Taioma 10 mg prolonged-release tablets EFG: detailed information

Patient Information Leaflet

Introduction

Patient Information Leaflet

Taioma 10 mg prolonged-release tablets EFG

Oxycodone hydrochloride

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

Keep this 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 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.

Leaflet contents:

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

1. What Taioma is and what it is used for

This medicinal product is a strong opioid analgesic.

Taioma is indicated in adults and adolescents (from 12 years of age) for the treatment of severe pain that can only be adequately managed with opioid analgesics.

2. What you need to know before taking Taioma

Do not take Taioma

if you are allergic to oxycodone hydrochloride, peanuts, soy, or any of the other ingredients of this medicine (listed in section 6),
if you have severe chronic lung disease associated with narrowing of the airways (COPD = chronic obstructive pulmonary disease),
if you have a certain heart condition called cor pulmonale,
if you have asthma,
if you have breathing problems, such as breathing more slowly or weakly than normal (respiratory depression),
if you have a type of intestinal obstruction called paralytic ileus.

Warnings and precautions

Consult your doctor or pharmacist before starting to use Taioma:

if you are elderly or weakened,
if the function of your lungs, liver, or kidneys is severely impaired,
if you have a thyroid disorder causing swollen, puffy, cold, and dry skin on the face and limbs,
if you have a certain disorder of the thyroid glands (myxoedema) or if your thyroid glands do not produce enough hormones (hypothyroidism),
if you have poor adrenal gland function (your adrenal gland does not work properly), for example Addison's disease,
if you have enlargement of the prostate,
if you have a mental disorder caused by alcohol or intoxication with other substances,
if you are in an alcohol withdrawal phase,
if you have inflammation of the pancreas (pancreatitis) or have problems with the gallbladder,
if you have inflammation of the pancreas that may cause severe pain in the abdomen or back,
if you have inflammatory bowel disease,
if your doctor suspects you have intestinal paralysis (a condition in which the intestine has stopped functioning),
if you have a head injury with severe headache or discomfort – signs indicating increased intracranial pressure,
if you have low blood pressure or feel dizzy when standing up,
if you have epilepsy or are prone to seizures,
if you are taking a type of medicine to treat depression known as MAOIs (such as tranilcipromine, phenelzine, isocarboxazide, moclobemide, or linezolid), or if you have taken such medicines within the last two weeks,
if you suffer from constipation.

This medicine may cause breathing problems during sleep. These problems may include pauses in breathing during sleep, waking up due to breathlessness, difficulty staying asleep, or excessive daytime sleepiness. If you or someone else notices these symptoms, contact your doctor. Your doctor may want to reduce your dose.

If any of the above applies to you, please contact your doctor.

The most significant risk of opioid overdose is flattening and slowing of breathing (respiratory depression). This is more likely to occur in elderly and weakened patients and may also cause reduced oxygen levels in the blood. This could, for example, lead to fainting.

This medicine is specially formulated to release the active ingredient over a 12-hour period. The prolonged-release tablets must not be broken, split, chewed, or crushed. Doing so would lead to the absorption of a potentially dangerous dose of the active substance, oxycodone hydrochloride (see section "If you take more Taioma than you should or if someone else has accidentally ingested Taioma").

Tolerance, dependence, and addiction

This medicine contains oxycodone, an opioid. It may cause dependence and/or addiction.

When Taioma is used over a long period, tolerance to the medicine may develop. This means you may need a higher dose to maintain pain control. Do not change your dose without consulting your doctor.

This medicine contains oxycodone, which is an opioid medicine. Repeated use of opioid analgesics may make the medicine less effective (you become accustomed to it, known as tolerance). Repeated use of Taioma may lead to dependence, abuse, and addiction, which could result in potentially fatal overdose. The risk of these adverse effects may increase with higher doses and longer duration of use.

Dependence or addiction may make you feel that you no longer have control over how much medicine you need to take or how often you take it. You may feel that you need to continue taking the medicine, even when it no longer helps relieve your pain.

The risk of becoming dependent or addicted varies from person to person. You may have a higher risk of becoming dependent or addicted to Taioma:

If you or a family member has a history of alcohol, prescription medicine, or illicit substance abuse or dependence ("addiction"),
If you smoke,
If you have ever had problems with your mood (depression, anxiety, or a personality disorder) or have received treatment from a psychiatrist for other mental illnesses.

If you notice any of the following signs while taking Taioma, it could be a sign that you have become dependent or addicted:

You need to take the medicine for longer than recommended by your doctor.
You need to take higher doses than recommended.
You are using the medicine for reasons other than prescribed, for example, "to stay calm" or "to help you sleep".
You have made repeated unsuccessful attempts to stop or control your use of the medicine.
You feel unwell when you stop taking the medicine and feel better once you take it again ("withdrawal symptoms").

If you notice any of these signs, speak with your doctor to discuss the best treatment for you, including when it is appropriate to stop taking it and how to do so safely (see section 3, if you stop treatment with Taioma).

Opioids are not the first-line treatment for non-cancer-related pain and are not recommended as sole therapy. Other medicines should be used alongside opioids in the treatment of chronic pain. Your doctor must monitor you closely and make necessary dose adjustments while you are taking Taioma to prevent addiction and abuse.

Taioma has the potential for dependence. After abrupt discontinuation, withdrawal symptoms such as yawning, dilated pupils, tearing, runny nose, tremors, sweating, anxiety, restlessness, seizures, insomnia, or muscle pain may occur. If you no longer require treatment, your doctor will gradually reduce your daily dose.

The active ingredient, oxycodone hydrochloride, like other potent opioids (strong analgesics), has abuse potential. Psychological addiction may develop. Taioma should only be used with special caution if there is or has been a history of alcohol, drug, or medication abuse.

Especially at high doses, increased sensitivity to pain (hyperalgesia) may occur, which does not respond to increasing the dose of Taioma. Your doctor will then decide whether to reduce the dose or switch to another strong analgesic (opioid).

Taioma is for oral use only (swallow whole as a prolonged-release tablet). Prolonged-release tablets must not be dissolved and injected, as this may have serious and potentially fatal consequences.

If you are undergoing surgery, inform your doctor that you are taking Taioma.

Contact your doctor if you experience severe upper abdominal pain that may extend to the back, nausea, vomiting, or fever, as these may be symptoms associated with inflammation of the pancreas (pancreatitis) and the biliary tract system.

Like other opioids, oxycodone may affect the normal production of hormones in the body (such as cortisol and sex hormones). This occurs especially after receiving high doses over long periods.

Paediatric population

Taioma is not recommended for children under 12 years of age due to lack of safety and efficacy data.

Anti-doping warning

Athletes are advised that this medicine contains a component that may result in a positive doping test.

Using Taioma as a doping agent poses a health risk.

Sleep-related breathing disorders

Taioma may cause sleep-related breathing disorders, such as sleep apnoea (pauses in breathing during sleep) and sleep-related hypoxemia (low oxygen levels in the blood). Symptoms may include pauses in breathing during sleep, nocturnal awakenings due to difficulty breathing, difficulty maintaining sleep, or excessive daytime sleepiness. If you or someone else observes these symptoms, contact your doctor. Your doctor may consider reducing your dose.

Other medicines and Taioma

Inform your doctor or pharmacist if you are taking, have recently taken, or might need to take any other medicines.

Concomitant use of Taioma and sedative medicines such as benzodiazepines or related drugs increases the risk of drowsiness, breathing difficulties (respiratory depression), coma, and may be life-threatening. Because of this, concomitant use should only be considered when no alternative treatment is possible.

However, if your doctor prescribes Taioma together with sedative medicines, the dose and duration of concomitant treatment must be limited by your doctor.

Inform your doctor about all sedative medicines you are taking and follow your doctor’s dosage recommendations. It may be helpful to inform friends or relatives so they are aware of the signs and symptoms mentioned above. Contact your doctor if you experience any symptoms.

Side effects of Taioma may be more frequent or more severe if taken together with medicines that may affect brain function or are used to treat allergies, dizziness, or vomiting. Side effects may include flattening and slowing of breathing (respiratory depression), constipation, dry mouth, or urinary problems.

The risk of side effects increases if antidepressants (such as citalopram, duloxetine, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, venlafaxine) are used.

These medicines may interact with oxycodone, and symptoms such as rhythmic and involuntary muscle contractions, including muscles controlling eye movements, agitation, excessive sweating, tremor, exaggerated reflexes, increased muscle tension, and body temperature above 38°C may occur. Contact your doctor if you experience such symptoms.

Inform your doctor or pharmacist if you are taking:

medicines that help you sleep or stay calm (e.g. hypnotics or sedatives, including benzodiazepines),
medicines to treat depression (e.g. paroxetine or amitriptyline), including those belonging to the MAOI group (such as tranilcipromine, phenelzine, isocarboxazide, moclobemida, or linezolid),
medicines for allergy, dizziness, or vomiting (antihistamines, antiemetics),
medicines to treat psychiatric or mental disorders (such as psychotropic drugs, phenothiazines, or neuroleptic medicines),
medicines to treat epilepsy, pain, and anxiety, such as gabapentin and pregabalin,
muscle relaxants used to treat muscle spasms (such as tizanidine),
medicines to treat Parkinson’s disease,
other strong analgesics (opioids),
cimetidine (a medicine for stomach ulcers, indigestion, or heartburn),
medicines to treat fungal infections (such as ketoconazole, voriconazole, itraconazole, or posaconazole),
medicines used to treat bacterial infections (such as clarithromycin, erythromycin, or telithromycin),
a specific type of medicine known as protease inhibitors for treating HIV (such as boceprevir, ritonavir, indinavir, nelfinavir, or saquinavir),
rifampicin for treating tuberculosis,
carbamazepine (a medicine for treating epilepsy or seizures and certain painful conditions),
phenytoin (a medicine for treating seizures or convulsions),
a herbal medicine called "St. John's wort" (also known as Hypericum perforatum),
quinidine (a medicine for treating fast heart rhythm),
certain medicines to prevent blood clotting or to thin the blood (such as phenprocoumon).

Use of Taioma with food, drinks, and alcohol

Drinking alcohol while taking Taioma may make you feel more drowsy or increase the risk of serious adverse effects such as shallow breathing with risk of respiratory arrest and fainting. It is recommended not to drink alcohol while taking Taioma.

The use of tablets should be avoided in patients with a history of or current alcohol or drug abuse.

Grapefruit juice may increase the concentration of Taioma in the blood. If you regularly drink grapefruit juice, inform your doctor.

Pregnancy and breastfeeding

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

Pregnancy

You must not take Taioma during pregnancy. There is insufficient data on the use of oxycodone in pregnant women.

Prolonged use of oxycodone during pregnancy may cause withdrawal symptoms in newborns. Use of oxycodone during childbirth may cause breathing problems (respiratory depression) in the newborn.

Breastfeeding

You must not use Taioma while breastfeeding, as oxycodone passes into breast milk and may cause sedation and slow, shallow breathing (respiratory depression) in the nursing infant.

Driving and using machines

Taioma may affect your ability to drive and operate machinery.

This is especially expected at the beginning of Taioma therapy, after increasing the dose, or after switching formulations, as well as when Taioma interacts with alcohol or drugs that impair brain function.

In the case of stable therapy, a general prohibition on driving is not absolutely necessary. Your doctor should assess your individual situation. Please discuss with your doctor whether you may actively drive or operate machinery and under what conditions.

Taioma contains lecithin (from soy).

If you are allergic to peanuts or soy, do not use this medicine.

This medicine contains less than 23 mg of sodium (1 mmol) per prolonged-release tablet; thus, it is essentially "sodium-free".

3. How to take Taioma

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

Before starting treatment and periodically during treatment, your doctor will discuss with you what to expect from using this medicine, when and for how long you should take it, when to contact your doctor, and when you should stop taking it (see also "If you stop taking Taioma").

Dosage

For doses not achievable/practical with this concentration, other concentrations of this medicine are available.

Your doctor will adjust the dose according to the intensity of pain and individual susceptibility.

Do not change the dose without consulting your doctor.

You should receive the lowest effective dose sufficient to relieve your pain.

If you have previously been treated with opioids, your doctor may start your therapy with a higher dose.

It may be necessary to gradually increase the dose if pain relief is insufficient or if pain worsens.

Talk to your doctor if you experience breakthrough pain despite pain therapy. Your doctor may prescribe an additional analgesic (immediate-release analgesic) or adjust your dose of this medicine to manage breakthrough pain. You must not take this medicine for breakthrough pain.

If your doctor has not instructed otherwise, the recommended dose is

for adults and adolescents (from 12 years of age):

The usual initial dose is one 10 mg tablet every 12 hours. In some cases, your doctor may prescribe an initial dose of 5 mg to reduce possible side effects.

Your doctor will prescribe the dose necessary to treat your pain. If you continue to feel pain while taking these tablets, inform your doctor.

In the treatment of non-tumoral pain, 40 mg of oxycodone hydrochloride (4 prolonged-release tablets of Taioma 10 mg or 2 prolonged-release tablets of Taioma 20 mg divided into two single doses) is generally a sufficient daily dose; however, higher doses may also be required. Patients with tumoral pain usually require doses of 80 to 120 mg of oxycodone hydrochloride, which may be increased up to 400 mg in individual cases.

Some patients taking Taioma on a fixed schedule may require a fast-acting analgesic as "as-needed" medication to control breakthrough pain. Prolonged-release tablets of Taioma are not intended for the treatment of such breakthrough pains.

for children (under 12 years of age):

The safety and efficacy of this medicine have not been sufficiently established in children under 12 years of age. Therefore, treatment is not recommended in children under 12 years of age.

for elderly patients (65 years and older):

Elderly patients with normal liver and/or lung function may take the same doses indicated above for adults.

for patients with renal and/or hepatic impairment, or with low body weight:

If you have liver or kidney problems and have not previously received opioids, you should start with half the recommended adult dose.

for other at-risk patients:

If you are small in stature or if your body metabolizes medications more slowly, the initial dose should be half the recommended adult dose.

Method of administration

Oral use.

Prolonged-release tablets must be swallowed whole with a sufficient amount of liquid (e.g., half a glass of water), in the morning and in the evening, every 12 hours (e.g., one tablet at 8 a.m. and the next at 8 p.m.). You may take the tablets with or without food.

Swallow the prolonged-release tablets whole so that the specific release of the active substance over an extended period is not affected. Prolonged-release tablets must be swallowed whole and must not be broken, split, chewed, or crushed.

Duration of treatment

Your doctor will advise you on how long your treatment with this medicine should last.

Do not stop your treatment without speaking to your doctor (see "If you stop taking Taioma").

If you take this medicine for a long time, your treatment should be monitored and discussed regularly with your doctor. This is necessary to achieve optimal pain therapy—i.e., to allow timely management of any side effects, as well as decisions regarding dose adjustment and continuation of treatment.

Consult your doctor or pharmacist if you feel that the effect of this medicine is too strong or too weak.

If you take more Taioma than you should

Contact a doctor immediately if you have taken more tablets than prescribed, or call the Toxicology Information Service: 91 562 04 20, stating the medicine and the amount ingested.

An overdose may cause:

a decrease in the size of your pupils,
slower and weaker breathing than normal (respiratory depression),
drowsiness progressing to stupor (narcotic state),
decreased muscle tone (hypotonia),
reduced pulse,
low blood pressure,
a brain disorder (known as toxic leukoencephalopathy).

In the most severe cases, unconsciousness (coma), pulmonary edema, and circulatory failure may occur, possibly leading to death.

Never place yourself in situations requiring high alertness, such as driving a vehicle.

If you forget to take Taioma

If you take a lower dose of Taioma than prescribed, or miss a dose, adequate pain relief may not be achieved.

If you miss a dose, you may take it if more than 8 hours remain until the next scheduled dose. If less time remains until the next dose, take the missed dose and then take the next dose 8 hours later.

After that, you may continue with your usual dosing schedule.

In general, you must not take this medicine more often than every 8 hours.

Consult your doctor or pharmacist if you are unsure.

Do not take a double dose to make up for a missed dose.

If you stop taking Taioma

Do not stop treatment without first consulting your doctor.

If you stop taking the medicine, withdrawal symptoms may occur (e.g., yawning, dilated pupils, tearing, runny nose, tremors, sweating, anxiety, restlessness, seizures, insomnia, or muscle pain). Therefore, it may be advisable for your doctor to gradually reduce the dose.

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

4. Possible adverse effects

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

Contact a doctor immediately if you experience any of the following symptoms:

?Slowed or weakened breathing (respiratory depression). This is the greatest danger associated with medicines such as Taioma (opioids) and can be fatal after high doses of the medicine.

Other adverse effects

Very common (may affect more than 1 in 10 people)

Numbness, dizziness, headache.
Constipation, malaise, nausea, vomiting. Your doctor will prescribe an appropriate medicine to treat these symptoms.
Itching.

Common (may affect up to 1 in 10 people)

Mood changes (anxiety, confusion, depression, restlessness), sleep disorders, abnormal thoughts.
Tremors or uncontrollable movements in any part of the body, feeling of weakness.
Decreased blood pressure, occasionally accompanied by symptoms such as strong or rapid heartbeat.
Shortness of breath, difficulty breathing, or wheezing.
Dry mouth, occasionally accompanied by thirst and difficulty swallowing, general symptoms of indigestion such as stomach pain, diarrhea, heartburn.
Skin rashes, excessive sweating.
Sweating, weakness.

Uncommon (may affect up to 1 in 100 people)

Allergic reactions.
Increase in the level of a certain hormone (ADH = antidiuretic hormone) in the blood, with symptoms such as headache, irritability, lethargy, nausea, vomiting, confusion, and altered consciousness.
Reduction in body water (dehydration).
Restlessness, mood changes, hallucinations, euphoria, decreased libido, drug dependence.
Amnesia, tingling or numbness (e.g., in hands or feet), seizures, increased or decreased muscle tone, tics, fainting, reduced sense of pain or touch, taste disturbances.
Visual disturbances, reduced pupil size.
Sensation of movement or spinning (dizziness).
Uncomfortable awareness of irregular or strong heartbeat, rapid pulse.
Blood vessel dilation causing hypotension.
Shortness of breath, increased cough, sore throat, nasal congestion, voice changes.
Difficulty swallowing, oral ulcers, gum inflammation, flatulence (excessive gas in the stomach or intestine), belching, intestinal obstruction (ileus).
Increased blood concentration of certain liver enzymes.
Dry skin.
Difficulty urinating, frequent urination.
Decreased sexual desire and inability to achieve or maintain an erection during sexual activity.
Chills, dizziness, injuries due to reduced alertness, pain (e.g., chest pain), fluid retention (edema), migraine, thirst, physical dependence with withdrawal symptoms, tolerance.

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

Lymph node disease.
Muscle spasms, epileptic seizures (fits), particularly in patients with epilepsy or a predisposition to seizures.
Low blood pressure.
Bleeding gums, decreased appetite, dark stools.
Itchy rash, blisters on the skin and mucous membranes (oral ulcers or herpes), increased sensitivity to light.
Blood in the urine.
Changes in body weight (increase or decrease), skin inflammation.

Very rare (may affect up to 1 in 10,000 people)

Speech disorders.
Scaly skin rash.
Amenorrhea (absence of menstrual bleeding).

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

Sleep apnea (breathing pauses during sleep).
Severe allergic reactions.
Aggression.
Increased sensitivity to pain.
Dental caries.
Obstruction of bile secretion, biliary colic (causing stomach pain).
Prolonged use of Taioma during pregnancy may cause life-threatening withdrawal syndrome in newborns. Symptoms observed in infants included irritability, hyperactivity, abnormal sleep patterns, high-pitched crying, tremors, sickly appearance, diarrhea, and failure to gain weight.
A condition affecting a valve in the intestine, which may cause severe upper abdominal pain (Oddi sphincter dysfunction).

If treatment is abruptly discontinued, prolonged use of Taioma may lead to dependence and withdrawal syndrome may occur. If you no longer require treatment with Taioma, your doctor will gradually reduce the dose to prevent withdrawal symptoms (see also "Take special care with Taioma").

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 may also report them directly via the Spanish Pharmacovigilance System for Human Medicines: www.notificaram.es. By reporting adverse effects, you can help provide more information on the safety of this medicine.

5. Storage of Taioma

Keep this medicine out of the sight and reach of children. Store this medicine in a safe, closed place, where others cannot access it. It may cause serious harm and be fatal to people who have not been prescribed it.

Do not use this medicine after the expiry date stated on the blister and the outer packaging after EXP. The expiry date refers to the last day of the month indicated.

Do not store above 25°C.

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

6. Contents of the pack and other information

Composition of Taioma

The active substance is oxycodone hydrochloride. One tablet contains 10 mg of oxycodone hydrochloride, equivalent to 8.97 mg of oxycodone.
The other components are

Tablet core: Kollidon SR (composed of polyvinylpyrrolidone (K = 27.0 - 32.4) (E 1201), lauryl sulfate, silica), microcrystalline cellulose (E-460), anhydrous colloidal silica, magnesium stearate (E470b).

Tablet coating: polyvinyl alcohol, talc (E-553b), titanium dioxide (E-171), macrogol 3350, lecithin (soy) (E-322).

Appearance of Taioma and contents of the pack

Taioma 10 mg are white, round, biconvex prolonged-release tablets.

They are available in blisters containing 10, 28, 30, and 56 prolonged-release tablets.

Only certain pack sizes may be marketed.

Marketing Authorization Holder:

Aristo Pharma Iberia, S.L.

C/ Solana, 26 28850, Torrejón de Ardoz

Madrid, Spain

Manufacturer:

G.L. Pharma GmbH,

Schlossplatz 1, 8502 Lannach,

Austria

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

Germany: Oxycodonhydrochlorid G.L. 10 mg Retardtabletten

France: Oxycodone Viatris 10 mg comprimé à libération prolongée

Spain: Taioma 10 mg comprimidos de liberación prolongada EFG

Date of the most recent review of this leaflet: June 2025

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