País: Irlanda
Idioma: inglés
Fuente: HPRA (Health Products Regulatory Authority)
Clozapine
Leyden Delta BV
N05AH; N05AH02
Clozapine
100 milligram(s)
Orodispersible tablet
Diazepines, oxazepines, thiazepines and oxepines; clozapine
2019-04-12
Page 1 of 13 PACKAGE LEAFLET: INFORMATION FOR THE USER LEYDEX ® 12.5 MG ORODISPERSIBLE TABLETS LEYDEX ® 25 MG ORODISPERSIBLE TABLETS LEYDEX ® 50 MG ORODISPERSIBLE TABLETS LEYDEX ® 100 MG ORODISPERSIBLE TABLETS LEYDEX ® 200 MG ORODISPERSIBLE TABLETS clozapine 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 Leydex is and what it is used for 2. What you need to know before you take Leydex 3. How to take Leydex 4. Possible side effects 5. How to store Leydex 6. Contents of the pack and other information 1 WHAT LEYDEX IS AND WHAT IT IS USED FOR The active substance of Leydex is clozapine which belongs to a group of medicines called antipsychotics (medicines that are used to treat specific mental disorders such as psychosis). Leydex is used to treat people with schizophrenia in whom other medicines have not worked. Schizophrenia is a mental illness which affects how you think, feel and behave. You should only use this medicine if you have already tried at least two other antipsychotic medicines, including one of the newer atypical antipsychotics, to treat schizophrenia, and these medicines did not work, or caused severe side effects that cannot be treated. Leydex is also used to treat severe disturbances in the thoughts, emotions and behaviour of people with Parkinson’s disease in whom other medicines have not worked. Page 2 of 13 2 WHAT YOU NEED TO KNOW BEFORE YOU TAKE LEYDEX DO NOT TAKE LEYDEX IF YOU - are allergic (hypersensitive) to clozapine or any of the other ingredients of this medicine Leer el documento completo
Health Products Regulatory Authority 20 July 2022 CRN00CTLN Page 1 of 19 SUMMARY OF PRODUCT CHARACTERISTICS IE Leydex® Official Recommendations The Leydex monitoring service, named ZTAS, was developed in order to manage the risk of agranulocytosis associated with clozapine. It is available 24 hours a day. When a monitoring service is not used, evidence suggests a mortality rate from agranulocytosis of 0.3%[1]. This is compared to a mortality rate when clozapine is used in conjunction with a monitoring service, of 0.01%[2]. ZTAS provides for the centralised monitoring of leukocyte and neutrophil counts which is a mandatory requirement for all patients in Ireland who are treated with Leydex. The use of Leydex is restricted to patients who are registered with ZTAS. In addition to registering their patients, prescribing physicians must register themselves and a nominated pharmacist with ZTAS. All Leydex-treated patients must be under the supervision of an appropriate specialist and supply of Leydex is restricted to hospital and retail pharmacies registered with ZTAS. Leydex is not sold to, or distributed through wholesalers. The patient's white cell count with a differential count must be monitored: At least weekly for the first 18 weeks of treatment At least at 2 week intervals between weeks 18 and 52 After 1 year of treatment with stable blood counts (green range), patients may be monitored at least at 4 week intervals Monitoring must continue throughout treatment and for at least 4 weeks after discontinuation If the blood result of a patient taking Leydex is below the normal range (See Section 4.4), Leyden Delta will contact the physician and pharmacist registered to the patient on ZTAS to inform them. ZTAS maintains a database which includes all patients who have developed abnormal leukocyte or neutrophil findings and who should not be re-exposed to Leydex or any other brand of clozapine. Prescribers and pharmacists should adhere to brand prescribing and dispensing of clozapine in order to preven Leer el documento completo