Country: Malta
Bahasa: Inggeris
Sumber: Medicines Authority
CLOZAPINE
Synthon BV Microweg 22, 6545 CM Nijmegen, Netherlands
N05AH02
CLOZAPINE 100 mg
ORODISPERSIBLE TABLET
CLOZAPINE 100 mg
POM
PSYCHOLEPTICS
Withdrawn
2019-01-09
Page 1 of 13 PACKAGE LEAFLET: INFORMATION FOR THE USER MERBARIL 12.5 MG TABLETS MERBARIL 25 MG TABLETS MERBARIL 50 MG TABLETS MERBARIL 100 MG TABLETS MERBARIL 200 MG 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 Merbaril is and what it is used for 2. What you need to know before you take Merbaril Tablets 3. How to take Merbaril Tablets 4. Possible side effects 5. How to store Merbaril Tablets 6. Contents of the pack and other information 1 WHAT MERBARIL TABLETS IS AND WHAT IT IS USED FOR Merbaril Tablets contains the active substance clozapine. Merbaril Tablets belongs to a group of medicines called antipsychotics (medicines that are used to treat specific mental disorders such as psychosis). Merbaril Tablets 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. Merbaril Tablets 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. 2 WHAT YOU NEED TO KNOW BEFORE YOU TAKE MERBARIL TABLETS DO NOT TAKE MERBARIL TABLETS Page 2 of 13 - if you are allergic (hypersensitive) to clozapine or any of the other i Baca dokumen lengkap
Page 1 of 26 CLOZAPINE CAN CAUSE AGRANULOCYTOSIS. ITS USE SHOULD BE LIMITED TO PATIENTS: - WITH SCHIZOPHRENIA WHO ARE NON-RESPONSIVE TO OR INTOLERANT OF ANTIPSYCHOTIC MEDICATION, OR WITH PSYCHOSIS IN PARKINSON’S DISEASE WHEN OTHER TREATMENT STRATEGIES HAVE FAILED (SEE SECTION 4.1), - WHO HAVE INITIALLY NORMAL LEUKOCYTE FINDINGS (WHITE BLOOD CELL COUNT ≥ 3500/MM 3 (≥ 3.5X10 9 /L), AND ANC ≥ 2000/MM 3 (≥ 2.0X10 9 /L)), AND - IN WHOM REGULAR WHITE BLOOD CELL (WBC) COUNTS AND ABSOLUTE NEUTROPHIL COUNTS (ANC) CAN BE PERFORMED AS FOLLOWS: WEEKLY DURING THE FIRST 18 WEEKS OF TREATMENT, AND AT LEAST EVERY 4 WEEKS THEREAFTER THROUGHOUT TREATMENT. MONITORING MUST CONTINUE THROUGHOUT TREATMENT AND FOR 4 WEEKS AFTER COMPLETE DISCONTINUATION OF CLOZAPINE (SEE SECTION 4.4). PRESCRIBING PHYSICIANS MUST COMPLY FULLY WITH THE REQUIRED SAFETY MEASURES. AT EACH CONSULTATION, A PATIENT RECEIVING CLOZAPINE MUST BE REMINDED TO CONTACT THE TREATING PHYSICIAN IMMEDIATELY IF ANY KIND OF INFECTION BEGINS TO DEVELOP. PARTICULAR ATTENTION MUST BE PAID TO FLU- LIKE COMPLAINTS SUCH AS FEVER OR SORE THROAT AND TO OTHER EVIDENCE OF INFECTION, WHICH MAY BE INDICATIVE OF NEUTROPENIA (SEE SECTION 4.4). CLOZAPINE MUST BE DISPENSED UNDER STRICT MEDICAL SUPERVISION IN ACCORDANCE WITH OFFICIAL RECOMMENDATIONS (SEE SECTION 4.4). MYOCARDITIS CLOZAPINE IS ASSOCIATED WITH AN INCREASED RISK OF MYOCARDITIS WHICH HAS, IN RARE CASES, BEEN FATAL. THE INCREASED RISK OF MYOCARDITIS IS GREATEST IN THE FIRST 2 MONTHS OF TREATMENT. FATAL CASES OF CARDIOMYOPATHY HAVE ALSO BEEN REPORTED RARELY (SEE SECTION 4.4). MYOCARDITIS OR CARDIOMYOPATHY SHOULD BE SUSPECTED IN PATIENTS WHO EXPERIENCE PERSISTENT TACHYCARDIA AT REST, ESPECIALLY IN THE FIRST 2 MONTHS OF TREATMENT, AND/OR PALPITATIONS, ARRHYTHMIAS, CHEST PAIN AND OTHER SIGNS AND SYMPTOMS OF HEART FAILURE (E.G. UNEXPLAINED FATIGUE, DYSPNOEA, TACHYPNOEA) OR SYMPTOMS THAT MIMIC MYOCARDIAL INFARCTION (SEE SECTION 4.4). IF MYOCARDITIS OR CARDIOMYOPATHY ARE SUSPECTED, CLOZAPINE TREATMENT SHOULD BE PROMPTLY STOPPE Baca dokumen lengkap