Olanzapine Viatris 2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg & 20 mg film-coated tablets
*Company:
Gerard LaboratoriesStatus:
UpdatedLegal Category:
Product subject to medical prescription which may not be renewed (A)Active Ingredient(s):
*Additional information is available within the SPC or upon request to the company
Updated on 04 November 2024
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- Change to Section 1 - what the product is
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- Change to section 2 - what you need to know - warnings and precautions
- Change to section 2 - use in children and adolescents
- Change to section 2 - interactions with other medicines, food or drink
- Change to section 2 - pregnancy, breast feeding and fertility
- Change to section 2 - driving and using machines
- Change to section 2 - excipient warnings
- Change to section 3 - dose and frequency
- Change to section 3 - use in children/adolescents
- Change to section 3 - how to take/use
- Change to section 3 - duration of treatment
- Change to section 3 - overdose, missed or forgotten doses
- Change to section 4 - possible side effects
- Change to section 4 - how to report a side effect
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Updated on 04 November 2024
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Updated on 28 May 2024
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Updated on 01 June 2023
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Updated on 29 November 2021
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Updated on 18 November 2021
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Updated on 19 June 2020
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Updated on 19 June 2020
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Updated on 08 August 2019
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- Change to section 2 - excipient warnings
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Updated on 07 August 2019
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- Change to section 2 - Qualitative and quantitative composition
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.8 - Undesirable effects
- Change to section 5.2 - Pharmacokinetic properties
- Change to section 6.3 - Shelf life
- Change to section 7 - Marketing authorisation holder
- Change to section 8 - Marketing authorisation number(s)
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may not be renewed (A)
Updated on 09 January 2018
Reasons for updating
- New SPC for new product
Legal category:Product subject to medical prescription which may not be renewed (A)
Updated on 09 January 2018
Reasons for updating
- Change to section 2 - Qualitative and quantitative composition
- Change to section 3 - Pharmaceutical form
- Change to section 6.1 - List of excipients
- Change to section 9 - Date of first authorisation/renewal of the authorisation
Legal category:Product subject to medical prescription which may not be renewed (A)
Free text change information supplied by the pharmaceutical company
Olanzapine Mylan 2.5 mg film-coated tablets
Each film-coated tablet contains 2.5 mg olanzapine.
Excipients with known effect:
Each film-coated tablet contains 76 mg lactose anhydrous per tablet.
The film-coating of each 2.5 mg tablet contains 0.06 mg soya lecithin.
Olanzapine Mylan 5 mg film-coated tablets
Each film-coated tablet contains 5 mg olanzapine.
Excipients with known effect:
Each film-coated tablet contains 152 mg lactose anhydrous per tablet.
The film-coating of each 5 mg tablet contains 0.12 mg soya lecithin.
Olanzapine Mylan 7.5 mg film-coated tablets
Each film-coated tablet contains 7.5 mg olanzapine.
Excipients with known effect:
Each film-coated tablet contains 228 mg lactose anhydrous per tablet.
The film-coating of each 7.5 mg tablet contains 0.18 mg soya lecithin.
Olanzapine Mylan 10 mg film-coated tablets
Each film-coated tablet contains 10 mg olanzapine.
Excipients with known effect:
Each film-coated tablet contains 304 mg lactose anhydrous per tablet.
The film-coating of each 10 mg tablet contains 0.24 mg soya lecithin
Olanzapine Mylan 15 mg film-coated tablets
Each film-coated tablet contains 15 mg olanzapine.
Excipients with known effect:
Each film-coated tablet contains 183 mg lactose anhydrous per tablet.
The film-coating of each 15 mg tablet contains 0.15 mg soya lecithin.
Olanzapine Mylan 20 mg film-coated tablets
Each film-coated tablet contains 20 mg olanzapine.
Excipients with known effect:
Each film-coated tablet contains 244 mg lactose anhydrous per tablet.
The film-coating of each 20 mg tablet contains 0.20 mg soya lecithin.
Each film-coated tablet contains 76 mg lactose anhydrous per tablet.
The film-coating of each 2.5 mg tablet contains 0.06 mg soya lecithin.
Each film-coated tablet contains 152 mg lactose anhydrous per tablet.
The film-coating of each 5 mg tablet contains 0.12 mg soya lecithin.
Each film-coated tablet contains 228 mg lactose anhydrous per tablet.
The film-coating of each 7.5 mg tablet contains 0.18 mg soya lecithin.
Each film-coated tablet contains 304 mg lactose anhydrous per tablet.
The film-coating of each 10 mg tablet contains 0.24 mg soya lecithin.
Each film-coated tablet contains 183 mg lactose anhydrous per tablet.
The film-coating of each 15 mg tablet contains 0.15 mg soya lecithin.
Each film-coated tablet contains 244 mg lactose anhydrous per tablet.
The film-coating of each 20 mg tablet contains 0.20 mg soya lecithin.
For the full list of excipients, see section 6.1.
3. PHARMACEUTICAL FORM
Film-coated tablet (tablet).
Olanzapine Mylan 2.5 mg film-coated tablets
7.0 mm, round, normal convex, white film-coated tablets debossed “OZ” over “2.5” on one side and “G” on the other side.
Olanzapine Mylan 5 mg film-coated tablets
8.0 mm, round, normal convex, white film-coated tablets debossed “OZ” over “5” on one side and “G” on the other side.
Olanzapine Mylan 7.5 mg film-coated tablets
9.0 mm, round, normal convex, white film-coated tablets debossed “OZ” over “7.5” on one side and “G” on the other side.
Olanzapine Mylan 10 mg film-coated tablets
10.2 mm, round, normal convex, white film-coated tablets debossed “OZ” over “10” on one side and “G” on the other side.
Olanzapine Mylan 15 mg film-coated tablets
12.2 mm x 6.7 mm,
Olanzapine Mylan 20 mg film-coated tablets
13.4 mm x 7.3 mm,
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Tablet core
Lactose monohydrate
Maize starch
Maize starch, pregelatinised
Crospovidone (
Magnesium stearate
Tablet coat
Titanium dioxide (E171)
Talc (E553b)
Soya lecithin (E322)
Xanthan gum (E415)
10. DATE OF REVISION OF THE TEXT
January
Updated on 08 January 2018
File name
PIL_15185_727.pdf
Reasons for updating
- New PIL for new product
Updated on 08 January 2018
Reasons for updating
- Change to section 2 - what you need to know - warnings and precautions
- Change to section 2 - pregnancy, breast feeding and fertility
- Change to section 6 - date of revision
Updated on 13 February 2017
Reasons for updating
- Change to section 4.2 - Posology and method of administration
- Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
- Change to section 4.8 - Undesirable effects
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may not be renewed (A)
Free text change information supplied by the pharmaceutical company
4.2 Posology and method of administration
Special populations
Elderly patients:
A lower starting dose (5 mg/day) is not routinely indicated but should be considered for those 65 and over when clinical factors warrant (see section 4.4).
Patients with rRenal and/or hepatic impairment:
A lower starting dose (5 mg) should be considered for such patients. In cases of moderate hepatic insufficiency (cirrhosis, Child-Pugh Class A or B), the starting dose should be 5 mg and only increased with caution.
4.5 Interaction with other medicinal products and other forms of interaction
Interaction studies have only been performed in adults.
Potential interactions affecting olanzapine: Since olanzapine is metabolised by CYP1A2, substances that can specifically induce or inhibit this isoenzyme may affect the pharmacokinetics of olanzapine.
Induction of CYP1A2: The metabolism of olanzapine may be induced by smoking and carbamazepine, which may lead to reduced olanzapine concentrations. Only slight to moderate increase in olanzapine clearance has been observed. The clinical consequences are likely to be limited, but clinical monitoring is recommended and an increase of olanzapine dose may be considered if necessary (see section 4.2).
Inhibition of CYP1A2:
Fluvoxamine, a specific CYP1A2 inhibitor, has been shown to significantly inhibit the metabolism of olanzapine. The mean increase in olanzapine Cmax following fluvoxamine was 54 % in female non-smokers and 77 % in male smokers. The mean increase in olanzapine AUC was 52 % and 108 % respectively. A lower starting dose of olanzapine should be considered in patients who are using fluvoxamine or any other CYP1A2 inhibitors, such as ciprofloxacin. A decrease in the dose of olanzapine should be considered if treatment with an inhibitor of CYP1A2 is initiated.
Decreased bioavailability:
Activated charcoal reduces the bioavailability of oral olanzapine by 50 % to 60 % and should be taken at least 2 hours before or after olanzapine.
Fluoxetine (a CYP2D6 inhibitor), single doses of antacid (aluminium, magnesium) or cimetidine have not been found to significantly affect the pharmacokinetics of olanzapine.
Potential for olanzapine to affect other medicinal products: Olanzapine may antagonise the effects of direct and indirect dopamine agonists.
4.8 Undesirable effects
Very common |
Common |
Uncommon |
Rare |
Not known |
Blood and lymphatic system disorders |
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Eosinophilia Leukopenia10 Neutropenia10 |
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Thrombocytopenia11 |
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Immune system disorders |
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Hypersensitivity11 |
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Metabolism and nutrition disorders |
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Weight gain1 |
Elevated cholesterol levels2,3 Elevated glucose levels4 Elevated triglyceride levels2,5 Glucosuria Increased appetite |
Development or exacerbation of diabetes occasionally associated with ketoacidosis or coma, including some fatal cases (see section 4.4)11 |
Hypothermia12 |
|
Nervous system disorders |
|
|||
Somnolence |
Dizziness Akathisia6 Parkinsonism6 Dyskinesia6 |
Seizures where in most cases a history of seizures or risk factors for seizures were reported11 Dystonia (including oculogyration)11 Tardive dyskinesia11 Amnesia9 Dysarthria Restless legs syndrome |
Neuroleptic malignant syndrome (see section 4.4)12 Discontinuation symptoms7, 12 |
|
Cardiac disorders |
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Bradycardia QTc prolongation (see section 4.4) |
Ventricular tachycardia/fibrillation, sudden death (see section 4.4)11 |
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Vascular disorders |
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Orthostatic hypotension10 |
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Thromboembolism (including pulmonary embolism and deep vein thrombosis) (see section 4.4) |
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Respiratory, thoracic and mediastinal disorders |
||||
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Epistaxis9 |
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Gastrointestinal disorders |
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Mild, transient anticholinergic effects including constipation and dry mouth |
Abdominal distension9 |
Pancreatitis11 |
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Hepatobiliary disorders |
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Transient, asymptomatic elevations of hepatic aminotransferases (ALT, AST), especially in early treatment (see section 4.4) |
|
Hepatitis (including hepatocellular, cholestatic or mixed liver injury)11 |
|
Skin and subcutaneous tissue disorders |
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|||
|
Rash |
Photosensitivity reaction Alopecia |
|
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) |
Musculoskeletal and connective tissue disorders |
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Arthralgia9 |
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Rhabdomyolysis11 |
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Renal and urinary disorders |
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Urinary incontinence, urinary retention Urinary hesitation11 |
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Pregnancy, puerperium and perinatal conditions |
||||
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Drug withdrawal syndrome neonatal (see section 4.6) |
Reproductive system and breast disorders |
|
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Erectile dysfunction in males Decreased libido in males and females |
Amenorrhea Breast enlargement Galactorrhea in females Gynaecomastia/breast enlargement in males |
Priapism12 |
|
General disorders and administration site conditions |
|
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|
Asthenia Fatigue Oedema Pyrexia10 |
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Investigations |
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Elevated plasma prolactin levels8 |
Increased alkaline phosphatase10 High creatine phosphokinase11 High Gamma Glutamyltransferase10 High Uric Acid10 |
Increased total bilirubin |
|
|
Updated on 10 February 2017
Reasons for updating
- Change to section 4 - possible side effects
- Change to section 6 - date of revision
Updated on 07 September 2016
Reasons for updating
- Change to section 4.8 - Undesirable effects
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may not be renewed (A)
Free text change information supplied by the pharmaceutical company
4.8 Undesirable effects
Very common |
Common |
Uncommon |
Rare |
Not known |
Blood and lymphatic system disorders |
|
|||
|
Eosinophilia Leukopenia10 Neutropenia10 |
|
Thrombocytopenia11 |
|
Immune system disorders |
|
|||
|
|
Hypersensitivity11 |
|
|
Metabolism and nutrition disorders |
|
|||
Weight gain1 |
Elevated cholesterol levels2,3 Elevated glucose levels4 Elevated triglyceride levels2,5 Glucosuria Increased appetite |
Development or exacerbation of diabetes occasionally associated with ketoacidosis or coma, including some fatal cases (see section 4.4)11 |
Hypothermia12 |
|
Nervous system disorders |
|
|||
Somnolence |
Dizziness Akathisia6 Parkinsonism6 Dyskinesia6 |
Seizures where in most cases a history of seizures or risk factors for seizures were reported11 Dystonia (including oculogyration)11 Tardive dyskinesia11 Amnesia9 Dysarthria |
Neuroleptic malignant syndrome (see section 4.4)12 Discontinuation symptoms7, 12 |
|
Cardiac disorders |
|
|||
|
|
Bradycardia QTc prolongation (see section 4.4) |
Ventricular tachycardia/fibrillation, sudden death (see section 4.4)11 |
|
Vascular disorders |
|
|||
Orthostatic hypotension10 |
|
Thromboembolism (including pulmonary embolism and deep vein thrombosis) (see section 4.4) |
|
|
Respiratory, thoracic and mediastinal disorders |
||||
|
|
Epistaxis9 |
|
|
Gastrointestinal disorders |
|
|||
|
Mild, transient anticholinergic effects including constipation and dry mouth |
Abdominal distension9 |
Pancreatitis11 |
|
Hepatobiliary disorders |
|
|||
|
Transient, asymptomatic elevations of hepatic aminotransferases (ALT, AST), especially in early treatment (see section 4.4) |
|
Hepatitis (including hepatocellular, cholestatic or mixed liver injury)11 |
|
Skin and subcutaneous tissue disorders |
|
|||
|
Rash |
Photosensitivity reaction Alopecia |
|
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) |
Musculoskeletal and connective tissue disorders |
|
|||
|
Arthralgia9 |
|
Rhabdomyolysis11 |
|
Renal and urinary disorders |
|
|||
|
|
Urinary incontinence, urinary retention Urinary hesitation11 |
|
|
Pregnancy, puerperium and perinatal conditions |
||||
|
|
|
|
Drug withdrawal syndrome neonatal (see section 4.6) |
Reproductive system and breast disorders |
|
|||
|
Erectile dysfunction in males Decreased libido in males and females |
Amenorrhea Breast enlargement Galactorrhea in females Gynaecomastia/breast enlargement in males |
Priapism12 |
|
General disorders and administration site conditions |
|
|||
|
Asthenia Fatigue Oedema Pyrexia10 |
|
|
|
Investigations |
|
|||
Elevated plasma prolactin levels8 |
Increased alkaline phosphatase10 High creatine phosphokinase11 High Gamma Glutamyltransferase10 High Uric Acid10 |
Increased total bilirubin |
|
|
Updated on 06 September 2016
Reasons for updating
- Change to side-effects
- Change to date of revision
Updated on 05 August 2015
Reasons for updating
- Change to section 2 - Qualitative and quantitative composition
- Change to section 3 - Pharmaceutical form
- Change to section 4.1 - Therapeutic indications
- Change to section 4.2 - Posology and method of administration
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
- Change to section 4.6 - Pregnancy and lactation
- Change to section 4.8 - Undesirable effects
- Change to section 4.9 - Overdose
- Change to section 5.1 - Pharmacodynamic properties
- Change to section 6.1 - List of excipients
- Change to section 6.5 - Nature and contents of container
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may not be renewed (A)
Free text change information supplied by the pharmaceutical company
Excipients with known effect:
Section 3
7.0 mm, round, normal convex, white film-coated tablets debossed “OZ” over “2.5” on one side and “G” on the other side.
8.0 mm, round, normal convex, white film-coated tablets debossed “OZ” over “5” on one side and “G” on the other side.
9.0 mm, round, normal convex, white film-coated tablets debossed “OZ” over “7.5” on one side and “G” on the other side.
10.2 mm, round, normal convex, white film-coated tablets debossed “OZ” over “10” on one side and “G” on the other side.
12.2 mm x 6.7 mm, elliptical, normal convex, white film-coated tablets debossed “OZ” over “15” on one side and “G” on the other side.
13.4 mm x 7.3 mm, eclipse-shaped, normal convex, white film-coated tablets debossed “OZ” over “20” on one side and “G” on the other side.
Section 4.1
Adults
Olanzapine is indicated for the treatment of schizophrenia.
Section 4.2
[...]
Special populations
A lower starting dose (5 mg/day) is not routinely indicated but should be considered for those 65 and over when clinical factors warrant (see section 4.4).
Patients with renal and/or hepatic impairment:
A lower starting dose (5 mg) should be considered for such patients. In cases of moderate hepatic insufficiency (cirrhosis, Child-Pugh Class A or B), the starting dose should be 5 mg and only increased with caution.
The starting dose and dose range need not be routinely altered for female patients relative to male patients.
The starting dose and dose range need not be routinely altered for non-smokers relative to smokers. The metabolism of olanzapine may be induced by smoking. Clinical monitoring is recommended and an increase of olanzapine dose may be considered if necessary (see section 4.5).
When more than one factor is present which might result in slower metabolism (female gender, geriatric age, non-smoking status), consideration should be given to decreasing the starting dose. Dose escalation, when indicated, should be conservative in such patients (see sections 4.5 and 5.2).
Paediatric population:
Olanzapine is not recommended for use in children and adolescents below 18 years of age due to a lack of data on safety and efficacy. A greater magnitude of weight gain, lipid and prolactin alterations has been reported in short term studies of adolescent patients than in studies of adult patients (see sections 4.4, 4.8, 5.1 and 5.2).
Section 4.4
[...]
Dementia-related psychosis and/or behavioural disturbances
Olanzapine is
[...]
QT interval
In clinical trials, clinically meaningful QTc prolongations (Fridericia QT correction [QTcF] ≥ 500 milliseconds [msec] at any time post baseline in patients with baseline QTcF < 500 msec) were uncommon (0.1 % to 1 %) in patients treated with olanzapine, with no significant differences in associated cardiac events compared to placebo. However,
[...]
Postural hypotension
Postural hypotension was infrequently observed in the elderly in olanzapine clinical trials.
[...]
Paediatric population
Olanzapine is not indicated for use in the treatment of children and adolescents. Studies in patients aged 13 17 years showed various adverse reactions, including weight gain, changes in metabolic parameters and increases in prolactin levels.
Section 4.5
Section 4.6
[...]
Fertility
Effects on fertility are unknown (see section 5.3 for preclinical information).
Section 4.8
"Not known" column added to the table.
Section 5.1
Pharmacotherapeutic group: psycholeptics,
[...]
Paediatric population
Controlled efficacy data
Information on long term safety is primarily limited to open-label, uncontrolled data.
Section 6.5
For each strength, multipacks containing 70 (2 packs of 35) are specified.
Updated on 30 July 2015
Reasons for updating
- Change to warnings or special precautions for use
- Change to instructions about missed dose
- Change to storage instructions
- Change to further information section
- Change to date of revision
Updated on 08 April 2015
Reasons for updating
- Change to section 6.5 - Nature and contents of container
- Change to section 10 - Date of revision of the text
- Introduction of new pack/pack size
Legal category:Product subject to medical prescription which may not be renewed (A)
Free text change information supplied by the pharmaceutical company
Updated on 25 February 2015
Reasons for updating
- Introduction of new pack/pack size
Updated on 04 November 2013
Reasons for updating
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.8 - Undesirable effects
- Change to Section 4.8 – Undesirable effects - how to report a side effect
- Change to section 10 - Date of revision of the text
Legal category:Product subject to medical prescription which may not be renewed (A)
Free text change information supplied by the pharmaceutical company
Updated on 04 November 2013
Reasons for updating
- Change to side-effects
- Change to date of revision
- Addition of information on reporting a side effect.
Updated on 11 January 2013
Reasons for updating
- Change to warnings or special precautions for use
- Change to side-effects
- Change to drug interactions
- Change to information about drinking alcohol
- Change to information about pregnancy or lactation
- Change to further information section
- Change to date of revision
Updated on 10 January 2013
Reasons for updating
- Change to section 2 - Qualitative and quantitative composition
- Change to section 4.2 - Posology and method of administration
- Change to section 4.3 - Contraindications
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
- Change to section 4.6 - Pregnancy and lactation
- Change to section 4.7 - Effects on ability to drive and use machines
- Change to section 4.8 - Undesirable effects
- Change to section 4.9 - Overdose
- Change to section 5.1 - Pharmacodynamic properties
- Change to section 5.2 - Pharmacokinetic properties
- Change to section 5.3 - Preclinical safety data
- Change to section 6.1 - List of excipients
- Change to section 6.3 - Shelf life
Legal category:Product subject to medical prescription which may not be renewed (A)
Free text change information supplied by the pharmaceutical company
Updated on 11 November 2011
Reasons for updating
- New SPC for new product
Legal category:Product subject to medical prescription which may not be renewed (A)
Free text change information supplied by the pharmaceutical company
Updated on 11 November 2011
Reasons for updating
- New PIL for new product