Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
LEFLUNOMIDE
SANOFI-AVENTIS (MALAYSIA) SDN. BHD.
LEFLUNOMIDE
30Tablet Tablets
Opella Healthcare International SAS
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ 1 ARAVA ® TABLETS Leflunomide (10mg, 20mg) WHAT IS IN THIS LEAFLET 1. What Arava is used for 2. How Arava works 3. Before you use Arava 4. How to use Arava 5. While you are using it 6. Side effects 7. Storage and Disposal of Arava 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT ARAVA IS USED FOR Arava is used to treat adult with: • Active rheumatoid arthritis to improve physical function of the body -Arthritis symptoms include inflammation of joints, swelling, difficulty in moving and pain. Other symptoms that affect the entire body include loss of appetite, fever, loss of energy and anaemia (lack of red blood cells). • Active psoriatic arthritis -Symptoms include patches of red, scaly skin (skin lesions). HOW ARAVA WORKS Arava belongs to a group of medicines called anti-rheumatic medicines. It contains the active substance leflunomide. It works by reducing pain, inflammation, swelling and stiffness over a period of weeks or months by slowing down the disease and its effects on the joints. BEFORE YOU USE ARAVA - _When you must not use it _ Do not take Arava if: • You are allergic (hypersensitive) to leflunomide (especially a serious skin reaction, often accompanied by fever, joint pain, red skin stains, or blisters e.g. Stevens-Johnson syndrome) or to any of the other ingredients of this medicine (listed in Ingredients below). • You have any liver problems • You have moderate to severe kidney problems • You have severely low numbers of proteins in your blood (hypoproteinaemia) • You suffer from any problem which affects your immune system (such as AIDS) • You have any problems with your bone marrow, or if you have low numbers of red or white cells in your blood or a reduced number of platelets • You are suffering from a serious infection • You are pregnant, think you may be pregnant, or are breast-feeding. • You are not using reliable birth control. Do not use this medicine if any of the abov Baca dokumen lengkap
ARAVA 10MG ARAVA 20MG NAME OF THE MEDICINAL PRODUCT Arava 10mg film-coated tablets Arava 20mg film-coated tablets QUALITATIVE AND QUANTITATIVE COMPOSITION Arava 10mg - Each tablet contains 10mg of leflunomide. Arava 20mg - Each tablet contains 20mg of leflunomide. _Excipients with known effect: _ Arava 10mg - Each tablet contains 78mg of lactose monohydrate. Arava 20mg - Each tablet contains 72mg of lactose monohydrate PHARMACEUTICAL FORM Film-coated tablet. Arava 10mg - White to almost white, round film-coated tablet, imprinted with ZBN on one side. Arava 20mg - Yellowish to ochre and triangular film-coated tablet, imprinted with ZBO on one side. CLINICAL PARTICULARS THERAPEUTIC INDICATIONS Leflunomide is indicated for the treatment of adult patients with: • active rheumatoid arthritis as a "disease-modifying antirheumatic drug" (DMARD), to improve physical function, • active psoriatic arthritis. Recent or concurrent treatment with hepatotoxic or haematotoxic DMARDs (e.g. methotrexate) may result in an increased risk of serious adverse reactions; therefore, the initiation of leflunomide treatment has to be carefully considered regarding these benefit/risk aspects. Moreover, switching from leflunomide to another DMARD without following the washout procedure may also increase the risk of serious adverse reactions even for a long time after the switching. POSOLOGY AND METHOD OF ADMINISTRATION The treatment should be initiated and supervised by specialists experienced in the treatment of rheumatoid arthritis and psoriatic arthritis. Alanine aminotransferase (ALT) or serum glutamopyruvate transferase (SGPT) and a complete blood cell count, including a differential white blood cell count and a platelet count, must be checked simultaneously and with the same frequency: • before initiation of leflunomide, • every two weeks during the first six months of treatment, and • every 8 weeks thereafter. _Posology _ • In rheumatoid arthritis: leflunomide therapy is usually started with a loading dose of 100 mg once d Baca dokumen lengkap