LAMIVUDINE TEVA PHARMA B.V. 150 mg FILM-COATED TABLETS

2. What you need to know before you take Lamivudine Teva Pharma B.V.

Do not take Lamivudine Teva Pharma B.V.

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

Consult your doctorif you think this applies to you.

Warnings and precautions

Consult your doctor or pharmacist before starting treatment with Lamivudine Teva Pharma B.V.

Some people taking Lamivudine Teva Pharma B.V. or other combination treatments for HIV infection have a higher risk of serious side effects. You need to know that there is a higher risk:

• if you have ever had liver disease, including hepatitis B or C (if you have hepatitis B, you should not stop taking Lamivudine Teva Pharma B.V. without your doctor's advice, as you may get hepatitis again)
• if you are overweight, especially if you are a woman
• if you or your child have kidney problems, your dose may need to be adjusted.

Consult your doctorif any of these apply to you. You may need extra check-ups, such as blood tests, while taking this medicine. For more information see section 4.

Be aware of important symptoms

Some people taking medicines for HIV infection develop other conditions that can be serious. You need to know the signs and symptoms to look out for while taking Lamivudine Teva Pharma B.V.

Read the information under “Other possible side effects of combination therapy for HIV” in section 4 of this leaflet.

Protect others

HIV infection is spread by sexual contact with someone who has the disease, or by transfer of infected blood (for example, by sharing injection needles). While taking this medicine, you may still transmit HIV to others, even if your treatment is effective in reducing the amount of virus in your blood.

Consult your doctor about the precautions you need to take to avoid infecting others.

Other medicines and Lamivudine Teva Pharma B.V.

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

Remember to tell your doctor or pharmacist if you start taking any new medicines while taking Lamivudine Teva Pharma B.V.

The following medicines should not be used with Lamivudine Teva Pharma B.V.:

• medicines (usually liquids) that contain sorbitol and other polyalcohols (such as xylitol, mannitol, lactitol or maltitol), if taken regularly.
• other medicines that contain lamivudine (used to treat HIV infectionor hepatitis B virus infection).
• emtricitabine (used to treat HIV infection).
• high doses of co-trimoxazole, an antibiotic.
• cladribine (used to treat hairy cell leukaemia).

Tell your doctorif you are being treated with any of these medicines.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine.

Lamivudine Teva Pharma B.V. and similar medicines may harm your unborn baby. If you have taken Lamivudine Teva Pharma B.V. during your pregnancy, your doctor may request regular blood tests and other diagnostic tests to monitor the development of your child. In children whose mothers took NRTIs during pregnancy, the benefit of protecting them against HIV outweighed the risk of side effects.

Women with HIV infection should not breast-feed their babiesbecause the virus can pass to the baby through breast milk.

A small amount of the ingredients of Lamivudine Teva Pharma B.V. may also pass into breast milk.

If you are breast-feeding, or think you might want to, consult your doctor immediately.

Driving and using machines

Lamivudine Teva Pharma B.V. is unlikely to affect your ability to drive or use machines.

Lamivudine Teva Pharma B.V. contains sodium

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

3. How to take Lamivudine Teva Pharma B.V.

Take this medicine exactly as your doctor has told you. If you are not sure, check with your doctor or pharmacist.

Swallow the tablets with a little water. Lamivudine Teva Pharma B.V. can be taken with or without food.

If you cannot swallow the tablets whole, you can break them and mix with a small amount of food or liquid; take the whole dose immediately.

Keep in regular contact with your doctor

Lamivudine Teva Pharma B.V. helps to control your condition. You need to take it every day to control your HIV infection. You may still develop other infections and illnesses associated with HIV.

Stay in touch with your doctor and do not stop taking Lamivudine Teva Pharma B.V.without discussing it with your doctor first.

The recommended dose is

Adults, adolescents and children weighing at least 25 kg

The usual dose of Lamivudine Teva Pharma B.V. is 300 mg per day. It can be taken as one 150 mg tablet twice a day (approximately 12 hours apart), or as two 150 mg tablets once a day, as advised by your doctor.

Children weighing between 20 kg and less than 25 kg

The usual dose of Lamivudine Teva Pharma B.V. is 225 mg per day. It can be given as 75 mg (half a 150 mg tablet) in the morning and 150 mg (one 150 mg tablet) in the evening, or 225 mg (one and a half 150 mg tablets) once a day, as advised by your doctor.

Children weighing between 14 kg and less than 20 kg

The usual dose of Lamivudine Teva Pharma B.V. is 150 mg per day. It can be taken as 75 mg (half a 150 mg tablet) twice a day (approximately 12 hours apart), or as one 150 mg tablet once a day, as advised by your doctor.

Lamivudine Teva Pharma B.V. is also available as an oral solution for the treatment of children over 3 months of age and for patients who cannot take tablets or who require a lower dose.

If you or your child have kidney problems, your dose may need to be adjusted.

Consult your doctorif this applies to you or your child.

If you take more Lamivudine Teva Pharma B.V. than you should

If you take more Lamivudine Teva Pharma B.V. than you should, contact your doctor or pharmacist, or go to the nearest hospital emergency department. If possible, show them the Lamivudine Teva Pharma B.V. pack.

If you forget to take Lamivudine Teva Pharma B.V.

If you forget to take a dose, take it as soon as you remember. Then continue with your regular schedule.

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

4. Possible side effects

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

During treatment for HIV, you may experience an increase in weight and levels of glucose and fats in the blood. This may be due in part to the improvement in your health and in the case of blood fats, to the HIV medicines themselves. Your doctor will monitor these changes.

When you are being treated for HIV, it can be difficult to tell whether a symptom is a side effect of Lamivudine Teva Pharma B.V. or other medicines you are taking, or a result of the HIV disease itself. Therefore, it is very important that you inform your doctor about any changes in your health.

In addition to the side effects listed below for Lamivudine Teva Pharma B.V., other conditions can develop during combination therapy for HIV.

It is important that you read the information under the heading “Other possible side effects of combination therapy for HIV”.

Common side effects

May affect up to 1 in 10people:

• headache
• feeling sick (nausea)
• vomiting
• diarrhoea
• stomach pain
• feeling tired or lacking energy
• fever (high temperature)
• general feeling of being unwell
• muscle pain and discomfort
• joint pain
• difficulty sleeping (insomnia)
• cough
• irritated or runny nose
• skin rash
• hair loss (alopecia).

Uncommon side effects

May affect up to 1 in 100people:

Uncommon side effects that may show up in blood tests are:

• a decrease in the number of cells involved in blood clotting (thrombocytopenia)
• low red blood cell count (anaemia) or low white blood cell count (neutropenia)
• an increase in the level of liver enzymes.

Rare side effects

May affect up to 1 in 1,000people:

• severe allergic reaction that causes swelling of the face, tongue or throat that may cause difficulty in swallowing or breathing.

• inflammation of the pancreas (pancreatitis)
• breakdown of muscle tissue
• inflammation of the liver (hepatitis).

A rare side effect that may show up in blood tests is:

• an increase in an enzyme called amylase.

Very rare side effects

May affect up to 1 in 10,000people:

• lactic acidosis (excess of lactic acid in the blood).
• tingling or numbness of the arms, legs, hands or feet.

A very rare side effect that may show up in blood tests is:

• failure of the bone marrow to produce new red blood cells (pure red cell aplasia).

If you experience any side effects

Tell your doctor or pharmacistif you experience any side effects, even if they are not listed in this leaflet.

Other possible side effects of combination therapy for HIV

Combination therapy for HIV, such as Lamivudine Teva Pharma B.V., can cause other conditions to develop during HIV treatment.

Worsening of previous infections

People with advanced HIV infection (AIDS) have weak immune systems and are more likely to develop serious infections (opportunistic infections). When these people start treatment, they may find that old, hidden infections flare up, causing signs and symptoms of inflammation. These symptoms are probably due to the improvement in the body’s immune response, which enables it to fight off these infections.

In addition to opportunistic infections, autoimmune disorders (a condition where the immune system attacks healthy body tissue) can also occur after starting treatment with medicines for HIV infection. Autoimmune disorders may occur many months after the start of treatment. If you notice any symptoms such as muscle weakness, weakness in the hands and feet that spreads to the trunk of the body, palpitations, tremor or hyperactivity, please inform your doctor immediately for further evaluation and treatment.

If you notice any symptoms of infection while taking Lamivudine Teva Pharma B.V.:

Tell your doctor immediately. Do not take any other medicines for the infection without your doctor's advice.

You may have problems with your bones

Some patients taking combination therapy for HIV develop a condition called osteonecrosis. In this condition, parts of the bone tissue die because of a loss of blood supply to the bone. People have a higher risk of getting osteonecrosis:

• if they have been taking combination therapy for a long time
• if they are also taking anti-inflammatory medicines called corticosteroids
• if they drink alcohol
• if their immune system is very weakened
• if they are overweight.

Signs of osteonecrosis include:

• stiffness in the joints
• pain and discomfort (especially in the hip, knee and shoulder joints)
• difficulty moving.

If you notice any of these symptoms: tell your doctor.

Reporting of side effects

If you get 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 via the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Lamivudine Teva Pharma B.V.

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 or blister after EXP. The expiry date refers to the last day of that month.

This medicine does not require any special storage conditions.

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

6. Packaging Contents and Additional Information

Composition of Lamivudine Teva Pharma B.V.

• The active ingredient is lamivudine. Each film-coated tablet contains 150 mg.
• The other ingredients are:

Tablet core: Microcrystalline cellulose, sodium starch glycolate, magnesium stearate. Film coating: Hypromellose, titanium dioxide (E171), macrogol, polysorbate 80, yellow iron oxide (E172), black iron oxide (E172)

Appearance and Packaging of the Product

Light gray, rhomboid, biconvex, film-coated tablet, engraved with “L 150” and scored on one side and scored on the other.

Lamivudine Teva Pharma B.V. is available in aluminum blisters containing 20, 30, 60, 80, 90, 100, and 500 tablets or HDPE containers containing 60 tablets.

Only some pack sizes may be marketed.

Marketing Authorization Holder

Teva B.V.

Swensweg 5

2031GA Haarlem

Netherlands

Manufacturer

Teva Pharmaceutical Works Private Limited Company

Pallagi út 13

Debrecen H-4042

Hungary

Pharmachemie B.V.

Swensweg 5

2031 GA Haarlem

Netherlands

For more information on this medicinal product, please contact the local representative of the marketing authorization holder:

Date of Last Revision of this Leaflet: January 2022

Detailed information on this medicinal product is available on the European Medicines Agency website http://www.ema.europa.eu/.