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Leaflet included in the packaging: patient information

Oxylaxon, 5 mg+2.5 mg, prolonged-release tablets

Oxylaxon, 10 mg+5 mg, prolonged-release tablets

Oxylaxon, 20 mg+10 mg, prolonged-release tablets

Oxylaxon, 30 mg+15 mg, prolonged-release tablets

Oxylaxon, 40 mg+20 mg, prolonged-release tablets

Oxycodone hydrochloride+Naloxone hydrochloride
You should carefully read the contents of the leaflet before taking the medicine, as it contains important information for the patient.

  • You should keep this leaflet, so you can read it again if you need to.
  • If you have any doubts, you should consult your doctor or pharmacist.
  • This medicine has been prescribed to you by a doctor for a specific reason. Do not give it to others. The medicine may harm another person, even if their symptoms are the same.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor or pharmacist. See section 4.

Table of contents of the leaflet

  • 1. What is Oxylaxon and what is it used for
  • 2. Important information before taking Oxylaxon
  • 3. How to take Oxylaxon
  • 4. Possible side effects
  • 5. How to store Oxylaxon
  • 6. Contents of the packaging and other information

1. What is Oxylaxon and what is it used for

Pain treatment

Oxylaxon has been prescribed to treat severe pain that can only be adequately controlled with opioid painkillers.

How Oxylaxon works on pain

Oxylaxon contains the active substances oxycodone hydrochloride and naloxone hydrochloride.
Oxycodone is responsible for the pain-relieving effect of the medicine. It is a strong painkiller that belongs to a group of medicines called opioids.
Naloxone counteracts constipation, which is a typical side effect of strong painkillers (opioids).

2. Important information before taking Oxylaxon

When not to take Oxylaxon

  • if the patient is allergic to oxycodone, naloxone, or any of the other ingredients of this medicine (listed in section 6);
  • if the patient has breathing problems, such as slower or shallower breathing than normal (respiratory depression);
  • if the patient has severe lung disease associated with narrowing of the airways (chronic obstructive pulmonary disease);
  • if the patient has a condition called cor pulmonale (right-sided heart failure due to increased blood pressure in the pulmonary vessels);
  • if the patient has severe asthma;
  • if the patient has a condition called paralytic ileus (a condition where the intestines do not work properly and there is a build-up of food, fluid, and gas in the intestines), not caused by opioids;
  • if the patient has moderate to severe liver failure.

Warnings and precautions

Before starting treatment with Oxylaxon, the patient should discuss it with their doctor or pharmacist.

  • in the case of elderly patients and weakened patients;
  • if the patient has opioid-induced constipation;
  • in the case of kidney problems;
  • in the case of mild liver failure;
  • if the patient has severe lung problems (e.g., reduced breathing ability);
  • if the patient has a condition characterized by frequent pauses in breathing during sleep, which can cause daytime sleepiness (sleep apnea);
  • if the patient has a condition called hypothyroidism (a condition where the thyroid gland does not produce enough hormones);
  • if the patient has adrenal gland problems (adrenal insufficiency), such as Addison's disease;
  • in the case of mental illness with loss of contact with reality (psychosis), caused by alcohol or other substances (substance-induced psychosis);
  • if the patient has gallstones;
  • in the case of an enlarged prostate gland;
  • in the case of pancreatitis;
  • in the case of low blood pressure;
  • in the case of high blood pressure;
  • in the case of heart problems;
  • in the case of head injuries (due to the risk of increased intracranial pressure);
  • if the patient has epilepsy or a tendency to seizures;
  • if the patient is taking MAO inhibitor medicines (used to treat depression or Parkinson's disease), such as tranylcypromine, phenelzine, isocarboxazid, and moclobemide;
  • if the patient experiences sleepiness or episodes of sudden sleepiness.

The patient should inform their doctor if they have had any of the above conditions in the past. The patient should also contact their doctor if they occur during treatment with Oxylaxon.
Respiratory depression during sleep
Oxylaxon may cause respiratory depression associated with sleep, such as sleep apnea (pauses in breathing during sleep) and hypoxemia during sleep (low oxygen levels in the blood). Symptoms may include pauses in breathing during sleep, nighttime awakenings due to shortness of breath, difficulty staying asleep, or excessive daytime sleepiness. If the patient or another person notices such symptoms, they should contact their doctor. The doctor may consider reducing the dose.
Tolerance, dependence, and addiction
This medicine contains oxycodone, which is an opioid. It may cause dependence and (or) addiction.
This medicine contains oxycodone, which is an opioid medicine. Repeated use of opioid painkillers may lead to reduced effectiveness of the medicine (the patient's body gets used to it, which is called tolerance).
Long-term use of Oxylaxon may lead to dependence, abuse, and addiction, which can be life-threatening. The risk of these side effects may be higher when using higher doses for a longer period.

  • if the patient or a family member has ever abused or been dependent on alcohol, prescription medicines, or illegal drugs ("addiction");
  • if the patient is a smoker;
  • if the patient has had mood disorders (depression, anxiety, or personality disorder) or has been treated by a psychiatrist for other mental disorders.

If the patient notices any of the following symptoms while taking Oxylaxon, it may indicate that they are developing dependence or addiction.

  • need to take the medicine for a longer period than prescribed by the doctor;
  • need to take a higher dose than prescribed;
  • using the medicine for reasons other than prescribed, such as "to calm down" or "to help fall asleep";
  • making repeated, unsuccessful attempts to stop or reduce the use of the medicine;
  • feeling unwell after stopping the medicine and improving after taking it again ("withdrawal effect").

If the patient observes any of these symptoms, they should contact their doctor to discuss the best treatment plan, including the right time and safe way to stop treatment (see section 3 "Stopping Oxylaxon treatment").
Oxylaxon is not recommended for patients with advanced intestinal or pelvic cancer, where intestinal obstruction may occur.
If the patient experiences acute diarrhea at the start of treatment (within the first 3-5 days), it may be an effect of naloxone. This may be a sign that bowel function is returning to normal. If diarrhea persists after 3-5 days or bothers the patient, they should contact their doctor.
If the patient has previously taken high doses of other opioids, when switching to Oxylaxon, they may initially experience withdrawal symptoms (such as restlessness, sweating, and muscle pain). If such symptoms occur, the patient may require special medical supervision.
If the patient is to undergo surgery, they should inform their doctor that they are taking Oxylaxon.
The patient should consult their doctor if they experience severe abdominal pain that may radiate to the back, nausea, vomiting, or fever, as these may be symptoms related to pancreatitis and bile duct problems.
During long-term use of Oxylaxon, the patient may develop tolerance to the medicine. This means that the patient may require higher doses to achieve the desired effect. Long-term use of this medicine may lead to physical dependence. The patient should avoid taking medicines containing oxycodone if they have a history of alcohol, drug, or medicine abuse. If treatment is stopped suddenly, withdrawal symptoms may occur. If the patient no longer needs treatment, the daily dose should be gradually reduced, in agreement with the doctor.
Remnants of prolonged-release tablets may be found in the stool. The patient should not be concerned, as the active substance has been released in the stomach and intestines and absorbed by the body.
Improper use of Oxylaxon
Never misuse Oxylaxon, especially if the patient is addicted to medicines. In the case of addiction to drugs such as heroin, morphine, or methadone, misusing Oxylaxon may cause severe withdrawal symptoms, as it contains the active substance naloxone. Previous withdrawal symptoms may worsen.
It is not allowed to misuse Oxylaxon prolonged-release tablets by dissolving them and injecting them (e.g., into blood vessels) or by inhaling them. The tablets contain talc, which can cause local tissue damage (necrosis) and changes in lung tissue (pulmonary granulomas). Misuse of the medicine can have other serious consequences, even death.
Prolonged-release tablets should be swallowed whole, without affecting the slow release of oxycodone from the tablet. The tablets should not be divided, broken, chewed, or crushed. Taking divided, broken, chewed, or crushed tablets can release a potentially fatal dose of oxycodone into the body (see section 3 "Taking a higher dose of Oxylaxon than prescribed").
Taking Oxylaxon may result in positive doping test results.
Taking Oxylaxon as a stimulant can be life-threatening.

Children and adolescents

Oxylaxon should not be used in children and adolescents under 18 years of age, as its safety and efficacy have not been established.

Oxylaxon and other medicines

The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
The risk of side effects increases if Oxylaxon is taken with other medicines that affect brain function. In such cases, the patient may feel sleepy or have breathing problems (respiratory depression).
Medicines that affect brain function:

  • other strong painkillers (opioids),
  • sleeping pills and sedatives,
  • antidepressants (e.g., paroxetine, fluoxetine),
  • medicines used to treat allergies, motion sickness, or nausea (antihistamines or antiemetics),
  • other medicines that affect the nervous system (phenothiazines, neuroleptics).

The risk of side effects increases if the patient takes antidepressants (such as citalopram, duloxetine, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, venlafaxine). These medicines can interact with oxycodone, causing symptoms such as involuntary, rhythmic muscle contractions, including muscles that control eye movements, agitation, excessive sweating, shivering, increased reflexes, increased muscle tension, and elevated body temperature above 38°C. If these symptoms occur, the patient should contact their doctor.
Concomitant use of Oxylaxon and sedatives, such as benzodiazepines or related medicines, increases the risk of sleepiness, breathing difficulties (respiratory depression), or sleepiness, which can be life-threatening. Therefore, combination therapy should only be considered when other treatment options are not available.
If Oxylaxon is taken with sedatives, the doctor should limit the dose and duration of concomitant use.
The patient should tell their doctor about all sedatives they are taking and strictly follow the prescribed dose. It may be helpful to inform a family member or close friend of the patient about the possibility of these symptoms. If these symptoms occur, the patient should consult their doctor.
The patient should inform their doctor about the following medicines:

  • medicines that reduce blood clotting (coumarin derivatives), as bleeding time may be accelerated or slowed;
  • macrolide antibiotics (e.g., clarithromycin, erythromycin, telithromycin),
  • azole antifungal medicines (e.g., ketoconazole, voriconazole, itraconazole, posaconazole),
  • ritonavir or other protease inhibitors (used to treat HIV, such as indinavir, nelfinavir, saquinavir),
  • cimetidine (a medicine used to treat stomach ulcers, indigestion, or heartburn),
  • rifampicin (used to treat tuberculosis),
  • carbamazepine (used to treat seizures, fits, or certain types of pain),
  • phenytoin (used to treat seizures, fits, or convulsions),
  • St. John's Wort,
  • quinidine (a medicine used to treat irregular heart rhythm),
  • medicines used to treat depression,
  • medicines used to treat allergies, motion sickness, or nausea (antihistamines or antiemetics),
  • medicines used to treat mental disorders (antipsychotics or neuroleptics),
  • muscle relaxants,
  • medicines used to treat Parkinson's disease.

Taking Oxylaxon with food, drink, and alcohol

Consuming alcohol while taking Oxylaxon may cause sleepiness or increase the risk of serious side effects, such as shallow breathing with a risk of respiratory arrest and loss of consciousness. The patient should avoid drinking alcohol while taking Oxylaxon.
The patient should avoid drinking grapefruit juice while taking Oxylaxon.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant, breastfeeding, or thinks they may be pregnant, they should consult their doctor or pharmacist before taking this medicine.
Pregnancy
Whenever possible, Oxylaxon should be avoided during pregnancy. If the medicine is used during pregnancy for a long time, oxycodone may cause withdrawal symptoms in the newborn. If oxycodone is given during delivery, the newborn may experience respiratory depression (slow and shallow breathing).
Breastfeeding
The patient should stop breastfeeding while taking Oxylaxon. Oxycodone passes into breast milk. It is not known if naloxone also passes into breast milk. For this reason, there is a risk to the breastfed child, especially if the mother takes multiple doses of Oxylaxon.

Driving and using machines

This medicine may affect the patient's ability to drive and use machines, as it may cause sleepiness or dizziness. This is most likely to happen at the start of treatment, after a dose increase, or when switching to this medicine from another.
Oxylaxon may cause sleepiness or sudden sleep episodes. If these occur, the patient should not drive or operate machinery.
The patient should consult their doctor or pharmacist if they are unsure whether they can drive while taking this medicine.

Oxylaxon 5 mg+2.5 mg and 10 mg+5 mg contain lactose

Patients with intolerance to some sugars should consult their doctor before taking this medicine.
This medicine contains less than 1 mmol of sodium (23 mg) per prolonged-release tablet, which means it is "sodium-free".

3. How to take Oxylaxon

This medicine should always be taken exactly as prescribed by the doctor. If the patient has any doubts, they should consult their doctor or pharmacist.
If it is difficult to take the required dose using the prescribed strength of the medicine, the patient may take a different strength of the same medicinal product.
Before starting treatment and regularly during treatment, the doctor will discuss with the patient what to expect from taking Oxylaxon, when and for how long to take it, when to contact the doctor, and when to stop taking it (see also "Stopping Oxylaxon treatment").

If the doctor has not prescribed otherwise, the usual dose of Oxylaxon is:

For pain treatment

Adults
The usual starting dose is 10 mg of oxycodone hydrochloride and 5 mg of naloxone hydrochloride every 12 hours.
The doctor will decide what total daily dose should be taken and how it should be divided into morning and evening doses. The doctor will also decide on any necessary dose adjustments during treatment, depending on the severity of the pain and the patient's individual sensitivity. The patient should take the lowest effective dose to relieve pain. If the patient has previously taken opioids, treatment with Oxylaxon may be started at a higher initial dose.
The maximum daily dose is 160 mg of oxycodone hydrochloride and 80 mg of naloxone hydrochloride. If higher doses are necessary, the doctor may prescribe an additional dose of oxycodone without naloxone. However, the maximum daily dose of oxycodone hydrochloride should not exceed 400 mg. When additional doses of oxycodone hydrochloride are given, the beneficial effect of naloxone hydrochloride on bowel function may be reduced.
If the patient experiences pain between doses, they may need to take a different, fast-acting painkiller. Oxylaxon is not intended for this purpose. The patient should consult their doctor in such cases.
If the patient feels that the effect of the medicine is too strong or too weak, they should consult their doctor or pharmacist.

Special warnings for some patient groups

Elderly patients
Usually, there is no need to adjust the dose in elderly patients with normal kidney and liver function.
Patients with kidney or liver problems
If the patient has kidney or mild liver problems, the doctor will prescribe Oxylaxon with caution. The patient should not take Oxylaxon if they have moderate to severe liver failure (see also section 2 "When not to take Oxylaxon" and "Warnings and precautions").
Children and adolescents under 18 years of age
Oxylaxon has not been studied in children and adolescents. Therefore, this medicine is not recommended for patients under 18 years of age.

Method of administration

Oral use.
The tablets should be swallowed whole with a glass of water. They can be taken with or without food. The patient should take them every 12 hours, according to the established schedule. For example, if the patient takes a tablet at 8 am, the next one should be taken at 8 pm.
Prolonged-release tablets should not be divided, broken, chewed, or crushed.

Instructions for the blister pack:

This medicine is in a packaging that is not accessible to children. To remove a tablet, the patient should press the blister firmly.

Duration of treatment

Oxylaxon should not be taken for longer than necessary. If the patient takes Oxylaxon for a long time, the doctor will regularly check if it is still necessary.

Taking a higher dose of Oxylaxon than prescribed

If the patient takes more Oxylaxon than prescribed, they must contact their doctor immediately.
Overdose may cause:

  • constricted pupils,
  • slow and shallow breathing (respiratory depression),
  • sleepiness or loss of consciousness,
  • reduced muscle tone (hypotonia),
  • slow heart rate,
  • low blood pressure,
  • brain disorders (toxic leukoencephalopathy).

In severe cases, overdose may cause loss of consciousness (coma), fluid accumulation in the lungs, and circulatory failure, which can be life-threatening.
The patient should avoid situations that require increased attention (e.g., driving vehicles).

Missing a dose of Oxylaxon

If the patient misses a dose of Oxylaxon or takes a lower dose than prescribed, they may not feel the effects of the medicine.
If the patient forgets to take a dose, they should follow these instructions:

  • if the next dose is to be taken in 8 hours or more: the patient should take the missed dose immediately and continue treatment according to the normal schedule;
  • if the next dose is to be taken in less than 8 hours: the patient should take the missed dose and then wait 8 hours before taking the next dose. The patient should try to return to their normal dosing schedule (e.g., 8 am and 8 pm).

The patient should not take more than one dose in 8 hours.
The patient should not take a double dose to make up for a missed dose.

Stopping Oxylaxon treatment

The patient should not stop taking Oxylaxon without consulting their doctor.
If the patient no longer needs treatment, the doctor will recommend gradually reducing the daily dose. This way, the patient can avoid withdrawal symptoms, such as restlessness, sweating, and muscle pain.
If the patient has any further doubts about taking this medicine, they should consult their doctor or pharmacist.

4. Possible side effects

Like all medicines, Oxylaxon can cause side effects, although not everybody gets them.
Serious side effects or symptoms that require attention and action in case of their occurrence:
The patient should stop taking Oxylaxon and contact their doctor or go to the nearest hospital emergency department immediately if they experience any of the following symptoms:

  • slow and shallow breathing (respiratory depression). This is the most serious side effect of Oxylaxon, most commonly occurring in elderly and weakened patients;
  • opioids may also cause a severe drop in blood pressure in sensitive patients;
  • swelling of the face, tongue, or throat; difficulty swallowing; hives; difficulty breathing; and low blood pressure (anaphylactic reactions).

Side effects observed in patients treated with painkillers:

Common(may occur in up to 1 in 10 patients):

  • abdominal pain, nausea, constipation, diarrhea, gas
  • dry mouth
  • vomiting, feeling unwell
  • reduced appetite, up to loss of appetite
  • dizziness, vertigo
  • headache
  • hot flashes, sweating
  • general weakness, fatigue, or exhaustion
  • skin rash, allergic reactions (hives)
  • difficulty sleeping, sleepiness

Uncommon(may occur in up to 1 in 100 patients):

  • abdominal distension
  • abnormal thinking
  • anxiety, confusion, depression, nervousness, difficulty concentrating
  • chest tightness, especially in patients with coronary artery disease, chest pain
  • low blood pressure, high blood pressure
  • withdrawal symptoms, such as agitation
  • fainting
  • palpitations
  • biliary colic
  • general feeling of illness
  • pain
  • swelling of hands, feet, and ankles
  • speech disorders
  • shivering
  • breathing difficulties
  • restlessness
  • chills
  • increased liver enzyme activity
  • nasal congestion
  • cough
  • allergic reactions (hypersensitivity)
  • weight loss
  • accidents
  • increased urination
  • muscle spasms, muscle twitching, muscle pain
  • vision disorders
  • seizures (especially in patients with seizure disorders or a tendency to seizures)

Rare(may occur in up to 1 in 1,000 patients)

  • increased heart rate
  • changes in urination
  • weight gain
  • yawning

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

  • euphoria
  • calmness
  • erectile dysfunction
  • nightmares
  • hallucinations
  • shallow breathing
  • sleep apnea (pauses in breathing during sleep)
  • urination difficulties
  • tingling in hands or feet
  • belching

Oxycodone, which is not combined with naloxone, may cause the following side effects:

Respiratory depression, such as slow and shallow breathing (respiratory depression), constricted pupils, muscle spasms, and reduced cough reflex.
Common(may occur in up to 1 in 10 patients):

  • mood and personality changes (e.g., depression, feeling unusually happy)
  • reduced activity, increased activity
  • urination difficulties
  • hiccups

Uncommon(may occur in up to 1 in 100 patients):

  • concentration disorders, agitation
  • migraine
  • taste disorders
  • increased muscle tone, involuntary muscle contractions
  • dependence on the medicine, tolerance to the medicine
  • constipation
  • dry skin, skin redness
  • reduced sensitivity to pain and touch
  • coordination disorders
  • voice changes (hoarseness)
  • fluid retention
  • hearing disorders
  • mouth ulcers, toothache
  • swallowing difficulties
  • perception disorders (e.g., hallucinations, depersonalization)
  • reduced sexual desire
  • dehydration, thirst

Rare(may occur in up to 1 in 1,000 patients)

  • itching rash (urticaria)
  • herpes simplex
  • increased appetite
  • tarry stools
  • gum bleeding

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

  • acute generalized allergic reactions (anaphylactic reactions)
  • amenorrhea
  • liver function disorders
  • long-term use of Oxylaxon during pregnancy may cause life-threatening withdrawal syndrome in the newborn; symptoms to look out for in the child include irritability, hyperactivity, and abnormal sleep pattern, high-pitched crying, shivering, vomiting, diarrhea, and failure to gain weight
  • a disorder affecting the bowel sphincter, which can cause severe abdominal pain (dysfunction of the Oddi sphincter)

Reporting side effects

If the patient experiences any side effects, including any side effects not listed in the leaflet, they should tell their doctor or pharmacist. Side effects can be reported directly to the:
Department for Monitoring of Adverse Reactions to Medicinal Products, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: +48 22 49 21 301, fax: +48 22 49 21 309, e-mail: ndl@urpl.gov.pl.
Side effects can also be reported to the marketing authorization holder.
Reporting side effects helps to gather more information on the safety of the medicine.

5. How to store Oxylaxon

The medicine should be kept out of the sight and reach of children. This medicine should be stored in a closed and secure place, to which other people cannot gain access.
It can be very harmful and may cause death if taken by someone it was not prescribed for.
Do not use this medicine after the expiry date stated on the carton and blister after EXP. The expiry date refers to the last day of the month stated.
Do not store above 25°C.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What Oxylaxon contains

  • The active substances of Oxylaxon are oxycodone hydrochloride and naloxone hydrochloride.

Oxylaxon, 5 mg+2.5 mg, prolonged-release tablets
Each prolonged-release tablet contains 5 mg of oxycodone hydrochloride, equivalent to 4.5 mg of oxycodone, and 2.5 mg of naloxone hydrochloride as 2.75 mg of naloxone hydrochloride dihydrate, equivalent to 2.25 mg of naloxone.
Oxylaxon, 10 mg+5 mg, prolonged-release tablets
Each prolonged-release tablet contains 10 mg of oxycodone hydrochloride, equivalent to 9 mg of oxycodone, and 5 mg of naloxone hydrochloride as 5.5 mg of naloxone hydrochloride dihydrate, equivalent to 4.5 mg of naloxone.
Oxylaxon, 20 mg+10 mg, prolonged-release tablets
Each prolonged-release tablet contains 20 mg of oxycodone hydrochloride, equivalent to 18 mg of oxycodone, and 10 mg of naloxone hydrochloride as 10.99 mg of naloxone hydrochloride dihydrate, equivalent to 9 mg of naloxone.
Oxylaxon, 30 mg+15 mg, prolonged-release tablets
Each prolonged-release tablet contains 30 mg of oxycodone hydrochloride, equivalent to 26.9 mg of oxycodone, and 15 mg of naloxone hydrochloride as 16.485 mg of naloxone hydrochloride dihydrate, equivalent to 13.5 mg of naloxone.
Oxylaxon, 40 mg+20 mg, prolonged-release tablets
Each prolonged-release tablet contains 40 mg of oxycodone hydrochloride, equivalent to 36 mg of oxycodone, and 20 mg of naloxone hydrochloride as 21.98 mg of naloxone hydrochloride dihydrate, equivalent to 18 mg of naloxone.

  • Other ingredients are: Tablet core: polyvinyl acetate, povidone K30, sodium lauryl sulfate, silica, microcrystalline cellulose, lactose monohydrate (Oxylaxon 5 mg+2.5 mg and 10 mg+5 mg), colloidal anhydrous silica, magnesium stearate. Tablet coating: polyvinyl alcohol, partially hydrolyzed, macrogol 3350, titanium dioxide (E171), talc, and brilliant blue FCF (E133), aluminum lake (Oxylaxon 5 mg+2.5 mg) iron oxide red (E172) (Oxylaxon 20 mg+10 mg and 30 mg+15 mg) iron oxide yellow (E172) (Oxylaxon 30 mg+15 mg and 40 mg+20 mg) iron oxide black (E172) (Oxylaxon 30 mg+15 mg)

What Oxylaxon looks like and contents of the pack

Oxylaxon is a prolonged-release tablet, which means that the active substances are released into the body over a longer period. Their effect lasts for 12 hours.
Oxylaxon, 5 mg+2.5 mg, prolonged-release tablets
Light blue, round, and biconvex prolonged-release tablets with the number "5" embossed on one side.
Oxylaxon, 10 mg+5 mg, prolonged-release tablets
White or almost white, round, and biconvex prolonged-release tablets with the number "10" embossed on one side.
Oxylaxon, 20 mg+10 mg, prolonged-release tablets
Light pink, round, and biconvex prolonged-release tablets with the number "20" embossed on one side.
Oxylaxon, 30 mg+15 mg, prolonged-release tablets
Brown, round, and biconvex prolonged-release tablets with the number "30" embossed on one side.
Oxylaxon, 40 mg+20 mg, prolonged-release tablets
Yellow, round, and biconvex prolonged-release tablets with the number "40" embossed on one side.
Packaging containing 7, 10, 14, 20, 28, 30, 50, 56, 60, 98, and 100 prolonged-release tablets in blisters, in a cardboard box.
Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

G.L. Pharma GmbH
Schlossplatz 1
8502 Lannach
Austria

For more information and information on the medicinal product name in other EEA countries, please contact the marketing authorization holder:

G.L. PHARMA POLAND Sp. z o.o.
Al. Jana Pawła II 61/313
01-031 Warsaw, Poland
Tel: 022/ 636 52 23; 636 53 02
biuro@gl-pharma.pl

Date of last revision of the leaflet: 28.05.2025

  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Manufacturer
  • Importer
    G.L. Pharma GmbH

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Ekaterina Agapova

Neurology8 years of experience

Dr. Ekaterina Agapova is a neurologist specialising in the diagnosis and treatment of neurological conditions and chronic pain. She provides online consultations for adults, combining evidence-based medicine with a personalised approach.

She offers expert care for:

  • Headaches and migraines, including tension-type and cluster headaches.
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  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

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Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Doctor

Salome Akhvlediani

Pediatrics11 years of experience

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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