Rosuvastatin 20 Mg Film-Coated Tablets
Package leaflet: Information for the patient
Rosuvastatin 5mg film-coated tablets Rosuvastatin 10mg film-coated tablets Rosuvastatin 20mg film-coated tablets Rosuvastatin 40mg film-coated tablets
rosuvastatin
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.
What is in this leaflet
1. What rosuvastatin is and what it is used for
2. What you need to know before you take rosuvastatin
3. How to take rosuvastatin
4. Possible side effects
5. How to store rosuvastatin
6. Contents of the pack and other information
1. What rosuvastatin is and what it is used for
The name of your medicine is Rosuvastatin 5mg, 10mg, 20mg or 40mg film-coated Tablets (referred to as rosuvastatin throughout this leaflet). Rosuvastatin belongs to a group of medicines called statins.
You have been prescribed rosuvastatin because:
- you have a high cholesterol level. This means you are at risk from a heart attack or stroke. Rosuvatatin is used in adults, adolescents and children 6 years or older to treat high cholesterol.
You have been advised to take a statin, because changing your diet and taking more exercise were not enough to correct your cholesterol levels. You should continue with your cholesterol-lowering diet and exercise while you are taking rosuvastatin.
Or
- You have other factors that increase your risk of having a heart attack, stroke or related health problems.
Heart attack, stroke and other problems can be caused by a disease called atherosclerosis. Atherosclerosis is due to build-up of fatty deposits in your arteries.
Why is it important to keep taking rosuvastatin?
Rosuvastatin is used to correct the levels of fatty substances in the blood called lipids, the most common of which is cholesterol.
There are different types of cholesterol found in the blood - 'bad' cholesterol (LDL-C) and 'good' cholesterol (HDL-C).
- Rosuvastatin can reduce the 'bad' cholesterol and increase the 'good' cholesterol.
- Rosuvastatin works by helping to block your body's production of 'bad' cholesterol and improves your body's ability to remove it from your blood.
For most people, high cholesterol does not affect the way they feel because it does not produce any symptoms. However, if it is left untreated, fatty deposits can build up in the walls of your blood vessels causing them to narrow.
Sometimes, these narrowed blood vessels can get blocked which can cut off the blood supply to the heart or brain leading to a heart attack or a stroke. By lowering your cholesterol levels, you can reduce your risk of having a heart attack, a stroke or related health problems.
You need to keep taking rosuvastatin, even if it has got your cholesterol to the right level, because it prevents your cholesterol levels from creeping up again and causing buildup of fatty deposits.
However, you should stop if your doctor tells you to do so, or you have become pregnant.
2. What you need to know before you take rosuvastatin
Do not take rosuvastatin
- If you are allergic to rosuvastatin or any of the other ingredients of this medicine (listed in section 6).
- If you are pregnant or breast-feeding. If you become pregnant while taking rosuvastatin stop taking it immediately and tell your doctor. Women should avoid becoming pregnant while taking rosuvastatin by using suitable contraception.
- If you have liver disease.
- If you have severe kidney problems.
- If you have repeated or unexplained muscle aches or pains.
- If you take a drug called ciclosporin (used, for example, after organ transplants).
If any of the above applies to you (or you are in doubt), please go back and see your doctor.
In addition, do not take Rosuvastatin 40mg (the highest dose)
- If you have moderate kidney problems (if in doubt, please ask your doctor).
- If your thyroid gland is not working properly.
- If you have had any repeated or unexplained muscle aches or pains, a personal or family history of muscle problems, or a previous history of muscle problems when taking other cholesterol-lowering medicines.
- If you regularly drink large amounts of alcohol.
- If you are of Asian origin (Japanese, Chinese, Filipino, Vietnamese, Korean and Indian).
- If you take other medicines called fibrates to lower your cholesterol.
If any of the above applies to you (or you are in doubt), please go back and see your doctor.
Warnings and precautions
Talk to your doctor or pharmacist before taking rosuvastain
- If you have problems with your kidneys.
- If you have problems with your liver.
- If you have had repeated or unexplained muscle aches or pains, a personal or family history of muscle problems, or a previous history of muscle problems when taking other cholesterol-lowering medicines. Tell your doctor immediately if you have unexplained muscle aches or pains especially if you feel unwell or have a fever. Also tell your doctor or pharmacist if you have a muscle weakness that is constant.
- If you regularly drink large amounts of alcohol.
- If your thyroid gland is not working properly.
- If you have severe respiratory failure.
- If you take other medicines called fibrates to lower your cholesterol. Please read this leaflet carefully, even if you have taken other medicines for high cholesterol before.
- If you take medicines used to treat HIV infection e.g. ritonavir with lopinavir and/or atazanavir, (please see Other medicines and rosuvastatin).
- If you are over 70 (as your doctor needs to choose the right start dose of rosuvastatin to suit you).
- If you are of Asian origin - that is Japanese, Chinese, Filipino, Vietnamese, Korean and Indian (as your doctor needs to choose the right start dose of rosuvastatin to suit you).
- If you take antibiotics containing fusidic acid, please see Other medicines and rosuvastatin.
Children and adolescents
- If the patient is under 6 years old: rosuvastatin should not be given to children younger than 6 years.
- If the patient is below 18 years of age: The Rosuvastatin 40mg tablet is not suitable for use in children and adolescents below 18 years of age.
If any of the above applies to you (or if you are not sure):
- do not take Rosuvastatin 40mg (the highest dose) and check with your doctor or pharmacist before you actually start taking any dose of rosuvastatin.
In a small number of people, statins can affect the liver. This is identified by a simple test which looks for increased levels of liver enzymes in the blood. For this reason, your doctor will usually carry out this blood test (liver function test) before and during treatment with rosuvastatin.
While you are on this medicine your doctor will monitor you closely if you have diabetes or are at risk of developing diabetes. You are likely to be at risk of developing diabetes if you have high levels of sugars and fats in your blood, are overweight and have high blood pressure.
Other medicines and rosuvastatin
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Tell your doctor if you are taking any of the following:
- ciclosporin (used for example, after organ transplants),
- warfarin or clopidogrel (or any other drug used for thinning the blood),
- fibrates (such as gemfibrozil, fenofibrate) or any other medicine used to lower cholesterol (such as ezetimibe),
- indigestion remedies (used to neutralise acid in your stomach),
- erythromycin (an antibiotic),
- fusidic acid (an antibiotic - please see Warnings and precautions),
- an oral contraceptive (the pill),
- hormone replacement therapy or ritonavir with lopinavir and/or atazanavir (used to treat HIV infection - please see section Warnings and precautions).
The effects of these medicines could be changed by rosuvastatin or they could change the effects of rosuvastatin.
Pregnancy, breast-feeding and fertility
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.
Do not take rosuvastatin if you are pregnant or breast-feeding. If you become pregnant while taking rosuvastatin stop taking it immediately and tell your doctor. Women should avoid becoming pregnant while taking rosuvastatin by using suitable contraception.
Driving and using machines
Most people can drive a car and operate machinery while using rosuvastatin - it will not affect their ability. However, some people feel dizzy during treatment with rosuvastatin If you feel dizzy, consult your doctor before attempting to drive or use machines.
Rosuvastatin contains lactose monohydrate
Rosuvastatin 5mg film-coated tablets contain 30mg of lactose monohydrate.
Rosuvastatin 10mg film-coated tablets contain 60mg of lactose monohydrate.
Rosuvastatin 20mg film-coated tablets contain 120mg of lactose monohydrate.
Rosuvastatin 40mg film-coated tablets contain 240mg of lactose monohydrate.
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
3. How to take rosuvastatin
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
Usual doses in adults
If you are taking rosuvastatin for high cholesterol:
Starting dose: Your treatment with rosuvastatin must start with the 5mg or the 10mg dose, even if you have taken a higher dose of a different statin before.
Administration of a 5mg dose can be achieved by halving a 10mg tablet with the breakline. The choice of your start dose will depend upon:
- Your cholesterol level.
- The level of risk you have of experiencing a heart attack or stroke.
- Whether you have a factor that may make you more sensitive to possible side effects. Please check with your doctor or pharmacist which start dose of rosuvastatin will best suit you.
Your doctor may decide to give you the lowest dose (5mg) if:
- You are of Asian origin (Japanese, Chinese, Filipino, Vietnamese, Korean and Indian).
- You are over 70 years of age.
- You have moderate kidney problems.
- You are at risk of muscle aches and pains (myopathy).
Increasing the dose and maximum daily dose
Your doctor may decide to increase your dose. This is so that you are taking the amount of rosuvastatin that is right for you. If you started with a 5mg dose, your doctor may decide to double this to 10mg, then 20mg and then 40mg if necessary. If you started on 10 mg, your doctor may decide to double this to 20mg and then 40mg if necessary. There will be a gap of four weeks between every dose adjustment.
The maximum daily dose of rosuvastatin is 40mg. It is only for patients with high cholesterol levels and a high risk of heart attacks or stroke whose cholesterol levels are not lowered enough with 20mg.
If you are taking rosuvastatin to reduce your risk of having a heart attack, stroke or related health problems: The recommended dose is 20mg daily. However, your doctor may decide to use a lower dose if you have any of the factors mentioned above.
Use in children and adolescents aged 6 - 17 years
The usual start dose is 5mg. Your doctor may increase your dose to find the right amount of rosuvastatin for you. The maximum daily dose of rosuvastatin is 10mg for children aged 6 to 9 years and 20mg for children aged 10 to 17 years. Take your dose once a day. Rosuvastatin 40mg tablet should not be used by children.
Taking your tablets
Swallow each tablet whole with a drink of water.
Take rosuvastatin once daily. You can take it at any time of the day with or without food.
Try to take your tablet at the same time every day to help you to remember it.
Regular cholesterol checks
It is important to go back to your doctor for regular cholesterol checks to make sure your cholesterol has reached and is staying at the correct level.
Your doctor may decide to increase your dose so that you are taking the amount of rosuvastatin that is right for you.
If you take more rosuvastatin than you should
Contact your doctor or nearest hospital for advice.
If you go into hospital or receive treatment for another condition, tell the medical staff that you’re taking rosuvastatin.
If you forget to take rosuvastatin
Don't worry, just take your next scheduled dose at the correct time. Do not take a double dose to make up for a forgotten dose.
If you stop taking rosuvastatin
Talk to your doctor if you want to stop taking rosuvastatin. Your cholesterol levels might increase again if you stop taking rosuvastatin.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
It is important that you are aware of what these side effects may be. They are usually mild and disappear after a short time.
Stop taking rosuvastatin and seek medical help immediately if you have any of the following allergic reactions (rare side effect):
- Difficulty in breathing, with or without swelling of the face, lips, tongue and/or throat.
- Swelling of the face, lips, tongue and/or throat, which may cause difficulty in swallowing.
- Severe itching of the skin (with raised lumps).
Also, stop taking rosuvastatin and talk to your doctor immediately if you have any unusual aches or pains in your muscles which go on for longer than you might expect. Muscle symptoms are more common in children and adolescents than in adults. As with other statins, a very small number of people have experienced unpleasant muscle effects and rarely these have gone on to become a potentially life threatening muscle damage known as rhabdomyolysis (rare side effect).
The following adverse reactions have been reported with rosuvastatin (the active substance of this medicine):
Common possible side effects (may affect up to 1 in 10 people):
- Headache.
- Stomach pain.
- Constipation.
- Feeling sick.
- Muscle pain.
- Feeling weak.
- Dizziness.
- An increase in the amount of protein in the urine - this usually returns to normal
on its own without having to stop taking your rosuvastatin (only rosuvastatin 40 mg).
- Diabetes. This is more likely if you have high levels of sugars and fats in your blood, are overweight and have high blood pressure. Your doctor will monitor your blood sugar levels while you are taking this medicine.
Uncommon possible side effects (may affect up to 1 in 100 people):
- Rash, itching or other skin reactions.
- An increase in the amount of protein in the urine - this usually returns to normal on its own without having to stop taking your rosuvastatin (only Rosuvastatin 5mg,
10mg and 20mg).
Rare possible side effects (may affect up to 1 in 1,000 people):
- Severe allergic reaction - signs include swelling of the face, lips, tongue and/or throat, difficulty in swallowing and breathing, a severe itching of the skin (with raised lumps). If you think you are having an allergic reaction, then stop taking rosuvastatin and seek medical help immediately.
- Muscle damage in adults - as a precaution, stop taking rosuvastatin and talk to your doctor immediately if you have any unusual aches or pains in your muscles which go on for longer than expected.
- A severe stomach pain (inflamed pancreas).
- Increase in liver enzymes in the blood.
- An abnormal drop in the number of blood cells involved in forming blood clots.
Very rare possible side effects (may affect up to 1 in 10,000 people):
- Jaundice (yellowing of the skin and eyes).
- Hepatitis (an inflamed liver).
- Joint pain.
- Traces of blood in your urine.
- Damage to the nerves of your legs and arms (such as numbness).
- Memory loss.
- Breast enlargement in men (gynecomastia).
Side effects of unknown frequency may include (frequency cannot be estimated from the available data):
- Depression.
- Muscle weakness that is constant.
- Tendon injury.
- Sleep disturbances, including insomnia and nightmares.
- Diarrhoea (loose stools).
- Stevens-Johnson syndrome (serious blistering condition of the skin, mouth, eyes and genitals).
- Cough.
- Shortness of breath.
- Oedema (swelling).
- Sexual difficulties
- Breathing problems including persistent cough and/or shortness of breath or fever 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: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store rosuvastatin
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 package after “EXP”. The expiry date refers to the last day of that month.
Store in the original package in order to protect from light and moisture.
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 rosuvastatin contains
The active substance is rosuvastatin.
One film-coated tablet contains 5mg, 10mg, 20mg or 40mg of rosuvastatin as rosuvastatin calcium.
The other ingredients are:
Core: Lactose monohydrate, Cellulose, microcrystalline, Croscarmellose sodium, Silica colloidal anhydrous, Magnesium stearate.
Coating layer: Hypromellose 2910/5, Macrogol 6000, Titanium dioxide (E171), Talc. Rosuvastatin 10mg, 20mg, 40mg also contains Iron oxide red (E172).
What rosuvastatin looks like and contents of the pack
Rosuvastatin 5mg film-coated tablets are white to off white, film-coated, round tablets with diameter approx. 5.1mm.
Rosuvastatin 10mg film-coated tablets are light pink, film-coated, oval, biconvex tablets with halving score with length approx. 8.8mm and width approx. 4.5mm. The tablet can be divided into equal doses.
Rosuvastatin 20mg film-coated tablets are pink, film-coated, oval, biconvex tablets with length approx. 11.1mm and width approx. 5.6mm.
Rosuvastatin 40mg film-coated tablets are dark pink, film-coated, oval, biconvex tablets with length approx. 14.0mm and width approx. 7.0mm.
Pack sizes:
5mg: 14, 20, 28, 30, 56, 60, 84, 90 film-coated tablets 10mg: 14, 20, 28, 30, 60, 84, 90 film-coated tablets 20mg, 40mg: 14, 28, 30, 84, 90 film-coated tablets Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer Marketing Authorisation Holder:
Zentiva, One Onslow Street, Guildford, Surrey, GU1 4YS, UK Manufacturer:
Zentiva k.s.
Address: U Kabelovny130, Dolm Mecholupy,
Praha 10, 102 37 Czech Republic