Држава: Европска Унија
Језик: Енглески
Извор: EMA (European Medicines Agency)
Mexiletine hydrochloride
Lupin Europe GmbH
C01BB02
mexiletine hcl
Cardiac therapy
Myotonic Disorders
Namuscla is indicated for the symptomatic treatment of myotonia in adult patients with non-dystrophic myotonic disorders.
Revision: 5
Authorised
2018-12-18
Internal Doc Ref: v6.6 22 B. PACKAGE LEAFLET Internal Doc Ref: v6.6 23 PACKAGE LEAFLET: INFORMATION FOR THE PATIENT NAMUSCLA 167 MG HARD CAPSULES mexiletine 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. There is an ALERT CARD distributed with Namuscla, to remind you and medical staff of the risk of cardiac arrythmias. READ THE ALERT CARD IN CONJUNCTION WITH THIS LEAFLET AND KEEP THE CARD IT WITH YOU AT ALL TIMES . WHAT IS IN THIS LEAFLET 1. What Namuscla is and what it is used for 2. What you need to know before you take Namuscla 3. How to take Namuscla 4. Possible side effects 5. How to store Namuscla 6. Contents of the pack and other information 1. WHAT NAMUSCLA IS AND WHAT IT IS USED FOR Namuscla is a medicine that contains the active substance mexiletine. Namuscla is used to treat the symptoms of myotonia (when muscles relax slowly and with difficulty after they are used) in adults with non-dystrophic myotonic disorders, which are caused by genetic defects that affect muscle function. 2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE NAMUSCLA _ _ DO NOT TAKE NAMUSCLA - if you are allergic to mexiletine or to any of the other ingredients of this medicine (listed in section 6) - if you are allergic to any local anaesthetic - if you have had heart attack - if your heart does not work well enough - if you have certain disorders of the heart rhythm - if your heart beats too fast - if the blood vessels of your heart are damaged - if you also take certain medicines to treat disorders of the heart rhythm (see Other medicines and Namuscla Прочитајте комплетан документ
Internal Doc Ref: v6.6 1 ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS Internal Doc Ref: v6.6 2 1. NAME OF THE MEDICINAL PRODUCT Namuscla 167 mg hard capsules 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each capsule contains mexiletine hydrochloride corresponding to 166.62 mg mexiletine . For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Hard capsule (capsule). Namuscla capsules are Swedish orange hard shell gelatin capsules (20 mm) filled with white powder. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Namuscla is indicated for the symptomatic treatment of myotonia in adult patients with non- dystrophic myotonic disorders. _ _ 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology The recommended starting dose of mexiletine is 167 mg daily (1 capsule per day). After at least 1 week of treatment, based on the clinical response, the daily dose can be increased to 333 mg daily (2 capsules per day). After at least 1 further week of treatment, based on clinical response, dose can be further increased to 500 mg daily (3 capsules per day). Maintenance treatment is between 167 mg – 500 mg daily (1 to 3 capsules per day), according to the intensity of symptoms and the clinical response, taken regularly throughout the day. The dose should not exceed 500 mg/day. Regular reassessment should be implemented, not to continue long-term treatment in a patient not responding or not experiencing benefit of the treatment. Before starting mexiletine treatment, detailed and careful cardiac evaluation should be carried out; throughout treatment with mexiletine, cardiac monitoring needs to be continued and adapted as a function of the heart condition of the patient (see contraindications in section 4.3 and warning in section 4.4). _ _ _Patients with cardiac disorders _ In case of modification of the mexiletine dose, or if medicinal products susceptible to affect cardiac conduction are co-administered with mexiletine, patients should be closely monitored by ECG (especially patients with conduction anomalies) (see Прочитајте комплетан документ