EDOXABAN 15 mg Film-Coated Tablets

Contents of the leaflet

1. Introduction
2. Package Leaflet: Information for the User
3. Contents of the pack
4. What is Edoxaban Teva and what is it used for
5. What you need to know before you take Edoxaban Teva
6. Warnings and precautions
7. Children and adolescents
8. Other medicines and Edoxaban Teva
9. Pregnancy and breastfeeding
10. Driving and using machines
11. Edoxaban Teva contains lactose and sodium
12. How to take Edoxaban Teva
13. What dose to take
14. How to take the tablet
15. Your doctor may change your anticoagulant treatment as follows:
16. Patient undergoing cardioversion:
17. If you take more Edoxaban Teva than you should
18. If you forget to take Edoxaban Teva
19. If you stop taking Edoxaban Teva
20. Possible side effects
21. General list of possible side effects:
22. Reporting of side effects
23. Storage of Edoxaban Teva
24. Contents of the pack and other information
25. Appearance of the Product and Package Contents
26. Marketing Authorization Holder and Manufacturer

Introduction

Package Leaflet: Information for the User

Edoxaban Teva 15 mg film-coated tablets EFG

Edoxaban Teva 30 mg film-coated tablets EFG

Edoxaban Teva 60 mg film-coated tablets EFG

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

• 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. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

1. What is Edoxaban Teva and what is it used for
2. What you need to know before you take Edoxaban Teva
3. How to take Edoxaban Teva
4. Possible side effects
5. Storage of Edoxaban Teva
6. Contents of the pack and other information

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

Edoxaban Teva contains the active substance edoxaban and belongs to a group of medicines called anticoagulants. This medicine helps to prevent the formation of blood clots. It works by blocking the activity of Factor Xa, an important component of blood clotting.

Edoxaban Teva is used in adults:

• to prevent the formation of a blood clot in the brain(stroke) and in other blood vessels of the bodyif they have a type of irregular heartbeat called non-valvular atrial fibrillation and at least one additional risk factor, such as heart failure, having previously suffered a stroke or high blood pressure;
• to treat blood clots in the veins of the legs(deep vein thrombosis) and in the blood vessels of the lungs(pulmonary embolism), and to prevent these blood clots from happening againin the blood vessels of the legs and/or lungs.

2. What you need to know before you take Edoxaban Teva

Do not take Edoxaban Teva

• if you are allergic to edoxaban or any of the other ingredients of this medicine (listed in section 6);
• if you are actively bleeding;
• if you have a disease or condition that increases the risk of major bleeding (e.g. stomach ulcer, injury or bleeding in the brain or recent surgery in the brain or eyes);
• if you are taking other medicines to prevent blood clots (e.g. warfarin, dabigatran, rivaroxaban, apixaban or heparin), except when switching from one anticoagulant treatment to another or while you are being administered heparin through a venous or arterial catheter to prevent it from becoming blocked;
• if you have a liver disease that may increase the risk of bleeding;
• if you have uncontrolled high blood pressure;
• if you are pregnant or breastfeeding.

Warnings and precautions

Consult your doctor or pharmacist before starting to take edoxaban,

• if you have an increased risk of bleeding, such as if you have any of the following conditions:
• • end-stage kidney disease or if you are on dialysis;
  • severe liver disease;
  • bleeding disorders;
  • problems with the blood vessels in the back of the eyes (retinopathy);
  • recent bleeding in the brain (intracranial or intracerebral bleeding);
  • problems with the blood vessels in the brain or spine;
• if you have a mechanical heart valve.

Edoxaban 15 mg is only indicated when switching from edoxaban 30 mg to a vitamin K antagonist (e.g. warfarin) (see section 3. How to take Edoxaban Teva).

Be careful with edoxaban,

• if you know you have a disease called antiphospholipid syndrome (an immune system disorder that increases the risk of blood clots), inform your doctor so that they can decide whether it is necessary to modify the treatment.

If you need to have surgery,

• it is very important to take edoxaban before and after the operation, exactly at the times indicated by your doctor. If possible, you should stop taking edoxaban at least 24 hours before an operation. Your doctor will decide when to restart edoxaban.

In emergency situations, your doctor will help determine the necessary actions regarding edoxaban.

Children and adolescents

Edoxaban Teva is not recommended for children and adolescents under 18 years of age.

Other medicines and Edoxaban Teva

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

If you are taking any of the following:

• any medicine for a fungal infection (e.g. ketoconazole);
• medicines for treating irregular heartbeat (e.g. dronedarone, quinidine, verapamil);
• other medicines to reduce blood clotting (e.g. heparin, clopidogrel or vitamin K antagonists, such as warfarin, acenocoumarol, phenprocoumon or dabigatran, rivaroxaban, apixaban);
• antibiotics (e.g. erythromycin, clarithromycin);
• medicines to prevent organ rejection after a transplant (e.g. cyclosporine);
• anti-inflammatory and pain-relieving medicines (e.g. naproxen or acetylsalicylic acid);
• antidepressants called selective serotonin reuptake inhibitors or serotonin-noradrenaline reuptake inhibitors.

If any of the above circumstances apply to you, inform your doctorbefore taking edoxaban because these medicines may increase the effects of edoxaban and the possibility of unwanted bleeding. Your doctor will decide whether you should be treated with this medicine and whether you should be kept under observation.

If you are taking any of the following:

• any medicine for the treatment of epilepsy (e.g. phenytoin, carbamazepine, phenobarbital);
• St. John's Wort, a herbal remedy used for anxiety and mild depression;
• rifampicin, an antibiotic.

If any of the above circumstances apply to you, inform your doctorbefore taking edoxaban, because the effect of this medicine may be reduced. Your doctor will decide whether you should be treated with edoxaban and whether you should be kept under observation.

Pregnancy and breastfeeding

Do not take edoxaban if you are pregnant or breastfeeding. If there is a possibility that you may become pregnant, use an effective contraceptive while taking edoxaban. If you become pregnant while taking this medicine, inform your doctor immediately, who will decide how you should be treated.

Driving and using machines

The influence of edoxaban on the ability to drive and use machines is negligible or non-existent.

Edoxaban Teva contains lactose and sodium

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

This medicine contains less than 1 mmol of sodium (23 mg) per dose, i.e. it is essentially "sodium-free".

3. How to take Edoxaban Teva

Follow exactly the administration instructions of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

What dose to take

The recommended dose is one 60 mgtablet once a day.

• if you have kidney problems, your doctor may reduce your dose to one 30 mgtablet once a day.
• if you weigh 60 kg or less, the recommended dose is one 30 mgtablet once a day.
• if your doctor has prescribed you medicines known as P-gp inhibitors:cyclosporine, dronedarone, erythromycin or ketoconazole, the recommended dose is one 30 mgtablet once a day.

How to take the tablet

Swallow the tablet, preferably with water.

Edoxaban Teva can be taken with or without food.

If you have difficulty swallowing the tablet whole, talk to your doctor about other ways to take edoxaban. The tablet can be crushed and mixed with water or apple sauce immediately before taking it. If necessary, your doctor may also administer the crushed edoxaban tablet through a tube in the nose (nasogastric tube) or through the stomach (gastric feeding tube).

Your doctor may change your anticoagulant treatment as follows:

Switching from vitamin K antagonists (e.g. warfarin) to edoxaban

Stop taking the vitamin K antagonist (e.g. warfarin). Your doctor will have to perform a blood test and will indicate when you should start taking edoxaban.

Switching from non-vitamin K antagonist oral anticoagulants (dabigatran, rivaroxaban or apixaban) to edoxaban

Stop taking the previous medicines (e.g. dabigatran, rivaroxaban or apixaban) and start taking edoxaban at the time of the next scheduled dose of the anticoagulant.

Switching from parenteral anticoagulants (e.g. heparin) to edoxaban

Stop taking the anticoagulant (e.g. heparin) and start taking edoxaban at the time of the next scheduled dose of the anticoagulant.

Switching from edoxaban to vitamin K antagonists (e.g. warfarin)

If you are currently taking 60 mg of edoxaban:

Your doctor will indicate that you should reduce the dose of edoxaban to one 30 mg tablet once a day and take it in combination with a vitamin K antagonist (e.g. warfarin). Your doctor will have to perform a blood test and will indicate when you should stop taking edoxaban.

If you are currently taking 30 mg (reduced dose) of edoxaban:

Your doctor will indicate that you should reduce the dose of edoxaban to one 15 mg tablet once a day and take it in combination with a vitamin K antagonist (e.g. warfarin). Your doctor will have to perform a blood test and will indicate when you should stop taking edoxaban.

Switching from edoxaban to non-vitamin K antagonist oral anticoagulants (dabigatran, rivaroxaban or apixaban)

Stop taking edoxaban and start the non-vitamin K antagonist anticoagulant (e.g. dabigatran, rivaroxaban or apixaban) at the time of the next scheduled dose of edoxaban.

Switching from edoxaban to parenteral anticoagulants (e.g. heparin)

Stop taking edoxaban and start the parenteral anticoagulant (e.g. heparin) at the time of the next scheduled dose of edoxaban.

Patient undergoing cardioversion:

If you need to have your irregular heartbeat restored to normal through a procedure called cardioversion, take edoxaban at the times indicated by your doctor to prevent the formation of blood clots in the brain and in other blood vessels of your body.

If you take more Edoxaban Teva than you should

Inform your doctor immediately if you have taken too many edoxaban tablets. If you take more edoxaban than recommended, you may increase the risk of bleeding.

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

If you forget to take Edoxaban Teva

You should take the tablet immediately and continue the next day with the usual once-daily tablet intake. Do not take a double dose on the same day to make up for the forgotten dose.

If you stop taking Edoxaban Teva

Do not stop taking Edoxaban Teva without talking to your doctor first, as edoxaban treats and prevents serious diseases.

If you have any other questions on 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.

Like other similar medicines (medicines to reduce blood clotting), edoxaban can cause bleeding, which can be life-threatening. In some cases, the bleeding may not be apparent.

If you experience a bleeding episode that does not stop by itself or if you experience signs of excessive bleeding (exceptional weakness, fatigue, paleness, dizziness, headache or unexplained swelling), consult your doctor immediately.

Your doctor will decide whether to keep you under closer observation or change your treatment.

General list of possible side effects:

Common(may affect up to 1 in 10 people)

• stomach pain;
• abnormal liver values in blood tests;
• bleeding from the skin or under the skin;
• anaemia (low red blood cell count);
• nosebleeds;
• vaginal bleeding;
• skin rash;
• intestinal bleeding;
• bleeding from the mouth and/or throat;
• blood in the urine;
• bleeding after an injury (puncture);
• stomach bleeding;
• dizziness;
• nausea;
• headache;
• itching.

Uncommon(may affect up to 1 in 100 people)

• bleeding in the eyes;
• bleeding from a surgical wound after an operation;
• blood in the saliva when coughing;
• bleeding in the brain;
• other types of bleeding;
• decrease in the number of platelets in the blood (which can affect blood clotting);
• allergic reaction;
• hives.

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

• bleeding in the muscles;
• bleeding in the joints;
• bleeding in the abdomen;
• bleeding in the heart;
• bleeding inside the skull;
• bleeding after surgery;
• anaphylactic shock;
• swelling of any part of the body due to an allergic reaction.

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

• bleeding in the kidneys, sometimes with blood in the urine, which can cause the kidneys to stop working properly (anticoagulant-related nephropathy).

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Medicines Monitoring System for Human Use: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Edoxaban 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 carton, blister or bottle after “EXP”. The expiry date is the last day of the month stated.

This medicine does not require any special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Return any unused medicine to your pharmacist. If you are unsure, 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

• The active substance is edoxaban (as tosylate monohydrate).

Edoxaban Teva 15 mg film-coated tablets EFG

Each tablet contains edoxaban tosylate monohydrate equivalent to 15 mg of edoxaban.

Edoxaban Teva 30 mg film-coated tablets EFG

Each tablet contains edoxaban tosylate monohydrate equivalent to 30 mg of edoxaban.

Edoxaban Teva 60 mg film-coated tablets EFG

Each tablet contains edoxaban tosylate monohydrate equivalent to 60 mg of edoxaban.

• The other ingredients are:

Edoxaban Teva 15 mg film-coated tablets EFG

Tablet core: Lactose monohydrate, croscarmellose sodium, hydroxypropylcellulose, purified water, magnesium stearate.

Coating: Hypromellose (E464), calcium carbonate (E170), macrogol (E1521), talc (E553b), yellow iron oxide (E172) and red iron oxide (E172).

Edoxaban Teva 30 mg film-coated tablets EFG

Tablet core: Lactose monohydrate, croscarmellose sodium, hydroxypropylcellulose, purified water, magnesium stearate.

Coating: Hypromellose (E464), calcium carbonate (E170), macrogol (E1521), talc (E553b) and red iron oxide (E172).

Edoxaban Teva 60 mg film-coated tablets EFG

Tablet core: Lactose monohydrate, croscarmellose sodium, hydroxypropylcellulose, purified water, magnesium stearate.

Coating: Hypromellose (E464), calcium carbonate (E170), macrogol (E1521), talc (E553b) and yellow iron oxide (E172).

Appearance of the Product and Package Contents

Edoxaban Teva 15 mg film-coated tablets EFG are light orange in color, round in shape (approximately 6.4 mm in diameter) and bear the letters "TV" on one side and "15" on the other.

Edoxaban Teva 30 mg film-coated tablets EFG are pink in color, round in shape (approximately 8.5 mm in diameter) and bear the letters "TV" in relief on one side and "30" on the other.

Edoxaban Teva 60 mg film-coated tablets EFG are yellow in color, round in shape (approximately 10.5 mm in diameter) and bear the letters “TV” on one side and “60” on the other.

Edoxaban Teva is available in the following package sizes:

Edoxaban Teva 15 mg film-coated tablets EFG are available in blisters of 10 film-coated tablets, in precut unit-dose blisters of 10 x 1 film-coated tablets or in bottles of 100 film-coated tablets.

Edoxaban Teva 30 mg film-coated tablets EFG are available in blisters of 10, 28, 30, 100 and 105 film-coated tablets, in precut unit-dose blisters of 10 x 1, 28 x 1, 30 x 1, 98 x 1 film-coated tablets or in bottles of 100 and 120 film-coated tablets.

Edoxaban Teva 60 mg film-coated tablets EFG are available in blisters of 10, 28, 30, 100 and 105 film-coated tablets, in precut unit-dose blisters of 10 x 1, 28 x 1, 30 x 1, 98 x 1 film-coated tablets or in bottles of 100 and 120 film-coated tablets.

Only some package sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

TEVA GmbH

Graf-Arco-Str.

389079 Ulm,

Germany

Manufacturer

Actavis Ltd.,

BLB015-016,

Bulebel Industrial estate,

Zejtun ZTN3000

Malta

or

TEVA Pharmaceuticals Ltd.

Pallagi út 13, Debrecen

4042 Hungary

You can request more information about this medication by contacting the local representative of the marketing authorization holder:

Teva Pharma, S.L.U.

C/ Anabel Segura, 11, Edificio Albatros B, 1ª planta

28108, Alcobendas, Madrid (Spain)

Date of the last revision of this leaflet: January 2025

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

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

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