LOVASTATIN KERN PHARMA 40 mg TABLETS

2. What you need to know before you take Lovastatin Kern Pharma

Do not take Lovastatin Kern Pharma

• if you are allergic to lovastatin or any of the other ingredients of this medicine (listed in section 6),
• if you have a disease that affects your liver,
• if you are pregnant or breast-feeding,
• if you are taking any of the following medicines:

• antifungals (medicines used to treat fungal infections) such as itraconazole or ketoconazole,
• antibiotics erythromycin, clarithromycin or telithromycin,
• HIV protease inhibitors (medicines used to treat HIV infections) such as indinavir, nelfinavir, ritonavir and saquinavir,
• the antidepressant nefazodone.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Lovastatin Kern Pharma.

If you experience pain, tenderness, or constant muscle weakness, inform your doctor or pharmacist immediately. Further tests and medication may be necessary to diagnose and treat this problem.

Rarely, lovastatin can cause serious muscle problems that can lead to kidney damage.

This risk is higher in patients who take high doses of lovastatin or who take it with certain medications that increase lovastatin levels in the blood and therefore the risk of muscle disorders, such as (see section "Use with other medicines"):

• Fibrates and niacin (medicines that lower cholesterol levels).
• Amiodarone and verapamil (medicines used to treat heart problems).
• Cyclosporin (a medicine used to prevent rejection in transplants).

Tell your doctor about your current and past medical problems and any allergies you suffer from, or if you consume large amounts of alcohol or have a history of liver disease (liver disease).

Consult your doctor or pharmacist before taking Lovastatin Kern Pharma if you:

• Have or have had myasthenia (a disease characterized by generalized muscle weakness that, in some cases, affects the muscles used for breathing) or ocular myasthenia (a disease that causes weakness of the eye muscles), as statins can sometimes worsen the disease or cause myasthenia to appear (see section 4).
• Suffer from severe respiratory failure.

Are taking or have taken in the last 7 days a medicine that contains fusidic acid (used to treat bacterial infections) orally or by injection. The combination of fusidic acid and Lovastatin Kern Pharma can cause serious muscle problems (rhabdomyolysis).

While you are taking this medicine, your doctor will check if you have diabetes or are at risk of developing diabetes. This risk of diabetes increases if you have high levels of sugar and fat in your blood, are overweight, and have high blood pressure.

Use of Lovastatin Kern Pharma with other medicines

Tell your doctor or pharmacist that you are using or have recently used or may need to use any other medicine.

Certain medicines can interact with Lovastatin Kern Pharma and may increase the risk of muscle problems (see section 4. Possible side effects); in these cases, it may be necessary to change the dose or interrupt treatment with one of them.

It is essential that you inform your doctor if you are taking or have recently taken any of the following medicines:

• cyclosporin (a medicine used to prevent rejection in transplants),
• danazol (a medicine for the treatment of endometriosis),
• antifungals (medicines for the treatment of fungal infections) such as itraconazole or ketoconazole,
• fibrates (medicines that lower cholesterol levels) such as gemfibrozil, bezafibrate or fenofibrate,
• the antibiotics erythromycin, clarithromycin and telithromycin,
• HIV protease inhibitors (medicines used to treat HIV infections) such as indinavir, nelfinavir, ritonavir and saquinavir,
• the antidepressant nefazodone,
• amiodarone (a medicine used to treat irregular heart rhythm),
• verapamil (a medicine used to treat high blood pressure or angina pectoris)
• high doses of niacin or nicotinic acid (more than 1 g per day).

It is also very important that you inform your doctor if you are taking anticoagulants (medicines to prevent blood clots) such as warfarin, fenprocoumon or acenocoumarol.

If you need to take oral fusidic acid to treat a bacterial infection, you will need to stop using this medicine. Your doctor will tell you when you can restart treatment with Lovastatin Kern Pharma. The use of Lovastatin Kern Pharma with fusidic acid can cause serious muscle problems (rhabdomyolysis).

Pregnancy, breast-feeding and fertility

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

Pregnancy

Lovastatin Kern Pharma is contraindicated during pregnancy.

If you are pregnant, trying to become pregnant or think you may be pregnant, you should stop treatment and inform your doctor as soon as possible.

Breast-feeding

Women who take Lovastatin Kern Pharma should not breast-feed their children.

Pediatric population:

The use of Lovastatin Kern Pharma is not recommended in the pediatric population.

Driving and using machines

Lovastatin Kern Pharma, at the recommended therapeutic doses, does not affect the ability to drive or use machines. However, if you notice symptoms of dizziness, do not drive or use machines until you know how you tolerate the medicine.

Lovastatin Kern Pharma contains lactose:

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

3. How to take Lovastatin Kern Pharma

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

Remember to take your medicine.

Your doctor has prescribed your dose of Lovastatin Kern Pharma. The usual initial dose is 20 mg per day, administered as a single dose with dinner. Some patients with mild to moderate hypercholesterolemia may be treated with an initial dose of 10 mg. Your doctor may adjust your dose up to a maximum of 80 mg/day, administered as a single dose with dinner, or in divided doses with meals and dinner. Your doctor may prescribe lower doses, especially if you are taking any of the medicines mentioned above or have kidney problems.

Method of administration:

Most patients take Lovastatin Kern Pharma with a glass of water.

If you consider that the action of Lovastatin Kern Pharma is too strong or too weak, inform your doctor or pharmacist.

If you take more Lovastatin Kern Pharma than you should

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

If you forget to take Lovastatin Kern Pharma

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

Try to take Lovastatin Kern Pharma as indicated by your doctor. However, if you forget to take a dose, do not take an extra dose. Just follow your usual treatment schedule.

If you stop taking Lovastatin Kern Pharma

Continue taking Lovastatin Kern Pharma unless your doctor tells you to stop. If you stop taking Lovastatin Kern Pharma, your cholesterol may increase again.

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

4. Possible side effects

Like all medicines, Lovastatin Kern Pharma can cause side effects, although not everybody gets them.

Generally, lovastatin is well tolerated. In most cases, side effects have been mild and short-lived.

Consult your doctor immediately if you experience pain, tenderness, or muscle weakness. This is because, rarely, muscle problems can be serious, including muscle breakdown, which can lead to kidney damage.

This risk of muscle breakdown is higher in patients who take high doses of lovastatin.

This risk of muscle breakdown is higher in patients with abnormal kidney function.

The frequencies of adverse events are ranked as follows:

Common side effects (in less than 1 in 10 people, but in more than 1 in 100):

• Gastrointestinal disorders: constipation, indigestion.

Uncommon side effects (in less than 1 in 100 people, but in more than 1 in 1,000):

• Skin disorders: itching.

Rare side effects (in less than 1 in 1,000 people):

• Eye disorders: blurred vision.
• Gastrointestinal disorders: abdominal pain, diarrhea, dry mouth, gas, nausea, vomiting.
• General disorders: weakness.
• Hepatic disorders: yellowing of the skin and eyes (cholestatic jaundice), hepatitis (inflammation of the liver).
• Metabolic and nutritional disorders: loss of appetite.
• Musculoskeletal disorders: muscle weakness (myopathy), fatigue and muscle pain, muscle cramps.
• Nervous system disorders: dizziness, loss of taste, headache, tingling sensation, tingling and numbness of the feet or legs.
• Psychiatric disorders: insomnia (difficulty sleeping) and nightmares, mental disorders including anxiety, sleep disorders.
• Skin and subcutaneous tissue disorders: hair loss, redness in patches or diffuse redness of the skin including Stevens-Johnson syndrome (a serious disease characterized by blisters on the skin, mouth, eyes, and genitals), redness and swelling of the skin, skin peeling.

Rarely, an immune response has been reported that has included some of the following characteristics: severe allergic reactions (which can be serious enough to require immediate medical attention) including wheezing, hives, and swelling of the face, lips, tongue, and/or throat that can cause difficulty breathing or swallowing, skin rash, joint and muscle pain, muscle and skin inflammation, blood vessel inflammation, decreased platelet count in the blood, abnormally low white blood cell count, increased white blood cell count in the blood, red blood cell deficiency characterized by weakness, autoimmune disease, inflammatory process, arthritis, joint pain, hives, weakness, sensitivity to sunlight with skin lesions, fever, redness (redness of the skin), chills, shortness of breath, and general malaise.

Adverse reactions with unknown frequency (cannot be estimated from the available data):

• Constant muscle weakness
• Severe myasthenia (a disease that causes generalized muscle weakness that, in some cases, affects the muscles used for breathing).
• Ocular myasthenia (a disease that causes weakness of the eye muscles).

Consult your doctor if you experience weakness in your arms or legs that worsens after periods of activity, double vision or drooping eyelids, difficulty swallowing or difficulty breathing.

Other possible side effects:

Memory loss

Sexual dysfunction

Depression

Respiratory problems including persistent cough and/or difficulty breathing or fever.

Diabetes. This is more likely if you have high levels of sugar and fat in your blood, are overweight, and have high blood pressure. Your doctor will monitor you while you are taking this medicine.

Investigations:

• Uncommon: increased transaminases.
• Rare: other abnormalities in liver function tests, including elevated alkaline phosphatase and bilirubin; increased levels of serum CK.

Other side effects may also occur, and as with any prescribed medicine, some may be serious. Ask your doctor or pharmacist for more information. They have a more complete list of side effects.

Tell your doctor or pharmacist if you experience any unusual symptoms or if any known symptom persists or worsens.

If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet.

Reporting of side effects

If you experience any side effects, consult your doctor or pharmacist, even if they are 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. Storage of Lovastatin Kern Pharma

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

No special storage conditions are required.

Do not use this medicine after the expiry date which is stated on the packaging after "EXP". The expiry date is the last day of the month shown.

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

6. Contents of the pack and further information

Composition of Lovastatin Kern Pharma

• The active substance is lovastatin. Each tablet contains 40 mg of lovastatin.
• The other ingredients (excipients) are: hydrated lactose, pregelatinized corn starch, microcrystalline cellulose (E-460i), magnesium stearate (E-470b), butylhydroxyanisole (E-320), red iron oxide (E-172), ethanol and purified water.

Appearance of the product and contents of the pack

Lovastatin Kern Pharma 40 mg film-coated tablets are presented in packs of 28 tablets. The tablets are round, pink, with a score line on one face and the anagram L on the other.

The tablet can be divided into two equal halves.

Other presentations:

Lovastatin Kern Pharma 20 mg film-coated tablets. Packs of 28 tablets.

Marketing authorization holder and manufacturer

Marketing authorization holder

Kern Pharma, S.L.

Venus, 72 - Pol. Ind. Colón II

08228 Terrassa (Barcelona)

Spain

Manufacturer

Kern Pharma, S.L.

Venus, 72 - Pol. Ind. Colón II

08228 Terrassa (Barcelona)

Spain

or

Toll Manufacturing Services, S.L.

Aragoneses, 2 – Políg. Ind.

28108 Alcobendas (Madrid)

Date of the last revision of this leaflet: May 2023

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/