Evadanin Xl 80mg Prolonged Release Tablets
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Read all of this leaflet carefully before you start taking this medicine.
- 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. Do not pass it on to others. It may harm them, even if their symptoms 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.
In this leaflet:
1. What Evadanin XL is and what it is used for
2. Before you take Evadanin XL
3. How to take Evadanin XL
4. Possible side effects
5. How to store Evadanin XL
6. Further information
1. What Evadanin XL is and what it is used for
Evadanin XL contains the active substance fluvastatin sodium which belongs to a group of medicines known as statins, which are lipid-lowering medicines: they lower the fat (lipids) in your blood. They are used in patients whose conditions cannot be controlled by diet and exercise alone.
- Evadanin XL is a medicine used to treat raised levels of fats in the blood in adults, in particular total cholesterol and so called “bad” or LDL cholesterol, which is associated with an increased risk of heart disease and stroke.
- in adult patients with high blood levels of cholesterol
- in adult patients with high blood levels of both cholesterol and triglycerides (another sort of blood lipid)
- Your doctor can also prescribe Evadanin XL to prevent further serious cardiac events (e.g. heart attack) in patients after they already went through a heart catheterisation, with an intervention in the heart vessel.
2. Before you take Evadanin XL
Follow all instructions given to you by your doctor carefully. They may differ from the information contained in this leaflet.
Read the following explanations before you take Evadanin XL.
Do not take Evadanin XL
- if you are allergic (hypersensitive) to fluvastatin or any of the other ingredients of Evadanin XL listed in section 6 of this leaflet.
- if you currently have liver problems, or if you have unexplained, persistently high level of certain liver enzymes (transaminases).
- if you are pregnant or breast-feeding (see “pregnany and breast-feeding”).
If any of these apply to you, do not take Evadanin XL and tell your doctor.
Take special care with Evadanin XL
- if you previously had a liver disease. Liver function tests will normally be done before you start Evadanin XL, when your dose is increased and at various intervals during treatment to check for side effects.
- if you have a kidney disease.
- if you have a thyroid disease (hypothyroidism).
- if you have a medical history of muscle diseases yourself or in your family.
- if you had muscle problems with another lipid-lowering medicine.
- if you regularly drink large amounts of alcohol.
Check with your doctor or pharmacist before taking Evadanin XL
- if you have severe respiratory failure
While you are on this medicine your doctor will monitor you closely if you have diabetes or are at risk of developing diabetes. You are likely to be at risk of developing diabetes if you have high levels of sugars and fats in your blood, are overweight and have high blood pressure.
If any of these apply to you, tell your doctor before you take Evadanin XL. Your doctor will take a blood test before prescribing Evadanin XL.
Also tell your doctor or pharmacist if you have a muscle weakness that is constant. Additional tests and medicines may be needed to diagnose and treat this.
Evadanin XL and people over 70 years
If you are over 70 years your doctor may want to check if you have risk factors for muscular diseases. You may need specific blood tests.
Evadanin XL and children/adolescents
Evadanin XL has not been investigated and is not intended for the use in children below 9 years. For dose information in children and adolescents over 9 years, see section 3.
There is no experience with the use of fluvastatin in combination with nicotinic acid, cholestyramine or fibrates in children and adolescents.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines including medicines obtained without a prescription.
Evadanin XL can be taken on its own or with other cholesterol-lowering medicines prescribed by your doctor.
After intake of a resin, e.g. cholestyramine (primarily used to treat high cholesterol) wait at least 4 hours before taking Evadanin XL.
Tell your doctor and pharmacist if you are taking any of the following:
- Ciclosporin (a medicine used to suppress the immune system).
- Fibrates (e.g. gemfibrozil), nicotinic acid or bile acid sequestrants (medicines used to lower bad cholesterol levels).
- Fluconazole (a medicine used to treat fungal infections).
- Rifampicin (an antibiotic).
- Phenytoin (a medicine used to treat epilepsy).
- Phenprocoumon or Warfarin (medicines used to reduce blood clotting).
- Glibenclamide (a medicine used to treat diabetes).
- Colchicine (used to treat gout).
Taking Evadanin XL with food and drink
You can take Evadanin XL with or without food.
Pregnancy and breast-feeding
Do not take Evadanin XL if you are pregnant or breast-feeding as the active ingredient may lead to harm to your unborn child, and it is not known whether the active ingredient is excreted in human breast milk. If you are pregnant, consult your doctor or pharmacist before taking Evadanin XL. Use reliable contraception for the whole time that you are taking Evadanin XL.
If you become pregnant while taking this medicine, stop taking Evadanin XL and see your doctor.
Driving and using machines
There is no information on the effects of Evadanin XL on your ability to drive and use machines.
Important information about some of the ingredients of Evadanin XL
None.
3. How to take Evadanin XL
Follow your doctor’s instructions carefully. Do not exceed the recommended dose.
Your doctor will recommend you to follow a low-cholesterol diet. Stay on this diet while taking Evadanin XL.
How much fluvastatin to take
- The dose range for adults is 20 to 80 mg per day and depends on the extent of cholesterol lowering which needs to be achieved. Dose adjustments may be made by your doctor at 4-week or longer intervals.
- For children (aged 9 years and older) the usual starting dose is 20 mg per day. The maximum daily dose is 80 mg. Dose adjustments may be made by your doctor at 6-week intervals.
Your doctor will tell you exactly how much fluvastatin to take.
Depending on how you respond to the treatment, your doctor may suggest a higher or lower dose.
For lower dosages other dosage forms are available.
When to take Evadanin XL
You can take Evadanin XL at any time of the day.
Evadanin XL can be taken with or without meals. Swallow whole with a glass of water.
If you take more Evadanin XL than you should
If you have accidentally taken too much Evadanin XL, talk to your doctor straight away. You may need medical attention.
If you forget to take Evadanin XL
Take one dose as soon as you remember. However, do not take it if there is less than 4 hours before your next dose. In this case take your next dose at the usual time.
Do not take a double dose to make up for the one that you missed.
If you stop taking Evadanin XL
To maintain the benefits of your treatment, do not stop taking Evadanin XL unless your doctor tells you to. You must continue to take Evadanin XL as directed to keep the levels of your ‘bad’ cholesterol down. Evadanin XL will not cure your condition but it does help control it. Your cholesterol levels need to be checked regularly to monitor your progress.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. Possible Side Effects
Like all medicines, Evadanin XL can cause side effects, although not everybody gets them.
Very common: affects more than 1 user in 10 Common: affects 1 to 10 users in 100 Uncommon: affects 1 to 10 users in 1,000 Rare: affects 1 to 10 users in 10,000 Very rare: affects less than 1 user in 10,000
Not known: frequency cannot be estimated from the available data.
Some rare or very rare effects could be serious: get medical help immediately.
- if you have unexplained muscle pain, tenderness or weakness. These might be early signs of a potentially severe muscle degradation. This can be avoided if your doctor stops your treatment with fluvastatin as quickly as possible. These side effects have also been found with similar medicines of this class (statins).
- if you have unusual tiredness or fever, yellowing of the skin and eyes, dark coloured urine (signs of hepatitis).
- if you have signs of skin reactions such as skin rash, hives, redness, itching, swelling of the face, eyelids, and lips.
- if you have skin swelling, difficulty in breathing, dizziness (signs of severe allergic reaction).
- if you bleed or bruise more easily than normal (signs of decreased number of blood platelets).
- if you have red or purple skin lesions (signs of blood vessel inflammation).
- if you have red blotchy rash mainly on the face which may be accompanied by fatigue, fever, nausea, loss of appetite (signs of lupus erythematous-like reaction).
- if you have severe upper stomach pain (signs of inflamed pancreas).
If you experience any of these, tell your doctor straight away.
Other side effects: tell your doctor if they worry you.
Common:
Difficulty in sleeping, headache, stomach discomfort, abdominal pain, nausea.
Very rare:
Tingling or numbness of the hands or feet, disturbed or decreased sensibility.
Not known:
Muscle weakness that is constant.
Other possible side effects
- Sleep disturbances, including nightmares
- Memory loss
- Sexual difficulties
- Depression
- Breathing problems including persistent cough and/or shortness of breath or fever
- Diabetes. This is more likely if you have high levels of sugars and fats in your blood, are overweight and have high blood pressure. Your doctor will monitor you while you are taking this medicine.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Evadanin XL :
Keep Evadanin XL out of reach and sight of children.
Do not store above 30°C.
Store in the original package in order to protect from moisture.
Do not use Evandin XL after the expiry date which is stated on the carton and blister after EXP:.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. Further Information What Evadanin XL contains:
The active substance is: fluvastatin. Each tablet contains 80 mg of fluvastatin as fluvastatin sodium.
The other ingredients are:
Tablet core: Carageenan, Magnesium stearate
Film-coating: Hydroxypropyl cellulose, Hypromellose 6cP, Iron oxide yellow, Titanium dioxide, Macrogol 8000, Iron oxide red
What Evadanin XL looks like and contents of the pack
Evadanin XL are dark yellow, round, biconvex tablets and are packed in Aluminium/Aluminium blisters strips.
Each pack of Evadanin XL contains 10, 20, 30, 50 or 100 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer Marketing Authorisation Holder:
Teva Pharma B.V., Computerweg 10, 3542 DR Utrecht, The Netherlands Manufacturer:
Merckle GmbH, Graf-Arco-StraBe 3 89079 Ulm,, Germany Or
Pharmathen S.A., 6 Dervenakion str, 153 51 Pallini, Attiki, Greece Or
Pharmathen International S.A., Industrial Park Sapes, Rodopi Prefecture, Block No. 5 Rodopi 69300, Greece.
This leaflet was last revised in March 2015
PL 14776/0107