ROSUVASTATIN Aurovitas 5 mg FILM-COATED TABLETS

2. What you need to know before you take Rosuvastatina Aurovitas

Do not take Rosuvastatina Aurovitas

• If you are allergic to rosuvastatina or any of the other ingredients of this medicine (listed in section 6).
• If you are pregnant or breastfeeding. If you become pregnant while taking rosuvastatina, stop taking it immediately and inform your doctor. Women should avoid becoming pregnant during treatment with rosuvastatina using an appropriate contraceptive method.
• If you have liver disease.
• If you have severe kidney problems.
• If you have repeated or unexplained muscle pain or weakness.
• If you are taking a combination of sofosbuvir/velpatasvir/voxilaprevir (used to treat a viral liver infection called hepatitis C).
• If you are taking a medicine called ciclosporin (used, for example, after an organ transplant).

If you are in any of the above situations (or are unsure), talk to your doctor.

Also, do not take 40 mg of rosuvastatina (the highest dose):

? If you have moderate kidney problems(if in doubt, consult your doctor).

? If your thyroid gland is not working correctly.

? If you have repeated or unexplained muscle pain or weakness, a personal or family history of muscle problemsor a history of muscle problems during treatment with other cholesterol-lowering medicines.

? If you regularly drink large amounts of alcohol.

? If you are of Asian origin(for example, Japanese, Chinese, Filipino, Vietnamese, Korean, or Indian).

? If you are taking other medicines called fibratesto lower cholesterol.

If you are in any of the above situations (or are unsure), talk to your doctor.

Warnings and precautions

Consult your doctor or pharmacist before starting treatment with Rosuvastatina Aurovitas.

• If you have kidney problems.
• If you have liver problems.
• If you have repeated or unexplained muscle pain or weakness, a personal or family history of muscle problems, or a history of muscle problems during treatment with other cholesterol-lowering medicines. Inform your doctor immediately if you have unexplained muscle pain or weakness, especially if you feel unwell or have a fever. Also, inform your doctor or pharmacist if you have persistent muscle weakness.
• If you have or have had myasthenia (a disease that causes generalized muscle weakness, which 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 condition or cause myasthenia to appear (see section 4).
• If you have ever developed a severe skin rash or peeling of the skin, blisters, and/or sores in the mouth after taking rosuvastatina or other related medicines.
• If you regularly drink large amounts of alcohol.
• If your thyroid gland is not working correctly.
• If you are taking other medicines called fibrates to lower cholesterol. Read this leaflet carefully, even if you have taken cholesterol-lowering medicines before.
• If you are taking medicines to treat HIV infection (such as ritonavir with lopinavir and/or atazanavir), see "Other medicines and Rosuvastatina Aurovitas".
• If you are taking or have taken in the last 7 days a medicine called fusidic acid (an antibiotic) by mouth or by injection. The combination of fusidic acid and rosuvastatina can, in rare cases, lead to serious muscle problems (rhabdomyolysis), see more information on rhabdomyolysis in section 4.
• If you are over 70 years old, as your doctor will need to choose the right starting dose of rosuvastatina for you.
• If you have severe respiratory problems.
• If you are of Asian origin (for example, Japanese, Chinese, Filipino, Vietnamese, Korean, or Indian). Your doctor will need to choose the right starting dose of rosuvastatina for you.

If you are in any of the above situations (or are unsure):

• Do not take the 40 mg dose of rosuvastatina (the highest dose) and consult your doctor or pharmacist before starting any dose of rosuvastatina.

Severe skin reactions, including Stevens-Johnson syndrome and drug reaction with eosinophilia and systemic symptoms (DRESS), have been reported in patients taking rosuvastatina. Stop using rosuvastatina and seek medical attention immediately if you notice any of the symptoms described in section 4.

In a small number of people, statins can affect the liver. This is detected by a simple blood test that checks for increased levels of liver enzymes (transaminases) in the blood. For this reason, your doctor will normally do blood tests (liver function tests) before and after starting treatment with rosuvastatina.

If you have diabetes or are at risk of developing diabetes, your doctor will closely monitor you while you are taking this medicine. You are likely to be at risk of developing diabetes if you have high levels of sugar and fat in your blood, if you are overweight, and if you have high blood pressure.

Children and adolescents

• If the patient is under 6 years of age: Rosuvastatina should not be given to children under 6 years of age.
• If the patient is under 18 years of age: The 40 mg tablet of rosuvastatina is not recommended for use in children and adolescents under 18 years of age.

Other medicines and Rosuvastatina Aurovitas

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

Tell your doctor if you are using any of the following medicines:

• Ciclosporin (used after an organ transplant).
• Warfarin, clopidogrel, or ticagrelor (or any other anticoagulant medicine).
• Fibrates (such as gemfibrozil, fenofibrate) or any other medicine used to lower cholesterol (such as ezetimibe).
• Medicines for indigestion (used to neutralize stomach acid).
• Erythromycin (an antibiotic).
• Fusidic acid (an antibiotic - see above and in Warnings and precautions).
• Oral contraceptives (the pill).
• Regorafenib (used to treat cancer).
• Darolutamide (used to treat cancer).
• Capmatinib (used to treat cancer).
• Hormone replacement therapy.
• Fostamatinib (used to treat low platelet count).
• Febuxostat (used to treat and prevent high levels of uric acid in the blood).
• Teriflunomide (used to treat multiple sclerosis).
• Any of the following medicines used to treat viral infections, including HIV or hepatitis C, alone or in combination (see Warnings and precautions): ritonavir, lopinavir, atazanavir, sofosbuvir, voxilaprevir, simeprevir, ombitasvir, paritaprevir, dasabuvir, velpatasvir, grazoprevir, elbasvir, glecaprevir, pibrentasvir.
• Roxadustat (used to treat anemia in patients with chronic kidney disease).
• Tafamidis (used to treat a disease called transthyretin amyloidosis).

The effects of these medicines may be altered by rosuvastatina or may alter the effect of rosuvastatina.

If you need to take fusidic acid by mouth to treat a bacterial infection, you will need to stop taking this medicine temporarily. Your doctor will tell you when it is safe to restart treatment with rosuvastatina. Taking rosuvastatina with fusidic acid can, in rare cases, lead to muscle weakness, tenderness, or pain (rhabdomyolysis). See more information on rhabdomyolysis in section 4.

Taking Rosuvastatina Aurovitas with food, drinks, and alcohol

You can take rosuvastatina with or without food.

Pregnancy, breastfeeding, and fertility

Do not take rosuvastatinaif you are pregnant or breastfeeding.

If you become pregnant while taking rosuvastatina, stop taking it immediatelyand inform your doctor. Women should avoid becoming pregnant during treatment with rosuvastatina using an appropriate contraceptive method.

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

Driving and using machines

Most patients can drive and use machines while taking rosuvastatina, as it will not affect their ability. However, some people may feel dizzy during treatment with rosuvastatina. If you feel dizzy, consult your doctor before attempting to drive or use machines.

Rosuvastatina Aurovitas contains lactose, red allura AC, and yellow orange S

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

This medicine may cause allergic reactions because it contains red allura AC (E129) and yellow orange S (E110).

It can cause allergic reactions.

The complete list of ingredients is found in Contents of the pack and other information.

3. How to take Rosuvastatina Aurovitas

Follow the instructions for administration of this medicine exactly as told by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

Normal doses in adults:

If you are taking rosuvastatina for high cholesterol:

Starting dose:

Your treatment with rosuvastatina should start with a dose of 5 mg or 10 mg, even if you have taken a higher dose of another statin before. The choice of starting dose will depend on:

• Your cholesterol levels.
• The level of risk you have of having a heart attack or stroke.
• If you have factors that make you more vulnerable to possible side effects.

Check with your doctor or pharmacist what the best starting dose of rosuvastatina is for you.

Your doctor may decide to give you the lowest dose (5 mg) if:

• You are of Asian origin (for example, Japanese, Chinese, Filipino, Vietnamese, Korean, or Indian).
• You are over 70 years old.
• You have moderate kidney problems.
• You are at risk of having muscle pain or weakness (myopathy).

Increasing the dose and maximum daily dose

Your doctor may decide to increase your dose so that you are taking the right dose of rosuvastatina for you. If you started with a dose of 5 mg, your doctor may decide to double the dose to 10 mg, then to 20 mg, and later to 40 mg, if necessary. If you started with a dose of 10 mg, your doctor may decide to double the dose to 20 mg and then to 40 mg, if necessary. There will be a 4-week interval between each dose adjustment.

The maximum daily dose of rosuvastatina is 40 mg. This dose is only for patients with high cholesterol and a high risk of having a heart attack or stroke, whose cholesterol levels do not decrease enough with 20 mg.

If you are taking rosuvastatina to reduce the risk of having a heart attack, stroke, or related health problems:

The recommended dose is 20 mg once daily. However, your doctor may decide to use a lower dose if you have any of the factors mentioned above.

Use in children and adolescents aged 6-17 years

The dose range in children and adolescents aged 6 to 17 years is 5 mg to 20 mg once daily. The usual recommended starting dose is 5 mg once daily, and your doctor may gradually increase the dose to the dose of rosuvastatina that is right for treating your condition. The maximum recommended daily dose of rosuvastatina is 10 mg or 20 mg for children aged 6 to 17 years, depending on the underlying disease being treated. Take the dose prescribed by your doctor once daily. Do notgive the 40 mg tablet of rosuvastatina to children.

Taking the tablets

Swallow each tablet whole with water.

Take rosuvastatina once a day. You can take it at any time of day, with or without food.

Try to take the tablets at the same time each day. This will help you remember to take them.

Regular checks of your cholesterol levels

It is important that you see your doctor regularly to have your cholesterol levels checked, to make sure your cholesterol levels have returned to normal and are being kept at the right levels.

Your doctor may decide to increase your dose so that you are taking the right dose of rosuvastatina for you.

If you take more Rosuvastatina than you should

Contact your doctor or the nearest hospital for advice.

If you are admitted to hospital or receive treatment for another condition, tell the medical staff that you are taking rosuvastatina.

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

If you forget to take Rosuvastatina Aurovitas

Do not worry, just take the next scheduled dose at the right time.

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

If you stop taking Rosuvastatina Aurovitas

Consult your doctor if you want to stop taking rosuvastatina. Your cholesterol levels may rise again if you stop taking rosuvastatina.

If you have any other questions about the use of this medicine, ask your doctor or pharmacist.

4. Possible Adverse Effects

Like all medicines, this medicine can cause adverse effects, although not all people suffer from them.

It is essential that you know what these adverse effects may be. They are usually mild and disappear in a short period.

Stop takingrosuvastatinaand seek immediate medical attentionif you experience any of the following allergic reactions:

• Difficulty breathing, with or without swelling of the face, lips, tongue, and/or throat.
• Swelling of the face, lips, tongue, and/or throat, which can cause difficulty swallowing.
• Intense itching of the skin (with hives).
• Reddish patches on the trunk, not elevated, in a target or circular shape, often with central blisters, skin peeling, ulcers in the mouth, throat, nose, genitals, and eyes. These severe skin eruptions can be preceded by fever and flu-like symptoms (Stevens-Johnson syndrome).
• Widespread rash, high body temperature, and enlarged lymph nodes (DRESS or drug hypersensitivity syndrome).

Also, stop takingrosuvastatinaand consult your doctor immediately:

• If you experience unexplained muscle pain or cramps that last longer than expected. Muscle symptoms are more common in children and adolescents than in adults. As with other statins, a very small number of people have suffered unpleasant muscle effects, which have very rarely resulted in a potentially life-threatening muscle injury called rhabdomyolysis.
• If you experience muscle rupture.
• If you have a syndrome with symptoms similar to lupus (including hives, joint disorders, and effects on blood cells).

Common Adverse Effects:may affect up to 1 in 10 people

• Headache.
• Stomach pain.
• Constipation.
• Nausea.
• Muscle pain.
• Weakness.
• Dizziness.
• An increase in the amount of protein in the urine – this usually reverses on its own without the need to interrupt treatment with rosuvastatina tablets (common adverse effect only with the daily dose of 40 mg of rosuvastatina).
• Diabetes. This is more likely if you have high levels of sugars and fats in your blood, if you are overweight, and if you have high blood pressure. Your doctor will monitor you while you are taking this medicine.

Uncommon Adverse Effects:may affect up to 1 in 100 people

• Rash, itching, and other skin reactions.
• An increase in the amount of protein in the urine – this usually reverses on its own without the need to interrupt treatment with rosuvastatina tablets (uncommon adverse effect with daily doses of 5 mg, 10 mg, and 20 mg of rosuvastatina).

Rare Adverse Effects:may affect up to 1 in 1,000 people

• Severe allergic reaction – symptoms include swelling of the face, lips, tongue, and/or throat, difficulty swallowing and breathing, intense itching of the skin (with hives). If you think you are having an allergic reaction, stop taking rosuvastatina and seek immediate medical attention.
• Muscle injury in adults – as a precaution, stop taking rosuvastatina and consult your doctor immediately if you have unexplained muscle pain or cramps that last longer than expected.
• Severe stomach pain (possible sign of pancreatitis).
• Increased liver enzymes (transaminases) in the blood.
• Bleeding or bruising more easily than usual due to a low platelet count in the blood.
• Syndrome with symptoms similar to lupus (including rash, joint disorders, and effects on blood cells).

Very Rare Adverse Effects:may affect up to 1 in 10,000 people

• Jaundice (yellowing of the skin and eyes).
• Hepatitis (inflammation of the liver).
• Traces of blood in the urine.
• Nerve damage in the legs and arms (with numbness or tingling).
• Joint pain.
• Memory loss.
• Increased breast size in men (gynecomastia).

Adverse Effects of Unknown Frequency:the frequency cannot be estimated from the available data

• Diarrhea (loose stools).
• Cough.
• Shortness of breath.
• Edema (swelling).
• Sleep disturbances, including insomnia and nightmares.
• Sexual difficulties.
• Depression.
• Respiratory problems, including persistent cough and/or shortness of breath or fever.
• Tendon injuries.
• Constant muscle weakness.
• Severe myasthenia (a disease that causes generalized muscle weakness, which in some cases affects the muscles used for breathing).

Myasthenia gravis (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.

Reporting Adverse Effects

If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that is not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of Rosuvastatina Aurovitas

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

This medicine does not require any special storage temperature. Store in the original packaging to protect it from light.

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

Medicines should not be disposed of through wastewater or household waste. Deposit the packaging and medicines you no longer need at the SIGRE point in the pharmacy. Ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Rosuvastatina Aurovitas

• The active ingredient is rosuvastatina. Each film-coated tablet contains 5 mg of rosuvastatina (as rosuvastatina calcium).
• The other ingredients are:

Tablet core:lactose monohydrate, calcium hydrogen phosphate, microcrystalline cellulose, crospovidone (type B), magnesium stearate.

Coating:hypromellose (15cP) (E464), lactose monohydrate, titanium dioxide (E171), orange yellow S (E110), allura red AC (E129), carmine indigo (E132), triacetin.

Appearance of the Product and Package Contents

Film-coated tablets are pink, oval, biconvex, with the mark "J" on one side and "53" on the other.

Rosuvastatina Aurovitas film-coated tablets are available in blister packs of Poliamida/Al/PVC/Al.

Package sizes: 20, 28, and 60 film-coated tablets.

Not all package sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder:

Aurovitas Spain, S.A.U.

Avda. de Burgos, 16-D

28036 Madrid

Spain

Manufacturer:

APL Swift Services (Malta) Limited

HF26, Hal Far Industrial Estate, Hal Far

Birzebbugia, BBG 3000

Malta

O

Generis Farmacêutica, S.A.

Rua João de Deus, 19

2700-487 Amadora

Portugal

This medicine is authorized in the Member States of the European Economic Area under the following names:

Date of the Last Revision of this Leaflet: October 2024

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