GLUSOD 10 mg FILM-COATED TABLETS

Contents of the Package Leaflet

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

1. What is Glusod and what is it used for

What is Glusod

Glusod contains the active substance empagliflozin.

Glusod is a member of a group of medicines called sodium-glucose cotransporter 2 (SGLT2) inhibitors.

What is Glusod used for

Type 2 diabetes mellitus

• Empagliflozin is used to treat type 2 diabetes in adults and children aged 10 years and older who cannot be controlled by diet and exercise alone.
• Empagliflozin can be used alone in patients who cannot take metformin (another medicine for diabetes).
• Empagliflozin can also be used with other medicines for the treatment of diabetes. These may include oral medicines or injections, such as insulin.

Empagliflozin works by blocking a protein called SGLT2 in your kidneys. This causes the removal of sugar (glucose) from the blood into the urine. In this way, empagliflozin reduces the amount of sugar in the blood.

This medicine may also help prevent heart disease in patients with type 2 diabetes mellitus.

It is important that you follow the diet and exercise plan recommended by your doctor, pharmacist, or nurse while taking this medicine.

Heart failure

• Empagliflozin is used to treat heart failure in adult patients with symptoms due to an altered heart function.

Chronic kidney disease

• Empagliflozin is used to treat chronic kidney disease in adult patients.

What is type 2 diabetes?

Type 2 diabetes is a disease that comes from your genes and lifestyle. If you have type 2 diabetes, your pancreas does not produce enough insulin to control the level of glucose in your blood, and your body is unable to use its own insulin effectively. This leads to high levels of glucose in your blood, which can cause medical problems such as heart disease, kidney disease, blindness, and poor circulation in your limbs.

What is heart failure?

Heart failure occurs when the heart is too weak or stiff and cannot function properly. This can cause serious medical problems and require hospital care. The most common symptoms of heart failure are shortness of breath (dyspnea), feeling tired or very tired, and swelling of the ankles.

Glusod helps protect your heart from increased weakness and improves symptoms.

What is chronic kidney disease?

Chronic kidney disease is a long-term disorder. It could be caused by other diseases such as diabetes and high blood pressure or even by the patient's immune system attacking the kidneys. When you have chronic kidney disease, your kidneys may gradually lose their ability to clean and filter your blood properly. This can cause serious medical problems such as swollen legs, heart failure, or the need for hospital care.

Empagliflozin helps protect your kidneys from losing their function.

2. What you need to know before you take Glusod

Do not take Glusod

• if you are allergic to empagliflozin or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Contact a doctor or the nearest hospital immediately:

Ketoacidosis

• if you experience rapid weight loss, nausea or vomiting, stomach pain, excessive thirst, rapid and deep breathing, confusion, somnolence or unusual tiredness, sweet breath odor, sweet or metallic taste in the mouth, or distinct odor in urine or sweat, contact a doctor or the nearest hospital immediately. These symptoms may be a sign of "ketoacidosis," a serious and potentially life-threatening problem that can occur due to increased levels of "ketone bodies" in your urine or blood, detected by analysis. The risk of developing ketoacidosis may increase with prolonged fasting, excessive alcohol consumption, dehydration, sudden reductions in insulin dose, or a higher need for insulin due to major surgery or severe illness.
• There have been reports of phimosis/acquired phimosis along with genital infections, and in some cases, circumcision was necessary.

Consult your doctor, pharmacist, or nurse before starting to take this medicine and during treatment:

• if you have "type 1 diabetes." This type of diabetes usually starts when you are young, and your body does not produce any insulin. You should not take this medicine if you have type 1 diabetes.
• if you have severe kidney problems; your doctor may limit your dose to 10 mg once a day or indicate that you take a different medicine (see also section 3, "How to take Glusod").
• if you have severe liver problems; your doctor may ask you to take another medicine.
• you may be at risk of dehydration, for example:
• • if you have nausea, diarrhea, or fever, or if you are unable to eat or drink
  • if you are taking medicines that increase urine production (diuretics) or reduce blood pressure
  • if you are 75 years of age or older.

The possible signs include those listed in section 4 under "dehydration." Your doctor may ask you to stop taking this medicine until you recover to prevent excessive fluid loss. Ask your doctor how to prevent dehydration.

• if you have a severe kidney or urinary tract infection with fever. Your doctor may ask you to stop taking this medicine until you recover.

Consult your doctor immediately if you experience a combination of symptoms of pain, tenderness, redness, or swelling of the genitals or the area between the genitals and the anus, with fever or general malaise. These symptoms could be a sign of a rare but serious and potentially life-threatening infection called necrotizing fasciitis of the perineum or Fournier's gangrene, which destroys tissue under the skin. Fournier's gangrene should be treated immediately.

Foot care

As with all diabetic patients, it is important that you regularly check your feet and follow all foot care advice provided by your healthcare professional.

Kidney function

Your kidney function should be checked before you start taking this medicine and during treatment with it.

Glucose in urine

Due to the way this medicine works, your urine will test positive for glucose while you are taking this medicine.

Children and adolescents

Glusod can be used in children aged 10 years and older for the treatment of type 2 diabetes. There is no data available in children under 10 years of age.

This medicine is not recommended in children and adolescents under 18 years of age for the treatment of heart failure or for the treatment of chronic kidney disease, as it has not been studied in these patients.

Other medicines and Glusod

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

It is important that you inform your doctor in the following cases:

• if you are taking medicines that increase urine production (diuretics). Your doctor may ask you to stop taking this medicine. The possible signs of excessive fluid loss from the body are included in section 4.
• if you are taking other medicines that lower the amount of glucose in your blood, such as insulin or a "sulfonylurea." Your doctor may decide to reduce the dose of these other medicines to prevent your blood glucose levels from becoming too low (hypoglycemia).
• if you are taking lithium, as empagliflozin may reduce the amount of lithium in your blood.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Do not use this medicine if you are pregnant. It is not known if empagliflozin is harmful to the fetus. Do not use empagliflozin if you are breastfeeding. It is not known if this medicine passes into breast milk.

Driving and using machines

The ability to drive and use machines may be affected by this medicine.

Taking this medicine in combination with medicines called sulfonylureas or with insulin may cause your blood glucose levels to become too low (hypoglycemia), which can cause symptoms such as trembling, sweating, and changes in vision that can affect your ability to drive and use machines. Do not drive or use tools or machines if you feel dizzy while taking this medicine.

Glusod contains lactose

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

Glusod contains sodium

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

3. How to take Glusod

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

What dose to take

• The recommended dose of this medicine is one 10 mg tablet once a day. If you have type 2 diabetes mellitus, your doctor will decide if your dose should be increased to 25 mg once a day, if necessary to help control your blood sugar levels.
• Your doctor may limit your dose to 10 mg once a day if you have kidney problems.
• Your doctor will prescribe the dose that is right for you. Do not change your dose unless your doctor tells you to.

Taking this medicine

• Swallow the tablet whole with water
• You can take the tablet with or without food
• You can take the tablet at any time of the day. However, try to take it at the same time every day. This will help you remember to take it.

If you have type 2 diabetes mellitus, your doctor may prescribe this medicine along with another medicine for diabetes. Remember to take all your medicines as directed by your doctor to get the best results for your health.

A suitable diet and exercise help your body use blood glucose better. It is important to follow the diet and exercise plan recommended by your doctor, pharmacist, or nurse while taking this medicine.

If you take more Glusod than you should

If you take more of this medicine than you should, talk to a doctor immediately or go to a hospital. Take the medicine pack with you.

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

If you forget to take Glusod

If you forget to take a tablet, what you should do depends on the time until your next dose.

• If it is 12 hours or more until your next dose, take this medicine as soon as you remember. Then, take your next dose at the usual time.
• If it is less than 12 hours until your next dose, skip the missed dose. Then, take your next dose at the usual time.
• Do not take a double dose of this medicine to make up for forgotten doses.

If you stop taking Glusod

Do not stop taking this medicine without talking to your doctor first, unless you suspect you have ketoacidosis (see "Ketoacidosis" in "Warnings and precautions"). If you have type 2 diabetes mellitus, your blood glucose levels may increase if you stop taking this medicine.

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

4. Possible side effects

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

Contact a doctor or the nearest hospital immediately if you have any of the following side effects:

Severe allergic reaction, observed rarely(may affect up to 1 in 100 people)

The possible signs of a severe allergic reaction may include:

• swelling of the face, lips, mouth, tongue, or throat, which may cause difficulty breathing or swallowing

Ketoacidosis, observed rarely(may affect up to 1 in 100 people)

These are the signs of ketoacidosis (see also section 2 "Warnings and precautions"):

• increased levels of "ketone bodies" in your urine or blood
• rapid weight loss
• nausea or vomiting
• stomach pain
• excessive thirst
• rapid and deep breathing
• confusion
• somnolence or unusual tiredness
• sweet breath odor, sweet or metallic taste in the mouth, or distinct odor in urine or sweat.

This can occur regardless of your blood glucose level. Your doctor may decide to temporarily or permanently stop treatment with this medicine.

Contact your doctor as soon as possible if you experience the following side effects:

Low blood glucose levels (hypoglycemia), observed very frequently(may affect more than 1 in 10 people)

If you take this medicine with another medicine that can cause low blood glucose levels, such as a sulfonylurea or insulin, the risk of having low blood glucose levels is higher. The signs of low blood glucose levels include:

• trembling, sweating, feeling anxious or confused, or rapid heartbeat
• excessive hunger, headache

Your doctor will tell you how to treat low blood glucose levels and what to do if you have any of the signs mentioned above. If you have symptoms of low blood glucose levels, take glucose tablets, have a snack with high glucose content, or drink fruit juice.

Measure your blood glucose levels if possible and rest.

Urinary tract infection, observed frequently(may affect up to 1 in 10 people)

The signs of a urinary tract infection are:

• burning sensation when urinating
• cloudy urine
• pain in the pelvis or middle back (when the kidneys are infected)

The need to urinate urgently or more frequently may be due to the way this medicine works, but they can also be signs of a urinary tract infection. If you experience an increase in these symptoms, contact your doctor.

Dehydration, observed very frequently(may affect more than 1 in 10 people)

The signs of dehydration are not specific, but may include:

• unusual thirst
• dizziness or fainting when standing up
• fainting or loss of consciousness

Other side effects while taking Glusod:

Frequent

• genital fungal infections (candidiasis)
• urinating more than usual or needing to urinate more frequently
• itching (pruritus)
• rash or redness of the skin that can cause itching and include bumps, fluid discharge, or blisters
• thirst
• blood tests may show an increase in blood fat levels (cholesterol)
• constipation

Uncommon

• hives
• straining or pain when emptying the bladder
• blood tests may show a decrease in kidney function (creatinine or urea)
• blood tests may show an increase in the amount of red blood cells in your blood (hematocrit)

Rare

• necrotizing fasciitis of the perineum or Fournier's gangrene, a serious infection of the soft tissues of the genitals or the area between the genitals and the anus

Very rare

• kidney inflammation (tubulointerstitial nephritis)

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if it is not listed in this leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Glusod

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 blister and on the carton after "CAD". The expiry date is the last day of the month shown.

This medicine does not require any special storage conditions.

Do not use this medicine if you notice that the packaging is damaged or shows signs of tampering.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the SIGRE collection point at your pharmacy. Ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Package contents and additional information

• The active substance is empagliflozin.
• • Each tablet contains 10 mg or 25 mg of empagliflozin.
• The other ingredients are:
• • tablet core: lactose monohydrate, microcrystalline cellulose (E460), sodium croscarmellose (E468), hydroxypropylcellulose (E463), colloidal anhydrous silica (E551), magnesium stearate (E470b).
  • film coating: hypromellose, titanium dioxide (E171), macrogol (E1521), talc (E553b), yellow iron oxide (E172).

Appearance and package contents of the product

Glusod 10 mg film-coated tablets: Film-coated tablets, yellow, round, convex, with a diameter of 6 mm engraved with an "E" on one side and smooth on the other.

Glusod 25 mg film-coated tablets: Film-coated tablets, yellow, oval, convex, with a diameter of 11.5 mm x 6.2 mm, engraved with "MC" on one side and smooth on the other.

PVC/PVDC-aluminum blisters, package sizes of 7, 10, 14, 28, 30, 60, 70, 90, and 100 tablets.

Only some package sizes may be marketed.

Marketing authorization holder

Medochemie Limited

1-10 Constantinoupoleos Street

3011 Limassol

Cyprus

Manufacturer

Medochemie Ltd. (Factory AZ)

Agios Athanassios Industrial Area,

Michail Irakleous 2, Agios Athanassios,

Limassol, 4101, Cyprus

This medicine is authorized in the EEA member states with the following names:

Date of last revision of this leaflet:June 2025.

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