Rosuvastatin + Acetylsalicylic acid
Read the leaflet carefully before taking the medicine, as it contains important information for the patient.
Rosuvastatin + Acetylsalicylic acid Rafarm contains two active substances: rosuvastatin and acetylsalicylic acid.
Rosuvastatin + Acetylsalicylic acid Rafarm is indicated for patients who are already taking rosuvastatin and acetylsalicylic acid in these doses. Instead of taking rosuvastatin and acetylsalicylic acid in the form of separate tablets, the patient receives one capsule of Rosuvastatin + Acetylsalicylic acid Rafarm, which contains both ingredients of the same strength as previously used.
Before starting treatment with Rosuvastatin + Acetylsalicylic acid Rafarm, the patient should discuss it with their doctor or pharmacist.
The patient should immediately consult a doctor if their symptoms worsen or if they experience serious or unexpected undesirable effects, such as unusual bleeding symptoms, severe skin reactions, or any symptoms of a severe allergic reaction (see "Possible undesirable effects").
Statins can affect the liver in a small number of people. This is identified by a simple blood test that detects elevated liver enzyme activity. For this reason, the doctor will usually recommend a blood test (liver function test) before and during treatment with Rosuvastatin + Acetylsalicylic acid Rafarm.
During treatment with this medicine, the doctor will closely monitor the patient's condition if they have diabetes or are at risk of developing diabetes. The risk of developing diabetes is likely if the patient has high blood sugar and fat levels, is overweight, and has high blood pressure.
The patient should be cautious not to become dehydrated (feeling thirsty with dry mouth) because taking acetylsalicylic acid can worsen kidney function.
The patient should inform their doctor if they plan to have surgery (even minor, e.g., tooth extraction), as acetylsalicylic acid can increase the risk of bleeding.
Acetylsalicylic acid can cause Reye's syndrome in children. Reye's syndrome is a very rare disease that affects the brain and liver and can be fatal. Therefore, Rosuvastatin + Acetylsalicylic acid Rafarm should not be given to children and adolescents under 18 years of age.
In patients with severe glucose-6-phosphate dehydrogenase deficiency: acetylsalicylic acid can cause accelerated breakdown or breakdown of red blood cells or a certain form of anemia. This risk may be caused by factors such as high doses, fever, or acute infections.
Small doses of acetylsalicylic acid can reduce uric acid excretion. This can cause a gout attack in patients at risk.
In case of injury or trauma, bleeding may take a little longer than usual. This is due to the effect of acetylsalicylic acid. Minor injuries and traumas (e.g., during shaving) are usually not significant. If the patient experiences unusual bleeding (in an unusual location or lasting longer than usual), they should contact their doctor.
Rosuvastatin + Acetylsalicylic acid Rafarm should not be used in children and adolescents.
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.
Rosuvastatin + Acetylsalicylic acid Rafarm may affect or be affected by the following medicines:
If the patient needs to take oral fusidic acid to treat a bacterial infection, they will need to temporarily stop taking Rosuvastatin + Acetylsalicylic acid Rafarm. The doctor will inform the patient when it is safe to resume taking this medicine.
Taking Rosuvastatin + Acetylsalicylic acid Rafarm with fusidic acid can rarely lead to weakness, tenderness, or muscle pain (rhabdomyolysis). More information on rhabdomyolysis is provided in section 4.
Rosuvastatin + Acetylsalicylic acid Rafarm can further lower blood pressure if the patient is taking other medicines for high blood pressure.
Rosuvastatin + Acetylsalicylic acid Rafarm should be taken with a meal.
During treatment with Rosuvastatin + Acetylsalicylic acid Rafarm, the patient should avoid drinking grapefruit juice.
Consuming alcohol can potentially increase the risk of gastrointestinal bleeding and prolong bleeding time.
Rosuvastatin + Acetylsalicylic acid Rafarm should not be taken if the patient is pregnant or breastfeeding.
If the patient becomes pregnant while taking Rosuvastatin + Acetylsalicylic acid Rafarm, they should stop taking it immediately and inform their doctor. Women should avoid becoming pregnant while taking Rosuvastatin + Acetylsalicylic acid Rafarm, using appropriate methods of contraception.
Most people can drive and use machines while taking Rosuvastatin + Acetylsalicylic acid Rafarm - it will not affect their ability to drive vehicles or operate machinery. However, some people may experience dizziness while taking Rosuvastatin + Acetylsalicylic acid Rafarm. If the capsules cause nausea, dizziness, or fatigue, or if the patient experiences headache, they should not drive or operate machinery and should contact their doctor immediately.
If the patient has been diagnosed with intolerance to some sugars, they should contact their doctor before taking the medicine.
This medicine should always be taken exactly as prescribed by the doctor or pharmacist. In case of doubts, the patient should consult their doctor or pharmacist.
The doctor will determine the appropriate dose for the patient, depending on their health, current treatment, and individual risk.
This medicine is not suitable for starting treatment. Treatment should be started with separate administration of the active substances; after determining the appropriate doses, it is possible to switch to Rosuvastatin + Acetylsalicylic acid Rafarm with the corresponding strength.
The recommended dose is one capsule per day.
The medicine should be taken with meals. The medicine should be taken every day at the same time.
The capsules should be swallowed whole, with a large amount of liquid; they should not be crushed or chewed.
Rosuvastatin + Acetylsalicylic acid Rafarm should not be taken with grapefruit juice.
If the patient is hospitalized or treated for another disease, they should inform the medical staff that they are taking Rosuvastatin + Acetylsalicylic acid Rafarm.
No dose adjustment is necessary in elderly patients.
Rosuvastatin + Acetylsalicylic acid Rafarm should not be used in children and adolescents.
No dose adjustment is necessary in patients with mild or moderate kidney problems.
Taking Rosuvastatin + Acetylsalicylic acid Rafarm is contraindicated in patients with severe kidney problems.
No dose adjustment is necessary in patients with mild or moderate liver problems.
Taking Rosuvastatin + Acetylsalicylic acid Rafarm is contraindicated in patients with severe liver problems.
In case of an overdose, the patient should contact their doctor or the nearest hospital.
The patient should not worry. If they miss a capsule, they should skip the missed dose and take the next dose at the right time. They should not take a double dose to make up for the missed dose.
The doctor will inform the patient how long they should take the medicine. After stopping treatment with Rosuvastatin + Acetylsalicylic acid Rafarm, cholesterol levels may rise again. If the patient stops taking the medicine before receiving the doctor's advice, their condition may worsen.
In case of further doubts about taking this medicine, the patient should consult their doctor or pharmacist.
Like all medicines, Rosuvastatin + Acetylsalicylic acid Rafarm can cause undesirable effects, although not everybody gets them.
The patient should stop taking Rosuvastatin + Acetylsalicylic acid Rafarm and seek medical help immediately if they experience any of the following very rare, serious undesirable effects after taking this medicine:
The following undesirable effects have been reported. If any of these effects cause the patient trouble or last longer than a week, they should contact their doctor.
ROSUVASTATIN
Common(occurring in less than 1 in 10 patients):
Uncommon(occurring in less than 1 in 100 patients):
Rare(occurring in less than 1 in 1,000 patients):
Very rare(occurring in less than 1 in 10,000 patients):
Frequency not known(cannot be estimated from the available data):
If the patient experiences any of these undesirable effects or any other undesirable effects not mentioned in this leaflet, they should tell their doctor or pharmacist.
If the patient experiences any undesirable effects, including any undesirable effects not mentioned in the leaflet, they should tell their doctor, pharmacist, or nurse. Undesirable effects can be reported directly to:
Department of Adverse Reaction Monitoring of Medicinal Products, Medical Devices, and Biocides
Al. Jerozolimskie 181 C
02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Undesirable effects can also be reported to the marketing authorization holder.
Reporting undesirable effects helps to gather more information on the safety of the medicine.
The medicine should be stored out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging after EXP.
The expiry date refers to the last day of the month stated.
Store at a temperature below 30°C. Store in the original packaging to protect from moisture.
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.
The active substances of the medicine are rosuvastatin (in the form of rosuvastatin calcium) and acetylsalicylic acid.
Rosuvastatin + Acetylsalicylic acid Rafarm 5 mg + 100 mg: each hard capsule contains 5 mg of rosuvastatin (in the form of rosuvastatin calcium) and 100 mg of acetylsalicylic acid.
Rosuvastatin + Acetylsalicylic acid Rafarm 10 mg + 100 mg: each hard capsule contains 10 mg of rosuvastatin (in the form of rosuvastatin calcium) and 100 mg of acetylsalicylic acid.
Rosuvastatin + Acetylsalicylic acid Rafarm 20 mg + 100 mg: each hard capsule contains 20 mg of rosuvastatin (in the form of rosuvastatin calcium) and 100 mg of acetylsalicylic acid.
The other ingredients are:
The film-coated tablet containing rosuvastatincontainsthe followingingredientsin the core:
lactose monohydrate
microcrystalline cellulose
heavy magnesium oxide
crospovidone (type A)
silica, colloidal anhydrous
magnesium stearate
Coating:
hypromellose (partial hydroxypropyl)
titanium dioxide (E 171)
talc
iron oxide, yellow (E 172)
soybean lecithin
iron oxide, red (E 172)
xanthan gum
iron oxide, black (E 172)
The tablet containing acetylsalicylic acidcontainsthe followingingredients:
microcrystalline cellulose
corn starch
silica, colloidal anhydrous
stearic acid
Capsule shell:
gelatin
titanium dioxide (E 171)
indigo carmine (E 132)
iron oxide, yellow (E 172)
Black ink:
shellac
propylene glycol
anhydrous ethanol
isopropyl alcohol
ammonium hydroxide, solution
iron oxide, black (E 172)
potassium hydroxide
purified water
Rosuvastatin + Acetylsalicylic acid Rafarm 5 mg + 100 mg: hard gelatin capsules, size 2, with a white opaque body and dark green opaque cap. Each capsule contains one white or almost white, biconvex, oval, uncoated tablet of acetylsalicylic acid and one brown, biconvex, round, film-coated tablet of rosuvastatin 5 mg.
Rosuvastatin + Acetylsalicylic acid Rafarm 10 mg + 100 mg: hard gelatin capsules, size 1, with a white opaque body with black printing "ASA 100" and light green opaque cap with black printing "RSV 10". Each capsule contains one white or almost white, biconvex, oval, uncoated tablet of acetylsalicylic acid and one brown, biconvex, round, film-coated tablet of rosuvastatin 10 mg.
Rosuvastatin + Acetylsalicylic acid Rafarm 20 mg + 100 mg: hard gelatin capsules, size 0, with a white opaque body with black printing "ASA 100" and green opaque cap with black printing "RSV 20". Each capsule contains one white or almost white, biconvex, oval, uncoated tablet of acetylsalicylic acid and two brown, biconvex, round, film-coated tablets of rosuvastatin 10 mg.
Rosuvastatin + Acetylsalicylic acid Rafarm is available in blisters of 28, 30, 56, and 90 hard capsules.
Not all pack sizes may be marketed.
RAFARM S.A.
12 Korinthou str.
15451 N. Psihiko, Athens
Greece
Adamed Pharma S.A.
ul. Marszałka Józefa Piłsudskiego 5
95-200 Pabianice
Poland:
Rosuvastatin + Acetylsalicylic acid Rafarm
Austria:
Rosuvastatin/Acetylsalicylsäure Rafarm 5 mg/100 mg Hartkapseln
Rosuvastatin/Acetylsalicylsäure Rafarm 10 mg/100 mg Hartkapseln
Rosuvastatin/Acetylsalicylsäure Rafarm 20 mg/100 mg Hartkapseln
Bulgaria:
Розувастатин / Ацетилсалицилова киселина Rafarm
Croatia:
ROSIX DUO 5 mg/100 mg tvrde kapsule
ROSIX DUO 10 mg/100 mg tvrde kapsule
ROSIX DUO 20 mg/100 mg tvrde kapsule
Germany:
Rosuvastatin + Acetylsalicylic acid Rafarm
Italy:
Rosuvastatina e Acido Acetilsalicilico Rafarm
Portugal:
ESTASP
Slovenia:
BELOROSTIN 5 mg/100 mg trde kapsule
BELOROSTIN 10 mg/100 mg trde kapsule
BELOROSTIN 20 mg/100 mg trde kapsule
Spain:
Rosuvastatina/Ácido acetilsalicílico Rafarm 5 mg/100 mg cápsulas duras
Rosuvastatina/Ácido acetilsalicílico Rafarm 10 mg/100 mg cápsulas duras
Rosuvastatina/Ácido acetilsalicílico Rafarm 20 mg/100 mg cápsulas duras
Greece:
ROSU-ASA
Cyprus:
ROSU-ASA
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