
Ask a doctor about a prescription for DABIGATRAN ETEXILATE VIATRIS 110 mg HARD CAPSULES
Package Leaflet: Information for the Patient
Dabigatran Etexilate Viatris 110mg Hard Capsules EFG
Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.
Contents of the Package Leaflet
This medication contains the active substance dabigatran etexilate and belongs to a group of medications called anticoagulants. It works by blocking a substance in the body involved in the formation of blood clots.
Dabigatran etexilate is used in adults to:
‑ prevent the formation of blood clots in the veins after knee or hip replacement surgery.
‑ prevent the formation of blood clots in the brain (stroke) and in other blood vessels of the body if you have a type of irregular heartbeat called non-valvular atrial fibrillation and have at least one additional risk factor.
‑ treat blood clots in the veins of your legs and lungs and to prevent them from forming again in the veins of your legs and lungs.
Dabigatran etexilate is used in children to:
‑ treat blood clots and prevent them from forming again.
Do not take Dabigatran Etexilate Viatris
‑ if you are allergic to dabigatran etexilate or any of the other components of this medication (listed in section 6).
‑ if your kidney function is severely reduced.
‑ if you are currently bleeding.
‑ if you have any disease in an organ of the body that increases the risk of severe bleeding (e.g., stomach ulcer, brain injury or bleeding, recent brain or eye surgery).
‑ if you are prone to bleeding. This tendency may be congenital, of unknown cause, or caused by other medications.
‑ if you are taking medications to prevent blood clot formation (e.g., warfarin, rivaroxaban, apixaban, or heparin), except when switching anticoagulant treatment, while having a venous or arterial catheter and being administered heparin through this catheter to keep it open, or while your normal heartbeat is being restored through a procedure called catheter ablation for atrial fibrillation.
‑ if your liver function is severely reduced or you have a life-threatening liver disease.
‑ if you are taking ketoconazole or itraconazole orally, medications used to treat fungal infections.
‑ if you are taking cyclosporine orally, a medication used to prevent organ rejection after a transplant.
‑ if you are taking dronedarone, a medication used to treat abnormal heart rhythm.
‑ if you are taking a combination product of glecaprevir and pibrentasvir, an antiviral medication used to treat hepatitis C.
‑ if you have had an artificial heart valve implanted that requires permanent anticoagulant treatment.
Warnings and Precautions
Consult your doctor before starting to take dabigatran etexilate. During treatment with this medication, you may also need to consult your doctor if you experience any symptoms or if you need to undergo surgery.
Tell your doctorif you have or have had any disorder or disease, especially any of the following:
‑ If you have an increased risk of bleeding, for example:
‑ If you have had a heart attack or have been diagnosed with diseases that increase the risk of having a heart attack.
‑ If you have a liver disease associated with changes in blood tests. The use of this medication is not recommended in this case.
Be careful withDabigatran Etexilate Viatris
‑ If you need to undergo surgery:
In this case, dabigatran etexilate should be temporarily discontinued due to an increased risk of bleeding during and after surgery. It is very important that you take dabigatran etexilate before and after surgery exactly at the times indicated by your doctor.
‑ If surgery requires the placement of a catheter or injection into the spinal column (e.g., for epidural or spinal anesthesia or for pain relief):
‑ If you fall or injure yourself during treatment, especially if you hit your head. Seek urgent medical attention. You may need a doctor to examine you, as you may have an increased risk of bleeding.
‑ If you know you have a disease called antiphospholipid syndrome (an immune system disorder that increases the risk of blood clot formation), inform your doctor to decide if it may be necessary to modify treatment.
Other medications andDabigatran Etexilate Viatris
Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication. In particular, you must inform your doctor before taking dabigatran etexilate if you are taking any of the following medications:
‑ Medications to reduce blood clotting (e.g., warfarin, phenprocoumon, acenocoumarol, heparin, clopidogrel, prasugrel, ticagrelor, rivaroxaban, acetylsalicylic acid)
‑ Medications for the treatment of fungal infections (e.g., ketoconazole, itraconazole), except if only applied to the skin
‑ Medications used in the treatment of abnormal heart rhythm (e.g., amiodarone, dronedarone, quinidine, verapamil). If you are using medications containing amiodarone, quinidine, or verapamil, your doctor may indicate that you should use a reduced dose of dabigatran etexilate according to the disease for which it was prescribed. See section 3.
‑ Medications for the prevention of organ rejection after a transplant (e.g., tacrolimus, cyclosporine)
‑ A combination product of glecaprevir and pibrentasvir (an antiviral medication used to treat hepatitis C)
‑ Anti-inflammatory and pain-relieving medications (e.g., acetylsalicylic acid, ibuprofen, diclofenac)
‑ St. John's Wort, a herbal remedy for depression
‑ Antidepressant medications called selective serotonin reuptake inhibitors or selective serotonin and norepinephrine reuptake inhibitors
‑ Rifampicin or clarithromycin (two antibiotics)
‑ Antiviral medications for HIV (e.g., ritonavir)
‑ Certain medications for the treatment of epilepsy (e.g., carbamazepine, phenytoin)
Pregnancy and Breastfeeding
If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.
The effects of dabigatran etexilate on pregnancy and the fetus are unknown. You should not use this medication if you are pregnant unless your doctor indicates that it is safe to do so. If you are of childbearing age, you should avoid becoming pregnant during treatment with dabigatran etexilate.
Breastfeeding is not recommended during treatment with dabigatran etexilate.
Driving and Using Machines
Dabigatran etexilate has no known effects on the ability to drive and use machines.
Dabigatran etexilate capsules can be used in adults and children aged 8 years or older who are able to swallow the capsules whole. There are other pharmaceutical forms suitable for children under 12 years of age as soon as they are able to swallow soft foods.
Follow exactly the administration instructions of this medicine indicated by your doctor. In case of doubt, consult your doctor again.
TakeDabigatran etexilate Viatrisas recommended for the following situations:
Prevention of blood clot formation after knee or hip replacement surgery
The recommended dose is 220mg once a day(administered in the form of 2 capsules of 110 mg).
If your renal function is decreasedby more than half or if you are 75years of age or older, the recommended dose is 150mg once a day(administered in the form of 2 capsules of 75 mg).
If you are taking medicines containing amiodarone, quinidine, or verapamil, the recommended dose is 150mg once a day(administered in the form of 2 capsules of 75 mg).
If you are taking medicines containing verapamil and your renal function is decreasedby more than half, you should be indicated a reduced dose of dabigatran etexilate of 75mgbecause your risk of bleeding may increase.
In both types of surgery, treatment should not be started if there is bleeding at the surgical site. If treatment cannot be started until the day after the operation, dosing should be initiated with 2 capsules once a day.
After knee replacement surgery
You should start treatment with dabigatran etexilate 1-4 hours after the operation, taking a single capsule. After that, 2 capsules should be taken once a day for a total of 10 days.
After hip replacement surgery
You should start treatment with dabigatran etexilate 1-4 hours after the operation, taking a single capsule. After that, 2 capsules should be taken once a day for a total of 28-35 days.
Prevention of cerebral or systemic vascular obstruction by blood clot formation developed after abnormal heart rhythm and treatment of blood clots in the veins of your legs and lungs, including prevention of recurrence of blood clots in the veins of your legs and lungs
The recommended dose is 300 mg administered in the form of one 150mg capsule twice a day.
If you are 80years of age or older, the recommended dose is 220 mg administered in the form of one 110mg capsule twice a day.
If you are taking medicines containing verapamil, you should be indicated a reduced dose of dabigatran etexilate of 220 mg taken in the form of one 110mg capsule twice a day, because your risk of bleeding may increase.
If you have a potentially higher risk of bleeding, your doctor may decide to prescribe a dose of 220 mg administered in the form of one 110mg capsule twice a day.
You can continue taking this medicine if it is necessary to restore your normal heart rhythm through a procedure called cardioversion. Take dabigatran etexilate as your doctor has indicated.
If you have been fitted with a medical device (vascular endoprosthesis) in a blood vessel to keep it open in a procedure called percutaneous coronary intervention with endoprosthesis placement, you may receive treatment with dabigatran etexilate once your doctor has decided that normal blood coagulation control has been achieved. Take dabigatran etexilate as your doctor has indicated.
Treatment of blood clots and prevention of recurrence of blood clots in children
Dabigatran etexilate should be taken twice a day, one dose in the morning and one dose in the evening, approximately at the same time every day. The administration interval should be as close as possible to 12 hours.
The recommended dose depends on weight and age. Your doctor will determine the correct dose. It is possible that your doctor will adjust the dose during treatment. Continue using all other medicines unless your doctor tells you to stop using any.
Table 1 shows the single and total daily doses of dabigatran etexilate in milligrams (mg). The doses depend on the patient's weight in kilograms (kg) and age in years.
Table1: Dosing table for dabigatran etexilate capsules.
Weight/Age Combinations | Single Dose in mg | Total Daily Dose in mg | |
Weight in kg | Age in years | ||
11 to less than 13 kg | 8 to less than 9 years | 75 | 150 |
13 to less than 16 kg | 8 to less than 11 years | 110 | 220 |
16 to less than 21 kg | 8 to less than 14 years | 110 | 220 |
21 to less than 26 kg | 8 to less than 16 years | 150 | 300 |
26 to less than 31 kg | 8 to less than 18 years | 150 | 300 |
31 to less than 41 kg | 8 to less than 18 years | 185 | 370 |
41 to less than 51 kg | 8 to less than 18 years | 220 | 440 |
51 to less than 61 kg | 8 to less than 18 years | 260 | 520 |
61 to less than 71 kg | 8 to less than 18 years | 300 | 600 |
71 to less than 81 kg | 8 to less than 18 years | 300 | 600 |
81 kg or more | 10 to less than 18 years | 300 | 600 |
Doses that require combinations of more than one capsule:
300 mg: two 150 mg capsules or four 75 mg capsules
260 mg: one 110 mg capsule plus one 150 mg capsule or one 110 mg capsule plus two 75 mg capsules
220 mg: two 110 mg capsules
185 mg: one 75 mg capsule plus one 110 mg capsule
150 mg: one 150 mg capsule or two 75 mg capsules
How to takeDabigatran etexilate Viatris
Dabigatran etexilate can be taken with or without food. The capsule should be swallowed whole with a glass of water to ensure release in the stomach. Do not break, chew, or open the capsule to take only its contents, as this may increase the risk of bleeding.
Bottle instructions
Change of anticoagulant treatment
Do not change your anticoagulant treatment without specific instructions from your doctor.
If you take moreDabigatran etexilate Viatristhan you should
Taking too much of this medicine increases the risk of bleeding. In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount ingested.
There are specific treatment options available.
If you forget to takeDabigatran etexilate Viatris
Prevention of blood clot formation after knee or hip replacement surgery
Take the remaining daily doses of dabigatran etexilate at the same time the next day. Do not take a double dose to make up for forgotten doses.
Use in adults: Prevention of cerebral or systemic vascular obstruction by blood clot formation developed after abnormal heart rhythm and treatment of blood clots in the veins of your legs and lungs, including prevention of recurrence of blood clots in the veins of your legs and lungs
Use in children: Treatment of blood clots and prevention of recurrence of blood clots
A forgotten dose can be taken up to 6 hours before the next dose.
A forgotten dose should be omitted if the time remaining before the next dose is less than 6 hours. Do not take a double dose to make up for forgotten doses.
If you interrupt treatment withDabigatran etexilate Viatris
Take dabigatran etexilate exactly as prescribed. Do not interrupt your treatment with this medicine without consulting your doctor first, as the risk of developing a blood clot may be higher if you interrupt treatment too soon. Contact your doctor if you experience indigestion after taking dabigatran etexilate.
If you have any other questions about the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause adverse effects, although not all people suffer from them.
Dabigatran etexilate acts on blood coagulation; therefore, most adverse effects are related to signs such as bruising or bleeding. Episodes of major or severe bleeding may occur, which are the most serious adverse effects and, regardless of their location, can cause disability, be potentially life-threatening, or even cause death. In some cases, these bleedings may not be apparent.
If you experience any episode of bleeding that does not stop by itself or if you experience signs of excessive bleeding (exceptional weakness, fatigue, paleness, dizziness, headache, or unexplained swelling), consult your doctor immediately. Your doctor may decide to keep you under close observation or change your medication.
Inform your doctor immediately if you experience a severe allergic reaction that causes difficulty breathing or dizziness.
Possible adverse effects are detailed below, grouped according to their frequency of occurrence.
Prevention of blood clot formation after knee or hip replacement surgery
Frequent(may affect up to 1 in 10 people):
Uncommon(may affect up to 1 in 100 people):
Rare(may affect up to 1 in 1,000 people):
Frequency not known(frequency cannot be estimated from available data):
Prevention of cerebral or systemic vascular obstruction by blood clot formation developed after abnormal heart rhythm
Frequent(may affect up to 1 in 10 people):
Uncommon(may affect up to 1 in 100 people):
Rare(may affect up to 1 in 1,000 people):
Frequency not known(frequency cannot be estimated from available data):
In a clinical trial, the rate of heart attacks with dabigatran etexilate was numerically higher than with warfarin. The overall incidence was low.
Treatment of blood clots in the veins of the legs and lungs, including prevention of recurrence of blood clots in the veins of the legs and/or lungs
Frequent(may affect up to 1 in 10 people):
Uncommon(may affect up to 1 in 100 people):
Rare(may affect up to 1 in 1,000 people):
Frequency not known(frequency cannot be estimated from available data):
In the clinical trial program, the rate of heart attacks with dabigatran etexilate was higher than with warfarin. The overall incidence was low. No imbalance was observed in the rate of heart attacks in patients treated with dabigatran compared to patients treated with placebo.
Treatment of blood clots and prevention of recurrence of blood clots in children
Frequent(may affect up to 1 in 10 people):
Uncommon(may affect up to 1 in 100 people):
Frequency not known(frequency cannot be estimated from available data):
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 is not listed in this leaflet. You can also report them directly through the Spanish Medicines Agency's website: https://www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiration date stated on the carton, blister, or bottle after "EXP". The expiration date is the last day of the month indicated.
Store in the original packaging to protect it from moisture.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.
Composition of Dabigatran Etexilate Viatris
- The active ingredient is dabigatran etexilate. Each hard capsule contains dabigatran etexilate mesilate, equivalent to 110 mg of dabigatran etexilate.
- The other ingredients are tartaric acid (E334), hydroxypropylcellulose (E463), talc (E553b), and hypromellose (E464).
- The capsule shell contains brilliant blue FCF (E133), titanium dioxide (E171), and hypromellose (E464).
Appearance of the Product and Package Contents
Dabigatran Etexilate Viatris 110 mg are hard capsules approximately 19 mm long with a light blue opaque cap and a light blue opaque body, containing pellets of light yellow to yellowish color, with "VTRS" and "DC110" printed in black ink on the cap and body.
Dabigatran Etexilate Viatris is available in packs containing 10, 30, 60, or 180 capsules in aluminum-OPA/aluminum/PVC blisters.
Dabigatran Etexilate Viatris is available in packs containing 10 x 1, 30 x 1, 60 x 1, 100 x 1, or 180 x 1 capsules in precut unit-dose aluminum-OPA/aluminum/PVC blisters.
Dabigatran Etexilate Viatris is also available in packs containing 100 or 180 capsules in HDPE bottles with a child-resistant screw cap. The bottle contains a desiccant (silica gel).
Not all pack sizes may be marketed.
Marketing Authorization Holder
Viatris Limited
Damastown Industrial Park
Mulhuddart
Dublin 15
Ireland
Manufacturer
Mylan Hungary Kft.
H-2900 Komárom
Mylan utca. 1
Hungary
Mylan Germany GmbH
Zweigniederlassung Bad Homburg v. d. Hoehe, Benzstrasse 1
Bad Homburg v. d. Hoehe
Hessen, 61352
Germany
You can request more information about this medicine by contacting the local representative of the marketing authorization holder:
Viatris Pharmaceuticals, S.L.
C/ General Aranaz, 86
28027 - Madrid
Spain
This medicine is authorized in the Member States of the European Economic Area under the following names:
Germany Dabigatranetexilat Viatris 110 mg Hartkapseln
Austria Dabigatranetexilat Viatris 110 mg Hartkapsel
Belgium Dabigatran Etexilate Viatris 110 mg hard capsules
Bulgaria ?????????? ????????? ??????? 110 mg ?????? ???????
Cyprus Dabigatran Etexilate Viatris
Croatia Dabigatraneteksilat Viatris 110 mg tvrde kapsule
Denmark Dabigatran Etexilate Viatris
Spain Dabigatrán etexilato Viatris 110 mg cápsulas duras EFG
Slovenia Dabigatraneteksilat Viatris 110 mg trde kapsule
Slovakia Dabigatran Etexilate Viatris 110 mg tvrdé kapsuly
Estonia Dabigatran Etexilate Viatris
Finland Dabigatran Etexilate Viatris
France DABIGATRAN ETEXILATE VIATRIS SANTE 110 mg, gélule
Greece Dabigatran Etexilate/Viatris
Hungary Dabigatran Etexilate Viatris 110 mg kemény kapszula
Iceland Dabigatran Etexilate Viatris
Italy Dabigatran etexilato Viatris 110 mg capsule rigide
Latvia Dabigatran Etexilate Viatris 110 mg cietas kapsulas
Lithuania Dabigatran etexilate Viatris 110 mg kietosios kapsules
Luxembourg Dabigatran Etexilate Viatris 110 mg gélules
Malta Dabigatran Etexilate Viatris 110 mg hard capsules
Norway Dabigatran Etexilate Viatris
Netherlands Dabigatran etexilaat Viatris 110 mg harde capsules
Poland Dabigatran Etexilate Viatris
Portugal Dabigatrano etexilato Mylan 110 mg Cápsulas
Czech Republic Dabigatran Etexilate Viatris
Romania Dabigatran Etexilat Viatris 110 mg capsule
Sweden Dabigatran Etexilate Viatris
Date of Last Revision of this Leaflet:December 2024.
Other Sources of Information
Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/.
The average price of DABIGATRAN ETEXILATE VIATRIS 110 mg HARD CAPSULES in November, 2025 is around 33.06 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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