DEFLAZACORT CINFA 30 mg TABLETS

2. What you need to know before taking deflazacort cinfa

Do not take deflazacort cinfa

• If you are allergic to deflazacort or any of the other ingredients of this medicine (listed in section 6).
• If you have a stomach ulcer.
• If you have bacterial infections (active tuberculosis) and viral infections (simple ocular herpes, herpes zoster, chickenpox) or generalized fungal infections.
• If you are in a pre- or post-vaccination period.

Warnings and precautions

Talk to your doctor or pharmacist before taking deflazacort cinfa.

• Tell your doctor if you have any heart disease, congestive heart failure, high blood pressure, thromboembolic diseases (those caused by blood clots), esophageal, stomach, or intestinal diseases, diabetes mellitus, emotional disorders, psychosis, epilepsy, glaucoma, hypothyroidism (thyroid gland insufficiency), and/or cirrhosis.
• It is necessary to adjust the dose of corticosteroids in special situations (surgery, infections, and others) and therefore the doctor should know if the patient has suffered from any other disease.
• In children, prolonged use of this medicine may stop their growth and development.
• After long-term treatment with deflazacort, it should be gradually discontinued. Do not stop taking this medicine without consulting your doctor first.
• Contact your doctor if you experience blurred vision or other visual disturbances.

Use in athletes

Patients should be warned that this medicine contains deflazacort, which may produce a positive result in doping tests.

Taking deflazacort cinfa with other medicines

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

In particular, tell your doctor or pharmacist if you are taking any of the following medicines, as deflazacort may interact with them:

• Diabetes medicines: because a dose change may be necessary.
• Anti-infectives (rifampicin): because they may decrease the effect of deflazacort.
• Estrogens or oral contraceptives: because the effect of deflazacort may be increased.
• Muscle relaxants: because the relaxing effect may be prolonged.
• Anticholinesterase medicines used in myasthenia gravis.
• Vaccines and toxoids: because corticosteroids decrease the immune response.
• Medicines for epilepsy and those used in psychiatric treatments (phenytoin, phenobarbital): because they may decrease the effect of deflazacort.
• Some medicines may increase the effects of deflazacort, so your doctor will monitor you closely if you are taking these medicines (including some for HIV: ritonavir, cobicistat).

Pregnancy, breastfeeding, and fertility

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.

Deflazacort should not be used during the first trimester of pregnancy unless the doctor considers the benefits to outweigh the potential risk.

Taking medicines during pregnancy can be hazardous to the embryo or fetus and should be monitored by your doctor.

Deflazacort passes into breast milk, so its use is not recommended during breastfeeding.

Driving and using machines

No data are available, although it is advisable that, until the response to treatment is satisfactory, you should not perform tasks that require special attention, such as driving vehicles or operating hazardous machinery.

deflazacort cinfa contains lactose

This medicine contains lactose. If your doctor has told you that you have an intolerance to some sugars, consult them before taking this medicine.

deflazacort cinfa contains sodium

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

3. How to take deflazacort cinfa

Follow exactly the administration instructions of this medicine given by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist again.

This medicine is administered orally. The tablets should be swallowed without chewing, with a little liquid.

The tablet can be divided into equal doses. The dose should be individualized. Therefore, the number and frequency of tablets you should take will be determined by your doctor based on the type and severity of your disease, as well as your response to treatment.

In adults, the dose may range from 6 to 90 mg per day, and in children from 0.25 to 1.15 mg/kg. It is essential that you fully understand your doctor's instructions regarding the administration of the medicine and, if in doubt, do not hesitate to consult them.

Your doctor will indicate the duration of treatment. Do not stop it before, or without authorization, and never stop it abruptly. In special situations (stress, significant infections, severe trauma, or surgical interventions), it may be necessary to adjust the dose. Consult your doctor to explain the procedure to follow in these cases.

After prolonged treatment, the administration of this medicine should never be stopped abruptly. Your doctor will indicate how to gradually decrease the dose. It is also important that you remain in contact with your doctor at the end of treatment so that they can act in case of symptom recurrence.

If you take more deflazacort cinfa than you should

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, telephone 91 562 04 20, indicating the medicine and the amount taken.

If you forget to take deflazacort cinfa

Do not take a double dose to make up for forgotten doses.

If you stop taking deflazacort cinfa

After long-term treatment with deflazacort, it should be gradually discontinued. Prolonged treatments that are stopped abruptly can cause fever, malaise, and muscle and joint pain.

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

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

The side effects of deflazacort that have been observed, mainly in long-term treatments, are the following:

• Gastrointestinal disorders:gastrointestinal ulcers.
• Nervous system disorders:headache, dizziness, agitation, sleep disorders.
• Skin and subcutaneous tissue disorders:healing problems, skin lesions.
• Cardiac and vascular disorders:increased blood pressure (hypertension), water retention in tissues (edema).
• Endocrine disorders:weight gain, worsening of diabetes mellitus, disappearance of menstruation.

• Musculoskeletal and connective tissue disorders: muscle weakness, osteoporosis.
• Ocular disorders: ocular disturbances.

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

The use of deflazacort together with muscle relaxants, especially when administered at high doses and for long periods, may cause severe muscle disorders.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if they are possible side effects not listed in this package leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) website: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of deflazacort cinfa

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

This medicine does not require special storage conditions.

Do not use this medicine after the expiry date stated on the packaging after EXP. The expiry date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the pharmacy's SIGRE collection point. If you are unsure, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Contents of the pack and further information

Composition of deflazacort cinfa

The active ingredient is deflazacort. Each tablet contains 30 mg of deflazacort.

The other ingredients are: lactose monohydrate, microcrystalline cellulose (E-460), sodium croscarmellose, cornstarch, polysorbate 80 (E-433), and magnesium stearate.

Appearance of the product and pack contents

deflazacort cinfa 30 mg are tablets, cylindrical, uncoated, white, with a double score line in the shape of a cross on one face and the number 30 on the other.

They are presented in blister packs containing 10 tablets.

Marketing authorization holder and manufacturer

Laboratorios Cinfa, S.A.

Carretera Olaz-Chipi, 10. Polígono Industrial Areta.

31620 Huarte (Navarra) - Spain

Date of last revision of this package leaflet: July 2020

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

You can access detailed and updated information about this medicine by scanning the QR code included in the package leaflet and packaging with your smartphone. You can also access this information at the following internet address: https://cima.aemps.es/cima/dochtml/p/73873/P_73873.html

QR code to: https://cima.aemps.es/cima/dochtml/p/73873/P_73873.html