DIAZEPAN PRODES 5 mg TABLETS

2. What you need to know before taking Diazepan Prodes 5 mg tablets

This medicine is for oral administration.

Do not take Diazepan Prodes

• If you are allergic (hypersensitive) to diazepam or any of the other components of Diazepan Prodes.
• If you have a dependence on other substances, including alcohol, unless your doctor indicates it.
• If you have closed-angle glaucoma (increased tension in the eye) and suffer from severe chronic hypercapnia (increased carbon dioxide or CO2 in the blood).

Be careful with Diazepan Prodes

• If you suffer from myasthenia (muscle weakness and fatigue), as you may experience increased muscle fatigue; if you suffer from moderate respiratory failure, as well as kidney or liver failure. Your doctor should adjust the dose.

• If you suffer from depression, keep in mind that diazepam only acts on the anxious component, so it does not constitute a treatment for depression by itself and may eventually unmask some signs of it.

Use of other medications

Tell your doctor or pharmacist if you are using or have recently used other medications, including those purchased without a prescription.

Do not take Diazepan Prodes with medications that act on the central nervous system, such as neuroleptics, tranquilizers, antidepressants, hypnotics, anticonvulsants, analgesics, and anesthetics, as they increase the sedative effect of diazepam.

Also, do not take Diazepan Prodes with cisapride (a medication used for gastrointestinal disorders), as it produces a transient increase in the sedative effect of diazepam, as well as cimetidine (a medication for gastric acidity), which increases the risk of drowsiness.

If you take Diazepan Prodes in combination with phenytoin (a medication for epilepsy), your doctor should monitor the blood concentrations of the latter, as they may suffer unpredictable variations, causing signs of toxicity or decreased activity or no change.

The concomitant use of Diazepam and opioids increases the risk of drowsiness, breathing difficulties (respiratory depression), coma, and can be fatal. Therefore, concomitant use should only be considered when other treatment options are not possible.

However, if your doctor prescribes Diazepam in combination with opioids, the dose and duration of concomitant treatment should be limited by your doctor.

Please inform your doctor about all opioid medications you are taking and follow your doctor's dosage recommendations closely. It may be helpful to inform friends or family members to be aware of the signs and symptoms mentioned above. Contact your doctor when you experience such symptoms.

Taking Diazepan Prodes with food and drinks

You should avoid consuming alcoholic beverages during treatment with Diazepan Prodes 5 mg tablets, as alcohol enhances the sedative effect.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medication.

If you are or think you may be pregnant, or wish to become pregnant, you should inform your doctor before starting treatment, and he will decide whether you should take Diazepan Prodes.

Diazepam is excreted in breast milk, so its use is not recommended during the breastfeeding period; if your doctor considers that you should take it, you should replace breastfeeding.

Driving and using machines

Diazepam can alter your ability to drive or operate machinery, as it can cause drowsiness, decrease your attention, or decrease your reaction capacity. The appearance of these effects is more likely at the start of treatment or when the dose is increased. Do not drive or use machines if you experience any of these effects.

Important information about some of the components of Diazepan Prodes

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

3. How to take Diazepan Prodes 5 mg tablets

Follow the administration instructions of Diazepan Prodes indicated by your doctor. Consult your doctor or pharmacist if you have any doubts.

Remember to take your medication.

The dose of Diazepan Prodes 5 mg tablets should be as indicated by your doctor, according to your individual needs.

You should take this medicine at the times indicated by your doctor, usually in the afternoon or evening.

Adults

Anxiety symptoms: 2 to 10 mg, 2 to 4 times a day, depending on the severity of the symptoms.

Symptomatic relief in acute alcohol withdrawal: 10 mg, 3 or 4 times during the first 24 hours, reducing to 5 mg, 3 or 4 times a day, as needed.

In combination with other medications for the relief of muscle-skeletal spasm or contracture: 2 to 10 mg, 3 or 4 times a day.

In combination with other medications in anticonvulsant therapy: 2 to 10 mg, 2 or 4 times a day.

Special dosages

In children: 2 to 2.5 mg, 1 or 2 times a day, gradually increasing according to needs and tolerance; as a general rule, 0.1-0.3 mg/kg per day. Due to the variety of response of children to medications that act on the central nervous system, treatment should be started with the lowest dose and increased as required. Do not use in children under 6 months of age.

In the elderly or patients with kidney or liver disease: 2 to 2.5 mg, 1 or 2 times a day, gradually increasing according to needs and tolerance.

In patients with kidney or liver disease, special attention should be paid to individualizing the dose.

If you think the effect of Diazepan Prodes 5 mg tablets is too strong or too weak, tell your doctor or pharmacist.

Your doctor will indicate the duration of treatment with Diazepan Prodes 5 mg tablets. Do not stop treatment before your doctor indicates it and under the conditions that he prescribes. The duration of treatment should be as short as possible. In general, the total duration of treatment should not exceed 8-12 weeks, including gradual withdrawal.

After six weeks of treatment, no further improvement can be expected, so longer treatments should only be considered as maintenance therapy. During prolonged maintenance therapy, regular intervals without medication should be left to determine the need for continued therapy. However, treatment should not be interrupted abruptly, but the dose should be gradually decreased.

If you take more Diazepan Prodes than you should

You may experience drowsiness and sleep, although you can be easily awakened. In case of overdose or accidental ingestion, consult the Toxicology Information Service, phone 91 562 04 20, or contact your doctor immediately or go to the emergency department of the nearest hospital. Bring this leaflet with you. In most cases, close monitoring of vital functions or the use of the benzodiazepine antagonist ANEXATE (active ingredient: Flumazenil) as therapy will be sufficient.

If the patient has ingested a very high amount, coma, lack of reflexes, cardio-respiratory depression, and apnea (disorder with brief involuntary interruptions of breathing) may occur, requiring appropriate measures (ventilation, cardiovascular support) and also flumazenil as specific therapy.

If you forget to take Diazepan Prodes

Do not take a double dose to make up for forgotten doses. If you forget to take a dose, wait for the next one when it is due.

If you stop taking Diazepan Prodes

The use of benzodiazepines can lead to dependence. This occurs mainly if you use the medication continuously for a long time. To minimize this risk as much as possible, you should consult your doctor regularly so that he can decide whether you should continue treatment. You should not increase the prescribed doses or prolong treatment beyond the recommended time.

When stopping Diazepan Prodes 5 mg tablets, you may experience restlessness, anxiety, insomnia, lack of concentration, headache, and sweating. It is not recommended to interrupt medication abruptly, but rather to gradually reduce the dose, always following the doctor's instructions.

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

4. Possible side effects

Like all medicines, Diazepan Prodes can cause side effects, although not everybody gets them.

The most common ones are fatigue, drowsiness, and muscle weakness; they are usually dose-dependent. Other less frequent effects are anterograde amnesia (recent memory loss), confusion, constipation, depression, diplopia (double vision), difficulty articulating words, headache, hypotension (low blood pressure), incontinence, libido disorders (lack of sexual appetite), nausea, dry mouth or excessive salivation, skin rashes, tremors, urinary retention, vertigo, and blurred vision; very rarely, alterations in liver blood tests (such as elevated transaminases and alkaline phosphatase), as well as some cases of jaundice (yellowing of the skin and mucous membranes). Paradoxical reactions, such as acute excitement, anxiety, sleep disorders, and hallucinations, have been observed. If these effects occur, treatment should be discontinued.

Reporting 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 leaflet. You can also report them directly through the Spanish Medicines Monitoring System: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storing Diazepan Prodes 5 mg tablets

No special storage conditions are required.

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

Do not use Diazepan Prodes 5 mg tablets after the expiration date stated on the packaging after CAD. The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

Composition of Diazepan Prodes 5 mg tablets

• The active substance is diazepam.
• The other components are lactose, cornstarch, sodium croscarmellose, povidone (E-1201), colloidal silica, magnesium stearate (E-470b), and talc.

Appearance of the product and pack contents

Diazepan Prodes 5 mg tablets are white tablets. They are packaged in blisters and presented in packs of 30 and 40 tablets.

Marketing authorization holder and manufacturer

Kern Pharma, S.L.

Venus, 72 – Pol. Ind. Colón II

08228 Terrassa – Barcelona

Spain

Date of the last revision of this leaflet:September 2020.

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