Nilotinib Teva 150 mg hard capsules EFG: detailed information

Package leaflet: Information for the user

Introduction

Package leaflet: information for the patient

Nilotinib Teva 150 mg hard capsules EFG

Nilotinib Teva 200 mg hard capsules EFG

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

Keep this leaflet as you may need to read it again.
If you have any questions, ask your doctor or pharmacist.
This medicine has been prescribed for you only and must not be given to other people, even if they have the same symptoms as you, because it could harm them.
If you experience any adverse effects, consult your doctor or pharmacist, even if they are adverse effects not listed in this leaflet. See section 4.

Leaflet contents

What Nilotinib Teva is and what it is used for
What you need to know before taking Nilotinib Teva
How to take Nilotinib Teva
Possible side effects
How to store Nilotinib Teva
Contents of the pack and other information

1. What Nilotinib Teva is and what it is used for

What Nilotinib Teva is

Nilotinib Teva is a medicine that contains an active substance called nilotinib.

What Nilotinib Teva is used for

Nilotinib is used to treat a type of leukemia called Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). CML is a blood cancer that causes the body to produce too many abnormal white blood cells.

Nilotinib is used in adult and pediatric patients with newly diagnosed CML or in patients with CML who no longer benefit from prior therapy, including imatinib. It is also used in adult and pediatric patients who have experienced severe adverse reactions to prior therapy and who cannot continue taking it.

How Nilotinib Teva works

In patients with CML, a change in DNA (genetic material) produces a signal that causes the body to generate abnormal white blood cells. Nilotinib blocks this signal and thereby interrupts the production of these cells.

Monitoring during treatment with Nilotinib Teva

During treatment, regular monitoring will be performed, including blood tests. These tests will monitor:

the number of blood cells in the body (white blood cells, red blood cells, and platelets) to check whether nilotinib is well tolerated.
the function of the pancreas and liver to check whether nilotinib is well tolerated.
the body's electrolytes (potassium, magnesium). These are important for heart function.
blood sugar and fat levels.

Your heart rate will also be monitored using a machine that measures the heart's electrical activity (a test called an "ECG").

Your doctor will regularly evaluate your treatment and decide whether you should continue taking nilotinib. If your doctor advises you to stop taking this medicine, you will continue to be monitored for CML, and if necessary, your doctor may instruct you to restart treatment with nilotinib.

If you have any questions about how nilotinib works or why you or your child has been prescribed this medicine, consult your doctor.

2. What you need to know before starting to take Nilotinib Teva

Follow carefully all instructions given by your doctor, even if they differ from the general information contained in this leaflet.

Do not take Nilotinib Teva

if you are allergic to nilotinib or to any of the other ingredients of this medicine (listed in section 6).

If you think you may be allergic, inform your doctor before taking Nilotinib Teva.

Warnings and precautions

Talk to your doctor or pharmacist before starting to take Nilotinib Teva:

if you have previously had cardiovascular events such as a heart attack, chest pain (angina), problems with blood supply to your brain (stroke), or problems with blood flow to your leg (claudication), or if you have risk factors for cardiovascular disease such as high blood pressure (hypertension), diabetes, or problems with fat levels in your blood (lipid abnormalities).
if you have a heart condition, such as an abnormal electrical signal called "prolongation of the QT interval".
if you are being treated with medicines that lower blood cholesterol (statins) or that affect heart rhythm (antiarrhythmics) or the liver (see Use of Nilotinib Teva with other medicines).
if you have low levels of potassium or magnesium.
if you have a liver or pancreatic disorder.
if you experience symptoms such as easy bruising, feeling tired, or shortness of breath, or have had repeated infections.
if you have undergone surgery involving complete removal of the stomach (total gastrectomy).
if you have ever had or may currently have a hepatitis B virus infection. This is because Nilotinib Teva could cause hepatitis B to become active again, which can be fatal in some cases. Your doctor should carefully check for signs of this infection before starting treatment.

If any of these situations apply to you or your child, inform your doctor.

During treatment with Nilotinib Teva

if you faint (lose consciousness) or have an irregular heartbeat while taking this medicine, inform your doctor immediately, as this may be a sign of a serious heart problem. Prolongation of the QT interval or an irregular heart rhythm can lead to sudden death. Rare cases of sudden death have been reported in patients taking nilotinib.
if you experience sudden palpitations, severe muscle weakness or paralysis, seizures, or sudden changes in behavior or level of alertness, inform your doctor immediately, as this may be a sign of a rapid breakdown of cancer cells known as tumor lysis syndrome. Rare cases of tumor lysis syndrome have been reported in patients treated with nilotinib.
if you develop chest pain or discomfort, numbness or weakness, difficulty walking or speaking, pain, discoloration, or cold sensation in a limb, inform your doctor immediately, as this may be a sign of a cardiovascular event. Cases of serious cardiovascular events including problems with blood flow to the leg (peripheral arterial occlusive disease), ischemic heart disease, and problems with blood supply to the brain (cerebrovascular ischemia) have been reported in patients taking nilotinib. Your doctor should evaluate your blood fat (lipid) and sugar levels before starting treatment with Nilotinib Teva and during treatment.
if you develop swelling of the hands or feet, generalized swelling, or rapid weight gain, inform your doctor, as these may be signs of severe fluid retention. Rare cases of severe fluid retention have been reported in patients treated with nilotinib.

If you are the parent of a child being treated with Nilotinib Teva, inform the doctor if any of the conditions described above occur in your child.

Children and adolescents

Nilotinib Teva is used to treat children and adolescents with CML. There is no experience with the use of this medicine in children under 2 years of age. There is no experience in children under 10 years of age with newly diagnosed disease, and limited experience in children under 6 years of age who did not benefit from prior treatment for CML.

Some children and adolescents receiving Nilotinib Teva may have slower than normal growth. Your doctor will monitor growth during regular visits.

Other medicines and Nilotinib Teva

Nilotinib Teva can interfere with certain medicines.

Tell your doctor or pharmacist if you are taking, have recently taken, or might need to take any other medicines. These include, in particular:

antiarrhythmics – used to treat irregular heartbeat;
chloroquine, halofantrine, clarithromycin, haloperidol, methadone, moxifloxacin – medicines that may have an undesirable effect on the heart's electrical activity;
ketoconazole, itraconazole, voriconazole, clarithromycin, telithromycin – used to treat infections;
ritonavir – a medicine from the "protease inhibitor" group used to treat HIV;
carbamazepine, phenobarbital, phenytoin – used to treat epilepsy;
rifampicin – used to treat tuberculosis;
St. John’s wort – a plant-derived product used to treat depression and other conditions (also known as Hypericum perforatum);
midazolam – used to relieve anxiety before surgery;
alfentanil and fentanyl – used for pain treatment and as sedatives before or during surgery or medical procedures;
cyclosporine, sirolimus, and tacrolimus – medicines that suppress the body’s "self-defense" ability and fight infections, often used to prevent rejection of transplanted organs such as liver, heart, or kidney;
dihydroergotamine and ergotamine – used to treat dementia;
lovastatin, simvastatin – used to treat high blood fat levels;
warfarin – used to treat clotting disorders (such as blood clots or thrombosis);
astemizole, terfenadine, cisapride, pimozide, quinidine, bepridil, or ergot alkaloids (ergotamine, dihydroergotamine).

The use of these medicines should be avoided during treatment with Nilotinib Teva. If you are taking any of these drugs, your doctor may prescribe alternative medicines.

If you are taking statins (a type of medicine that lowers blood cholesterol), talk to your doctor or pharmacist. If you take Nilotinib Teva with certain statins, this may increase the risk of muscle-related problems associated with statins, which in rare cases can lead to serious muscle breakdown (rhabdomyolysis) that may result in kidney damage.

Also, inform your doctor or pharmacist before taking Nilotinib Teva if you are taking any antacids, which are medicines for stomach acidity. These medicines should be taken separately from Nilotinib Teva:

H2 blockers, which reduce acid production in the stomach. H2 blockers should be taken approximately 10 hours before and approximately 2 hours after taking Nilotinib Teva;
antacids such as those containing aluminium hydroxide, magnesium hydroxide, and simethicone, which neutralize high stomach acidity. These antacids should be taken approximately 2 hours before or approximately 2 hours after taking Nilotinib Teva.

You should also inform your doctor if you are already taking Nilotinib Teva and are prescribed a new medicine that you have not taken before during treatment with Nilotinib Teva.

Taking Nilotinib Teva with food and drink

Do not take Nilotinib Teva with food. Food can increase the absorption of Nilotinib Teva and therefore increase the amount of Nilotinib Teva in the blood, possibly to a dangerous level. You should not drink grapefruit juice or eat grapefruit. These can increase the amount of Nilotinib Teva in the blood, probably to a dangerous level.

Pregnancy and breastfeeding

The use of Nilotinib Teva during pregnancy is not recommended unless clearly necessary. If you are pregnant or think you might be, inform your doctor, who will discuss with you whether you can take this medicine during pregnancy.
Women who can become pregnant must use highly effective contraception during treatment and for at least two weeks after stopping treatment.
Breastfeeding is not recommended during treatment with Nilotinib Teva and for the following two weeks after the last dose. Inform your doctor if you are breastfeeding.

If you are pregnant or breastfeeding, think you might be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Driving and using machines

If you experience side effects (such as dizziness or vision problems) that may affect your ability to drive safely or operate tools or machines after taking this medicine, you should avoid these activities until the effect has passed.

Nilotinib Teva contains lactose

This medicine contains lactose (also known as milk sugar). If your doctor has told you that you have an intolerance to certain sugars, consult with him before taking this medicine.

Nilotinib Teva 150 mg contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per film-coated tablet; this is, essentially “sodium-free”.

3. How to take Nilotinib Teva

Follow exactly the instructions for using this medicine as given by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

How much Nilotinib Teva to take

Use in adults

Patients with newly diagnosed CML: The recommended dose is 600 mg daily. This dose is achieved by taking two 150 mg hard capsules twice daily.
Patients with CML who did not benefit from prior treatment: The recommended dose is 800 mg daily. This dose is achieved by taking two 200 mg capsules twice daily.

Use in children and adolescents

The dose given to your child will depend on their body weight and height. The doctor will calculate the correct dose and will tell you which capsules and how many of them to give to your child. The total daily dose given to your child must not exceed 800 mg.

Your doctor may prescribe a lower dose depending on how you or your child responds to treatment.

Elderly patients (65 years of age or older)

Nilotinib Teva may be used in patients aged 65 years or older at the same dose as other adults.

When to take Nilotinib Teva

Take the hard capsules:

twice daily (approximately every 12 hours);
at least 2 hours after eating;
and wait 1 hour before eating again.

Consult your doctor or pharmacist if you have any doubts about when to take this medicine. Taking Nilotinib Teva at the same time each day will help you remember when to take the hard capsules.

How to take Nilotinib Teva

Swallow the hard capsules whole with water.
Do not take any food with the hard capsules.
Do not open the capsules. If you or your child cannot swallow them, other nilotinib-containing medicines should be used instead of Nilotinib Teva.

How long to take Nilotinib Teva

Take nilotinib every day for as long as your doctor tells you. This is a long-term treatment. Your doctor will monitor your condition regularly to check that the treatment is having the desired effect.

Your doctor may consider stopping your treatment with nilotinib based on specific criteria.

If you have any doubts about how long you should take nilotinib, consult your doctor.

If you take more Nilotinib Teva than you should

If you have taken more nilotinib than you should, or if someone else accidentally takes your hard capsules, contact a doctor or hospital immediately. Show the capsule packaging and this leaflet. You may require medical treatment.

If you forget to take Nilotinib Teva

If you forget to take a dose, take the next dose at your usual time. Do not take a double dose to make up for the missed hard capsule.

If you stop taking Nilotinib Teva

Do not stop treatment with this medicine unless your doctor tells you to. Stopping treatment with nilotinib without your doctor's recommendation may put you at risk of worsening of your disease, which could have fatal consequences. Be sure to discuss this with your doctor, nurse, and/or pharmacist if you are considering stopping treatment with nilotinib.

If your doctor recommends stopping treatment with Nilotinib Teva

Your doctor will regularly evaluate your treatment using a specific diagnostic test and will decide whether you should continue taking this medicine. If your doctor advises you to stop nilotinib, they will continue to monitor your CML before, during, and after stopping nilotinib, and if necessary, may instruct you to restart treatment with nilotinib.

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

4. Possible adverse effects

Like all medicines, this medicine can cause adverse effects, although not everyone experiences them. Most adverse reactions are mild to moderate and usually disappear after a few days or weeks of treatment.

Some adverse reactions may be serious.

signs of musculoskeletal pain: joint and muscle pain
signs of cardiac disorders: chest pain or discomfort, high or low blood pressure, irregular heart rate (fast or slow), palpitations (sensation of rapid heartbeat), fainting, bluish discoloration of lips, tongue or skin
signs of arterial blockage: pain, discomfort, weakness or cramps in leg muscles, which may be due to reduced blood flow, leg ulcers or arms healing slowly or not healing, and noticeable changes in color (bluish or pale) or temperature (cold) in legs, arms, toes or fingers
signs of underactive thyroid gland: weight gain, fatigue, hair loss, muscle weakness, feeling cold
signs of overactive thyroid gland: rapid heartbeat, bulging eyes, weight loss, swelling at the front of the neck
signs of kidney or urinary tract disorders: thirst, dry skin, irritability, darkening of urine, reduced urine volume, difficulty and pain when urinating, increased urge to urinate, blood in urine, abnormal urine color
signs of high blood sugar levels: excessive thirst, increased urine volume, increased appetite with weight loss, fatigue
signs of dizziness: dizziness or spinning sensation
signs of pancreatitis: severe pain in the upper abdomen (middle or left side)
signs of skin disorders: painful red lumps, skin pain, skin redness, peeling or blisters
signs of fluid retention: rapid weight gain, swelling of hands, ankles, feet or face
signs of migraine: severe headache often accompanied by nausea, vomiting and sensitivity to light
signs of blood disorders: fever, easy bruising or unexplained bleeding, severe or frequent infections, unexplained weakness
signs of blood clot in a vein: swelling and pain in one part of the body
signs of nervous system disorders: weakness or paralysis of limbs or face, difficulty speaking, severe headache, seeing, feeling or hearing things that are not there, vision changes, loss of consciousness, confusion, disorientation, tremors, tingling, pain or numbness in fingers or toes
signs of lung disorders: difficulty breathing or pain when breathing, cough, wheezing with or without fever, swelling of feet or legs
signs of gastrointestinal disorders: abdominal pain, nausea, vomiting blood, black or bloody stools, constipation, heartburn, stomach reflux, bloated abdomen
signs of liver disorders: yellowing of skin and eyes, nausea, loss of appetite, darkening of urine
signs of liver infection: recurrence (reactivation of hepatitis B infection)
signs of eye disorders: visual disturbances including blurred vision, double vision or perceived flashes of light, reduced sharpness or loss of vision, blood in the eye, increased eye sensitivity to light, eye pain, redness, itching or irritation, dry eyes, swelling or itching of eyelids
signs of electrolyte imbalance: nausea, difficulty breathing, irregular heartbeat, cloudy urine, fatigue and/or joint discomfort associated with abnormal blood test results (such as high levels of potassium, uric acid and phosphorus and low levels of calcium)

Contact your doctor immediately if you experience any of the adverse effects described.

Some adverse reactions are very common (may affect more than 1 in 10 patients)

diarrhea
headache
lack of energy
muscle pain
itching, rash
nausea
constipation
vomiting
hair loss
pain in limbs, bone pain and spinal pain when stopping nilotinib treatment
slowed growth in children and adolescents
upper respiratory tract infection, including sore throat and nasal discharge or congestion, sneezing
low blood cell counts (red blood cells, platelets) or hemoglobin
elevated blood lipase levels (pancreatic function)
elevated blood bilirubin levels (liver function)
elevated blood alanine aminotransferase levels (liver enzymes)

Some adverse reactions are common (may affect up to 1 in 10 patients)

pneumonia
abdominal pain, stomach discomfort after meals, flatulence, bloating or distension of the abdomen
bone pain, muscle spasms
pain (including neck pain)
dry skin, acne, decreased skin sensitivity
weight gain or weight loss
insomnia, depression, anxiety
night sweats, excessive sweating
general feeling of discomfort
nosebleeds
signs of gout: joint pain and swelling
inability to achieve or maintain an erection
flu-like symptoms
sore throat
bronchitis
ear pain, hearing noises (e.g., ringing, buzzing) not coming from an external source (also called tinnitus)
hemorrhoids
heavy menstrual periods
itching of hair follicles
oral or vaginal candidiasis
signs of conjunctivitis: itchy eye discharge, redness and swelling
eye irritation, red eyes
signs of hypertension: high blood pressure, headache, dizziness
hot flushes
signs of peripheral arterial occlusive disease: pain, discomfort, weakness or cramps in leg muscles, which may be due to reduced blood flow, leg or arm ulcers healing slowly or not healing, and noticeable changes in color (bluish or pale) or temperature (cold) in legs or arms (possible signs of blockage in an artery of the leg, arm or affected fingers or toes)
difficulty breathing (also called dyspnea)
mouth sores with inflamed gums (also called stomatitis)
elevated blood amylase levels (pancreatic function)
elevated blood creatinine levels (kidney function)
elevated blood alkaline phosphatase or creatine phosphokinase levels
elevated blood aspartate aminotransferase levels (liver enzymes)
elevated blood gamma-glutamyltransferase levels (liver enzymes)
signs of leukopenia or neutropenia: low white blood cell count
increased number of platelets or white blood cells in blood
low blood levels of magnesium, potassium, sodium, calcium or phosphorus
increased blood levels of potassium, calcium or phosphorus
elevated blood fat levels (including cholesterol)
elevated blood uric acid levels

Some adverse reactions are uncommon (may affect up to 1 in 100 patients)

allergy (hypersensitivity to nilotinib)
dry mouth
breast pain
pain or discomfort in the side
increased appetite
breast enlargement in men
herpes virus infection
stiffness of muscles and joints, joint swelling
sensation of temperature change in the body (including feeling hot or cold)
altered sense of taste
increased frequency of urination
signs of stomach lining inflammation: abdominal pain, nausea, vomiting, diarrhea, abdominal distension
memory loss
skin cyst, thinning or thickening of the skin, thickening of the outermost skin layer, skin discoloration
signs of psoriasis: thickened red/silvery skin patches
increased skin sensitivity to light
hearing difficulty
joint inflammation
urinary incontinence
intestinal inflammation (also called enterocolitis)
anal abscess
swelling of the nipple
restless legs syndrome symptoms (irresistible urge to move a body part, usually the leg, accompanied by uncomfortable sensations)
signs of sepsis: fever, chest pain, increased heart rate, difficulty breathing or rapid breathing
skin infection (subcutaneous abscess)
skin wart
increase in a specific type of white blood cell (called eosinophils)
signs of lymphopenia: low white blood cell count
elevated blood parathyroid hormone levels (a hormone regulating calcium and phosphorus levels)
elevated blood lactate dehydrogenase levels (an enzyme)
signs of low blood sugar: nausea, sweating, weakness, dizziness, tremors, headache
dehydration
abnormal blood fat levels
involuntary movements (also called tremor)
difficulty concentrating
unpleasant or abnormal sensation upon touch (also called dysesthesia)
tiredness (also called fatigue)
numbness or tingling in fingers or toes (also called peripheral neuropathy)
paralysis of any facial muscle
red spot in the white of the eye caused by broken blood vessels (also called conjunctival hemorrhage)
blood in the eyes (also called ocular hemorrhage)
eye irritation
signs of heart attack (also called myocardial infarction): sudden, crushing chest pain, fatigue, irregular heartbeat
signs of heart murmur: fatigue, chest discomfort, dizziness, chest pain, palpitations
fungal foot infection
signs of heart failure: dyspnea, difficulty breathing when lying down, swelling of feet or legs
pain behind the breastbone (also called pericarditis)
signs of hypertensive crisis: severe headache, dizziness, nausea
leg pain and weakness caused by walking (also called intermittent claudication)
signs of arterial blockage in limbs: possible high blood pressure, painful cramps in one or both hips, thighs or calf muscles after certain activities such as walking or climbing stairs, numbness or weakness in legs
bruising (without injury)
fat deposits in arteries that may cause blockage (also called atherosclerosis)
signs of low blood pressure (also called hypotension): lightheadedness, dizziness or fainting
signs of pulmonary edema: dyspnea
signs of pleural effusion: fluid accumulation between the layers of tissue lining the lungs and chest cavity (which, if severe, may reduce the heart's ability to pump blood), chest pain, cough, hiccups, rapid breathing
signs of interstitial lung disease: cough, difficulty breathing, painful breathing
signs of pleural pain: chest pain
signs of pleurisy: cough, painful breathing
hoarseness
signs of pulmonary hypertension: high blood pressure in the lung arteries
wheezing
tooth sensitivity
signs of inflammation (also called gingivitis): bleeding gums, tender or enlarged gums
elevated blood urea levels (kidney function)
changes in blood proteins (low globulin levels or presence of paraprotein)
elevated blood unconjugated bilirubin levels
elevated blood troponin levels

Some adverse reactions are rare (may affect up to 1 in 1,000 patients)

redness and/or swelling and possibly peeling of the palms of the hands and soles of the feet (called hand-foot syndrome)
mouth warts
sensation of hardness or stiffness in the breasts
thyroid gland inflammation (also called thyroiditis)
altered or depressed mood
signs of secondary hyperparathyroidism: bone and joint pain, excessive urination, abdominal pain, weakness, fatigue
signs of brain artery blockage: loss of vision in part or all of both eyes, double vision, vertigo (spinning sensation), numbness or tingling, loss of coordination, dizziness or confusion
brain swelling (possible headache and/or changes in mental status)
signs of optic neuritis: blurred vision, vision loss
signs of cardiac dysfunction (reduced ejection fraction): fatigue, chest discomfort, dizziness, pain, palpitations
low or high blood insulin levels (a hormone regulating blood sugar)
low blood C-peptide levels (pancreatic function)
sudden death

The following adverse reactions have been reported with unknown frequency (cannot be estimated from available data):

signs of cardiac dysfunction (ventricular dysfunction): difficulty breathing, breathlessness at rest, irregular heartbeat, chest discomfort, dizziness, pain, palpitations, excessive urination, swelling in feet, ankles and abdomen.

Reporting of adverse effects

If you experience any adverse effect, talk to your doctor or pharmacist, even if it is a possible adverse effect not listed in this leaflet. You can also report them directly via the Spanish Pharmacovigilance System for Human Medicines: http://www.notificaram.es. By reporting adverse effects, you can help provide more information on the safety of this medicine.

5. Storage of Nilotinib Teva

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the packaging after EXP. The expiry date refers to the last day of the month indicated.
This medicine does not require any special storage conditions.
Do not use this medicine if you notice that the packaging is damaged or shows signs of tampering.
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. Ask your pharmacist how to 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 Nilotinib Teva

The active substance is Nilotinib.

Nilotinib Teva 150 mg: each hard capsule contains 150 mg of nilotinib (as dihydrochloride dihydrate).

The other components are:

Capsule contents: lactose monohydrate, crospovidone type A (E1202), colloidal anhydrous silica (E551), magnesium stearate (E470b)

Capsule shell: hypromellose (E464), purified water, carrageenan (E407), potassium chloride (E508), erythrosine (E127), yellow iron oxide (E172), red iron oxide (E172), titanium dioxide (E171)

Printing ink: shellac (E904), propylene glycol (E1520), potassium hydroxide (E525), black iron oxide (E172)

See section 2, Nilotinib Teva 150 mg contains lactose and sodium.

Nilotinib Teva 200 mg: each hard capsule contains 200 mg of nilotinib (as dihydrochloride dihydrate).

The other components are:

Capsule contents: lactose monohydrate, crospovidone type A (E1202), colloidal anhydrous silica (E551), magnesium stearate (E470b)

Capsule shell: hypromellose (E464), purified water, carrageenan (E407), potassium chloride (E508), yellow iron oxide (E172), titanium dioxide (E171)

Printing ink: shellac (E904), propylene glycol (E1520), potassium hydroxide (E525), black iron oxide (E172)

See section 2, Nilotinib Teva 200 mg contains lactose.

Appearance of the product and contents of the pack

Nilotinib Teva 150 mg hard capsules are red, opaque, size 1 capsules, printed with “150 mg” in black on the body. The capsule contents are a white to yellowish powder.

Nilotinib Teva 200 mg hard capsules are light yellow, opaque, size 0 capsules, printed with “200 mg” in black on the body. The capsule contents are a white to yellowish powder.

Nilotinib Teva 150 mg hard capsules are available in PVC/PE/PVdC//Al or OPA/Al/PVC//Al blisters: packs of 28, 30, 40 and 112 hard capsules and multipacks of 112 (4 packs of 28), 120 (3 packs of 40) and 392 (14 packs of 28) hard capsules.

Nilotinib Teva 150 mg hard capsules are available in unit-dose PVC/PE/PVdC//Al or OPA/Al/PVC//Al blisters: packs of 28, 30, 40 and 112 unit-dose hard capsules and multipacks of 112 unit-dose hard capsules (4 packs of 28 unit-dose hard capsules), 120 unit-dose hard capsules (3 packs of 40 unit-dose hard capsules) and 392 unit-dose hard capsules (14 packs of 28 unit-dose hard capsules).

Nilotinib Teva 200 mg hard capsules are available in PVC/PE/PVdC//Al or OPA/Al/PVC//Al blisters: packs of 28, 30, 40 and 112 hard capsules and multipacks of 112 (4 packs of 28), 120 (3 packs of 40) and 392 (14 packs of 28) hard capsules.

Nilotinib Teva 200 mg hard capsules are available in unit-dose PVC/PE/PVdC//Al or OPA/Al/PVC//Al blisters: packs of 28, 30, 40 and 112 unit-dose hard capsules and multipacks of 112 unit-dose hard capsules (4 packs of 28 unit-dose hard capsules), 120 unit-dose hard capsules (3 packs of 40 unit-dose hard capsules) and 392 unit-dose hard capsules (14 packs of 28 unit-dose hard capsules).

Only certain pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Teva GmbH

Graf-Arco-Str. 3

Ulm, 89079

Germany

Manufacturer

PharOS MT Ltd.

HF62X, Hal Far Industrial Estate,

Birzebbugia BBG3000

Malta

PharOS Pharmaceutical Oriented

Services Ltd.

Lesvou Street End, Thesi Loggos Industrial Zone, Metamorfossi, 144 52

Greece

Local representative:

Teva Pharma, S.L.U.

C/ Anabel Segura, 11 Edificio Albatros B, 1st floor

28108 Alcobendas (Madrid)

Spain

Date of the most recent revision of this leaflet: May 2024

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

You can access detailed information about this medicine by scanning with your mobile phone (smartphone) the QR code included on the packaging. You can also access this information at the following internet address: https://cima.aemps.es/cima/dochtml/ p/89745/P_89745.html