Olanzapine Mabo 5 mg film-coated tablets EFG

Package leaflet: Information for the user

Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

Olanzapine MABO 5 mg film-coated tablets EFG

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 only and should not be given to others. It may harm them even if their symptoms are the same as yours.
• If you think any of the side effects you experience is serious, or if you notice any side effects not listed in this leaflet, inform your doctor or pharmacist.

Contents of this leaflet:

1. What Olanzapine MABO 5 mg tablets are and what they are used for
2. Before you take Olanzapine MABO 5 mg tablets
3. How to take Olanzapine MABO 5 mg tablets
4. Possible side effects
5. How to store Olanzapine MABO 5 mg tablets
6. Further information

1. What OLANZAPINE MABO 5 mg TABLETS is and what it is used for

Olanzapine MABO tablets belong to a group of medicines called antipsychotics.

Olanzapine MABO is used to treat:

• a condition with symptoms such as hearing, seeing, or feeling things that are not real, false beliefs, unusual suspiciousness, and a tendency to withdraw socially. People with this condition may also feel depressed, anxious, or tense.

• a disorder characterized by symptoms such as feeling overly elated, having excessive energy, needing much less sleep than usual, speaking very rapidly with racing thoughts, and sometimes having considerable irritability. It is also a mood stabilizer that prevents the occurrence of extreme mood swings associated with this illness.

2. BEFORE TAKING OLANZAPINE MABO 5 mg TABLETS

Do not take Olanzapine MABO

• if you are allergic to olanzapine or to any of the other ingredients. The allergic reaction may manifest as a rash, itching, swelling of the face or lips, or difficulty breathing. If this happens to you, tell your doctor,
• if you have previously been diagnosed with narrow-angle glaucoma.

Take special care with Olanzapine MABO

• medicines of this type may cause unusual movements, especially in the face or tongue. If this happens to you after taking olanzapine, tell your doctor,
• very rarely, medicines of this type may cause a combination of fever, rapid breathing, sweating, muscle stiffness, and mental confusion or drowsiness. If this occurs, stop taking the medicine and contact your doctor immediately.

If you have any of the following conditions, tell your doctor as soon as possible:

• diabetes
• heart disease
• liver or kidney disease
• Parkinson's disease
• epilepsy
• prostate problems
• intestinal blockage (paralytic ileus)
• blood disorders
• stroke or transient ischemic attack.

If you suffer from dementia, you or your caregiver or family member should inform your doctor if you have ever had a stroke or transient ischemic attack.

If you or a family member has a history of blood clots, these medicines may be associated with an increased risk of developing blood clots.

Children and adolescents under 18 years

Patients under 18 years of age must not take olanzapine.

Elderly

The use of olanzapine in elderly patients with dementia is not recommended, as it may cause serious adverse effects.

As a routine precaution, if you are over 65 years old, your doctor should monitor your blood pressure.

Use of other medicines

Inform your doctor or pharmacist if you are taking or have recently taken any other medicines, including those obtained without a prescription.

Inform your doctor especially if you are taking medication for Parkinson's disease.

Only take other medicines together with olanzapine if your doctor authorizes it. You may feel increased drowsiness if olanzapine is combined with antidepressants or medicines for anxiety or sleep (tranquilizers).

You must inform your doctor if you are taking fluvoxamine (an antidepressant) or ciprofloxacin (an antibiotic), as your olanzapine dose may need to be adjusted.

Taking olanzapine with food and drinks

Olanzapine MABO tablets can be taken with or without food.

You must not drink alcohol during treatment with Olanzapine MABO tablets. The combination of olanzapine and alcohol may cause drowsiness.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before taking this medicine.

If you are pregnant or think you may be pregnant, consult your doctor before taking this medicine. You must not take this medicine during pregnancy unless your doctor advises it.

Newborns of mothers who have taken Olanzapine MABO during the third trimester of pregnancy may experience the following symptoms: tremors, muscle stiffness and/or weakness, drowsiness, agitation, breathing difficulties, and feeding problems. If your newborn shows any of these symptoms, contact your doctor.

You must not take this medicine while breastfeeding, as small amounts of Olanzapine MABO tablets may pass into breast milk.

Driving and using machines

There is a risk of drowsiness when taking olanzapine. If this occurs, do not drive or operate machinery. Consult your doctor.

Important information about some of the components of Olanzapine MABO

This medicine contains lactose. If your doctor has informed you of an intolerance to certain sugars, consult with him before taking this medicine.

This medicine contains soya oil. It must not be used in case of allergy to peanuts or soya.

3. HOW TO TAKE OLANZAPINE MABO 5 mg TABLETS

Follow exactly the administration instructions for Olanzapine MABO provided by your doctor. Consult your doctor or pharmacist if you have any doubts.

The daily dose of Olanzapine ranges from 5 to 20 mg. Consult your doctor if your symptoms return, but do not stop taking Olanzapine unless instructed by your doctor.

You must swallow the tablets whole with water.

You should take your Olanzapine tablets once daily, as directed by your doctor. Try to take the tablets at the same time each day. Olanzapine tablets are for oral use.

Do not stop treatment when you feel better. It is very important that you continue taking Olanzapine for as long as your doctor advises.

If you take more Olanzapine MABO than you should

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 amount ingested. It is recommended to bring the medicine packaging and leaflet to the healthcare professional.

Patients who have taken more Olanzapine than prescribed have experienced the following symptoms: rapid heartbeat, agitation/aggression, speech difficulties, unusual movements (especially of the face and tongue), and reduced level of consciousness. Other possible symptoms include: acute confusion, seizures (epilepsy), coma, a combination of fever, rapid breathing, sweating, muscle rigidity, drowsiness or lethargy, slowed breathing rate, aspiration, increased or decreased blood pressure, and abnormal heart rhythms. Contact your doctor or go immediately to the hospital. Show the doctor the medicine package and tablets.

If you forget to take Olanzapine MABO

If you forget to take a dose of Olanzapine, continue treatment with your next scheduled dose. Do not take a double dose to make up for forgotten doses.

If you stop taking Olanzapine MABO

Do not stop treatment without first consulting your doctor, even if you feel better. Discontinuation of treatment should be done gradually and always in accordance with your doctor's instructions.

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

4. Possible adverse effects

Like all medicines, Olanzapine may cause adverse effects, although not everyone experiences them.

Uncommon side effects (may affect up to 1 in 100 people) include hypersensitivity (e.g. swelling of the mouth and throat, itching, skin rash); diabetes or worsening of diabetes, occasionally associated with ketoacidosis (acetone in blood and urine) or coma; seizures, which in most cases are related to a history of seizures (epilepsy); muscle rigidity or spasms (including eye movements); restless legs syndrome; speech problems; slow pulse; sensitivity to sunlight; nosebleeds; abdominal distension; memory loss or forgetfulness; urinary incontinence; inability to urinate; hair loss; absence or reduction of menstrual periods; and changes in the mammary gland in both men and women, such as abnormal production of breast milk or abnormal growth, and excessive salivation.

In this leaflet, when an adverse effect is described as "rare", it means it has been reported in more than 1 in 10,000 patients, but in less than 1 in 1,000. When an adverse effect is described as "very rare", this means it has been reported in fewer than 1 in 10,000 patients.

Adverse effects of Olanzapine may include drowsiness or excessive tiredness, weight gain, dizziness, increased appetite, fluid retention, constipation, dry mouth, agitation, unusual movements (especially of the face or tongue), tremors, and changes in levels of certain blood cells and circulating fats. In some patients, pancreatitis has developed very rarely, causing severe stomach pain, fever, and malaise.

Some people experience dizziness or fainting (with slower heartbeats) early in treatment, especially when getting up from a lying or sitting position. This sensation usually resolves spontaneously, but if it does not, inform your doctor.

Very rare cases of patients with abnormal heart rhythms, which may be serious, have been reported.

During treatment with Olanzapine, elderly patients with dementia may experience stroke, pneumonia, falls, extreme fatigue, visual hallucinations, increased body temperature, skin redness, and difficulty walking. Some deaths have been reported in this particular group of patients.

Olanzapine may worsen symptoms in patients with Parkinson's disease.

Liver disorders have also been reported rarely. Very rarely, prolonged and/or painful erection (priapism), decreased normal body temperature, blood clots (e.g., deep vein thrombosis in the legs), and unexplained muscle disorders presenting as muscle pain have been reported.

Very rarely, babies born to mothers who have taken Olanzapine during the late stages of pregnancy (third trimester) may experience tremors, drowsiness, or lethargy.

Blood clots in the veins, especially in the legs (symptoms include swelling, pain, and redness in the leg), may travel through blood vessels to the lungs, causing chest pain and difficulty breathing. If you experience any of these symptoms, seek immediate medical attention.

Serious allergic reactions have been reported, such as Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS). DRESS initially presents with flu-like symptoms, a facial rash that spreads to other areas, fever, swollen lymph nodes, elevated liver enzymes in blood tests, and an increase in a type of white blood cell (eosinophilia).

Reporting of adverse effects:

If you experience any type of adverse effect, consult your doctor, pharmacist, or nurse, 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 (Website: www.notificaram.es). By reporting adverse effects, you can help provide more information on the safety of this medicine.

5. Storage of OLANZAPINE MABO 5 mg TABLETS

Keep out of the reach and sight of children.

Storage conditions:

No special storage conditions required.

Do not use Olanzapine MABO after the expiry date stated on the packaging. The expiry date refers to the last day of the month indicated.

Medicines must not be disposed of via wastewater or household waste. Dispose of unused medicines and their containers at the SIGRE collection point at your pharmacy. If in doubt, ask your pharmacist how to properly dispose of unused medicines and their packaging. This will help protect the environment.

6. ADDITIONAL INFORMATION

Composition of Olanzapine MABO 5 mg tablets

• The active substance is Olanzapine. Each film-coated tablet contains 5 mg of Olanzapine.

• The other components (excipients) are: lactose, microcrystalline cellulose, crospovidone, magnesium stearate, polyvinyl alcohol, titanium dioxide E171, talc, soy lecithin E322, xanthan gum E415.

Appearance of the product and contents of the container

Olanzapine MABO 5 mg is presented as film-coated tablets. The tablets are white, round and biconvex, with the imprint 'O1' on one side.

Pack sizes:

Al/Al blister pack containing 28 tablets.

Marketing Authorization Holder

MABO-FARMA S.A.

Calle Vía de los Poblados, 3,

Edificio 6, 28033 Madrid,

Spain.

Manufacturer responsible

Actavis Ltd.

BLB016 Bulebel Industrial Estate

Zejtun ZTN 3000

Malta

This leaflet was last reviewed in May 2021

Detailed and up-to-date information on this medicinal product is available on the website of the Spanish Agency of Medicines and Health Products (AEMPS) http://www.aemps.gob.es/