Dabigatran etexilate Stadafarma 110 mg hard capsules EFG

Spain
Brand name Dabigatran etexilate Stadafarma 110 mg hard capsules EFG
Form capsules, hard
Active substance / Dosage
Prescription type Prescription Only Medicine
Registration number 86843
Dabigatran etexilate Stadafarma 110 mg hard capsules EFG capsules, hard

Patient Information Leaflet

Introduction

Package Leaflet: Information for the Patient

Dabigatran etexilate Stadafarma 110 mg hard capsules EFG

Read the entire package leaflet carefully before you start taking this medicine, as it contains important information for you.

  • Keep this package leaflet, as you may need to read it again.

  • If you have any questions, consult your doctor or pharmacist.

  • This medicine has been prescribed for you only, and you should not give it to others, even if they have the same symptoms as you, because it may harm them.

    • If you experience any adverse effects, consult your doctor or pharmacist, even if they are adverse effects not listed in this package leaflet. See section 4.

Package leaflet contents

  1. What Dabigatran Etexilate Stadafarma is and what it is used for
  2. What you need to know before taking Dabigatran Etexilate Stadafarma
  3. How to take Dabigatran Etexilate Stadafarma
  4. Possible side effects
  5. Storage of Dabigatran Etexilate Stadafarma
  6. Contents of the pack and other information

1. What Dabigatran Etexilate Stadafarma is and what it is used for

This medicine contains the active substance dabigatrán etexilato and belongs to a group of medicines called anticoagulants. It works by blocking a substance in the body involved in blood clot formation.

Dabigatran etexilate is used in adults for:

  • preventing the formation of blood clots in the veins after knee or hip replacement surgery.

  • preventing blood clots in the brain (stroke) and in other blood vessels in the body if you have a type of irregular heartbeat called non-valvular atrial fibrillation and have at least one additional risk factor.

  • treating blood clots in the veins of your legs and lungs and to prevent blood clots from recurring in the veins of your legs and lungs.

Dabigatran etexilate is used in children for:

  • treating blood clots and preventing blood clots from forming again.

2. What you need to know before taking Dabigatran etexilate Stadafarma

Do not take Dabigatran etexilate Stadafarma

  • if you are allergic to dabigatran etexilate or to any of the other components of this medicine (listed in section 6).
  • if your kidney function is severely reduced.
  • if you are currently experiencing bleeding.
  • if you have a disease in an organ of the body that increases the risk of serious bleeding (e.g., stomach ulcer, brain injury or hemorrhage, recent brain or eye surgery).
  • if you are prone to bleeding. This tendency may be congenital, of unknown cause, or caused by other medicines.
  • if you are taking medicines to prevent blood clots (e.g., warfarin, rivaroxaban, apixaban, or heparin), except when switching anticoagulant therapy, while you have a venous or arterial catheter and heparin is administered through this catheter to keep it open, or while your normal heart rhythm is being restored by a procedure called catheter ablation for atrial fibrillation.
  • if your liver function is severely impaired or you have a liver disease that could be life-threatening.
  • if you are taking oral ketoconazole or itraconazole, medicines used to treat fungal infections.
  • if you are taking oral cyclosporine, a medicine used to prevent organ rejection after transplantation.
  • if you are taking dronedarone, a medicine used to treat abnormal heart rhythm.
  • if you are taking a combination product of glecaprevir and pibrentasvir, an antiviral medicine used to treat hepatitis C.
  • if you have had an artificial heart valve implanted that requires lifelong anticoagulant treatment.

Warnings and precautions

Talk to your doctor before starting to take Dabigatran etexilate Stadafarma. During treatment with this medicine, you may also need to consult your doctor if you experience any symptoms or if you are scheduled for surgery.

Tell your doctor if you have or have had any disorder or illness, especially any of the following:

  • If you have an increased risk of bleeding, for example:

    • if you have recently experienced bleeding.
    • if you have undergone surgical tissue removal (biopsy) within the last month.
    • if you have suffered a serious injury (e.g., bone fracture, head injury, or any injury requiring surgical treatment).
    • if you have inflammation of the esophagus or stomach.
    • if you have problems with gastric juice reflux into the esophagus.
    • if you are receiving medicines that may increase the risk of bleeding. See “Other medicines and Dabigatran etexilate Stadafarma” below.
    • if you are using anti-inflammatory medicines such as diclofenac, ibuprofen, or piroxicam.
    • if you have an infection in the heart (bacterial endocarditis).
    • if you know you have reduced kidney function or if you are dehydrated (symptoms include feeling thirsty and passing small amounts of dark (concentrated)/foamy urine).
    • if you are over 75 years old.
    • if you are an adult weighing 50 kg or less.
    • only if used in children: if the child has an infection in or around the brain.
  • If you have had a heart attack or have been diagnosed with conditions that increase the risk of having a heart attack.

  • If you have a liver disease associated with changes in blood tests. Use of this medicine is not recommended in this case.

Take special care with Dabigatran etexilate Stadafarma

  • If you need to undergo surgery:

In this case, dabigatran etexilate should be temporarily discontinued due to an increased risk of bleeding during and shortly after surgery. It is very important that you take dabigatran etexilate before and after surgery exactly at the times indicated by your doctor.

  • If surgery requires the placement of a catheter or an injection into the spinal column (e.g., for epidural or spinal anesthesia or for pain relief):

    • It is very important that you take dabigatran etexilate before and after surgery exactly at the times indicated by your doctor.
  • Inform your doctor immediately if you experience numbness or weakness in the legs or intestinal or bladder problems after anesthesia wears off, as this situation requires urgent medical attention.

  • If you fall or get injured during treatment, especially if you hit your head. Seek urgent medical help. You may need to be examined by a doctor, as you may have an increased risk of bleeding.

  • If you know you have a condition called antiphospholipid syndrome (an immune system disorder that increases the risk of blood clots), inform your doctor so they can decide whether treatment adjustments are needed.

Other medicines and Dabigatran etexilate Stadafarma

Tell your doctor or pharmacist if you are taking, have recently taken, or might need to take any other medicine. In particular, you must inform your doctor before taking dabigatran etexilate if you are taking any of the following medicines:

  • Medicines to reduce blood clotting (e.g., warfarin, phenprocoumon, acenocoumarol, heparin, clopidogrel, prasugrel, ticagrelor, rivaroxaban, acetylsalicylic acid)
  • Medicines for treating fungal infections (e.g., ketoconazole, itraconazole), except when applied only to the skin
  • Medicines used to treat abnormal heart rhythm (e.g., amiodarone, dronedarone, quinidine, verapamil). If you are taking medicines containing amiodarone, quinidine, or verapamil, your doctor may advise you to use a reduced dose of dabigatran etexilate depending on the condition for which it has been prescribed. See section 3.
  • Medicines used to prevent organ rejection after transplantation (e.g., tacrolimus, cyclosporine)
  • A combination product of glecaprevir and pibrentasvir (an antiviral medicine used to treat hepatitis C)
  • Anti-inflammatory and pain-relieving medicines (e.g., acetylsalicylic acid, ibuprofen, diclofenac)
  • St. John’s wort, a herbal remedy for depression
  • Antidepressant medicines called selective serotonin reuptake inhibitors or serotonin-norepinephrine reuptake inhibitors
  • Rifampicin or clarithromycin (two antibiotics)
  • Antiviral medicines for HIV (e.g., ritonavir)
  • Certain medicines used to treat epilepsy (e.g., carbamazepine, phenytoin)

Pregnancy and breastfeeding

The effects of dabigatran etexilate on pregnancy and the fetus are unknown. You must not use this medicine during pregnancy unless your doctor specifically advises that it is safe. If you are of childbearing age, you should avoid becoming pregnant while being treated with dabigatran etexilate.

Breastfeeding is not recommended during treatment with dabigatran etexilate.

Driving and use of machines

Dabigatran etexilate has no known effects on the ability to drive or operate machinery.

3. How to take Dabigatran Etexilate Stadafarma

Dabigatran etexilate can be used in adults and children aged 8 years or older who are able to swallow the capsules whole. There are other age-appropriate pharmaceutical forms available for the treatment of children under 8 years of age.

Always follow exactly the dosing instructions given by your doctor. If you are unsure, consult your doctor again.

Take dabigatran etexilate as recommended for the following situations

Prevention of blood clots after knee or hip replacement surgery

The recommended dose is 220 mg once daily (administered as 2 capsules of 110 mg).

If your renal function is reduced by more than half or if you are 75 years of age or older, the recommended dose is 150 mg once daily (administered as 2 capsules of 75 mg).

If you are taking medications containing amiodarone, quinidine, or verapamil, the recommended dose is 150 mg once daily (administered as 2 capsules of 75 mg).

If you are taking medications containing verapamil and have reduced renal function by more than half, you should be prescribed a reduced dose of dabigatran etexilate of 75 mg, as your risk of bleeding may increase.

In both types of surgery, treatment must not be initiated if there is active bleeding at the surgical site. If treatment cannot be started until the day after surgery, dosing should begin with 2 capsules once daily.

After knee replacement surgery

Begin treatment with dabigatran etexilate 1–4 hours after surgery, taking one single capsule. Then take 2 capsules once daily for a total of 10 days.

After hip replacement surgery

Begin treatment with dabigatran etexilate 1–4 hours after surgery, taking one single capsule. Then take 2 capsules once daily for a total duration of 28–35 days.

Prevention of stroke or systemic embolism due to abnormal heart rhythm (atrial fibrillation), and treatment of blood clots in the legs and lungs, including prevention of recurrence of such clots

The recommended dose is 300 mg, administered as one 150 mg capsule twice daily.

If you are 80 years of age or older, the recommended dose of dabigatran etexilate is 220 mg, administered as one 110 mg capsule twice daily.

If you are taking medications containing verapamil, you should be prescribed a reduced dose of dabigatran etexilate of 220 mg, taken as one 110 mg capsule twice daily, as your risk of bleeding may increase.

If you have a potentially higher risk of bleeding, your doctor may decide to prescribe you a dose of 220 mg of dabigatran etexilate, administered as one 110 mg capsule twice daily.

You may continue taking dabigatran etexilate if a procedure called cardioversion is performed to restore your normal heart rhythm. Take dabigatran etexilate exactly as directed by your doctor.

If you have received a medical device (vascular stent) placed in a blood vessel during a procedure known as percutaneous coronary intervention with stent placement, you may be treated with dabigatran etexilate once your doctor has determined that normal blood coagulation control has been achieved. Take dabigatran etexilate exactly as directed by your doctor.

Treatment and prevention of recurrence of blood clots in children

Dabigatran etexilate should be taken twice daily, one dose in the morning and one dose in the evening, approximately at the same time each day. The dosing interval should be as close as possible to 12 hours.

The recommended dose depends on age and body weight. Your doctor will determine the correct dose. Your doctor may adjust your dose during treatment. Continue taking all other medications unless your doctor tells you to stop.

Single dose of dabigatran etexilate to be administered twice daily in milligrams (mg) according to body weight in kilograms (kg) and age in years of the patient:

Weight [kg]

Age in years

From 8 to <9

From 9 to

<10

From 10 to <11

From 11 to <12

From 12 to

<13

From 13 to

<14

From 14 to

<15

From 15 to

<16

From 16 to <17

From 17 to <18

>81

300 mg

in two 150 mg capsules

or

four 75 mg capsules

From 71 to <81

From 61 to <71

From 51 to <61

260 mg

in one 110 mg capsule plus one 150 mg capsule

or

one 110 mg capsule plus two 75 mg capsules

From 41 to <51

220 mg

in two 110 mg capsules

From 31 to <41

185 mg

in one 75 mg capsule plus one 110 mg capsule

From 26 to <31

150 mg

in one 150 mg capsule

or

two 75 mg capsules

From 21 to <26

From 16 to <21

One capsule of 110 mg

From 13 to <16

From 11 to <13

One

capsule

of

75 mg

Means that no dosage recommendation can be made

How to take Dabigatran etexilate Stadafarma

Dabigatran etexilate may be taken with or without food. The capsule should be swallowed whole with a glass of water to ensure release in the stomach. Do not break, chew, or open the capsule and take only its contents, as this may increase the risk of bleeding.

Instructions for opening blister packs

The following images illustrate how to remove Dabigatran etexilate Stadafarma capsules from the blister pack:

Diagram showing how to separate two adhesive strips along a dotted line, with a curved arrow indicating the peeling motion

Separate an individual blister from the strip along the perforated line.

Black and white schematic drawing showing a sheet of paper with the Peel back the backing foil and remove the capsule.

  • Do not push the capsules through the blister foil.
  • Do not peel back the foil until the capsule is needed.

Instructions for the bottle

  • Press down and twist to open.
  • After removing the capsule, replace the cap on the bottle and close it tightly immediately after taking your dose.

Switching anticoagulant treatment

Do not change your anticoagulant treatment without specific instructions from your doctor.

If you take more Dabigatran etexilate Stadafarma than you should

Taking too much dabigatran etexilate increases the risk of bleeding. In case of overdose or accidental ingestion, contact your doctor or pharmacist immediately or call the Toxicology Information Service at: 91 562 04 20, indicating the medication and the amount of dabigatran etexilate ingested. Specific treatment options are available.

If you forget to take Dabigatran etexilate Stadafarma

Prevention of blood clots after knee or hip replacement surgery

Take the remaining daily doses of dabigatran etexilate at the usual time on the following day. Do not take a double dose to make up for a missed dose.

Use in adults: Prevention of stroke or systemic embolism due to blood clots caused by irregular heartbeat, and treatment of blood clots in the veins of the legs and lungs, including prevention of recurrence of such clots

Use in children: Treatment of blood clots and prevention of recurrence of blood clots

A missed dose may be taken if there is at least 6 hours before the next scheduled dose.

A missed dose should be omitted if less than 6 hours remain before the next dose. Do not take a double dose to make up for a missed dose.

If you stop taking Dabigatran etexilate Stadafarma

Take dabigatran etexilate exactly as prescribed. Do not stop your treatment with dabigatran etexilate without first consulting your doctor, as the risk of developing a blood clot may be higher if you stop treatment too early. Contact your doctor if you experience indigestion after taking dabigatran etexilate.

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

4. Possible adverse effects

Like all medicines, this medicine can cause adverse effects, although not everyone gets them.

Dabigatran etexilate acts on blood coagulation; therefore, most adverse effects are related to signs such as bruising or bleeding.

Major or serious bleeding episodes may occur, which represent the most serious adverse effects and, regardless of their location, may lead to disability, may be potentially fatal, or even result in death. In some cases, these bleedings may not be evident.

If you experience any bleeding episode that does not stop on its own, or if you experience signs of excessive bleeding (unusual weakness, fatigue, paleness, dizziness, headache, or unexplained swelling), consult your doctor immediately. Your doctor may decide to keep you under close observation or change your medication.

Inform your doctor immediately if you experience a severe allergic reaction causing difficulty in breathing or dizziness.

The possible adverse effects are listed below, grouped according to their frequency of occurrence.

Prevention of blood clot formation after knee or hip replacement surgery

Frequent (may affect up to 1 in 10 people):

  • Decrease in the amount of hemoglobin in the blood (the substance present in red blood cells)
  • Abnormalities in liver function tests

Uncommon (may affect up to 1 in 100 people):

  • Bleeding may occur from the nose, stomach or intestine, penis/vagina or urinary tract (including blood in urine turning urine pink or red), from hemorrhoids, rectum, under the skin, from a joint, or at or after an injury or surgery
  • Formation of bruises or bruising after surgery
  • Detection of blood in stool in a laboratory test
  • Decrease in the number of red blood cells in the blood
  • Decrease in blood cell proportion
  • Allergic reaction
  • Vomiting
  • Frequent loose or watery stools
  • Feeling of nausea
  • Wound discharge (leakage of fluid from a surgical wound)
  • Increase in liver enzymes
  • Yellowing of the skin or whites of the eyes, caused by liver or blood disorders

Rare (may affect up to 1 in 1,000 people):

  • Bleeding
  • Bleeding may occur in the brain, at a surgical incision site, at an injection site, or at the site of a venous catheter insertion
  • Bloody discharge from the site of a venous catheter insertion
  • Coughing up blood or sputum with blood streaks
  • Decrease in the number of platelets in the blood
  • Decrease in the number of red blood cells in the blood after surgery
  • Severe allergic reaction causing difficulty in breathing or dizziness
  • Severe allergic reaction causing swelling of the face or throat
  • Skin rash with dark red, raised, itchy bumps due to an allergic reaction
  • Sudden change in the skin affecting color and physical appearance
  • Itching
  • Ulcer in the stomach or intestine (including esophageal ulcer)
  • Inflammation of the esophagus and stomach
  • Reflux of gastric juice into the esophagus
  • Abdominal pain or stomach pain
  • Indigestion
  • Difficulty swallowing
  • Fluid discharge from a wound
  • Fluid discharge from a wound after surgery

Frequency not known (frequency cannot be estimated from available data):

  • Difficulty breathing or wheezing
  • Decrease in number or even absence of leukocytes (which help fight infections)
  • Hair loss

Prevention of stroke or systemic embolism due to blood clots caused by irregular heartbeat

Frequent (may affect up to 1 in 10 people):

  • Bleeding may occur from the nose, stomach or intestine, penis/vagina or urinary tract (including blood in urine turning urine pink or red), or under the skin
  • Decrease in the number of red blood cells in the blood
  • Abdominal pain or stomach pain
  • Indigestion
  • Frequent loose or watery stools
  • Feeling of nausea

Uncommon (may affect up to 1 in 100 people):

  • Bleeding
  • Bleeding may occur from hemorrhoids, rectum, or in the brain
  • Bruising
  • Coughing up blood or sputum with blood streaks
  • Decrease in the number of platelets in the blood
  • Decrease in the amount of hemoglobin in the blood (the substance present in red blood cells)
  • Allergic reaction
  • Sudden change in the skin affecting color and physical appearance
  • Itching
  • Ulcer in the stomach or intestine (including esophageal ulcer)
  • Inflammation of the esophagus and stomach
  • Reflux of gastric juice into the esophagus
  • Vomiting
  • Difficulty swallowing
  • Abnormalities in liver function tests

Rare (may affect up to 1 in 1,000 people):

  • Bleeding may occur in a joint, at a surgical incision site, at a wound, at an injection site, or at the site of a venous catheter insertion
  • Severe allergic reaction causing difficulty in breathing or dizziness
  • Severe allergic reaction causing swelling of the face or throat
  • Skin rash with dark red, raised, itchy bumps due to an allergic reaction
  • Decrease in blood cell proportion
  • Increase in liver enzymes
  • Yellowing of the skin or whites of the eyes, caused by liver or blood disorders

Frequency not known (frequency cannot be estimated from available data):

  • Difficulty breathing or wheezing
  • Decrease in number or even absence of leukocytes (which help fight infections)
  • Hair loss

In a clinical trial, the rate of heart attacks with dabigatran etexilate was numerically higher than with warfarin. The overall incidence was low.

Treatment of blood clots in the veins of your legs and lungs, including prevention of recurrence of blood clots in the veins of your legs and/or lungs

Frequent (may affect up to 1 in 10 people):

  • Bleeding may occur from the nose, stomach or intestine, rectum, penis/vagina or urinary tract (including blood in urine turning urine pink or red), or under the skin
  • Indigestion

Uncommon (may affect up to 1 in 100 people):

  • Bleeding
  • Bleeding may occur in a joint or at a wound
  • Bleeding may occur from hemorrhoids
  • Decrease in the number of red blood cells in the blood
  • Bruising
  • Coughing up blood or sputum with blood streaks
  • Allergic reaction
  • Sudden change in the skin affecting color and physical appearance
  • Itching
  • Ulcer in the stomach or intestine (including throat ulcer)
  • Inflammation of the esophagus and stomach
  • Reflux of gastric juice into the esophagus
  • Feeling of nausea
  • Vomiting
  • Abdominal pain or stomach pain
  • Frequent loose or watery stools
  • Abnormalities in liver function tests
  • Increase in liver enzymes

Rare (may affect up to 1 in 1,000 people):

  • Bleeding may occur at a surgical incision site, at an injection site, at the site of a venous catheter insertion, or from the brain
  • Decrease in the number of platelets in the blood
  • Severe allergic reaction causing difficulty in breathing or dizziness
  • Severe allergic reaction causing swelling of the face or throat
  • Skin rash with dark red, raised, itchy bumps due to an allergic reaction
  • Difficulty swallowing

Frequency not known (frequency cannot be estimated from available data):

  • Difficulty breathing or wheezing
  • Decrease in the amount of hemoglobin in the blood (the substance present in red blood cells)
  • Decrease in blood cell proportion
  • Decrease in number or even absence of leukocytes (which help fight infections)
  • Yellowing of the skin or whites of the eyes, caused by liver or blood disorders
  • Hair loss

In the clinical trial program, the rate of heart attacks with dabigatran etexilate was higher than with warfarin. The overall incidence was low. No imbalance in the rate of heart attacks was observed in patients treated with dabigatran compared to patients treated with placebo.

Treatment of blood clots and prevention of recurrence of blood clots in children

Frequent (may affect up to 1 in 10 people):

  • Decrease in the number of red blood cells in the blood
  • Decrease in the number of platelets in the blood
  • Skin rash with dark red, raised, itchy bumps due to an allergic reaction
  • Sudden change in the skin affecting color and physical appearance
  • Bruising
  • Nosebleed
  • Reflux of gastric juice into the esophagus
  • Vomiting
  • Feeling of nausea
  • Frequent loose or watery stools
  • Indigestion
  • Hair loss
  • Increase in liver enzymes

Uncommon (may affect up to 1 in 100 people):

  • Decrease in the number of leukocytes (which help fight infections)
  • Bleeding may occur in the stomach or intestine, brain, rectum, penis/vagina or urinary tract (including blood in urine turning urine pink or red), or under the skin
  • Decrease in the amount of hemoglobin in the blood (the substance present in red blood cells)
  • Decrease in blood cell proportion
  • Itching
  • Coughing up blood or sputum with blood streaks
  • Abdominal pain or stomach pain
  • Inflammation of the esophagus and stomach
  • Allergic reaction
  • Difficulty swallowing
  • Yellowing of the skin or whites of the eyes, caused by liver or blood disorders

Frequency not known (frequency cannot be estimated from available data):

  • Absence of leukocytes (which help fight infections)
  • Severe allergic reaction causing difficulty in breathing or dizziness
  • Severe allergic reaction causing swelling of the face or throat
  • Difficulty breathing or wheezing
  • Bleeding
  • Bleeding may occur in a joint or at a wound, at a surgical incision, at an injection site, or at the site of a venous catheter insertion
  • Bleeding may occur from hemorrhoids
  • Ulcer in the stomach or intestine (including esophageal ulcer)
  • Abnormalities in liver function tests

Reporting of adverse reactions

If you experience any type of adverse reaction, consult your doctor or pharmacist, even if it is a possible adverse reaction not listed in this leaflet. You may also report them directly through the Spanish Pharmacovigilance System for Human Medicines: www.notificaRAM.es. By reporting adverse reactions, you can help provide more information on the safety of this medicine.

5. Storage of Dabigatran etexilate Stadafarma

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date stated on the carton, blister pack, or bottle after "EXP". The expiry date refers to the last day of the month indicated.

Blister pack: Do not store above 30°C. Keep in the original packaging to protect from moisture.

Bottle: Do not store above 30°C. Keep in the original packaging to protect from moisture. After opening, the medicine should be used within 4 months. Keep the bottle tightly closed.

Medicines must not be disposed of via wastewater or household waste. Dispose of empty containers and unused medicines at the SIGRE collection point at your pharmacy. If you are unsure, ask your pharmacist how to properly dispose of containers and medicines you no longer need. This will help protect the environment.

6. Contents of the pack and other information

Composition of Dabigatran Etexilate Stadafarma

  • The active substance is dabigatran. Each hard capsule contains 110 mg of dabigatran etexilate (as mesilate).
  • The other components are tartaric acid, gum arabic, hypromellose, simethicone 350, talc, and hydroxypropylcellulose.
  • The capsule shell contains carrageenan, potassium chloride, titanium dioxide (E-171), hypromellose, and indigo carmine (E-132).

Appearance of the product and contents of the pack

Dabigatran Etexilate Stadafarma 110 mg are size 1, blue-colored hard capsules containing off-white to pale yellow pellets.

Dabigatran Etexilate Stadafarma is available in packs containing 1 x 10, 3 x 10 or 6 x 10 hard capsules, a multiple pack containing 3 packs of 1 x 60 hard capsules (180 hard capsules) or a multiple pack containing 2 packs of 1 x 50 hard capsules (100 hard capsules) in perforated Al/OPA-Al-PVC blisters.

This medicine is also available in high-density polyethylene (plastic) bottles containing 60 hard capsules, with a child-resistant screw cap, integrated desiccant, and sealed with a fiber seal.

Only some pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer Responsible

Marketing Authorization Holder:

Laboratorio STADA, S.L.

Frederic Mompou, 5

08960 Sant Just Desvern (Barcelona)

Spain

[email protected]

Manufacturer:

Galenicum Health, S.L.U.

Sant Gabriel, 50

Esplugues de Llobregat

08950 – Barcelona

Spain

or

SAG Manufacturing S.L.U

Crta. N-I, KM 36

28750 San Agustín de Guadalix,

Madrid

Spain

or

STADA Arzneimittel AG

Stadastr. 2-18

61118 Bad Vilbel

Germany

or

Pharmadox Healthcare Limited

Kkw46 Kordin Industrial Park, Paola, PLA 3000,

Malta

Date of the most recent review of this leaflet: February 2026

Detailed information on this medicine is available on the website of the Spanish Agency of Medicines and Health Products (AEMPS): http://www.aemps.gob.es/