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CLOZAPINE AUROVITAS 200 mg TABLETS

Ask a doctor about a prescription for CLOZAPINE AUROVITAS 200 mg TABLETS

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Doctor

Anastasiia Hladkykh

Psychiatry14 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use CLOZAPINE AUROVITAS 200 mg TABLETS

Introduction

Package Leaflet: Information for the Patient

Clozapine Aurovitas 200 mg Tablets

Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor, pharmacist, or nurse.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Clozapine Aurovitas and what is it used for
  2. What you need to know before taking Clozapine Aurovitas
  3. How to take Clozapine Aurovitas
  4. Possible side effects
  5. Storage of Clozapine Aurovitas

Contents of the pack and additional information

1. What is Clozapine Aurovitas and what is it used for

The active substance of Clozapine Aurovitas is clozapine, which belongs to a group of medications called antipsychotics (medications used to treat specific mental disorders, such as psychosis).

Clozapine is used to treat patients with schizophrenia when the use of other medications has not been effective. Schizophrenia is a mental illness that affects how you think, feel, and behave. You should only use this medication if you have already tried at least two other antipsychotic medications, including one of the new atypical antipsychotics to treat schizophrenia, and these medications did not work or caused severe side effects that cannot be treated.

2. What you need to know before taking Clozapine Aurovitas

Do not take Clozapine Aurovitas if:

  • You are allergic to clozapine or any of the other components of clozapine (listed in section 6).
  • You have ever been told that you have a low white blood cell count (e.g., leucopenia or agranulocytosis), especially if it was caused by other medications. This does not apply if you had a low white blood cell count caused by previous chemotherapy.
  • You have previously had to stop using clozapine because it caused severe side effects (e.g., agranulocytosis or heart problems).
  • You are being or have been treated with long-acting depot injections of antipsychotics.
  • You have or have had a bone marrow disease.
  • You have uncontrolled epilepsy (seizures or attacks).
  • You have had severe mental disorders caused by alcohol or other medications (e.g., narcotics).
  • You have episodes of loss of consciousness and strong drowsiness.
  • You have circulatory collapse that can occur as a result of severe shock.
  • You have severe kidney disease.
  • You have myocarditis (inflammation of the heart muscle).
  • You have any other severe heart disease.
  • You have symptoms or active liver disease, such as jaundice (yellowing of the skin and eyes, feeling unwell, and loss of appetite).
  • You have any other severe liver disease.
  • You have paralytic ileus (your intestine does not function correctly and you have severe constipation).
  • You use any medication that prevents your bone marrow from functioning correctly.
  • You use any medication that reduces the number of white blood cells in your blood.

Tell your doctor and do not take clozapine if any of the above circumstances apply to you.

Clozapine should not be administered to anyone who is unconscious or in a coma.

Warnings and Precautions

The safety measures mentioned in this section are very important. You must comply with them to minimize the risk of severe side effects that can be life-threatening.

Before starting treatment with Clozapine Aurovitas,tell your doctor if you have or have had:

  • Blood clots or a family history of blood clots, as this type of medication has been associated with the formation of blood clots.
  • Glaucoma (high eye pressure).
  • Diabetes. In patients with or without a medical history of diabetes mellitus (see section 4), high blood sugar levels have been reported (sometimes considerably).
  • Prostate problems or difficulty urinating.
  • Any heart, kidney, or liver disease.
  • Chronic constipation or if you are taking medications that cause constipation (such as anticholinergics).
  • Galactose intolerance, Lapp-lactase deficiency, or glucose-galactose malabsorption.
  • Controlled epilepsy.
  • Large intestine diseases.
  • Abdominal surgery.
  • A heart condition or a family history of abnormal heart conduction called "prolonged QT interval".
  • Risk of stroke, for example, if you have high blood pressure, cardiovascular problems, or problems with the blood vessels in the brain.

Before taking the next dose of Clozapine Aurovitas tablets, immediately inform your doctor if:

  • You have signs of cold, fever, flu-like symptoms, sore throat, or any other infection. You should have an urgent blood test to see if these symptoms are related to the medication.
  • You have a sudden increase in body temperature, muscle stiffnessthat can lead to loss of consciousness (neuroleptic malignant syndrome), as it may be a severe side effect that requires immediate treatment.
  • You have rapid and irregular heartbeat, even when at rest, palpitations, breathing problems, chest pain, or unusual fatigue. Your doctor should examine your heart and, if necessary, refer you immediately to a cardiologist.
  • You have nausea, vomitingand/or loss of appetite. Your doctor should examine your liver.
  • You have severe constipation. Your doctor should treat you to avoid other complications.
  • You experience constipation, abdominal pain, abdominal tenderness, fever, abdominal distension, and/or bloody diarrhea. Your doctor will need to examine you.

Medical Exams and Blood Tests

Before starting treatment with clozapine, your doctor will ask about your medical history and perform a blood test to ensure that your white blood cell count is normal. It is essential to know this, as you need white blood cells to fight infections.

Make sure you have regular blood tests before, during, and after finishing treatment with clozapine.

  • Your doctor will inform you exactly when and where these tests will be performed. You can only take clozapine if you have a normal blood count.
  • Clozapine can cause a severe decrease in white blood cells in your blood (agranulocytosis). Only with regular blood tests can your doctor determine if you are at risk of developing agranulocytosis.
  • This test should be performed weekly during the first 18 weeks of treatment with clozapine and then at least once a month.
  • If there is a decrease in the number of white blood cells, you should stop treatment with clozapine immediately. Your white blood cells should return to normal values.
  • Blood tests should be performed during 4 weeks after finishing treatment with clozapine.

Before starting treatment, your doctor will also perform a physical examination. Your doctor may perform an electrocardiogram (ECG) to examine your heart, but only if it is necessary for you or if you have a special concern.

If you have liver problems, you will have periodic liver function tests throughout treatment with clozapine.

If you have high blood sugar levels (diabetes), your doctor may perform periodic checks of your blood sugar levels.

Clozapine can alter blood lipid levels. Clozapine can cause weight gain. Your doctor may monitor your weight and lipid levels.

If you feel dizzy, lightheaded, or lose consciousness, or clozapine makes you feel this way, be careful when getting up from a sitting or lying position, as this can increase the risk of falls.

If you need to have surgery or if you cannot walk for a long period, tell your doctor that you are taking clozapine. You may be at risk of having a blood clot (thrombosis).

Children and Adolescents Under 16 Years

If you are under 16 years old, you should not take clozapine, as there is not enough information available for its use in this age group.

Elderly Patients (60 Years and Older)

Elderly patients (60 years and older) may be more prone to experiencing the following side effects during treatment with clozapine: weakness or dizziness after changing position, dizziness, rapid heartbeat, difficulty urinating, and constipation.

Tell your doctor or pharmacist if you suffer from a disease called dementia.

Other Medications and Clozapine Aurovitas

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication. This includes medications purchased without a prescription or herbal remedies. You may need to take a different amount of your medications or different medications.

Do not take Clozapine Aurovitas with other medications that prevent the proper functioning of the bone marrow and/or decrease the number of blood cells produced by the body,such as:

  • Carbamazepine, a medication used in epilepsy.
  • Certain antibiotics: chloramphenicol, sulfonamides such as cotrimoxazole.
  • Certain pain medications: analgesics of the pyrazolone group, such as phenylbutazone.
  • Penicillamine, a medication used to treat rheumatic joint inflammation.
  • Cytotoxic agents, medications used in chemotherapy.
  • Long-acting depot injections of antipsychotic medications.

These medications increase your risk of developing agranulocytosis (low white blood cell count).

Taking clozapine at the same time as other medications can affect the proper action of clozapine and/or the other medications. Inform your doctor if you intend to take, are taking (even if treatment is about to finish), or have recently stopped taking any of the following medications:

  • Medications used to treat depression, such as lithium, fluvoxamine, tricyclic antidepressants, MAO inhibitors, citalopram, paroxetine, fluoxetine, and sertraline.
  • Other antipsychotic medications used to treat mental illnesses, such as perazine.
  • Benzodiazepines and other medications used to treat anxiety or sleep disorders.
  • Narcotics and other medications that can affect your breathing.
  • Medications used to control epilepsy, such as phenytoin and valproic acid.
  • Medications used to treat high or low blood pressure, such as adrenaline and noradrenaline.
  • Warfarin, a medication used to prevent blood clotting.
  • Antihistamines, medications used for colds and allergies, such as allergic rhinitis.
  • Anticholinergic medications, used to relieve stomach cramps, spasms, and dizziness.
  • Medications used to treat Parkinson's disease.
  • Digoxin, a medication used to treat heart problems.
  • Medications used to treat rapid or irregular heartbeat.
  • Some medications used to treat stomach ulcers, such as omeprazole or cimetidine.
  • Some antibiotics, such as erythromycin and rifampicin.
  • Some medications used to treat fungal (such as ketoconazole) or viral infections (such as protease inhibitors used to treat HIV).
  • Atropine, a medication that may be used in some eye drops or in preparations for cough and cold.
  • Adrenaline, a medication used in emergency situations.
  • Hormonal contraceptives (birth control pills).

This list is not complete. Your doctor and pharmacist have more information about medications that should be administered with caution or avoided while taking clozapine. They also know if the medications you are taking belong to any of the groups listed above. Discuss this with them.

Taking Clozapine Aurovitas with Food and Drinks

During treatment with clozapine, do not drink alcohol.

Tell your doctor if you smoke and how often you consume caffeinated beverages (coffee, tea, cola). Suddenly changing your smoking or caffeinated beverage habits can also change the effects of clozapine.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor before using this medication. Your doctor will discuss the benefits and possible risks of using this medication during pregnancy. Inform your doctor immediately if you become pregnant during treatment with clozapine.

The following symptoms may occur in newborns of mothers who have used clozapine in the last trimester (the last three months of pregnancy): tremors, muscle stiffness and/or weakness, drowsiness, agitation, breathing problems, and difficulty feeding. If your baby develops any of these symptoms, you should contact your doctor.

Some women who take certain medications for mental illnesses have irregular or absent menstrual periods. If this has happened to you, your menstrual period will return to normal when your medication is replaced with clozapine. This means you should use effective contraceptives.

During treatment with clozapine, you should not breastfeed your baby. Clozapine, the active substance of Clozapine Aurovitas, can pass into breast milk and affect the baby.

Driving and Using Machines

Clozapine can cause fatigue, drowsiness, and seizures, especially at the start of treatment. You should not drive or use machines while experiencing these symptoms.

Clozapine Aurovitas Contains Lactose

If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.

3. How to Take Clozapina Aurovitas

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

To reduce the risk of suffering from hypotension, seizures, and somnolence, it is necessary for your doctor to gradually increase the dose. Follow exactly the administration instructions of clozapine as indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.

It is essential that you do not change the dose or stop taking clozapina without asking your doctor first. Continue taking the tablets for the time your doctor has indicated.

If you are a patient over 60 years old, your doctor may start your treatment with a lower dose and increase your dose more gradually, as you may be more susceptible to developing some unexpected adverse reactions (see section 2 "What you need to know before taking Clozapina Aurovitas").

If with this presentation of tablets you cannot reach the prescribed dose, other presentations of this medication are available to reach the prescribed dose.

Schizophrenia Treatment

Treatment is started with 12.5 mg (half of a 25 mg tablet) once or twice on the first day, followed by 25 mg once or twice on the second day. Swallow the tablet with a glass of water. If you tolerate it well, your doctor will gradually increase the dose in amounts of 25-50 mg over the next 2-3 weeks until reaching a daily dose of 300 mg. Then, it may be necessary to increase the daily dose in amounts of 50 mg to 100 mg twice a week, or preferably once a week.

The effective daily dose is usually between 200 mg and 450 mg, divided into several single doses per day. Some people may need higher doses. Doses of up to 900 mg per day are allowed. At daily doses above 450 mg, adverse reactions may increase (particularly seizures). Always take the minimum dose that is effective for you. Most patients should take part of the dose in the morning and another part at night. Your doctor will tell you exactly how to divide your daily dose. If your daily dose does not exceed 200 mg, you can take it as a single dose at night. Once the treatment with clozapine is working well for some time, your doctor may try to reduce the dose. You will need to take clozapine for at least 6 months.

If You Take More Clozapina Aurovitas Than You Should

If you think you have taken more clozapine than you should, or if someone has taken some of your tablets, inform your doctor immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount taken.

The symptoms of overdose are:

Somnolence, fatigue, lack of energy, unconsciousness, coma, confusion, hallucinations, agitation, incoherent speech, numbness in the limbs, tremors in the hands, seizures, increased saliva production, dilated pupils, blurred vision, low blood pressure, collapse, rapid or irregular heartbeat, shallow or difficult breathing.

If You Miss a Dose of Clozapina Aurovitas

If you miss a dose, take the missed dose as soon as possible. If it is close to the time for the next dose, do not take the missed dose and take the next dose at the scheduled time. Do not take a double dose to make up for the missed dose. If you have stopped taking clozapina for two or more days, consult your doctor.

If You Interrupt Treatment with Clozapina Aurovitas

Do not interrupt treatment with clozapina without asking your doctor, as you may have withdrawal symptoms.

These symptoms include sweating, headache, nausea, vomiting, and diarrhea. If you experience any of these symptoms, consult your doctor immediately. These symptoms can be followed by more severe ones unless treated immediately. Your initial symptoms may recur. If you need to interrupt treatment, it is recommended to gradually decrease the dose in amounts of 12.5 mg over a period of 1 to 2 weeks. Your doctor will give you instructions on how to reduce your daily dose. If you need to interrupt your treatment with clozapina suddenly, your doctor will review you. If your doctor decides to restart treatment with clozapina and your last dose was two days or more ago, you will need to start with the initial dose of 12.5 mg.

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

4. Possible Adverse Effects

Like all medications, this medication can produce adverse effects, although not all people suffer from them.

Some adverse effects can be serious and require immediate medical attention:

Tell your doctor immediately before taking the next clozapine tablet if you experience any of the following circumstances:

Very Common: may affect more than 1 in 10 people

  • Severe constipation. Your doctor should treat you to avoid other complications.
  • Rapid heartbeat.

Common: may affect up to 1 in 10 people

  • Signs of cold, fever, flu-like symptoms, sore throat, or any other infection. An urgent blood test will be necessary to check if the symptoms you have are related to your medication.
  • Seizures.
  • Sudden loss of consciousness or sudden loss of muscle strength (syncope).

Uncommon: may affect up to 1 in 100 people

  • A sudden increase in body temperature, muscle stiffness that can lead to loss of consciousness (neuroleptic malignant syndrome), as it can be a serious adverse effect that requires immediate treatment.
  • Dizziness, dizziness, or fainting when getting up from a sitting or lying position, as it can increase the risk of falls.

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

  • Signs of respiratory tract infection or pneumonia such as fever, cough, difficulty breathing, wheezing.
  • Severe pain, burning type in the upper abdomen that extends to the back accompanied by nausea and vomiting due to pancreas inflammation.
  • Fainting and muscle weakness due to a significant drop in blood pressure (circulatory collapse).
  • Difficulty swallowing (which can cause food aspiration).
  • Nausea, vomitingand/or loss of appetite. Your doctor will need to review your liver.
  • Signs of obesity or increased obesity.
  • Interruption in breathing with or without snoring during sleep.

Rare: may affect up to 1 in 1,000 peopleor very rare: may affect up to 1 in 10,000 people

  • Rapid and irregular heartbeat, even at rest, palpitations, breathing problems, chest painor unexplained fatigue. Your doctor should examine your heart and, if necessary, refer you immediately to a cardiologist.

Very Rare: may affect up to 1 in 10,000 patients

  • Prolonged and painful erections of the penis, if you are a man. This is called priapism. If you have an erection that lasts more than four hours, you may need immediate medical treatment to avoid additional complications.
  • Spontaneous bleeding or bruising, which could be signs of a decrease in the number of platelets in the blood.
  • Symptoms due to uncontrolled blood sugar levels (such as nausea or vomiting, abdominal pain, excessive thirst, frequent urination, disorientation, or confusion).
  • Abdominal pain, cramps, bloated abdomen, vomiting, constipation, and inability to pass gas, which can be signs and symptoms of intestinal obstruction.
  • Lack of appetite, bloated abdomen, abdominal pain, yellowing of the skin, severe weakness, and discomfort. These symptoms can be indicative of a liver disorder that can progress to sudden liver necrosis.
  • Nausea, vomiting, fatigue, weight loss, which can be symptoms of kidney inflammation.

Frequency Not Known (cannot be estimated from the available data):

  • Chest pain, feeling of pressure, tightness, or constriction in the chest (chest pain may radiate to the left arm, jaw, neck, and upper abdomen), difficulty breathing, sweating, weakness, dizziness, nausea, vomiting, and palpitations (symptoms of a heart attack) that can cause death. Seek immediate emergency medical treatment.
  • Chest pressure, feeling of heaviness, pressure, constriction, burning, or suffocation (signs of insufficient blood and oxygen flow to the heart) that can cause death. Your doctor should evaluate your heart function.
  • Intermittent sensation in the chest of "stabbing", "pounding", or "fluttering" (palpitations).
  • Rapid and irregular heartbeats (atrial fibrillation). There may be occasional heart palpitations, fainting, difficulty breathing, or chest discomfort. Your doctor will need to review your heart.
  • Symptoms of low blood pressure such as dizziness, dizziness, fainting, blurred vision, unusual fatigue, cool and moist skin, or nausea.
  • Signs of blood clots in the veins, especially in the legs (symptoms that include swelling, pain, and redness in the legs), which can move through the blood vessels to the lungs causing chest pain and difficulty breathing.
  • Confirmed or suspected infection, accompanied by fever or low body temperature, abnormal rapid breathing, rapid heartbeat, altered reaction capacity, and consciousness, decreased blood pressure (sepsis).
  • Excessive sweating, headache, nausea, vomiting, and diarrhea (symptoms of cholinergic syndrome).
  • Drastic decrease in urine production (signs of kidney failure).
  • Allergic reaction (swelling mainly in the face, mouth, and throat, as well as on the tongue that can cause itching or be painful).
  • Lack of appetite, bloated abdomen, abdominal pain, yellowing of the skin, severe weakness, and discomfort. This can be indicative of possible liver alterations that involve replacement of normal liver tissue with scar tissue leading to loss of liver function, including those liver events that lead to life-threatening consequences such as liver failure (which can lead to death), liver damage (damage to liver cells, bile duct in the liver, or both), and liver transplant.
  • Burning pain in the upper abdomen, particularly between meals, early in the morning, or after drinking acidic beverages; black, tarry stools or stools with blood; bloating, heartburn, nausea, or vomiting, early feeling of fullness (ulceration of the stomach and/or intestine), which can lead to death.
  • Severe abdominal pain intensified by movement, nausea, vomiting, even vomiting blood (or liquid that looks like coffee grounds); the abdomen becomes rigid with sensitivity (rebound) that extends from the point of perforation throughout the abdomen; fever and/or chills (perforation of the stomach and/or intestine or intestinal rupture) that can lead to death.
  • Constipation, abdominal pain, abdominal sensitivity, fever, bloating, diarrhea with blood. This can be a symptom of possible megacolon (intestinal dilation) or intestinal ischemia/infarction that can lead to death. Your doctor will need to examine you.
  • Sudden chest pain with difficulty breathing with or without cough.
  • Appearance or increase of muscle weakness, muscle spasms, muscle pain. This can indicate a possible muscle disorder (rhabdomyolysis). Your doctor will need to examine you.
  • Sudden chest pain or abdominal pain with difficulty breathing and with or without cough or fever.
  • During the use of clozapine, extremely intense and severe skin reactions have been reported, such as drug reaction with eosinophilia and systemic symptoms (DRESS). The adverse skin reaction may appear as a rash with or without blisters. There may be skin irritation, edema, and fever, and symptoms similar to those of the flu. The symptoms of DRESS syndrome usually appear approximately 2 to 6 weeks (possibly up to 8 weeks) after treatment begins.

If any of the above cases apply to you, inform your doctor immediately before taking the next clozapine tablet.

Other Adverse Effects

Very Common: may affect more than 1 in 10 people

Somnolence, dizziness, increased saliva production.

Common: may affect up to 1 in 10 people

High levels of white blood cells in the blood (leukocytosis), high levels of a certain type of white blood cells in the blood (eosinophilia), weight gain, blurred vision, headache, tremors, rigidity, restlessness, seizures, sudden movements, abnormal movements, inability to initiate movement, inability to remain still, changes in the electrocardiogram (ECG) test of the heart, high blood pressure, dizziness or fainting after changing position, nausea, vomiting, loss of appetite, dry mouth, minor anomalies in liver function tests, loss of bladder control, difficulty urinating, fatigue, fever, increased sweating, elevated body temperature, speech disorders (e.g., difficulty articulating words).

Uncommon: may affect up to 1 in 100 people

Low white blood cell count in the blood (agranulocytosis), speech disorder (e.g., stuttering).

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

Low red blood cell count in the blood (anemia), restlessness, agitation, confusion, delirium, irregular heartbeat, inflammation of the heart muscle (myocarditis) or the membrane surrounding the heart muscle (pericarditis), fluid accumulation around the heart (pericardial effusion), high blood sugar levels, diabetes mellitus, blood clots in the lungs (pulmonary thromboembolism), liver inflammation (hepatitis), liver disease that causes yellowing of the skin/dark urine/itching, elevated levels in the blood of an enzyme called creatine phosphokinase.

Very Rare: may affect up to 1 in 10,000 patients

Increased number of platelets in the blood with possible blood vessel coagulation, uncontrolled movements of the mouth/tongue and limbs, obsessive thoughts and repetitive compulsive behaviors (obsessive-compulsive symptoms), skin reactions, swelling in the front of the ear (due to inflammation of the salivary glands), difficulty breathing, very high levels of triglycerides or cholesterol in the blood, heart muscle disease (cardiomyopathy), cardiac arrest, sudden unexpected death.

Frequency Not Known (cannot be estimated from the available data):

Changes in brain wave recordings (electroencephalogram/EEG), diarrhea, stomach discomfort, burning, stomach discomfort after eating, muscle weakness, muscle spasms, muscle pain, nasal congestion, nocturnal enuresis, sudden and uncontrollable increase in blood pressure (pseudopheochromocytoma), involuntary contraction that causes the body to curve to one side (pleurothotonos), if you are a man, ejaculation disorder, in which semen enters the bladder instead of being ejaculated through the penis (dry orgasm or retrograde ejaculation), rash, red-purple spots, fever, or itching due to inflammation of the blood vessels, colon inflammation that causes diarrhea, abdominal pain, fever, change in skin color, butterfly-shaped rash on the face, joint pain, muscle pain, fever, and fatigue (lupus erythematosus), restless legs syndrome (irresistible urge to move the legs or arms, usually accompanied by uncomfortable sensations during rest periods, especially in the afternoon or evening, and which is temporarily relieved by movement).

In elderly patients with dementia, a small increase in the number of deaths has been reported in patients taking antipsychotics compared to those who do not take them.

Reporting of Adverse Effects

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

5. Conservation of Clozapina Aurovitas

Keep this medication out of sight and reach of children.

Do not use this medication after the expiration date that appears on the packaging and blister after CAD. The expiration date is the last day of the month indicated.

Store below 30 ºC.

Do not use this medication if you notice any change in the appearance of the tablets.

Medications should not be thrown down the drain or into the trash. Deposit the containers and medications you no longer need in the SIGRE Point of the pharmacy. Ask your pharmacist how to dispose of the containers and medications you no longer need. This way, you will help protect the environment.

6. Container Content and Additional Information

Composition ofClozapina Aurovitas

  • The active ingredient is clozapine. Each tablet contains 200 mg of clozapine.
  • The other components are: lactose monohydrate, corn starch, povidone (K-30), colloidal anhydrous silica, talc, and magnesium stearate.

Appearance of the Product and Container Content

Uncoated tablets, pale yellow in color, oval, engraved on one side with a "C" and a "Z" with a notch in the middle and "200" on the other side. The tablet can be divided into two equal doses.

Clozapina Aurovitas 200 mg tablets are available in blisters.

Container Sizes:

Blister: 7, 14, 20, 28, 30, 40, 50, 60, 90, 100, 250, and 1,000 tablets.

PEAD Bottle:30, 50, 100, and 250 tablets.

Only some container 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

Phone: 91 630 86 45

Manufacturer:

APL Swift Services (Malta) Limited

HF26, Hal Far Industrial Estate, Hal Far

Birzebbugia, BBG 3000

Malta

Or

Arrow Generiques – Lyon

26 avenue Tony Garnier,

Lyon, 69007

France

Or

Generis Farmacêutica, S.A.

Rua João de Deus, 19

2700-487 Amadora

Portugal

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

Germany: Clozapin PUREN 200 mg Tabletten

Spain: Clozapina Aurovitas 200 mg tablets

France: Clozapine Arrow 200 mg comprimé sécable

Netherlands: Clozapine Auro 200 mg tabletten

Portugal: Clozapina Aurovitas

Date of the Last Revision of this Leaflet: September 2021

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

About the medicine

How much does CLOZAPINE AUROVITAS 200 mg TABLETS cost in Spain ( 2025)?

The average price of CLOZAPINE AUROVITAS 200 mg TABLETS in November, 2025 is around 28.35 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

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Prescription required

Alternative to CLOZAPINE AUROVITAS 200 mg TABLETS in Ukraine

Dosage form: tablets, 25 mg
Active substance: clozapine
Prescription required
Dosage form: tablets, 100 mg
Active substance: clozapine
Prescription required
Dosage form: tablets, tablets 25mg
Active substance: clozapine
Manufacturer: PrAT "Tehnolog
Prescription required
Dosage form: tablets, tablets 100mg
Active substance: clozapine
Manufacturer: PrAT "Tehnolog
Prescription required

Online doctors for CLOZAPINE AUROVITAS 200 mg TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for CLOZAPINE AUROVITAS 200 mg TABLETS – subject to medical assessment and local rules.

5.0(2)
Doctor

Anastasiia Hladkykh

Psychiatry14 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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€130
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Doctor

Farouk Laafif

Psychiatry3 years of experience

Dr. Farouk Laafif is a psychiatrist providing online consultations for adults and adolescents facing emotional or mental health challenges. His clinical approach integrates psychopharmacology with psychotherapy, with a strong focus on the connection between mental and physical well-being.

He offers compassionate, evidence-based support for individuals dealing with:

  • depression and anxiety disorders
  • bipolar affective disorder
  • schizophrenia and other psychotic conditions
  • psychosomatic symptoms and chronic stress
  • treatment planning and medication adjustment
Dr. Laafif combines scientific expertise with human empathy, helping patients restore emotional balance, improve daily functioning, and regain confidence in their recovery journey.
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€110
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5.0(3)
Doctor

Bogdan Baturichev

Psychiatry5 years of experience

Dr Bohdan Baturychev is a psychiatrist specialising in the diagnosis and treatment of mental health conditions in adults. He offers online consultations in English and Ukrainian, supporting patients with a wide range of psychiatric and behavioural disorders, both acute and chronic.

His areas of clinical focus include:

  • Depression and mood disorders, including bipolar disorder and chronic low mood
  • Anxiety and stress-related conditions, such as generalised anxiety, panic attacks, phobias, and PTSD
  • Psychotic disorders, including early intervention for delusions, hallucinations, and thought disturbances
  • Dementia and cognitive decline, with assessment, treatment planning, and caregiver support
  • Behavioural and emotional regulation issues, such as irritability, emotional instability, and compulsive patterns

Dr Baturychev tailors each consultation to the patient’s needs, combining modern diagnostic tools with evidence-based psychiatric treatment. His approach prioritises clarity, compassion, and therapeutic efficiency – whether patients seek diagnosis, medication management, or ongoing mental health support.

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€60
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5.0(56)
Doctor

Giorgi Tskipurishvili

Psychiatry10 years of experience

Dr. Giorgi Tskipurishvili is a psychiatrist specialising in online mental health consultations for adults. He helps patients manage anxiety disorders, depression, emotional instability, and other mental health conditions by integrating medical and psychotherapeutic approaches.

His areas of expertise include:

  • Anxiety disorders and chronic stress.
  • Panic attacks and trauma-related symptoms.
  • Depressive episodes and mood disorders.
  • Burnout, emotional exhaustion, and psychosomatic symptoms.
  • Sleep disorders and coping with life transitions.

Dr. Tskipurishvili applies evidence-based methods, including cognitive behavioural therapy (CBT), pharmacotherapy, coaching, and MAC therapy techniques. His approach is structured, compassionate, and tailored to each patient’s unique needs.

Focused on restoring emotional stability and improving quality of life, Dr. Tskipurishvili offers professional psychiatric care and personalised treatment plans through online consultations.

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€70
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0.0(0)
Doctor

Anna Kondratiuk

Psychiatry13 years of experience

Dr Anna Kondratiuk is a psychiatrist and psychotherapist with over 13 years of clinical experience in both inpatient and outpatient settings. She provides online consultations for adults, offering a balanced approach that combines evidence-based pharmacological treatment with psychotherapy.

Main areas of support:

  • Depression and burnout
  • Anxiety, panic attacks, phobias
  • Post-traumatic stress disorder (PTSD)
  • Psychosomatic symptoms and sleep disturbances
  • Health anxiety (hypochondria)
  • Mental health support in chronic physical illness
  • Adjustment disorders and low self-esteem
Dr Kondratiuk focuses on creating a safe and respectful therapeutic environment where patients feel heard and supported. Her goal is to help each person achieve lasting improvements in their mental well-being.
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€110
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5.0(84)
Doctor

Taisiia Proida

Psychiatry6 years of experience

Dr. Taisiia Proida is a psychiatrist and cognitive behavioural therapist (CBT), and a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care.

She specialises in consultations and ongoing support for a wide range of mental health concerns, including:

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD).
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders.

She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

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€120
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5.0(49)
Doctor

Sergey Ilyasov

Psychiatry6 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and children worldwide. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in children and adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

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€89
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