CHEMMART

Main information

  • Trade name:
  • CHEMMART DULOXETINE duloxetine (as hydrochloride) 60 mg enteric capsule blister pack
  • Medicine domain:
  • Humans
  • Medicine type:
  • Allopathic drug

Documents

Localization

  • Available in:
  • CHEMMART DULOXETINE duloxetine (as hydrochloride) 60 mg enteric capsule blister pack
    Australia
  • Language:
  • English

Other information

Status

  • Source:
  • Dept. of Health,Therapeutic Goods Administration - Australia
  • Authorization number:
  • 217988
  • Last update:
  • 08-10-2017

Public Assessment Report

Public Summary

Summary for ARTG Entry:

217988

CHEMMART DULOXETINE duloxetine (as hydrochloride) 60 mg enteric capsule blister pack

ARTG entry for

Medicine Registered

Sponsor

Apotex Pty Ltd

Postal Address

PO Box 280,NORTH RYDE BC, NSW, 1670

Australia

ARTG Start Date

20/02/2014

Product category

Medicine

Status

Active

Approval area

Drug Safety Evaluation Branch

Conditions

Conditions applicable to all therapeutic goods as specified in the document "Standard Conditions Applying to Registered or Listed Therapeutic Goods

Under Section 28 of the Therapeutic Goods Act 1989" effective 1 July 1995.

Conditions applicable to the relevant category and class of therapeutic goods as specified in the document "Standard Conditions Applying to Registered

or Listed Therapeutic Goods Under Section 28 of the Therapeutic Goods Act 1989" effective 1 July 1995.

Products

1. CHEMMART DULOXETINE duloxetine (as hydrochloride) 60 mg enteric capsule blister pack

Product Type

Single Medicine Product

Effective date

27/06/2017

Warnings

See Product Information and Consumer Medicine Information for this product

Standard Indications

Specific Indications

Duloxetine capsules are indicated for the treatment of major depressive disorder (MDD). Treatment of Generalised Anxiety Disorder (GAD).

Additional Product information

Container information

Type

Material

Life Time

Temperature

Closure

Conditions

Blister Pack

Al/Al

30 Months

Store below 25

degrees Celsius

Not recorded

Store in Original

Container

Pack Size/Poison information

Pack Size

Poison Schedule

28 capsules

(S4) Prescription Only Medicine

Components

1. CHEMMART DULOXETINE duloxetine (as hydrochloride) 60 mg enteric capsule blister pack

Dosage Form

Capsule, enteric

Route of Administration

Oral

Visual Identification

Opaque blue/opaque green hard gelatin capsule '158' on body and 'A' on

cap with white ink

Active Ingredients

Duloxetine hydrochloride

67.3 mg

© Commonwealth of Australia.This work is copyright.You are not permitted to re-transmit, distribute or commercialise the material without obtaining prior

written approval from the Commonwealth.Further details can be found at http://www.tga.gov.au/about/website-copyright.htm.

Public Summary

Page 1 of

Produced at 26.11.2017 at 05:42:44 AEDT

This is not an ARTG Certificate document.

The onus is on the reader to verify the current accuracy of the information on the document subsequent to the date shown.

Visit www.tga.gov.au for contact information

Patient Information leaflet

Chemmart Duloxetine

Contains the active ingredient duloxetine (as duloxetine hydrochloride)

Consumer Medicine Information

For a copy of a large print leaflet, Ph: 1800 195 055

What is in this leaflet

Read this leaflet carefully before

taking your medicine.

This leaflet answers some common

questions about duloxetine. It does

not contain all the available

information. It does not take the

place of talking to your doctor or

pharmacist.

The information in this leaflet was

last updated on the date listed on the

last page. More recent information on

this medicine may be available.

Ask your doctor or pharmacist:

if there is anything you do not

understand in this leaflet,

if you are worried about taking

your medicine, or

to obtain the most up-to-date

information.

You can also download the most up

to date leaflet from

www.apotex.com.au. All medicines

have risks and benefits. Your doctor

has weighed the risks of you using

this medicine against the benefits

they expect it will have for you.

Pharmaceutical companies cannot

give you medical advice or an

individual diagnosis.

Keep this leaflet with your medicine.

You may want to read it again.

What this medicine is

used for

The name of your medicine is

Chemmart Duloxetine. It contains the

active ingredient duloxetine

hydrochloride.

It is used to treat:

major depressive disorder (MDD)

generalised anxiety disorder

(GAD) - excessive worry.

Ask your doctor if you have any

questions about why this medicine

has been prescribed for you. Your

doctor may have prescribed this

medicine for another reason.

This medicine is available only with

a doctor's prescription.

How it works

Duloxetine belongs to a group of

medicines called serotonin and

noradrenaline reuptake inhibitors

(SNRIs). SNRIs are believed to work

by their action on serotonin and

noradrenaline in the brain. Serotonin

and noradrenaline are the chemical

messengers responsible for

controlling the psychological and

painful symptoms of depression.

Use in children

This medicine should not be used in

children and adolescents under the

age of 18 years.

Before you take this

medicine

When you must not take it

Do not take this medicine if:

You have or have had liver

disease.

You are taking a medicine

called a monoamine oxidase

inhibitor (MAOI), including

moclobemide which is a

reversible MAOI (RIMA), or

have been taking a MAOI

within the last 14 days.

Check with your doctor you are

unsure whether or not you are

taking a MAOI.

You are taking a medicine that

is a potent inhibitor of

CYP1A2, such as fluvoxamine

or ciprofloxacin.

Check with your doctor if you are

unsure whether or not you are

taking a potent inhibitor of

CYP1A2.

You are hypersensitive to, or

have had an allergic reaction to,

duloxetine or any of the

ingredients listed at the end of

this leaflet.

Symptoms of an allergic reaction

may include cough, shortness of

breath, wheezing or difficulty

breathing; swelling of the face,

lips, tongue, throat or other parts

of the body, rash, itching or hives

on the skin; fainting or hayfever-

like symptoms

If you think you are having an

allergic reaction, do not take

any more of the medicine and

contact your doctor

immediately or go to the

Accident and Emergency

department at the nearest

hospital.

The expiry date (EXP) printed on

the pack has passed.

CHEMMART DULOXETINE

The packaging is torn, shows

signs of tampering or it does not

look quite right.

Before you start to take it

Before you start taking this

medicine, tell your doctor if:

You have allergies to:

any other medicines

any other substances, such as

foods, preservatives or dyes.

You have or have had any

medical conditions, especially the

following:

glaucoma (an eye disease where

the fluid pressure in the eye may

be high)

high blood pressure

heart problems

kidney problems

history of fits (seizures)

diabetes.

You, or members of your family,

have experienced bipolar

disorder, depression or suicide.

You are currently pregnant or you

plan to become pregnant.

Do not take this medicine whilst

pregnant until you and your

doctor have discussed the risks

and benefits involved.

You are currently breast-feeding

or you plan to breast-feed.

Do not take this medicine whilst

breast-feeding until you and your

doctor have discussed the risks

and benefits involved.

You are planning to have surgery

or an anaesthetic.

You are currently receiving or are

planning to receive dental

treatment.

You drink alcohol.

People who drink excessive

amounts of alcohol should not

take duloxetine. Drinking too

much alcohol could increase the

risk of liver problems during

treatment with duloxetine.

You are taking or are planning to

take any other medicines.

This includes vitamins and

supplements that are available

from your pharmacy, supermarket

or health food shop.

Some medicines may interact with

duloxetine. These include:

monoamine oxidase inhibitors

(MAOIs), medicines used to treat

some types of depression.

You must stop taking MAOIs at

least two weeks before starting

duloxetine.

You must stop taking

duloxetine at least 5 days before

you start taking a MAOI.

other medicines used to treat

depression, panic disorder,

anxiety or obsessive illnesses,

including tryptophan

strong painkillers such as

tramadol, pethidine

a type of migraine treatment

called 'triptans', such as

sumatriptan or zolmitriptan

medicines used to treat stress

urinary incontinence such as

tolteridone

medicines used to treat heart

problems such as flecainide or

propafenone

thioridazine, a medicine used to

treat schizophrenia

herbal medicines such as St

John's Wort (Hypericum

perforatum)

warfarin, a medicine used to thin

the blood (anticoagulant).

If you are taking any of these you

may need a different dose or you

may need to take different medicines.

Other medicines not listed above

may also interact with duloxetine.

How to take this

medicine

Follow carefully all directions given

to you by your doctor. Their

instructions may be different to the

information in this leaflet.

How much to take

Your doctor will tell you how much

of this medicine you should take.

This will depend on your condition

and whether you are taking any other

medicines.

Do not stop taking your medicine or

change your dosage without first

checking with your doctor.

For major depressive disorder, the

recommended dose is usually one

60mg capsule once daily.

For generalised anxiety disorder, the

recommended dose is 30mg to

120mg, taken once daily.

You may be started on a lower dose

to help reduce side effects. If you

have severe kidney disease, the

recommended starting dose is one

30mg capsule once daily.

How to take it

Swallow the capsule whole with a

full glass of water.

Do not open the capsules and crush

the pellets inside because the

medicine may not work as well.

Duloxetine may be taken with or

without meals.

When to take it

Take this medicine at the same time

each day. Taking it at the same time

each day will have the best effect and

will also help you remember when to

take it.

It does not matter if you take it

before, with or after food.

How long to take it for

Continue taking your medicine for as

long as your doctor tells you.

Make sure you have enough to last

over weekends and holidays.

If you forget to take it

If it is almost time to take your next

dose, skip the missed dose and take

your next dose at the usual time.

CHEMMART DULOXETINE

Otherwise take it as soon as you

remember and then go back to taking

your medicine as you would

normally.

Do not take a double dose to make

up for missed doses.

This may increase the chance of you

experiencing side effects.

If you have trouble remembering to

take your medicine, ask your

pharmacist for some hints to help you

remember.

If you take too much

(overdose)

If you think that you or anyone

else may have taken too much of

this medicine, immediately

telephone your doctor or the

Poisons Information Centre (Tel:

13 11 26 in Australia) for advice.

Alternatively go to the Accident

and Emergency Department at

your nearest hospital.

Do this even if there are no signs of

discomfort or poisoning. You may

need urgent medical attention.

Symptoms of an overdose may

include drowsiness, convulsions and

vomiting. They may also include

feeling confused, feeling restless,

sweating, shaking, shivering,

hallucinations, muscle jerks, or fast

heartbeat.

While you are taking

this medicine

Things you must do

Tell your doctor that you are taking

this medicine if you:

are about to be started on any new

medicine

are pregnant or are planning to

become pregnant

are breast-feeding or are planning

to breast-feed

are about to have any blood tests

are going to have surgery or an

anaesthetic or are going into

hospital.

Tell any other doctors, dentists and

pharmacists who are treating you that

you take this medicine.

Tell your doctor immediately if

you have any suicidal thoughts or

other mental/mood changes.

Occasionally, the symptoms of

depression or other psychiatric

conditions may include thoughts of

harming yourself or committing

suicide. These symptoms may

continue or get worse during the first

one or two months of treatment, until

the full antidepressant effect of the

medicine becomes apparent. This is

more likely to occur in young adults

under 25 years of age.

All mention of suicide or violence

must be taken seriously. Contact

your doctor or a mental health

professional right away or go to the

nearest hospital for treatment if

you or someone you know is

showing any of the following

warning signs of suicide:

worsening of your depression

thoughts or talk of death or

suicide

thoughts or talk of self-harm or

harm to others

any recent attempts of self-harm

increase in aggressive behaviour,

irritability or any other unusual

changes in behaviour or mood.

If you notice any of the following,

contact your doctor immediately:

itchy skin

dark urine

yellowing of the skin or eyes

tenderness over the liver

symptoms of the 'flu'.

These could be signs of liver

damage.

Your doctor may occasionally do

tests to make sure the medicine is

working and to prevent side effects.

Visit your doctor regularly for a

check-up.

Things you must not do

Do not:

Give this medicine to anyone

else, even if their symptoms seem

similar to yours

Take your medicine to treat any

other condition unless your

doctor tells you to

Stop taking your medicine, or

change the dosage, without first

checking with your doctor.

Things to be careful of

Be careful when driving or operating

machinery until you know how this

medicine affects you. It may cause

dizziness or drowsiness.

Be careful when drinking alcohol

while you are taking this medicine.

You should avoid 'binge drinking' or

drinking excessively during

treatment with duloxetine as it can

cause severe liver injury.

Drinking alcohol with duloxetine

may also cause dizziness or

drowsiness in some people. If you

have any of these symptoms, do not

drive, operate machinery or do

anything else that could be

dangerous.

Possible side effects

Tell your doctor as soon as possible

if you do not feel well while you are

taking duloxetine or if you have any

questions or concerns.

Do not be alarmed by the following

lists of side effects. You may not

experience any of them. All

medicines can have side effects.

Sometimes they are serious but most

of the time they are not.

Tell your doctor or pharmacist if

you notice any of the following and

they worry you.

This list includes the more common

side effects. Mostly, these are mild:

dry mouth, mouth ulcers, thirst,

bad taste

CHEMMART DULOXETINE

burping or belching, indigestion,

stomach pain, nausea, vomiting

difficulty swallowing

constipation, diarrhoea, wind

(flatulence)

bad breath

loss of appetite, weight loss

headache

trouble sleeping

dream abnormalities

drowsiness

feeling tired or having no energy

dizziness

tremor

blurred vision

feeling anxious, agitated or

restless

confusion and attention problems

tingling and numbness of hands,

face, mouth and feet

yawning or throat tightness

sexual problems

pain in testicles

difficulty urinating (passing

water), urinating frequently or

needing to urinate at night

irregular heart beat

hot and cold sweats

flushing

skin rash

tendency to bruise

sore ears, sore throat

ringing in ears

muscle pain, stiffness or

twitching

walking problems

restless legs.

Tell your doctor as soon as possible

if you notice any of the following.

These may be serious side effects.

You may need medical attention.

Most of these side effects are rare.

signs of a possible liver problem

such as itchy skin, dark urine,

yellowing of the skin or eyes,

tenderness over the liver,

symptoms of the 'flu'

high pressure in the eye

(glaucoma)

feeling tired, weak or confused

and having aching, stiff or

uncoordinated muscles.

This may be because you have

low sodium levels in the blood

(hyponatraemia or syndrome of

inappropriate antidiuretic

hormone)

abdominal pain, traces of blood in

your stools, or if your stools are

dark in colour. This may because

you have increased bleeding,

possibly in the gastric tract

(gastrointestinal bleeding). You

may also feel weakness, dizziness

and experience nausea and/or

vomiting

seeing or hearing things

(hallucinations)

dizziness or fainting when you

stand up, especially from a lying

or sitting position

uncontrollable movements

if you have some or all of the

following symptoms you may

have something called serotonin

syndrome: feeling confused,

feeling restless, sweating,

shaking, shivering, hallucinations,

sudden jerks in your muscles or a

fast heart beat

stiff neck or jaw muscles

(lockjaw)

fits or seizures

mood of excitement, over-activity

and uninhibited behaviour.

aggression or anger especially

after starting or stopping taking

this medicine.

Other changes you may not be aware

increased blood pressure

heart rhythm changes

underactive thyroid gland

liver function changes.

Other side effects not listed above

may occur in some patients.

Allergic reactions

If you think you are having an

allergic reaction to duloxetine, do

not take any more of this medicine

and tell your doctor immediately

or go to the Accident and

Emergency department at your

nearest hospital.

Symptoms of an allergic reaction

may include some or all of the

following:

cough, shortness of breath,

wheezing or difficulty breathing.

swelling of the face, lips, tongue,

or other parts of the body

rash, itching or hives on the skin

fainting

hayfever-like symptoms.

Storage and disposal

Storage

Keep your medicine in its original

packaging until it is time to take it.

If you take your medicine out of its

original packaging it may not keep

well.

Keep your medicine in a cool dry

place where the temperature will

stay below 25°C.

Do not store your medicine, or any

other medicine, in the bathroom or

near a sink. Do not leave it on a

window sill or in the car. Heat and

dampness can destroy some

medicines.

Keep this medicine where children

cannot reach it.

A locked cupboard at least one-and-

a-half metres above the ground is a

good place to store medicines.

Disposal

If your doctor or pharmacist tells you

to stop taking this medicine or it has

passed its expiry date, your

pharmacist can dispose of the

remaining medicine safely.

CHEMMART DULOXETINE

Product description

What Chemmart Duloxetine

looks like

30 mg capsules: Hard gelatin

capsules with white opaque body

and blue opaque cap, imprinted

"157" on the body and "A" on the

cap in green ink. Filled with

white to off-white granules.

Blister packs of 28 capsules.

60 mg capsules: Hard gelatin

capsules with green opaque body

and blue opaque cap, imprinted

"158" on the body and "A" on the

cap in white ink. Filled with

white to off-white granules.

Blister packs of 28 capsules.

Chemmart Duloxetine is available

in*:

30 mg:

Blister packs of 28

60 mg:

Blister packs of 28

* Not all strengths, pack types and/or

pack sizes may be available

Ingredients

Each capsule contains 30 mg or 60

mg of duloxetine (as hydrochloride)

as the active ingredient.

It also contains the following inactive

ingredients:

Sugar Spheres (ARTG ID 2535)

hypromellose

purified talc

purified water

sucrose

hypromellose phthalate

triethyl citrate

gelatin

titanium dioxide

brilliant blue FCF

iron oxide yellow (60 mg capsule

only)

Tekprint SB-4020 Green Ink

(ARTG ID 2652; 30 mg capsule

only)

TekPrint SW-0012 White Ink

(ARTG ID 13175; 60 mg capsule

only).

This medicine is gluten-free, lactose-

free, tartrazine-free and free of other

azo dyes.

Australian Registration

Numbers

Chemmart Duloxetine 30mg blister

pack: AUST R 217987.

Chemmart Duloxetine 60mg blister

pack: AUST R 217988.

Sponsor

Apotex Pty Ltd

16 Giffnock Avenue

Macquarie Park NSW 2113

This leaflet was last updated in:

June 2016

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12-6-2018

EU/3/10/811 (Celgene Europe B.V.)

EU/3/10/811 (Celgene Europe B.V.)

EU/3/10/811 (Active substance: N-tert-butyl-3-[(5-methyl-2-{[4-(2-pyrrolidin-1-ylethoxy)phenyl]amino}pyrimidin-4-yl)amino] benzenesulfonamide dihydrochloride monohydrate) - Transfer of orphan designation - Commission Decision (2018)3809 of Tue, 12 Jun 2018 European Medicines Agency (EMA) procedure number: EMA/OD/092/10/T/03

Europe -DG Health and Food Safety

12-6-2018

EU/3/10/810 (Celgene Europe B.V.)

EU/3/10/810 (Celgene Europe B.V.)

EU/3/10/810 (Active substance: N-tert-butyl-3-[(5-methyl-2-{[4-(2-pyrrolidin-1-ylethoxy)phenyl]amino}pyrimidin-4-yl)amino] benzenesulfonamide dihydrochloride monohydrate) - Transfer of orphan designation - Commission Decision (2018)3808 of Tue, 12 Jun 2018 European Medicines Agency (EMA) procedure number: EMA/OD/084/10/T/03

Europe -DG Health and Food Safety

12-6-2018

EU/3/10/794 (Celgene Europe B.V.)

EU/3/10/794 (Celgene Europe B.V.)

EU/3/10/794 (Active substance: N-tert-butyl-3-[(5-methyl-2-{[4-(2-pyrrolidin-1-ylethoxy)phenyl]amino}pyrimidin-4-yl)amino] benzenesulfonamide dihydrochloride monohydrate) - Transfer of orphan designation - Commission Decision (2018)3803 of Tue, 12 Jun 2018 European Medicines Agency (EMA) procedure number: EMA/OD/069/10/T/03

Europe -DG Health and Food Safety

12-6-2018

EU/3/11/888 (Gilead Sciences Ireland UC)

EU/3/11/888 (Gilead Sciences Ireland UC)

EU/3/11/888 (Active substance: N-(cyanomethyl)-4-(2-{[4-(morpholin-4-yl)phenyl]amino}pyrimidin-4-yl)benzamide, dihydrochloride salt) - Transfer of orphan designation - Commission Decision (2018)3802 of Tue, 12 Jun 2018 European Medicines Agency (EMA) procedure number: EMA/OD/152/10/T/03

Europe -DG Health and Food Safety

12-6-2018

EU/3/11/887 (Gilead Sciences Ireland UC)

EU/3/11/887 (Gilead Sciences Ireland UC)

EU/3/11/887 (Active substance: N-(cyanomethyl)-4-(2-{[4-(morpholin-4-yl)phenyl]amino}pyrimidin-4-yl)benzamide, dihydrochloride salt) - Transfer of orphan designation - Commission Decision (2018)3801 of Tue, 12 Jun 2018 European Medicines Agency (EMA) procedure number: EMA/OD/020/11/T/03

Europe -DG Health and Food Safety

12-6-2018

EU/3/11/886 (Gilead Sciences Ireland UC)

EU/3/11/886 (Gilead Sciences Ireland UC)

EU/3/11/886 (Active substance: N-(cyanomethyl)-4-(2-{[4-(morpholin-4-yl)phenyl]amino}pyrimidin-4-yl)benzamide, dihydrochloride salt) - Transfer of orphan designation - Commission Decision (2018)3799 of Tue, 12 Jun 2018 European Medicines Agency (EMA) procedure number: EMA/OD/019/11/T/03

Europe -DG Health and Food Safety

30-5-2018

Eviplera (Gilead Sciences Ireland UC)

Eviplera (Gilead Sciences Ireland UC)

Eviplera (Active substance: emtricitabine / rilpivirine (as hydrochloride) / tenofovir disoproxil (as fumarate)) - Centralised - Transfer Marketing Authorisation Holder - Commission Decision (2018)3453 of Wed, 30 May 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/2312/T/91

Europe -DG Health and Food Safety

30-5-2018

Vokanamet (Janssen-Cilag International NV)

Vokanamet (Janssen-Cilag International NV)

Vokanamet (Active substance: canagliflozin / metformin hydrochloride) - Centralised - Yearly update - Commission Decision (2018)3463 of Wed, 30 May 2018

Europe -DG Health and Food Safety

29-5-2018

EU/3/18/2017 (Spedding Research Solutions SAS)

EU/3/18/2017 (Spedding Research Solutions SAS)

EU/3/18/2017 (Active substance: Ambroxol hydrochloride) - Orphan designation - Commission Decision (2018)3384 of Tue, 29 May 2018 European Medicines Agency (EMA) procedure number: EMA/OD/236/17

Europe -DG Health and Food Safety

24-5-2018

Velmetia (Merck Sharp and Dohme Limited)

Velmetia (Merck Sharp and Dohme Limited)

Velmetia (Active substance: sitagliptin / metformin hydrochloride) - PSUSA - Modification - Commission Decision (2018)3261 of Thu, 24 May 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/PSUSA/2003/201708

Europe -DG Health and Food Safety

24-5-2018

Ristfor (Merck Sharp and Dohme Limited)

Ristfor (Merck Sharp and Dohme Limited)

Ristfor (Active substance: sitagliptin / metformin hydrochloride) - PSUSA - Modification - Commission Decision (2018)3262 of Thu, 24 May 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/PSUSA/2003/201708

Europe -DG Health and Food Safety

24-5-2018

Janumet (Merck Sharp and Dohme Limited)

Janumet (Merck Sharp and Dohme Limited)

Janumet (Active substance: sitagliptin / metformin hydrochloride) - PSUSA - Modification - Commission Decision (2018)3260 of Thu, 24 May 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/PSUSA/2003/201708

Europe -DG Health and Food Safety

24-5-2018

Efficib (Merck Sharp and Dohme Limited)

Efficib (Merck Sharp and Dohme Limited)

Efficib (Active substance: sitagliptin / metformin hydrochloride) - PSUSA - Modification - Commission Decision (2018)3276 of Thu, 24 May 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/PSUSA/2003/201708

Europe -DG Health and Food Safety

21-5-2018

EU/3/14/1353 (Lupin Europe GmbH)

EU/3/14/1353 (Lupin Europe GmbH)

EU/3/14/1353 (Active substance: Mexiletine hydrochloride) - Transfer of orphan designation - Commission Decision (2018)3134 of Mon, 21 May 2018 European Medicines Agency (EMA) procedure number: EMA/OD/074/14/T/03

Europe -DG Health and Food Safety