TACROLIMUS STADA, 0.5 mg, prolonged-release hard capsules
Tacrolimus
TACROLIMUS STADA contains the active substance tacrolimus. It is an immunosuppressive medicine. After organ transplantation (liver, kidney), the immune system tries to reject the new organ. TACROLIMUS STADA is used to control the immune system's response and allow the transplanted organ to be accepted. TACROLIMUS STADA may also be used in cases of rejection of a transplanted liver, kidney, heart, or other organs, if previous treatments have not controlled the immune system's response after organ transplantation. TACROLIMUS STADA is used in adult patients.
Tacrolimus immediate-release capsules and TACROLIMUS STADA contain the same active substance, tacrolimus. However, TACROLIMUS STADA is taken once a day, while tacrolimus immediate-release capsules are taken twice a day. This is because TACROLIMUS STADA capsules allow for prolonged release (slower release over a longer period) of tacrolimus. TACROLIMUS STADA and tacrolimus immediate-release capsules must not be used interchangeably. Before starting treatment with TACROLIMUS STADA, you should tell your doctor or pharmacist if you are taking any of the following medicines: if you have liver disease or have had it in the past; if you have diarrhea that lasts more than one day; if you experience severe abdominal pain with accompanying symptoms such as chills, fever, nausea, or vomiting; if you have a change in the electrical activity of the heart called "QT prolongation"; if you have or have had damage to the smallest blood vessels, known as microangiopathy/thrombotic microangiopathy/hemolytic-uremic syndrome. You should inform your doctor if you experience: fever, bruising under the skin (which may look like red dots), unexplained fatigue, confusion, yellowing of the skin or eyes, decreased urine output, vision loss, and seizures (see section 4). If you take tacrolimus with sirolimus or everolimus, the risk of developing these symptoms may increase.
You should avoid taking any herbal products, such as St. John's Wort (Hypericum perforatum) or other herbal products, as they may affect the effectiveness and dosage of TACROLIMUS STADA. If in doubt, consult your doctor before taking any products or herbal preparations. Your doctor may need to adjust the dose of TACROLIMUS STADA. You should remain in constant contact with your doctor. From time to time, your doctor may order blood tests, urine tests, heart function tests, or eye exams to determine the correct dose of TACROLIMUS STADA. When taking TACROLIMUS STADA, you should limit your exposure to sunlight and ultraviolet radiation (UV). Immunosuppressive medicines may increase the risk of skin cancer. You should wear protective clothing and use sunscreens with a high protection factor. Precautions for preparing the medicine: when preparing, you should avoid direct contact with any part of the body, such as skin or eyes, or inhaling products containing tacrolimus in solution, powder, or granule form. If such contact occurs, you should rinse your skin and eyes.
TACROLIMUS STADA is not recommended for use in children and adolescents under 18 years of age.
You should tell your doctor or pharmacist about all medicines you are currently taking or have recently taken, as well as any medicines you plan to take, including those available without a prescription and herbal preparations. It is not recommended to take TACROLIMUS STADA at the same time as cyclosporin (another medicine used to prevent organ rejection). If you need to visit a doctor other than a transplant specialist, you should inform them that you are taking tacrolimus. The doctor may want to consult with a transplant specialist to determine if you should take a different medicine that may increase or decrease the level of tacrolimus in your blood. The level of TACROLIMUS STADA in your blood may change due to the use of other medicines, and the level of other medicines in your blood may change due to the use of TACROLIMUS STADA, which may require discontinuation of TACROLIMUS STADA or an increase or decrease in its dose. In some patients, an increase in tacrolimus levels in the blood has been observed when taking other medicines. This may have led to severe side effects, such as kidney dysfunction, nervous system disorders, and heart rhythm disorders (see section 4). The effect on TACROLIMUS STADA levels in the blood may occur very quickly after starting another medicine, so it may be necessary to frequently monitor TACROLIMUS STADA levels in the blood during the first few days after starting another medicine and during continued treatment with another medicine. Some other medicines may cause a decrease in tacrolimus levels in the blood, which could increase the risk of organ rejection. In particular, you should inform your doctor about currently used or previously used medicines containing active substances such as: antifungal and antibiotic medicines, especially macrolide antibiotics, used to treat infections (e.g., ketoconazole, fluconazole, itraconazole, posaconazole, voriconazole, clotrimazole, isavuconazole, miconazole, caspofungin, telithromycin, erythromycin, clarithromycin, josamycin, azithromycin, rifampicin, rifabutin, isoniazid, and flucloxacillin); letermovir, used to prevent cytomegalovirus (CMV) diseases; HIV protease inhibitors (e.g., ritonavir, nelfinavir, saquinavir), a medicine that increases the pharmacokinetics of cobicistat, and non-nucleoside reverse transcriptase inhibitors or nucleoside reverse transcriptase inhibitors (e.g., efavirenz, etravirine, nevirapine) used to treat HIV infection; HCV protease inhibitors (e.g., telaprevir, boceprevir, ombitasvir/paritaprevir/ritonavir with or without dasabuvir, elbasvir/grazoprevir, and glecaprevir/pibrentasvir) used to treat hepatitis C; nilotinib and imatinib, idelalisib, ceritinib, crizotinib, apalutamide, enzalutamide, or mitotane (used to treat certain cancers); mycophenolic acid, used to suppress the immune system to prevent organ rejection; medicines used to treat stomach ulcers and acid reflux (e.g., omeprazole, lansoprazole, or cimetidine); antiemetic medicines used to treat nausea and vomiting (e.g., metoclopramide); cisapride or antacids containing aluminum hydroxide and magnesium hydroxide, used to treat heartburn; oral contraceptives or other hormonal medicines containing ethinyl estradiol or danazol; medicines used to treat high blood pressure or heart disease (e.g., nifedipine, nicardipine, diltiazem, and verapamil); antiarrhythmic medicines (amiodarone) used to control heart rhythm disorders (irregular heartbeat); medicines known as "statins," used to treat high cholesterol and triglycerides; carbamazepine, phenytoin, or phenobarbital, used to treat epilepsy; metamizole, used to treat pain and fever; corticosteroids prednisolone and methylprednisolone, belonging to the group of corticosteroids used to treat inflammation or to suppress the immune system (e.g., in organ rejection); nefazodone, used to treat depression; herbal preparations containing St. John's Wort (Hypericum perforatum) or Schisandra sphenanthera extract; cannabidiol (used, among other things, to treat seizures). You should inform your doctor if you are being treated for hepatitis C.
You should inform your doctor if you are taking potassium or certain diuretics used in heart failure, high blood pressure, and kidney disease (e.g., amiloride, triamterene, or spironolactone) or antibiotics trimethoprim or cotrimoxazole, which may increase potassium levels in the blood, nonsteroidal anti-inflammatory medicines (NSAIDs, e.g., ibuprofen) used for fever, inflammation, or pain, anticoagulant medicines (blood thinners), or oral antidiabetic medicines. You should inform your doctor about any planned vaccinations.
During treatment with TACROLIMUS STADA, you should avoid eating grapefruits (also in the form of juice), as they may affect the level of the medicine in the blood.
If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, you should consult your doctor or pharmacist before taking this medicine. TACROLIMUS STADA passes into breast milk. Therefore, you should not breastfeed while taking TACROLIMUS STADA.
You should not drive or operate machinery or use tools if you experience dizziness or drowsiness after taking this medicine, or if you have vision disturbances. These symptoms occur more frequently if you also consume alcohol.
If your doctor has previously determined that you have an intolerance to some sugars, you should contact your doctor before taking this medicine.
which may cause allergic reactions.
This medicine should always be taken exactly as your doctor has instructed. If you are in doubt, you should consult your doctor or pharmacist. This medicine can only be prescribed by a doctor with experience in treating patients after organ transplantation. When collecting your prescription, make sure you receive the same tacrolimus-containing medicine each time, unless the transplant specialist has advised you to switch to a different tacrolimus-containing medicine. The medicine should be taken once a day. If the medicine looks different than usual or there are different instructions regarding its dosage, you should consult your doctor or pharmacist as soon as possible to ensure you have received the correct medicine. Your doctor will determine the initial dose to prevent organ rejection based on your body weight. The initial daily dose of the medicine given immediately after transplantation depends on the type of transplanted organ and is usually between 0.10 mg/kg body weight/day and 0.30 mg/kg body weight/day. The same doses can be used to treat organ rejection. The dose depends on your overall health and other immunosuppressive medicines you are taking. After starting treatment with TACROLIMUS STADA, your doctor will perform frequent blood tests to determine the correct dose. To adjust the dose and modify it if necessary during treatment, further regular blood tests will be required. If your clinical condition is stable, your doctor will reduce the dose of TACROLIMUS STADA. Your doctor will tell you exactly how many capsules to take. You should take TACROLIMUS STADA every day, as long as immunosuppression is required to prevent organ rejection. You should remain in constant contact with your doctor. TACROLIMUS STADA is taken orally once a day, in the morning. TACROLIMUS STADA is taken on an empty stomach or 2 to 3 hours after a meal. The next meal can be eaten after at least 1 hour. The capsules should be taken immediately after removal from the blister pack. The capsules should be swallowed whole, with a glass of water. Do not swallow the desiccant found in the packaging.
If you accidentally take a higher dose of TACROLIMUS STADA than recommended, you should contact your doctor or go to the nearest hospital immediately.
If you forget to take TACROLIMUS STADA in the morning, you should take it as soon as possible on the same day. Do not take a double dose the next morning.
Stopping treatment with TACROLIMUS STADA may increase the risk of organ rejection. You should not stop treatment unless your doctor decides to do so. If you have any further doubts about taking this medicine, you should consult your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them. TACROLIMUS STADA reduces the body's defense mechanism (immune system), which may not fight infections as well. Therefore, if you are taking TACROLIMUS STADA, you may be more prone to infections. Some infections can be severe or life-threatening and may include bacterial, viral, fungal, parasitic, or other infections. You should immediately inform your doctor if you experience symptoms of infection, including:
Severe side effects, including allergic and anaphylactic reactions, have been reported during treatment with TACROLIMUS STADA. Benign and malignant tumors have also been reported.
Frequent severe side effects (may occur in less than 1 in 10 patients):
Less frequent severe side effects (may occur in less than 1 in 100 patients):
Rare severe side effects (may occur in less than 1 in 1,000 patients):
Very rare severe side effects (may occur in less than 1 in 10,000 patients):
Severe side effects - frequency not known (frequency cannot be estimated from available data):
Other side effects that may occur after taking TACROLIMUS STADA include:
Common side effects(may occur in less than 1 in 10 patients):
Uncommon side effects(may occur in less than 1 in 100 patients):
Rare side effects(may occur in less than 1 in 1,000 patients):
Very rare side effects(may occur in less than 1 in 10,000 patients):
If you experience any side effects, including those not listed in this leaflet, you should inform your doctor or pharmacist. You can report side effects directly to the Department of Drug Safety Monitoring of the 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, website: https://smz.ezdrowie.gov.pl. Side effects can also be reported to the marketing authorization holder. By reporting side effects, you can help provide more information on the safety of this medicine.
The medicine should be stored out of sight and reach of children. Do not use TACROLIMUS STADA after the expiry date stated on the packaging after {EXP}. The expiry date refers to the last day of the month stated. After opening the aluminum foil sachet, the prolonged-release hard capsules are suitable for use for 12 months, but no later than the expiry date. Store below 30°C. Medicines should not be disposed of via wastewater or household waste. You should ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.
Each TACROLIMUS STADA 0.5 mg prolonged-release hard capsule contains 0.5 mg of tacrolimus (as tacrolimus monohydrate). Each TACROLIMUS STADA 1 mg prolonged-release hard capsule contains 1 mg of tacrolimus (as tacrolimus monohydrate). Each TACROLIMUS STADA 3 mg prolonged-release hard capsule contains 3 mg of tacrolimus (as tacrolimus monohydrate). Each TACROLIMUS STADA 5 mg prolonged-release hard capsule contains 5 mg of tacrolimus (as tacrolimus monohydrate).
TACROLIMUS STADA 0.5 mg prolonged-release hard capsules are yellow and orange, size 5, 11.2±0.5 mm in length, with a red print "0.5 mg" on the cap. TACROLIMUS STADA 0.5 mg is available in PVC/PE/PVDC/Aluminum blister packs, in an aluminum sachet with a desiccant, in a cardboard box. The pack contains 30 prolonged-release hard capsules. TACROLIMUS STADA 1 mg prolonged-release hard capsules are white and orange, size 4, 14.1±0.5 mm in length, with a red print "1 mg" on the cap. TACROLIMUS STADA 1 mg is available in PVC/PE/PVDC/Aluminum blister packs, in an aluminum sachet with a desiccant, in a cardboard box. The pack contains 30 prolonged-release hard capsules. TACROLIMUS STADA 3 mg prolonged-release hard capsules are orange and orange, size 1, 19.1±0.5 mm in length, with a red print "3 mg" on the cap. TACROLIMUS STADA 3 mg is available in PVC/PE/PVDC/Aluminum blister packs, in an aluminum sachet with a desiccant, in a cardboard box. The pack contains 30 prolonged-release hard capsules. TACROLIMUS STADA 5 mg prolonged-release hard capsules are red and orange, size 0, 21.4±0.5 mm in length, with a red print "5 mg" on the cap. TACROLIMUS STADA 5 mg is available in PVC/PE/PVDC/Aluminum blister packs, in an aluminum sachet with a desiccant, in a cardboard box. The pack contains 30 prolonged-release hard capsules.
STADA Arzneimittel AG, Stadastrasse 2-18, 61118 Bad Vilbel, Germany
Pharmathen International S.A, Industrial Park Sapes, Rodopi Prefecture, Block No 5, Rodopi 69300, Greece; Pharmathen SA, 6 Dervenakion Str., Pallini, Attiki 15351, Greece; STADA Arzneimittel AG, Stadastrasse 2-18, 61118 Bad Vilbel, Germany; Centrafarm Services B.V., Van de Reijtstraat 31 D, 4814NE Breda, Netherlands
Denmark: TACROLIMUS STADA; Germany: Tacrolimus AL 0.5 mg Hartkapseln, retardiert, Tacrolimus AL 1 mg Hartkapseln, retardiert, Tacrolimus AL 3 mg Hartkapseln, retardiert, Tacrolimus AL 5 mg Hartkapseln, retardiert; Spain: Tacrolimus STADAFARMA 0.5 mg cápsulas de liberación prolongada EFG, Tacrolimus STADAFARMA 1 mg cápsulas de liberación prolongada EFG, Tacrolimus STADAFARMA 3 mg cápsulas de liberación prolongada EFG, Tacrolimus STADAFARMA 5 mg cápsulas; France: TACROLIMUS EG LP 0.5 mg, gélule à libération prolongée, TACROLIMUS EG LP 1 mg, gélule à libération prolongée, TACROLIMUS EG LP 3 mg, gélule à libération prolongée, TACROLIMUS EG LP 5 mg, gélule à libération prolongée; Hungary: TACROLIMUS STADA 0.5 mg retard kemény kapszula, TACROLIMUS STADA 1 mg retard kemény kapszula, TACROLIMUS STADA 3 mg retard kemény kapszula, TACROLIMUS STADA 5 mg retard kemény kapszula; Italy: TACROLIMUS EG; Netherlands: Tacrolimus CF 0.5 mg, harde capsules met verlengde afgifte, Tacrolimus CF 1 mg, harde capsules met verlengde afgifte, Tacrolimus CF 3 mg, harde capsules met verlengde afgifte, Tacrolimus CF 5 mg, harde capsules met verlengde afgifte; Poland: TACROLIMUS STADA
To obtain more detailed information, you should contact the representative of the marketing authorization holder: Stada Pharm Sp. z o.o., ul. Krakowiaków 44, 02-255 Warsaw, Tel. +48 22 737 79 20
Date of last revision of the leaflet:03/2025
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