Rasagiline 1 Mg Tablets
Caduceus
PHARMA LTD
Package leaflet: Information for the user
Rasagiline 1mg Tablets
Rasagiline tartrate
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 full name of this medicine is Rasagiline 1mg Tablets but within the leaflet it will be referred to as Rasagiline Tablets.
What is in this leaflet j What Rasagiline Tablets are and what they are used for
2] What you need to know before you take Rasagiline Tablets 3| How to take Rasagiline Tablets 4| Possible side effects ^1 How to store Rasagiline Tablets 6| Contents of the pack and other information
j What Rasagiline Tablets are and what they are used for
Rasagiline Tablets are used for the treatment of Parkinson's disease. It can be used together with or without Levodopa (another medicine that is used to treat Parkinson's disease).
With Parkinson's disease, there is a loss of cells that produce dopamine in the brain. Dopamine is a chemical in the brain involved in movement control. Rasagiline Tablets helps to increase and sustain levels of dopamine in the brain.
2| What you need to know before you take Rasagiline Tablets
Do not take Rasagiline Tablets
• if you are allergic to rasagiline or any of the other ingredients of this medicine (listed in section 6)
• if you have severe liver problems.
Do not take the following medicines while taking Rasagiline Tablets:
• monoamine oxidase (MAO) inhibitors (e.g. for treatment of depression or Parkinson's disease, or used for any other indication), including medicinal and natural products without prescription e.g. St. John's Wort
• pethidine (a strong pain killer).
You must wait at least 14 days after stopping Rasagiline Tablets treatment and starting treatment with MAO inhibitors or pethidine.
Warnings and precautions
Talk to your doctor or pharmacist before taking Rasagiline Tablets
• if you have mild to moderate liver problems.
You should speak with your doctor about any suspicious skin changes.
Children and adolescents
Rasagiline Tablets are not recommended for use under the age of 18.
Other medicines and Rasagiline Tablets
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Including medicines obtained without prescription or if you are smoking or intend to stop smoking.
Ask your doctor for advice before taking any of the following medicines together with Rasagiline Tablets:
• certain antidepressants (selective serotonin reuptake inhibitors, selective serotonin-norepinephrine reuptake inhibitors, tricyclic or tetracyclic antidepressants)
• the antibiotic ciprofloxacin used against infections
• the cough suppressant dextromethorphan
• sympathomimetics such as those present in eye drops, nasal and oral decongestants and cold medicine containing ephedrine or pseudoephedrine.
The use of Rasagiline Tablets together with the antidepressants containing fluoxetine or fluvoxamine should be avoided.
If you are starting treatment with Rasagiline Tablets, you should wait at least 5 weeks after stopping fluoxetine treatment.
If you are starting treatment with fluoxetine or fluvoxamine, you should wait at least 14 days after stopping Rasagiline Tablets treatment.
Tell your doctor if you or your family/carer notices that you are developing unusual behaviours where you cannot resist the impulse, urges or cravings to carry out certain harmful or detrimental activities to yourself or others. These are called impulse control disorders. In patients taking Rasagiline Tablets and/or other medications used to treat Parkinson's disease, behaviours such as compulsions, obsessive thoughts, addictive gambling, excessive spending, impulsive behaviour and an abnormally high sex drive or an increase in sexual thoughts or feelings have been observed. Your doctor may need to adjust or stop your dose.
Rasagiline Tablets with food and drink
Rasagiline Tablets may be taken with or without food.
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Driving and using machines
No studies on the effects on the ability to drive and use machines have been performed. Ask your doctor for advice prior to driving or using machines.
Jl How to take Rasagiline Tablets
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
The recommended dose is 1 tablet of 1mg taken by mouth once daily. Rasagiline Tablets may be taken with or without food.
If you take more Rasagiline Tablets than you should
If you think that you may have taken too many Rasagiline Tablets, contact your doctor or pharmacist immediately. Take the Rasagiline Tablets carton with you to show the doctor or pharmacist.
Symptoms of overdosing could include: unease, behaviour where patients are unable to resist the impulse, drive or temptation to perform an action that could be harmful to themselves or others, high blood pressure (hypertension crises), serotonin syndrome including the following: feeling confused, feeling restless, sweating, shaking, shivering, hallucinations (strange visions or sounds), sudden jerks of the muscles or a fast heartbeat.
If you forget to take Rasagiline Tablets
Do not take a double dose to make up for a forgotten dose. Take the next dose normally, when it is time to take it.
If you stop taking Rasagiline Tablets
Do not stop taking Rasagiline Tablets without first talking to your doctor.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
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4| Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
The following side effects have been reported in placebo controlled clinical trials:
Very common (may affect more than 1 in 10 people)
• abnormal movements (dyskinesia)
• headache.
Common (may affect up to 1 in 10 people)
• abdominal pain
• fall
• allergy
• fever
• flu (influenza)
• general feeling of being unwell (malaise)
• neck pain
• chest pain (angina pectoris)
• low blood pressure when rising to a standing position with symptoms like dizziness/light-headedness (orthostatic hypotension)
• decreased appetite
• constipation
• dry mouth
• nausea and vomiting
• flatulence
• abnormal results of blood tests (leucopenia)
• joint pain (arthralgia)
• musculoskeletal pain
• joint inflammation (arthritis)
• numbness and muscle weakness of the hand (carpal tunnel syndrome)
• decreased weight
• abnormal dreams
• difficulty in muscular coordination (balance disorder)
• depression
• dizziness (vertigo)
• prolonged muscle contractions (dystonia)
• runny nose (rhinitis)
• irritation of the skin (dermatitis)
• rash
• bloodshot eyes (conjunctivitis)
• urinary urgency.
Uncommon (may affect up to 1 in 100 people)
• stroke (cerebrovascular accident)
• heart attack (myocardial infarction)
• blistering rash (vesiculobullous rash).
In addition, skin cancer was reported in around 1% of patients in the placebo controlled clinical trials. Nevertheless, scientific evidence suggests that Parkinson's disease, and not any medicine in particular, is associated with a higher risk of skin cancer (not exclusively melanoma). You should speak with your doctor about any suspicious skin changes.
Parkinson's disease is associated with symptoms of hallucinations and confusion. In post marketing experience these symptoms have also been observed in Parkinson's disease patients treated with Rasagiline Tablets.
There have been cases of patients who, while taking one or more medications for the treatment of Parkinson's disease, were unable to resist the impulse, drive or temptation to perform an action that could be harmful to themselves or others. These are called impulse control disorders.
In patients taking Rasagiline Tablets and/or other medications used to treat Parkinson's disease, the following have been observed:
• Obsessive thoughts or impulsive behaviour.
• Strong impulse to gamble excessively despite serious personal or family consequences.
• Altered or increased sexual interest and behaviour of significant concern to you or to others, for example, an increased sexual drive.
• Uncontrollable excessive shopping or spending.
Tell your doctor if you experience any of these behaviours; they will discuss ways of managing or reducing the symptoms.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme Website:
By reporting side effects you can help provide more information on the safety of this medicine.
^1 How to store Rasagiline Tablets
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton or blister after EXP. The expiry date refers to the last day of that month.
Store in the original package in order to protect from light.
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.
6| Contents of the pack and other information
What Rasagiline Tablets contain
• The active substance is rasagiline. Each tablet contains 1mg rasagiline (as tartrate).
• Calcium sulfate dehydrate, Pregelatinised starch, Maize starch, Stearic acid Talc, Citric acid anhydrous, Silica colloidal anhydrous.
What Rasagiline Tablets look like and contents of the pack
White, round bevel edge, debossed with “A486” on one side and plain on the other side.
The tablets are available in blister packs of 28 tablets.
Marketing Authorisation Holder
Caduceus Pharma Ltd.
6th floor, 94 Wigmore Street
London
W1U 3RF
UK
Manufacturer
Actavis ehf.
Reykjavikurvegur 78
HafnarfjorSur
IS-220
Iceland
This leaflet was last revised in June 2015.
Caduceus
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