Medine.co.uk

Out of date information, search another

Qlaira

Out of date information, search another
Document: document 0 change

#


film-coated tablets Estradiol valerate/Dienogest

client: 0086_item-n°.: 82281851_PZ: 2668A-4B_code-no-: 0

name: LF-BRO-Qlaira FTB 28_country: GB BPH


colors: Black / Pant 2995 C / Pant 470 C / Pant478 C / Pant 124 C . version: 10.12.2013/02    approval:

Mandy ESC'” Eberle SI“



Packaaina Technoloav Berlin Dewi

'page U 2

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black / Pant 2995 C / Pant 470 C / Pant478 C / Pant 124 C /Pant 2707 C

version: 10.12.2013/02

approval:




Packaaina Technoloav Berlin Dewi

'page U 3

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black / Pant 2995 C / Pant 470 C / Pant478 C / Pant 124 C /Pant 2707 C

version: 10.12.2013/02

approval:


Bayer

82281851

Packaaina Technoloav Berlin Dewi

'page U 4

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black / Pant 2995 C / Pant 470 C / Pant478 C / Pant 124 C /Pant 2707 C

version: 10.12.2013/02

approval:

Package leaflet: Information for the user

Qlaira®

film-coated tablets Estradiol valerate/Dienogest

Packaaina Technoloav Berlin Dewi

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

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.

►    Th licine has been prescribed for you only. Do not pass it on to others. It may harm them.

►    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.

CD

Packaaina Technoloav Berlin Dewi

^ge 2

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

What is in this leaflet:

1.

What Qlaira is and what it is used for

5

2.

What you need to know before you take Qlaira

6

When not to take Qlaira

7

Warnings and precautions

9

Qlaira and venous/arterial blood clots

11

Qlaira and cancer

16

Bleeding between periods

18

What to do if no bleeding occurs on day 26 or the following day(s)

19

Other medicines and Qlaira

20

Qlaira with food and drink

21

Laboratory tests

22

Pregnancy and breast-feeding

22

GO

Packaaina Technoloav Berlin Dewi

■^ge 3

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

What is in this leaflet:

Driving and using machines

23

Qlaira contains lactose

23

3.

How to take Qlaira

24

Preparation of the wallet

24

When can you start with the first wallet?

26

If you take more Qlaira than you should

28

If you forget to take Qlaira

29

Use in children

33

What to do if you vomit or have severe diarrhoea

33

If you stop taking Qlaira

34

4.

Possible side effects

35

5.

How to store Qlaira

43

6.

Contents of the pack and other information

44

E

Packaaina Technoloav Berlin Dewi

■^ge 4

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

1. What Qlaira is and what it is used for

►    Qlaira is a contraceptive pill and is used to prevent pregnancy.

►    Qlaira is used for the treatment of heavy menstrual bleeding (not caused by any disease of the womb) in women who wish to use oral contraception.

►    Each coloured, active tablet contains a small amount of female hormones, either estradiol valerate, or estradiol valerate combined with dienogest.

►    The 2 white tablets contain no active substances and are called inactive tablets.

►    Contraceptive pills that contain two hormones are called “combined pills”.

Packaaina Technoloav Berlin Dewi

■^ge 5

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

2. What you need to know before you take Qlaira

General notes

Before you can begin taking Qlaira, your doctor will ask you some questions about your personal health history and that of your close relatives. The doctor will also measure your blood pressure and, depending upon your personal situation, may also carry out some other tests.

In this leaflet, several situations are described where you should stop using Qlaira, or where the reliability of Qlaira may be decreased. In such situations you should either not have sex or you should take extra non-hormonal contraceptive precautions, e.g. use a condom or another barrier method. Do not use rhythm or temperature methods. These methods can be unreliable because Qlaira alters the monthly changes of body temperature and cervical mucus.

E

Packaaina Technoloav Berlin Dewi

■^ge 6

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Qlaira, like other hormonal contraceptives, does not protect against HIV infection (AIDS) or any other sexually transmitted disease.

When not to take Qlaira

Do not take Qlaira:

►    if you have (or have ever had) a blood clot in a blood vessel of the leg (thrombosis), of the lung (pulmonary embolism) or other organs

►    if you have (or have ever had) a heart attack or stroke

►    if you have (or have ever had) a disease that can be an indicator (i) of a future heart attack (for example, angina pectoris which causes severe chest pain) or (ii) of a stroke (for example, a minor stroke with no residual effects)

► if you have (or have ever had) a certain kind of migraine (with so-called focal neurological symptoms)

0


Packaaina Technoloav Berlin Dewi

■^ge 7

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    if you have a disease that may increase the risk of a clot in the arteries. This applies to the following diseases:

-    diabetes with damaged blood vessels

-    very high blood pressure

-    a very high level of blood fats (cholesterol or triglycerides)

►    if you have a disturbance of blood clotting (for example, protein C deficiency)

►    if you have (or have ever had) inflammation of the pancreas

(pancreatitis)

►    if you have (or have ever had) liver disease and your liver function is still not normal

► if you have (or have ever had) a tumour of the liver

► if you have (or have ever had) cancer or suspected cancer of the breast or genital organs

►    if you have any unexplained bleeding from the vagina

E

Packaaina Technoloav Berlin Dewi

■^ge 8

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    if you are allergic (hypersensitive) to estradiol valerate or dienogest, or any of the other ingredients of this medicine (listed in section 6). This may cause itching, rash or swelling

Warnings and precautions

In some situations you need to take special care while taking Qlaira or any other combined pill, and your doctor may need to examine you regularly. Consult your doctor before starting to use Qlaira if any of the following conditions apply to you or if any of them develop or worsen while you are taking Qlaira:

►    if a close relative has or has ever had breast cancer

►    if you have a disease of the liver or gall bladder

►    if you have jaundice

►    if you have diabetes

►    if you have depression

►    if you have Crohn's disease or inflammatory bowel disease (ulcerative colitis)

Packaaina Technoloav Berlin Dewi

■^ge 9

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    if you have a blood disease called haemolytic uraemic syndrome (HUS) that causes kidney damage

►    if you have sickle cell disease

►    if you have epilepsy (see “Other medicines and Qlaira”)

►    if you have a disease of the immune system called systemic lupus erythematosus (SLE)

►    if you have a disease that first appeared during pregnancy or earlier use of sex hormones, for example, hearing loss, porphyria (a disease of the blood), gestational herpes (skin rash with blisters during pregnancy), Sydenham's chorea (a nerve disease causing sudden movements of the body)

►    if you have (or have ever had) golden brown pigment patches so-called “pregnancy patches” especially on the face (Chloasma). If this is the case, avoid direct exposure to sunlight or ultraviolet light

Packaaina Technoloav Berlin Dewi

''page 10

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    if you have hereditary angioedema. Consult your doctor immediately if you experience symptoms of angioedema such as swollen face, tongue and/or throat and/or difficulty swallowing or hives, together with difficulty breathing.

Products containing oestrogens may induce or worsen symptoms of angioedema.

►    if you have cardiac or renal insufficiency Talk to your doctor before taking Qlaira.

Qlaira and venous/arterial blood clots

The following warnings and precautions are derived from studies with combined pills containing ethinylestradiol. It is not yet known whether or not they apply to Qlaira:

The use of any combined pill (including Qlaira) increases a woman's risk of developing a venous blood clot (venous thrombosis) compared with women who do not take any contraceptive pill.

dl

Packaaina Technoloav Berlin Dewi

''page 11

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Very occasionally, blood clots may cause serious permanent disabilities or may even be fatal. The main locations of blood clots are, for example, the veins of the legs (venous thrombosis), the arteries of the heart (heart attack), the lungs (pulmonary embolism) or the brain (stroke).

The risk of venous blood clots in users of combined pills increases:

►    with increasing age

►    if you are overweight

►    if f your close relatives had a blood clot in the leg, lung (pulmonary embolism), or other organ at a young age

►    if you need surgery, if you have had a serious accident or if you have any prolonged period of immobilisation. It is important to tell your doctor that you are using Qlaira as the

Packaaina Technoloav Berlin Dewi

''page 12

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

treatment may have to be stopped. Your doctor will tell you when to start Qlaira again. This is usually about two weeks after you have recovered.

The use of combined pills has been linked to an increased risk of an arterial blood clot (arterial thrombosis), for example, in the blood vessels of the heart (heart attack) or the brain (stroke). The risk of arterial blood clots in users of combined pills increases:

►    with increasing age

   if you smoke. You are strongly advised to stop smoking when you use the pill, especially if you are over 35 years old

►    if you have a high level of blood cholesterol or triglycerides

►    if you are overweight

Packaaina Technoloav Berlin Dewi

''page 13

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    if one of your close relatives ever had a heart attack or stroke at a young age

►    if you have high blood pressure

►    if you suffer from migraine

►    if you have a problem with your heart (valve disorder, a disturbance of the heart rhythm)

Stop taking Qlaira and contact your doctor immediately if you notice possible signs of a blood clot or a stroke such as:

►    severe pain and/or swelling in one of your legs

►    sudden severe pain in the chest which may spread to the left arm

►    sudden breathlessness


Packaaina Technoloav Berlin Dewi

'page 14

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    sudden cough with no obvious cause

►    any unusual, severe or long-lasting headache, or worsening of migraines

►    partial or complete blindness, or double vision

►    difficulty in speaking, or inability to speak

►    giddiness or fainting

►    weakness, strange feeling, or numbness in any part of your body

►    sudden severe stomach ache

Directly after giving birth, women are at an increased risk of blood clots so you should ask your doctor how soon after delivery you can start taking a combined pill.

EH

Packaaina Technoloav Berlin Dewi

vpage 15

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Qlaira and cancer

Breast cancer has been observed slightly more often in women using combined pills, but it is not known whether this is caused by the treatment itself. For example, it may be that more tumours are detected in women on combined pills because they are examined by their doctor more often. The risk of breast tumours becomes gradually less after stopping the combination hormonal contraceptives. It is important to regularly check your breasts and you should contact your doctor if you feel any lump.

In rare cases, benign liver tumours, and in even fewer cases malignant liver tumours have been reported in contraceptive pill users. In isolated cases, these tumours have led to life-threatening internal bleeding. Contact your doctor if you have unusually severe abdominal pain.

ED

Packaaina Technoloav Berlin Dewi

''page 16

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Some studies suggest that long-term use of the pill increases a woman's risk of developing cervical cancer. However, it is not clear to what extent sexual behaviour or other factors such as Human Papilloma Virus (HPV) increases this risk.

Packaaina Technoloav Berlin Dewi

^e 17

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Bleeding between periods

During the first few months of taking Qlaira, you may have unexpected bleeding. Usually bleeding starts on day 26, the day you take the second dark red tablet, or the following day(s). The information provided by women in the diaries they kept during a clinical study of Qlaira shows that it is not unusual to experience unexpected bleeding in a given cycle (10-18% of users). If unexpected bleeding occurs more than 3 months in a row, or if it begins after some months, your doctor will have to investigate the cause.

Packaaina Technoloav Berlin Dewi

''page 18

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

What to do if no bleeding occurs on day 26 or the following day(s)

The information provided by women in the diaries they kept during a clinical study of Qlaira shows that it is not unusual to miss your regular bleeding after day 26 (observed in about 15% of cycles).

If you have taken all the tablets correctly, have not had any vomiting or severe diarrhoea and you have not taken any other medicines, it is highly unlikely that you are pregnant.

If the expected bleeding does not happen twice in a row or you have taken the tablets incorrectly, you may be pregnant. Contact your doctor immediately. Do not start the next wallet until you are sure that you are not pregnant.

(H

Packaaina Technoloav Berlin Dewi

''page 19

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Other medicines and Qlaira

Always tell your doctor which medicines or herbal products you are already using. Also tell any other doctor or dentist who prescribes another medicine (or the pharmacist from whom you got the medicine) that you take Qlaira. They can tell you if you need to take additional contraceptive precautions (for example condoms) and if so, for how long.

Some medicines can have an influence on the blood levels of Qlaira and can make it less effective in preventing pregnancy, or can

cause unexpected bleeding. These include:

► medicines used for the treatment of:

-    epilepsy (e.g. primidone, phenytoin, barbiturates, carbamazepine, oxcarbazepine, topiramate, felbamate)

-    tuberculosis (e.g. rifampicin)

-    HIV and Hepatitis C Virus infections (so-called protease inhibitors and non-nucleoside reverse transcriptase

[20

Packaaina Technoloav Berlin Dewi

''page 20

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

inhibitors such as ritonavir, nevirapine), other infections (griseofulvin)

►    the herbal remedy St. John‘s wort

Some medicines can increase the levels of the active substances of Qlaira in the blood. Inform your doctor if you are using:

►    anti-fungal medicines containing ketoconazole

►    antibiotics containing erythromycin

►    Qlaira may influence the effect of other medicines, e.g.

-    medicines containing cyclosporin

-    the anti-epileptic lamotrigine (this could lead to an increased frequency of seizures).

Ask your doctor or pharmacist for advice before taking any medicine. Qlaira with food and drink

Qlaira may be taken with or without food, if necessary with a small amount of water.

d]

Packaaina Technoloav Berlin Dewi

''page 21

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Laboratory tests

If you need a blood test or other laboratory tests tell your doctor or the laboratory staff that you are taking the pill because oral contraceptives can affect the results of some tests.

Pregnancy and breast-feeding

Do not take Qlaira if you are pregnant. If you become pregnant while taking Qlaira, stop taking it immediately and contact your doctor. If you want to become pregnant, you can stop taking Qlaira at any time (see also “If you stop taking Qlaira”).

In general you should not take Qlaira while you are breastfeeding. If you want to take the pill while you are breast-feeding you should contact your doctor.

Ask your doctor or pharmacist for advice before taking any medicine when you are pregnant or breast-feeding.

Packaaina Technoloav Berlin Dewi

''page 22

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Driving and using machines

There is nothing to suggest that the use of QLaira affects driving or use of machines.

Qlaira contains lactose

If you have been toLd by your doctor that you have an intolerance to some sugars, contact your doctor before taking Qlaira.

(HI

Packaaina Technoloav Berlin Dewi

''page 23

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approvaL:

3. How to take Qlaira

Each wallet contains 26 coloured active tablets and 2 white inactive tablets.

Take one tablet of Qlaira every day, if necessary with a small amount of water. You may take the tablets with or without food, but you should take the tablets at around the same time every day.

Preparation of the wallet

To help you keep track, there are 7 weekday sticker strips marked with the 7 days of the week.

Choose the weekday sticker strip that starts with the day you begin taking the tablets. For example, if you start on a Wednesday, use the weekday sticker strip that starts with “WED”.

[24)

Packaaina Technoloav Berlin Dewi

'pade 24

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Stick the weekday sticker strip along the top of the QLaira wallet where it reads “Place weekday sticker strip here”, so that the first day is above the tablet marked “1”.

There is now a day shown above every tablet and you can see whether you have taken a pill on a particular day. Follow the direction of the arrow on the wallet until all 28 tablets have been taken.

Usually, so-called withdrawal bleeding starts when you are taking the second dark red tablet or the white tablets and may not have finished before you start the next wallet. Some women still experience bleeding after taking the first tablets of the new wallet.

Start the following wallet without a gap, in other words the day after you have finished your current wallet, even if the bleeding has not stopped. This means that you should start your following wallet on the same day of the week as the current

(H

Packaaina Technoloav Berlin Dewi

''page 25

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

wallet and that the withdrawal bleed should occur on the same weekdays each month.

If you use Qlaira in this manner, you are protected against pregnancy even during the 2 days when you take inactive tablets.

When can you start with the first wallet?

►    If you have not used a contraceptive with hormones during the previous month.

Start taking Qlaira on the first day of the cycle (that is, the first day of your period).

►    Changing from another combined hormonal contraceptive pill, or combined contraceptive vaginal ring or patch.

Start Qlaira the day after taking the last active tablet (the last tablet containing the active substances) of your previous pill. When changing from a combined contraceptive vaginal

[2D

Packaaina Technoloav Berlin Dewi

'page 26

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

ring or patch, start using Qlaira on the day of removal or, follow the advice of your doctor.

►    Changing from a progestogen-only-method (progestogen-only pill, injection, implant or a progestogen-releasing ‘IUS’, intrauterine system).

You may switch from the progestogen-only pill any day (from an implant or the IUS on the day of its removal, from an injectable when the next injection would be due) but in all of these cases you must use extra protective measures (for example, a condom) during the first 9 days of Qlaira use.

►    After a miscarriage.

Follow the advice of your doctor.

►    After having a baby.

You can start Qlaira between 21 and 28 days after having a baby. If you start later than day 28, use a barrier method (for example, a condom) during the first 9 days of Qlaira use.

(H

Packaaina Technoloav Berlin Dewi

^e 27

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

If, after having a baby, you have had sex before re-starting Qlaira, be sure that you are not pregnant or wait until the next menstrual period.

If you want to start Qlaira after having a baby and are breastfeeding, read the section on “Pregnancy and breast-feeding”. Ask your doctor what to do if you are not sure when to start.

If you take more Qlaira than you should

There are no reports of serious harmful effects of taking too

many Qlaira tablets.

If you take several active tablets at once, you may feel sick or throw up. Young girls may have bleeding from the vagina.

If you have taken too many Qlaira tablets, or you discover that a child has taken some, ask your doctor or pharmacist for advice.

HD

Packaaina Technoloav Berlin Dewi

''page 28

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

If you forget to take Qlaira

Inactive tablets: If you miss a white tablet (2 tablets at the end of the wallet), you do not need to take it later because they do not contain any active substances. However, it is important that you discard the missed white tablet(s) to make sure that the number of days when you take inactive tablets is not increased as this would increase the risk of pregnancy. Continue with the next tablet at the usual time.

Active tablets: Depending on the day of the cycle on which one active tablet has been missed, you may need to take additional contraceptive precautions, for example a barrier method such as a condom. Take the tablets according to the following principles. See also the ‘missed pill chart’ for details.

(H

Packaaina Technoloav Berlin Dewi

''page 29

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    If you are less than 12 hours late when taking a tablet, the protection against pregnancy is not reduced. Take the tablet as soon as you remember and then continue taking the tablets again at the usual time.

►    If you are more than 12 hours late taking a tablet, the protection against pregnancy may be reduced. Depending on the day of the cycle on which one tablet has been missed, use additional contraceptive precautions e.g. a barrier method such as a condom. See also the ‘missed pill chart’ for details.

   More than one tablet forgotten in this wallet

Contact your doctor.

[30)

Packaaina Technoloav Berlin Dewi

''page 30

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Do not take more than 2 active tablets on a given day.

If you have forgotten to start a new wallet, or if you have missed one or more tablets during days 3 - 9 of your wallet, there is a risk that you are already pregnant (if you had sex in the 7 days before forgetting the tablet). In that case, contact your doctor. The more tablets you have forgotten (especially those on days 3 - 24) and the closer they are to the inactive tablet phase, the greater the risk that the protection from pregnancy is reduced. See also the ‘missed pill chart’ for details.

If you have forgotten any of the active tablets in a wallet, and you have no bleeding at the end of a wallet, you may be pregnant. Contact your doctor before you start the next wallet.

(HI

Packaaina Technoloav Berlin Dewi

''page 31

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:



Packaaina Technoloav Berlin Dewi

''page 32

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Use in children

No data available in adolescents below 18 years.

What to do if you vomit or have severe diarrhoea

If you throw up within 3-4 hours of taking an active tablet or you have severe diarrhoea, there is a risk that the active substances in the pill are not fully absorbed by your body.

The situation is almost the same as forgetting a tablet. After throwing up or having diarrhoea, take the next tablet as soon as possible. If possible, take it within 12 hours of when you normally take your pill. If this is not possible or 12 hours have passed, you should follow the advice given under “If you forget to take Qlaira”. If you do not want to change your normal tablettaking pattern take the corresponding tablet from another wallet.

(HI

Packaaina Technoloav Berlin Dewi

''page 33

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

If you stop taking Qlaira

You can stop taking Qlaira at any time. If you do not want to become pregnant, ask your doctor for advice about other reliable methods of birth control. If you want to become pregnant, stop taking Qlaira and wait for a menstrual period before starting to try to become pregnant. You will be able to calculate the expected delivery date more easily.

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

[34)

Packaaina Technoloav Berlin Dewi

'page 34

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

4. Possible side effects

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

Serious side effects

Serious reactions associated with the use of the pill, as well as the related symptoms, are described in the following sections: “Qlaira and venous/arterial blood clots” and “Qlaira and cancer”. Please read these sections carefully and consult your doctor at once where appropriate.

Other possible side effects

The following side effects have been linked with the use of Qlaira:

Packaaina Technoloav Berlin Dewi

''page 35

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

Common side effects (between 1 and 10 in every 100 users may be affected):

►    headache

►    abdominal pain, nausea

►    acne

►    no periods, breast discomfort, painful periods, irregular bleeding (heavy irregular bleeding)

►    weight gain

Uncommon side effects (between 1 and 10 in every 1,000 users may be affected):

►    fungal infections, fungal infection of the vulva and vagina, vaginal infection

►    increased appetite

►    depression, depressed mood, emotional disorder, problems

@

Packaaina Technoloav Berlin Dewi

'pade 36

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

sleeping, decreased interest in sex, mental disorder, mood swings

►    dizziness, migraine

►    hot flush, high blood pressure

►    diarrhoea, vomiting

►    increased liver enzymes

►    hair loss, excessive sweating (hyperhidrosis), itching, rash

#    ► muscle cramps

►    swollen breasts, lumps in the breast, abnormal cell growth on the neck of the womb (cervical dysplasia), dysfunctional genital bleeding, pain with intercourse, fibrocystic breast disease, heavy periods, menstrual disorders, ovarian cyst, pelvic pain, premenstrual syndrome, growth in the uterus, contractions of the uterus, uterine/vaginal bleeding incl. spotting, vaginal discharge, vulvovaginal dryness

HZ)

Packaaina Technoloav Berlin Dewi

^e 37

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    fatigue, irritability, swelling of parts of your body, e.g. ankles (oedema)

►    weight loss, blood pressure changes

Rare side effects (between 1 and 10 in every 10,000 users may

be affected):

►    candida infection, oral herpes, pelvic inflammatory disease, a vessel disease of the eye resembling a fungal infection (presumed ocular histoplasmosis syndrome), a fungal infection of the skin (tinea versicolor), urinary tract infection, bacterial inflammation of the vagina

►    fluid retention, increase in certain blood fats (triglycerides)

►    aggression, anxiety, feelings of unhappiness, increased interest in sex, nervousness, nightmare, restlessness, problems sleeping, stress

►    reduced attention, “pins and needles”, giddiness

HH

Packaaina Technoloav Berlin Dewi

''page 38

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    contact lens intolerance, dry eye, eye swelling

►    heart attack (myocardial infarction), palpitations

►    bleeding in a varicose vein, blood clot in a vein (venous thromboembolism), low blood pressure, inflammation of superficial veins, painful veins

►    constipation, dry mouth, indigestion, heartburn

►    liver nodules (focal nodular hyperplasia), chronic inflammation of gallbladder

►    allergic skin reactions, golden brown pigment patches (chloasma) and other pigmentation disorders, male pattern hair growth, excessive hair growth, skin conditions such as dermatitis and neurodermatitis, dandruff and oily skin (seborrhoea) and other skin disorders

►    back pain, pain in jaw, sensation of heaviness

►    urinary tract pain

dH

Packaaina Technoloav Berlin Dewi

''page 39

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

►    abnormal withdrawal bleeding, benign breast nodules, breast cancer in early stage, breast cysts, breast discharge, polyp on the neck of the womb, reddening on the neck of the womb, bleeding during intercourse, spontaneous milk flow, genital discharge, lighter periods, delayed periods, rupture of an ovarian cyst, vaginal odour, burning sensation in the vulva and vagina, vulvovaginal discomfort

►    swollen lymph nodes

►    asthma, difficulty in breathing, nose bleeding

►    chest pain, tiredness and feeling generally unwell, fever

►    abnormal smear from the neck of the womb

Further information (taken from the diaries women kept during a

Qlaira clinical trial) on the possible side effects “irregular

bleeding (heavy irregular bleeding)” and “no periods” is given in

Packaaina Technoloav Berlin Dewi

'page 40

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

the sections “Bleeding between periods” and “What to do if no bleeding occurs on day 26 or the following day(s)”.

In addition to the above mentioned side effects, the skin disorders erythema nodosum, erythema multiforme, as well as breast discharge and hypersensitivity have occurred in women using combined pills containing ethinylestradiol. Although these symptoms were not reported during the clinical studies performed with Qlaira, the possibility that they might also occur under treatment cannot be ruled out.

Reporting of side effects

If you get any side effects, talk to your doctor. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below). By reporting side effects you can help provide more information on the safety of this medicine.

HI

Packaaina Technoloav Berlin Dewi

'page 41

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

United Kingdom

Yellow Card Scheme

Website: www.mhra.gov.uk/yellowcard

Malta

ADR Reporting The Medicines Authority Post-Licensing Directorate 203 Level 3, Rue D'Argens GZR-1368 Gzira

Website: www.medicinesauthority.gov.mt E-mail: postlicensing.medicinesauthority@gov.mt

[42)

Packaaina Technoloav Berlin Dewi

'pade 42

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

5. How to store Qlaira

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

This medicinal product does not require any special storage conditions.

Do not use this medicine after the expiry date which is stated on the wallet after EXP. The expiry date refers to the last day of that month.

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

(43]

Packaaina Technoloav Berlin Dewi

'page 43

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

6. Contents of the pack and other information

What Qlaira contains

The active substances are estradiol valerate, or estradiol valerate combined with dienogest.

Each wallet (28 film-coated tablets) of Qlaira contains 26 active tablets in 4 different colours in rows 1, 2, 3 and 4, as well as 2 white inactive tablets in row 4.

Composition of the coloured tablets containing one or two active substances:

2 dark yellow tablets each containing 3 mg estradiol valerate 5 medium red tablets each containing 2 mg estradiol valerate and 2 mg dienogest

17 light yellow tablets each containing 2 mg estradiol valerate and 3 mg dienogest

ED

Packaaina Technoloav Berlin Dewi

’'pade 44

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

2 dark red tablets each containing 1mg estradiol valerate Composition of the white inactive tablets:

These tablets do not contain any active substances.

Other ingredients in the coloured active tablets are:

Tablet core: lactose monohydrate, maize starch, pregelatinised maize starch, povidone K25 (E1201), magnesium stearate (E572) Tablet film-coating: hypromellose type 2910 (E464), macrogol 6000, talc (E553b), titanium dioxide (E171), iron oxide yellow (E172) and/or iron oxide red (E172)

Other ingredients in the white inactive tablets are:

Tablet core: lactose monohydrate, maize starch, povidone K25 (E1201), magnesium stearate (E572)

Tablet film-coating: hypromellose type 2910 (E464), talc (E553b), titanium dioxide (E171)

Packaaina Technoloav Berlin Dewi

'page 45

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

What Qlaira looks like and content of the pack

Qlaira tablets are film-coated tablets; the core of the tablet is covered with a coating.

Each wallet (28 film-coated tablets) contains 2 dark yellow tablets in row 1, 5 medium red tablets in row 1, 17 light yellow tablets in rows 2, 3 and 4, 2 dark red tablets in row 4 as well as 2 white tablets in row 4.

The dark yellow active tablet is round with biconvex faces, one side is embossed with the letters “DD” in a regular hexagon.

The medium red active tablet is round with biconvex faces, one side is embossed with the letters “DJ” in a regular hexagon.

The light yellow active tablet is round with biconvex faces, one side is embossed with the letters “DH” in a regular hexagon.

The dark red active tablet is round with biconvex faces, one side is embossed with the letters “DN” in a regular hexagon.

H6

Packaaina Technoloav Berlin Dewi

''page 46

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

The white inactive tablet is round with biconvex faces, one side is embossed with the letters “DT” in a regular hexagon.

Qlaira is available in packs of 1, 3, or 6 wallets each containing 28 tablets.

Not all pack sizes may be marketed.

Marketing Authorisation Holder

Bayer plc, Bayer House, Strawberry Hill, Newbury, Berkshire,

RG14 1JA Manufacturer

Bayer Weimar GmbH und Co. KG and Bayer Pharma AG 99427 Weimar    13342 Berlin

Germany    Germany

(47]

Packaaina Technoloav Berlin Dewi

'page 47

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

This medicinal product is authorised in the Member States of the EEA under the following names:

►    Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovak Republic, Slovenia, Spain, Sweden, United Kingdom: QLAIRA/Qlaira

►    Italy: KLAIRA

This leaflet was last revised in 11/2013.

82281851

HD

Packaaina Technoloav Berlin Dewi

''page 48

Baver Pharma AG

client: 0086 item-no.: 82281851

PZ:2668A-4B

code-no.: 0

name: LF-BRO-Qlaira FTB 28

country: GB BPH

colors: Black /

version: 10.12.2013/02

approval:

851_02.indd 48 12/10/2013 3:53:04 P