tells you to.

*    If the medicine becomes discoloured or shows any other signs of deterioration, you should seek the advice of your pharmacist who will tell you what to do.

*    Lipantil 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.


Possible side effects

Like all medicines, Lipantil can cause side effects, although not everybody gets them. Some patients have experienced the following side effects whilst taking fenofibrate:

Common (in less than 1 in 10, but more than 1 in 100 patients treated):

*    Stomach pain, being sick, feeling sick, diarrhoea and wind (flatulence)

*    Raised levels of various liver enzymes in the blood

Uncommon (in less than 1 in 100, but more than 1 in 1,000 patients treated):

*    Pancreatitis (inflammation of the pancreas leading to abdominal pain

*    Blood clot in the lung causing chest pain and breathlessness (pulmonary embolism); blood clot in the leg causing pain, redness or swelling (deep vein thrombosis)

*    Gallstones (cholelithiasis)

*    Headache

*    Reactions such as rashes, itching or red patches on the skin

*    Muscle pain, muscle inflammation, muscle cramps, spasms or weakness

*    Reduced sex drive

*    Slight increases in blood levels of substances normally excreted by the kidneys (creatinine)

Rare (in less than 1 in 1,000, but more than 1 in 10,000 patients treated):

*    Slight increases in substances excreted by the kidneys (urea)

*    Hair loss

*    Increased sensitivity to light

*    Decrease in haemoglobin (oxygen carrying pigment in blood) and decrease in white blood cells

*    Hepatitis (inflammation of the liver), symptoms of which may be mild jaundice (yellowing of the skin and whites of the eyes), stomach pain and itching

In addition to those events reported during clinical trials, the following side effects have been reported spontaneously during postmarketing use of Lipantil Micro. A precise frequency cannot be estimated from the available data and is therefore classified as “not known”:

*    Muscle breakdown

*    Chronic disease of the lung tissues

*    Fatigue

*    Vertigo


If you develop any unusual discomfort, tell your doctor as soon as possible.


[m Further information

What this medicine contains:

Each hard gelatin capsule contains 267 mg of micronised fenofibrate as the active ingredient. Fenofibrate is one of a group of medicines known as lipid modifying drugs (see below).

Your medicine also contains the following inactive ingredients: lactose, sodium laurilsulfate, pregelatinised starch, crospovidone and magnesium stearate. The capsule is made of gelatin, titanium dioxide (E 171), yellow iron oxide (E 172) and red iron oxide (E 172).

What this medicine looks like and contents of the pack

Lipantil are hard gelatin capsules with an opaque yellow body and opaque orange cap, both unprinted. Lipantil is available in blister packs of 30 or 90 capsules

Manufacturer and Licence Holder

This medicine is manufactured by RECIPHARM Fontaine, Rue des Pres Potets, F 21121 Fontaine-les-Dijon, France and is procured from within the EU and repackaged by the Product Licence Holder: LTT Pharma Limited, Unit 18, Oxleasow Road, East Moons Moat, Redditch, Worcestershire,

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 33723/0040 Lipantil Micro 267mg Capsules Lipantil is a registered trademark of Fournier Industrie et Sante Revision date: 26/02/15

Blind or partially sighted?

Is this leaflet hard to see or read?

Phone LTT Pharma Limited, Tel: 01527 505414 for help.


Lipanthyl Micro 267mg Capsules

(fenofibrate)

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.

*    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.

Your medicine is called Lipanthyl Micro 267mg Capsules and will be referred to as Lipanthyl throughout this leaflet.

In this leaflet:

What Lipanthyl is and what it is used for ^2 Before you take Lipanthyl ^2 How to take Lipanthyl ^2 Possible side effects ^2 How to store Lipanthyl ^2 Further information


What Lipanthyl is and what it is used for

Lipanthyl belongs to a group of medicines, commonly known as fibrates. These medicines are used to lower the level of fats (lipids) in the blood. For example the fats known as triglycerides.

Lipanthyl is used, alongside a low fat diet and other non-medical treatments such as exercise and weight loss, to lower levels of fats in the blood.

Lipanthyl can often also increase the amount of a“good” type of cholesterol, called HDL or high density lipoprotein cholesterol.

It is always essential to continue a low-fat diet during treatment with Lipanthyl.


[2 Before you take Lipanthyl

Do not take Lipanthyl if:

*    You are allergic (hypersensitive) to fenofibrate, or any of the other ingredients of Lipanthyl.

*    You suffer from liver or kidney disease or gallbladder disease.

*    Sunlight or UV light have caused an allergic reaction (photoallergy) or skin damage while you were taking fibrates or an antiinflammatory drug called ketoprofen in the past.

*    You suffer from pancreatitis (inflammation of the pancreas leading to abdominal pain) unless it is caused by high levels of fat in the blood (hypertriglyceridemia)

Take special care with Lipanthyl

Tell your doctor before you start to take this medicine:

*    If you have any kidney problems

*    If you suffer from an under active thyroid gland (hypothyroidism)

*    If you have diabetes, especially Type 2 diabetes, that is not well controlled.

*    If you have liver problems.

*    If you have problems with certain proteins in your blood

*    If you have an alcohol problem.

*    You are taking other medicines.

*    If you or your family have had muscle problems

*    If you are over 70 years of age (some of the above conditions can lead to high levels of lipids in your blood and need to be corrected before you start therapy with fenofibrate).

Your doctor might want to test your blood or urine to check if Lipanthyl is

working properly and also if your kidneys,muscles and liver are working

properly.


Important advice regarding muscle effects:

Contact your doctor quickly if you experience unexplained muscle pain, tenderness or weakness. This is because on rare occasions, there is a risk of muscle problems which may be serious, including muscle breakdown which can cause kidney damage. Your doctor may perform a blood test to check the condition of your muscles before and after starting treatment.

The risk of muscle breakdown is greater in certain patients.

Tell your doctor if any of the following applies to you:

*    You have any kidney problems

*    You have an under active thyroid

*    You often drink large amounts of alcohol

*    You have ever had muscle problems during treatment with cholesterol lowering medicines called “statins” (such as simvastatin, atorvastatin, pravastatin, rosuvastatin or fluvastatin) or fibrates (such as fenofibrate, bezafibrate or gemfibrozil).

*    You or close family members have a hereditary muscle disorder

The risk of muscle problems can be greater if Lipanthyl is taken with cholesterol lowering medicines called “statins” (such as simvastatin, atorvastatin, pravastatin, rosuvastatin, fluvastatin). Tell your doctor if you are taking any of these medicines.

Taking other medicines

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

In particular please let your doctor know if you already take:

*    Anticoagulants to thin your blood (for example, warfarin).

*    Other drugs to control lipid (fat) levels in the blood (for example, drugs known as “statins” or “fibrates”). Taking a “statin” (e.g. simvastatin, atorvastatin) at the same time as Lipanthyl can increase the risk of muscle problems.

*    Ciclosporin (an immunosuppressant).

*    Drugs to control Type 2 diabetes (glitazones).

Pregnancy and breast-feeding Pregnancy

Tell your doctor if you are, you think you might be or are planning to become pregnant. Lipanthyl must not be taken if you are pregnant.

Breast-feeding

You must not use Lipanthyl if you are breast-feeding or if you are planning to breastfeed your baby.

Driving and using machines

This medicine should not affect your ability to drive or use machines.

Important information about some of the ingredients of Lipanthyl.

This medicine contains lactose which is a type of sugar.

If you have been told by your doctor that you have a intolerance to some sugars, contact your doctor before taking this medicinal product.


[2 How to take Lipanthyl

Always take Lipanthyl exactly as your doctor has told you.

Also, please read the label on the packet. You should check with your doctor if you are not sure.

Swallow the capsule whole with a glass of water. It is important to take the capsule with food, as it will not work as well if your stomach is empty.

The usual dose for adults is one capsule of Lipanthyl a day, taken at mealtimes. However your doctor may want you to take one capsule of Lipanthyl a day (a higher dose).

Use in children and adolescents

Lipanthyl is not recommended for use in children under the age of 18. People with kidney problems

If you have kidney problems, your doctor may tell you to take a lower dose. Ask your doctor or pharmacist about this.


Lipanthyl Micro 267mg Capsules

(fenofibrate)

Patient Information Leaflet (continued)

If you take more Lipanthyl than you should

If you accidentally take more Lipanthyl than you should or if someone else has taken your medicine, contact your nearesthospital casualty department or tell your doctor immediately.

If you forget to take Lipanthyl

Do not take a double dose to make up for a forgotten capsule. Take the next dose with your next meal and then carry on taking your capsules as usual. If you are worried about this talk to your doctor.

If you stop taking Lipanthyl

Do not stop taking the medicine unless your doctor tells you to, or your medicine makes you feel unwell. This is because raised cholesterol levels need treating for a long period of time.

Remember you should also continue with a low-fat diet whilst taking Lipanthyl. If your doctor stops your medicine, do not keep any left over capsules unless your doctor tells you to. If you have any further questions on the use of this product, ask your doctor.


How to store Lipanthyl

*    Store in the original package.

*    Do not store above 30°C

*    Keep out of sight and reach of children.

*    Do not use this medicine after the expiry date shown on the carton and blister.

*    If your doctor tells you to stop taking this medicine, return any unused tablets to your pharmacist (chemist) for safe disposal. Only keep this medicine if your doctor tells you to.

*    If the medicine becomes discoloured or shows any other signs of deterioration, you should seek the advice of your pharmacist who will tell you what to do.

*    Lipanthyl 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.


[4) Possible side effects

Like all medicines, Lipanthyl can cause side effects, although not everybody gets them. Some patients have experienced the following side effects whilst taking fenofibrate:

Common (in less than 1 in 10, but more than 1 in 100 patients treated):

*    Stomach pain, being sick, feeling sick, diarrhoea and wind (flatulence)

*    Raised levels of various liver enzymes in the blood

Uncommon (in less than 1 in 100, but more than 1 in 1,000 patients treated):

*    Pancreatitis (inflammation of the pancreas leading to abdominal pain)

*    Blood clot in the lung causing chest pain and breathlessness (pulmonary embolism); blood clot in the leg causing pain, redness or swelling (deep vein thrombosis)

*    Gallstones (cholelithiasis)

*    Headache

*    Reactions such as rashes, itching or red patches on the skin

*    Muscle pain, muscle inflammation, muscle cramps, spasms or weakness

*    Reduced sex drive

*    Slight increases in blood levels of substances normally excreted by the kidneys (creatinine)

Rare (in less than 1 in 1,000, but more than 1 in 10,000 patients treated):

*    Slight increases in substances excreted by the kidneys (urea)

*    Hair loss

*    Increased sensitivity to light

*    Decrease in haemoglobin (oxygen carrying pigment in blood) and decrease in white blood cells

*    Hepatitis (inflammation of the liver), symptoms of which may be mild jaundice (yellowing of the skin and whites of the eyes), stomach pain and itching

In addition to those events reported during clinical trials, the following side effects have been reported spontaneously during postmarketing use of Lipanthyl. A precise frequency cannot be estimated from the available data and is therefore classified as “not known”:

*    Muscle breakdown

*    Chronic disease of the lung tissues

*    Fatigue

*    Vertigo

If you develop any unusual discomfort, tell your doctor as soon as possible. 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.


Further information

What this medicine contains:

Each hard gelatin capsule contains 267 mg of micronised fenofibrate as the active ingredient. Fenofibrate is one of a group of medicines known as lipid modifying drugs (see below).

Your medicine also contains the following inactive ingredients: lactose, sodium laurilsulfate, pregelatinised starch, crospovidone and magnesium stearate. The capsule is made of gelatin, titanium dioxide (E 171), yellow iron oxide (E 172) and red iron oxide (E 172).

What this medicine looks like and contents of the pack

Lipanthyl are hard gelatin capsules with an opaque yellow body and opaque orange cap, both unprinted. Lipanthyl is available in blister packs of 30 or 90 capsules

Manufacturer and Licence Holder

This medicine is manufactured by RECIPHARM Fontaine, Rue des Pres Potets, F 21121 Fontaine-les-Dijon, France and is procured from within the EU and repackaged by the Product Licence Holder: LTT Pharma Limited, Unit 18, Oxleasow Road, East Moons Moat, Redditch, Worcestershire,

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 33723/0040 Lipanthyl Micro 267mg Capsules Lipanthyl is a registered trademark of Fournier Industrie et Sante Revision date: 26/02/15

Blind or partially sighted?

Is this leaflet hard to see or read?

Phone LTT Pharma Limited, Tel: 01527 505414 for help.