LINAGLIPTIN PHARMAPATH 5 mg FILM-COATED TABLETS

2. What you need to know before taking Linagliptina PharmaPath

Do not take Linagliptina PharmaPath

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

Warnings and precautions

Consult your doctor, pharmacist, or nurse before starting to take linagliptina if you:

• have type 1 diabetes (your body does not produce insulin) or diabetic ketoacidosis (a complication of diabetes with high blood sugar levels, rapid weight loss, nausea, or vomiting). Linagliptina should not be used to treat these conditions.
• are taking a sulfonylurea medication (e.g., glimepiride, glipizide); your doctor may want to reduce your sulfonylurea dose when taken with linagliptina to avoid too low blood sugar levels.
• have had allergic reactions to any other medication you take to control blood sugar levels.
• have or have had pancreatic disease.

If you experience symptoms of acute pancreatitis, such as severe and persistent stomach pain, you should consult your doctor.

If you find blisters on your skin, it could be a sign of a disease called bullous pemphigoid. Your doctor may advise you to stop taking linagliptina.

Diabetic skin lesions are a common complication of diabetes. Follow the skin and foot care advice given by your doctor or nurse.

Children and adolescents

Linagliptina is not recommended for children and adolescents under 18 years of age. It is not effective in children and adolescents between 10 and 17 years of age. The safety and efficacy of this medication in children under 10 years of age are unknown.

Other medications and Linagliptina PharmaPath

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

In particular, you should inform your doctor if you are using medications containing any of the following active ingredients:

• Carbamazepine, phenobarbital, or phenytoin. These may be used to control seizures (convulsions) or chronic pain.
• Rifampicin. This is an antibiotic used to treat infections such as tuberculosis.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

The use of linagliptina during pregnancy is not recommended, as it is unknown whether it is harmful to the fetus.

It is unknown whether linagliptina passes into breast milk. Your doctor will decide whether to stop breastfeeding or stop treatment with linagliptina.

Driving and using machines

Linagliptina has no or negligible influence on the ability to drive and use machines.

Taking linagliptina in combination with sulfonylureas and/or insulin may cause too low blood sugar levels (hypoglycemia), which can affect your ability to drive and use machines or work without a safe support. However, more frequent blood glucose tests can be recommended to reduce the risk of hypoglycemia, especially when linagliptina is combined with a sulfonylurea and/or insulin.

Linagliptina PharmaPathcontainssodium

This medication contains less than 1 mmol of sodium (23 mg) per tablet, which is essentially "sodium-free".

3. How to take Linagliptina PharmaPath

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

The recommended dose of linagliptina is one 5 mg tablet once a day.

You can take linagliptina with or without food.

Your doctor may prescribe linagliptina in combination with another oral antidiabetic medication. Remember to take all medications as directed by your doctor to achieve the best results for your health.

If you take more Linagliptina PharmaPath than you should

If you take more linagliptina than you should, consult a doctor immediately.

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

If you forget to take Linagliptina PharmaPath

• If you forget to take a dose of linagliptina, take it as soon as you remember. However, if it is almost time for your next dose, do not take the missed dose.
• Do not take a double dose to make up for missed doses. Never take two doses on the same day.

If you stop taking Linagliptina PharmaPath

Do not stop taking linagliptina without consulting your doctor first. Your blood sugar levels may increase when you stop taking linagliptina.

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

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone gets them.

Some symptoms require immediate medical attention

You should stop taking linagliptina and consult your doctor immediately if you experience the following symptoms of low blood sugar: shaking, sweating, anxiety, blurred vision, tingling of the lips, paleness, mood changes, or confusion (hypoglycemia). Hypoglycemia (frequency: very common, may affect more than 1 in 10 people) is a side effect identified when linagliptina is taken with metformin and a sulfonylurea.

Some patients have experienced allergic reactions (hypersensitivity; frequency uncommon, may affect up to 1 in 100 people) while taking linagliptina alone or in combination with other diabetes medications, which can be severe, including wheezing and shortness of breath (bronchial hyperreactivity; frequency not known, cannot be estimated from available data). Some patients have experienced skin rash (frequency uncommon), hives (frequency rare, may affect up to 1 in 1,000 people), and swelling of the face, lips, tongue, and throat that can cause difficulty breathing or swallowing (angioedema; frequency rare). If you experience any of the above symptoms, stop taking linagliptina and call your doctor immediately. Your doctor may prescribe a medication to treat your allergic reaction and a different medication for your diabetes.

Some patients have experienced pancreatitis (frequency rare, may affect up to 1 in 1,000 people) while taking linagliptina alone or in combination with other diabetes medications.

STOPtaking linagliptina and consult a doctor immediately if you observe any of the following serious side effects:

• Severe and persistent abdominal pain (stomach area), which may radiate to the back, as well as nausea and vomiting, as this could be a sign of an inflamed pancreas (pancreatitis).

Some patients have experienced the following side effects while taking linagliptina alone or in combination with other diabetes medications:

Common (may affect up to 1 in 10 people)

• high levels of lipase in the blood.

Uncommon (may affect up to 1 in 100 people)

• nasopharyngitis (inflammation of the nose or throat)
• cough
• constipation (in combination with insulin)
• high levels of amylase in the blood.

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

• blistering of the skin (bullous pemphigoid).

Reporting side effects

If you experience any side effects, consult your doctor, pharmacist, or nurse, even if they are not listed in this package leaflet. You can also report them directly through the Spanish Medicines Agency's website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of Linagliptina PharmaPath

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

Do not use this medication after the expiration date stated on the blister and carton after EXP. The expiration date is the last day of the month indicated.

This medication does not require special storage conditions.

Medications should not be disposed of via wastewater or household waste. Return the packaging and any unused medication to a pharmacy for proper disposal. This will help protect the environment.

6. Package contents and additional information

Composition of Linagliptina PharmaPath

• The active ingredient is linagliptina.

Each film-coated tablet (tablet) contains 5 mg of linagliptina.

• The other ingredients are:

Core tablet: Cornstarch, mannitol (E421), hypromellose (low viscosity), croscarmellose sodium, magnesium stearate.

Coating: Hypromellose (type 2910), titanium dioxide (E171), talc, macrogol (type 6000), red iron oxide (E172).

Appearance of Linagliptina PharmaPath and package contents

• Linagliptina PharmaPath 5 mg film-coated tablets are light red, round (approximately 8 mm in diameter), biconvex tablets.

• Linagliptina PharmaPath is available in blisters and unit-dose blisters OPA/Alu/PVC//Alu. The pack sizes are 10, 14, 28, 30, 56, 60, 84, 90, 98, and 100 tablets.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

PharmaPath S.A.

28is Oktovriou 1,

Agia Varvara, 123 51,

Greece

This medication is authorized in the Member States of theEconomic European Areaunder the following names:

Denmark Linagliptin PharmaPath

Spain Linagliptina PharmaPath 5 mg film-coated tablets EFG

Portugal Linagliptina PharmaPath

Date of last revision of this package leaflet: 12/2023

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