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Pramipexol Teva Pharma

Document: Pramipexol Teva Pharma Prolonged-release tablet ENG PL change

Package leaflet: Information for the user


Pramipexol Teva Pharma 0.26 mg prolonged-release tablets

Pramipexol Teva Pharma 0.52 mg prolonged-release tablets

Pramipexol Teva Pharma 1.05 mg prolonged-release tablets

Pramipexol Teva Pharma 1.57 mg prolonged-release tablets

Pramipexol Teva Pharma 2.1 mg prolonged-release tablets

Pramipexol Teva Pharma 2.62 mg prolonged-release tablets

Pramipexol Teva Pharma3.15 mg prolonged-release tablets


Pramipexole


Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.


What is in this leaflet

What Pramipexol Teva Pharma is and what it is used for

What you need to know before you take Pramipexol Teva Pharma

How to take Pramipexol Teva Pharma

Possible side effects

How to store Pramipexol Teva Pharma

Contents of the pack and other information


What Pramipexol Teva Pharma is and what it is used for


Pramipexol Teva Pharma belongs to a group of medicines known as dopamine agonists, which stimulate dopamine receptors in the brain. Stimulation of the dopamine receptors triggers nerve impulses in the brain that help to control body movements.


Pramipexol Teva Pharmais used to treat the symptoms of primary Parkinson’s disease in adults. It can be used alone or in combination with levodopa (another medicine for Parkinson’s disease).


What you need to know before you take Pramipexol Teva Pharma


Do not take Pramipexol Teva Pharma

if you are allergic to pramipexole or to any of the other ingredients of this medicine (listed in section 6).


Warnings and precautions

Talk to your doctor before taking Pramipexol Teva Pharma.Tell your doctor if you have (had) or develop any medical conditions or symptoms, especially any of the following:


Tell your doctor if you or your family/carer notices that you are developing urges or cravings to behave in ways that are unusual for you and you cannot resist the impulse, drive or temptation to carry out certain activities that could harm yourself or others. These are called impulse control disorders and can include behaviours such as addictive gambling, excessive eating or spending, an abnormally high sex drive or preoccupation with an increase in sexual thoughts or feelings. Your doctor may need to adjust or stop your dose.


Tell your doctor if you or your family/carer notices that you are developing mania (agitation, feeling elated or over-excited) or delirium (decreased awareness, confusion, loss of reality). Your doctor may need to adjust or stop your dose.


Children and adolescents

Pramipexol Teva Pharmais not recommended for use in children or adolescents under 18 years.


Other medicines and Pramipexol Teva Pharma

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines, herbal remedies, health foods or supplements that you have obtained without a prescription.


You should avoid taking Pramipexol Teva Pharmatogether with antipsychotic medicines.


Take care if you are taking the following medicines:


If you are taking levodopa, the dose of levodopa is recommended to be reduced when you start treatment with Pramipexol Teva Pharma.


Take care if you are using any medicines that calm you down (have a sedative effect) or if you are drinking alcohol. In these cases Pramipexol Teva Pharmamay affect your ability to drive and operate machinery.


Pramipexol Teva Pharmawith food, drink and alcohol

You should be cautious while drinking alcohol during treatment with Pramipexol Teva Pharma.

Pramipexol Teva Pharma can be taken with or without food.


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.Your doctor will then discuss with you if you should continue to take Pramipexol Teva Pharma.


The effect of Pramipexol Teva Pharmaon the unborn child is not known. Therefore, do not take Pramipexol Teva Pharmaif you are pregnant unless your doctor tells you to do so.


Pramipexol Teva Pharmashould not be used during breast-feeding. Pramipexol Teva Pharmacan reduce the production of breast milk. Also, it can pass into the breast milk and can reach your baby. If use of Pramipexol Teva Pharmais unavoidable, breast-feeding should be stopped.


Ask your doctor or pharmacist for advice before taking any medicine.


Driving and using machines

Pramipexol Teva Pharmacan cause hallucinations (seeing, hearing or feeling things that are not there). If affected, do not drive or use machines.


Pramipexol Teva Pharmahas been associated with sleepiness and episodes of suddenly falling asleep, particularly in patients with Parkinson’s disease. If you experience these side effects, you must not drive or operate machinery. You should tell your doctor if this occurs.


How to take Pramipexol Teva Pharma


Always take this medicineexactly as your doctor or pharmacisthas told you. Check with your doctor or pharmacist if you are not sure. The doctor will advise you on the right dosing.


Take Pramipexol Teva Pharma prolonged-release tablets only once a day and each day at about the same time.

You can take Pramipexol Teva Pharmawith or without food. Swallow the tablets whole with water.


D o not chew, divide or crush the prolonged-release tablets.

If you do, there is a danger you could overdose, because

the medicine may be released into your body too quickly.


During the first week, the usual daily dose is 0.26 mg pramipexole. The dose will be increased every 5-7 days as directed by your doctor until your symptoms are controlled (maintenance dose).


Ascending dose schedule of Pramipexol Teva Pharma prolonged-release tablets

Week

Daily dose (mg)

Number of tablets

1

0.26

One Pramipexol Teva Pharma 0.26 mg prolonged-release tablet.

2

0.52

One Pramipexol Teva Pharma 0.52 mg prolonged-release tablet,

OR

two Pramipexol Teva Pharma 0.26 mg prolonged-release tablets.

3

1.05

One Pramipexol Teva Pharma 1.05 mg prolonged-release tablet,

OR

two Pramipexol Teva Pharma 0.52 mg prolonged-release tablets,

OR

four Pramipexol Teva Pharma 0.26 mg prolonged-release tablets.


The usual maintenance dose is 1.05 mg per day. However, your dose may have to be increased even further. If necessary, your doctor may increase your dose up to a maximum of 3.15 mg of pramipexole a day. A lower maintenance dose of one Pramipexol Teva Pharma0.26 mg prolonged-release tablet a day is also possible.


Patients with kidney disease

If you have kidney disease, your doctor may advise you to take the usual starting dose of 0.26 mg prolonged-release tablets only every other day for the first week. After that, your doctor may increase the dosing frequency to one 0.26 mg prolonged-release tablet every day. If a further dose increase is necessary, your doctor may adjust it in steps of 0.26 mg pramipexole.

If you have serious kidney problems, your doctor may need to switch you to a different pramipexole medicine. If during treatment your kidney problems get worse, you should contact your doctor as soon as possible.


If you are switching from pramipexole(immediate release) tablets

Your doctor will base your dose of pramipexoleprolonged-release tablets on the dose of pramipexole(immediate release) tablets you were taking.


Take your pramipexole(immediate release) tablets as normal the day before you switch. Then take your pramipexole prolonged-release tablets next morning and do not take any more pramipexole (immediate release) tablets.


If you take more Pramipexol Teva Pharma than you should

If you accidentally take too many tablets,


If you forget to take Pramipexol Teva Pharma

If you forget to take a dose of Pramipexol Teva Pharma, but remember within 12 hours of your usual time, take your tablet straightaway and then take your next tablet at the usual time.

If you forget for more than 12 hours, simply take the next single dose at the usual time. Do not take a double dose to make up for a forgotten tablet dose.


If you stop taking Pramipexol Teva Pharma

Do not stop taking Pramipexol Teva Pharmawithout first talking to your doctor. If you have to stop taking this medicine, your doctor will reduce the dose gradually. This reduces the risk of worsening symptoms.


If you suffer from Parkinson’s disease you should not stop treatment with Pramipexol Teva Pharmaabruptly. A sudden stop could cause you to develop a medical condition called neuroleptic malignant syndrome which may represent a major health risk. The symptoms include:


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


4. Possible side effects


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

these side effects is based on the following frequencies:


Very common

may affect more than 1 in 10 people

Common

may affect up to 1 in 10 people

Uncommon

may affect up to 1 in 100 people

Rare

may affect up to 1 1,000 people


You may experience the following side effects:


Very common:


Common:


Uncommon:

Delirium (decreased awareness, confusion, loss of reality)


Rare:

Mania (agitation, feeling elated or over-excited)


Tell your doctor if you experience any of these behaviors; he will discuss ways of managing or reducing the symptoms.


For the side effects marked with * a precise frequency estimation is not possible, since these side effects were not observed in clinical studies among 2,762 patients treated with pramipexole. The frequency category is probably not greater than “uncommon”.


Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet.

You can also report side effects directly via the national reporting system listed in [To be completed nationally].By reporting side effects you can help provide more information on the safety of this medicine.


5. How to store Pramipexol Teva Pharma


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 after EXP. The expiry date refers to the last day of that month.


This medicine does not require any special storage conditions.


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 Pramipexol Teva Pharma prolonged-release tablets contains

The active substance is pramipexole.


Each tablet contains 0.26 mg, 0.52 mg, 1.05 mg, 1.57 mg, 2.1 mg, 2.62 mg, or 3.15 mg pramipexole as 0.375 mg, 0.75 mg, 1.5 mg, 2.25 mg, 3 mg, 3.75 mg, or 4.5 mg pramipexole dihydrochloride monohydrate, respectively.


The other excipient(s) are hypromellose, anhydrous calcium hydrogen phosphate, magnesium stearate and colloidal anhydrous silica.


What Pramipexol Teva Pharma prolonged-release tablets looks like and contents of the pack

Pramipexol Teva Pharma 0.26 mg prolonged-release tablets: The round tablets of 9 mm diameter are white or nearly white, have a flat surface with beveled edges and are marked with 026 on one side

Pramipexol Teva Pharma 0.52 mg prolonged-release tablets: The round tablets of 10 mm diameter are white or nearly white, biconvex and are marked with 052 on one side

Pramipexol Teva Pharma 1.05 mg prolonged-release tablets: The round tablets of 10 mm diameter are white or nearly white, biconvex, and are marked with 105 on one side

Pramipexol Teva Pharma 1.57 mg prolonged-release tablets: The round tablets of 10 mm diameter are white or nearly white, biconvex and are marked with 157 on one side

Pramipexol Teva Pharma 2.1 mg prolonged-release tablets: The round tablets of 10 mm diameter are white or nearly white, biconvex and are marked with 210 on one side

Pramipexol Teva Pharma 2.62 mg prolonged-release tablets: The round tablets of 10 mm diameter are white or nearly white, biconvex and are marked with 262 on one side

Pramipexol Teva Pharma 3.15 mg prolonged-release tablets: The round tablets of 11 mm diameter are white or nearly white, have a flat surface with beveled edges and are marked with 315 on one side


Pramipexol Teva Pharma is available in packs containing 10, 30 and 100 prolonged-release tablets in aluminium blisters.


Not all pack sizes may be marketed.


Marketing Authorisation Holder and Manufacturer


[To be completed nationally]


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


[To be completed nationally]


This leaflet was last revised in1 December 2014