Rasagiline Hbs 1mg Tablets
this medicine because it contains important information
■ 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 k.
1. What RASAGILINE is and what it is used for
2. What you need to know before you take RASAGILINE
3. How to take RASAGILINE
k. Possible side effects
5. How to store RASAGILINE
6. Contents of the pack and other information
RASAGILINE is 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 helps to increase and sustain levels of dopamine in the brain.
■ 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
■ 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 "\k days after stopping RASAGILINE treatment and starting treatment with MAO inhibitors or pethidine.
Talk to your doctor or pharmacist before taking RASAGILINE:
■ if you have mild to moderate liver problems
■ You should speak with your doctor about any suspicious skin changes.
RASAGILINE is not recommended for use in children and adolescents under the age of 18 years.
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines 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:
■ 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 RA5AGI LI NE together with the antidepressants containing fluoxetine or fluvoxamine should be avoided.
If you are starting treatment with RASAGILINE, 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 1A days after stopping RASAGILINE 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 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.
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.
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.
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
The usual dose of RASAGILINE is 1 tablet of 1mg once daily. Oral use.
RASAGILINE may be taken with or without food.
If you think that you may have taken too many RASAGILINE tablets, contact your doctor or pharmacist immediately. Take the RASAGILINE carton with you to show the doctor or pharmacist.
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.
Do not stop taking RASAGILINE without first talking to your doctor.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
■ abnormal movements (dyskinesia)
Common side effects (may affect up to 1 in 10 people):
■ abdominal pain . fall
■ 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
■ dry mouth
■ nausea and vomiting
■ 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)
■ dizziness (vertigo)
■ prolonged muscle contractions (dystonia)
■ runny nose (rhinitis)
■ irritation of the skin (dermatitis)
■ bloodshot eyes (conjunctivitis)
■ urinary urgency
Uncommon side effects (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.
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 and/or other medications used to treat Parkinson's disease, the following have been observed:
T 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.
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 pharmacist.
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 national reporting system Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.
Do not use this medicine after the expiry date which is stated on the blister and on the carton. The expiry date refers to the last day of that month.
This medicinal product does not require any special storage conditions.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to thrown away medicines you no longer use. These measures will help to protect the environment.
■ The active substance is rasagiline. Each tablet contains 1mg of rasagiline (as tartrate).
■ The other ingredients are pregelatinized maize starch, microcrystalline cellulose, maize starch, silica colloidal anhydrous, citric acid monohydrate, stearic acid (50), talc.
RASAGILINE 1 mg tablets are round, biconvex, white or nearly white. The diameter is 8mm.
They are supplied in blister packs of 7,10, 28, 30, 100 or 112 tablets.
Not all pack sizes may be marketed.
HBS Healthcare Ltd Preston PR1 6AS, UK
Ferrer Internacional, S.A., Joan Buscallal-9,
Sant Cugat del Valles, Barcelona, 08173, Spain
This leaflet was last revised in February 2016.