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Fenofibrate 267mg Capsules

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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 any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.


PACKAGE LEAFLET: INFORMATION FOR THE USER

FENOFIBRATE 200 mg CAPSULES FENOFIBRATE 267 mg CAPSULES

In this leaflet:

1.    What Fenofibrate Capsules are and what they are used for

2.    Before you take Fenofibrate Capsules

3.    How to take Fenofibrate Capsules

4.    Possible side effects

5.    How to store Fenofibrate Capsules

6.    Further information

1. WHAT FENOFIBRATE CAPSULES ARE AND WHAT THEY ARE USED FOR

Fenofibrate belongs to a group of medicines, commonly known as fibrates. These medicines are used to lower the level of fats (lipids) in the blood. For example the fats known as triglycerides.

Fenofibrate is used, alongside a low fat diet and other non-medical treatments such as exercise and weight loss, to lower levels of fats in the blood.

Fenofibrate can be used in addition to other medicines [statins] in some circumstances when levels of fats in the blood are not controlled with a statin alone.

2. BEFORE YOU TAKE FENOFIBRATE CAPSULES

Do not take Fenofibrate Capsules if any of the following apply to you:

•    If you have previously had an allergic reaction to Fenofibrate or any of the ingredients listed in section 6 (an allergic reaction can include rashes, hives, itching, swelling of face/lips/hands/feet or breathing difficulties)

•    If you have been sensitive to or had an allergy to the sunlight whilst taking drugs such as fibrates or anti-inflammatory drugs (e.g. ketoprofen)

•    If you have severe kidney or liver problems (including biliary cirrhosis)

•    If you have a problem with your gallbladder

•    If you are pregnant, breast-feeding, or planning to get pregnant Take special care with Fenofibrate Capsules:

Please tell your doctor:

•    if you have kidney problems (your doctor may need to start you on a lower dose)

•    if you have pancreatitis (inflammation of the pancreas)

•    if you have hypothyroidism (low thyroid function)

•    if you have liver problems

•    if you or your family have had muscle problems

•    if you have problems with certain proteins in your blood

•    if are over 70 years of age

Please tell your doctor if any of the above was applicable to you in the past.

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.

You should especially be aware and notify your doctor if you:

•    are already taking drugs to lower your lipids (fats). Example drugs known as “statins” or other “fibrates”.

•    are taking oestrogens e.g. HRT or oral contraceptive pills

•    are taking anticoagulants (drugs that “thin” the blood) e.g. warfarin

•    are taking cyclosporine (an immunosuppressant)

Taking Fenofibrate Capsules with food and drink The capsules should be taken with or after food.

You should avoid drinking alcohol with Fenofibrate as this increases the risk of muscle problems.

Pregnancy and breast-feeding

Tell your doctor if you are, you think you might be or are planning to become pregnant. Fenofibrate Capsules must not be taken if you are pregnant or are breast feeding.

Askyour doctor or pharmacist for advice before taking any medicine.

Important information about some of the ingredients of Fenofibrate Your medicine contains an inactive ingredient called lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Your medicine also contains small amounts of inactive ingredients called sunset yellow (E 110) and FD & C blue (E 132) which are found in the 200 mg and 267 mg capsules respectively. These are colouring agents and can cause allergic reactions.

3. HOW TO TAKE Fenofibrate Capsules

Always take your medicine exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

Dosage:

The usual doses for Fenofibrate are:

200mg and 267mg capsules: The recommended dose is one 200mg capsule taken once daily, with food. In patients with very high lipids your doctor may recommend an increased dose of 267mg daily.

Do not change your dose without instruction to do so by your doctor.

The response to treatment will be monitored by regular blood tests to check levels of fats in your blood. Your dose may be altered according to your response. Blood tests will also be done to check your liver function and, if necessary, your kidney function.

Use in children and adolescents

Safety and efficacy of this medicine in children and adolescents younger than 18 years has not been established. Therefore, the use is not recommended.

Methods and route of administration

•    Swallow the capsule(s) whole with a glass of water.

•    The capsules should be taken with or after food.

•    To help you remember to take your medicine, try to get into the habit of taking it at the same time each day.

If you have the impression that the effect of Fenofibrate Capsules is too strong or too weak, talk to your doctor or pharmacist.

If you take more Fenofibrate Capsules than you should

If you have taken more Fenofibrate Capsules than you should, consult your doctor or go to the nearest hospital casualty department immediately. Take this leaflet or some capsules with you

5095283] FENOFIBRATE Caps PIL (DWS-UK) Size : 122 x 384 mm RLL-DWS : 17.04.12nj, (85279)

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so your doctor will know what you have taken.

If you forget to take Fenofibrate Capsules

If you forget to take your medicine at the right time, take them as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take a double dose to make up for forgotten individual doses.

If you stop taking Fenofibrate Capsules

Take your capsules as directed and for as long as directed; do not stop them, even if you feel better, as otherwise the symptoms may return.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS





Like all medicines, Fenofibrate Capsules can cause side effects, although not everybody gets them.

Very serious side effects

The following are very serious side effects. If you have them you may have had a serious allergic reaction or other type of reaction to Fenofibrate Capsules. You may need urgent medical attention or hospitalisation: stop taking Fenofibrate Capsules and tell you doctor immediately or go to the casualty department at your nearest hospital if you notice the following effects:

•    Rashes, hives, itching, chest constriction, shortness of breath, swelling of face, lips, hands/feet, fainting, high temperature

Serious side effects

Tell your doctor immediately or go to the casualty department at your nearest hospital if you notice any of the following:

Uncommonly reported: (affects 1 to 10 users in 1,000)

•    Unexplained muscle pain, tenderness, or weakness, especially if accompanied by a fever or flu-like symptoms or pink or “tea coloured” urine; these may be early symptoms of muscle problem. Fenofibrate capsules may affect your muscles (muscle toxicity), and very rarely, may cause severe form of muscle toxicity known as rhabdomyolysis.

•    Raised level of various liver enzymes in the blood.

•    Indigestion, flatulence, gas, nausea, vomiting and/ or feeling of bloating and discomfort especially after eating food which has high fat content. You may have developed gallstones if you have these symptoms.

•    Severe abdominal pain, with nausea and vomiting; these may be signs of inflammation of the pancreas.

Very rarely reported: (affects less than 1 user in 10,000)

•    Yellowing of the skin or eyes, abdominal pain, itching, unexplained fatigue, dark coloured urine or pale coloured stools. These may be signs of liver problems.

Other side effects

Tell your doctor if you notice any of the following:

Very commonly reported (affects more than 1 user in 10)

•    Abdominal pains, nausea, vomiting, diarrhoea or increased flatulence

•    Skin rashes, itching

•    Hives or reactions to sunlight leading to redness, blistering and lumpiness of the skin. You should take care to avoid sun exposure and avoid artificial light e.g. sun beds

•    Headache, fatigue, dizziness or vertigo Rarely reported: (affects 1 to 10 users in 10,000)

•    Lack of sexual drive

•    Hair loss

•    Slight increase in blood levels of substances normally excreted by the kidneys (urea and creatinine)

•    Decrease in haemoglobin (oxygen carrying pigment in the blood) and decrease in white blood cells.

Very rarely reported: (affects less than 1 user in 10,000)

•    Chronic disease of the lung tissue

if any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

5. HOW TO STORE FENOFIBRATE CAPSULES


Keep out of the reach and sight of children.

Do not use Fenofibrate Capsules after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.

Do not store above 25°C. Store in the original package.

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 Fenofibrate Capsules contain

-    Each capsule contains 200mg or 267mg of the active substance micronised Fenofibrate.

-    The other ingredients are sodium lauryl sulphate, lactose, pregelatinised starch, crospovidone, talc, colloidal anhydrous silica, magnesium stearate, gelatin and titanium dioxide (E171).

-    The black printing ink contains shellac glaze, iron oxide black and propylene glycol.

-    The 200 mg capsules also contains sunset yellow FCF (E110).

-    The 267 mg capsules also contain FD & C blue No. 2 (E132) and yellow iron oxide (E172).

What Fenofibrate Capsules look like and the contents of the pack

Fenofibrate capsules are available in pack sizes of 10, 14, 20, 28, 30, 56, 60 and 90 capsules. Not all pack sizes may be marketed.

Fenofibrate 200 mg Capsules are orange cap/orange body imprinted with 'FB200' on cap and body containing white to off-white granular powder.

Fenofibrate 267 mg Capsules are ivory yellow cap/green body imprinted with 'FB267' on cap and body containing white to off-white granular powder.

Marketing Authorisation Holder

Ranbaxy (UK) Limited Building 4, Chiswick Park 566 Chiswick High Road London, W4 5YE United Kingdom

Manufacturer

Ranbaxy Ireland Limited

Spafield, Cork Road, Cashel, Co-Tipperary

Republic of Ireland

This leaflet was last approved in April 2012.

RANBAXY


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