DIAZEPAM STADA 10 mg TABLETS

Introduction

Package Leaflet: Information for the User

Diazepam Stada 10 mg Tablets EFG

Read this package leaflet carefully before you start taking this medicine, because it contains important information for you.

• Keep this package leaflet, you may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you, do not pass it on to others, even if their symptoms are the same as yours, as it may harm them.
• If you experience any side effects, talk to your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.

Contents of the Package Leaflet:

1. What Diazepam Stada is and what it is used for
2. What you need to know before taking Diazepam Stada
3. How to take Diazepam Stada
4. Possible side effects
5. Storage of Diazepam Stada
6. Contents of the pack and further information

1. What Diazepam Stada is and what it is used for

Diazepam Stada contains the active substance diazepam, which belongs to a group of medicines called benzodiazepines.

Diazepam has a calming effect, sedative effect, muscle relaxant effect, and anticonvulsant effect.

Doctors prescribe diazepam to people who have symptoms of anxiety, agitation, and mental tension caused by psychoneurotic states and transient situational disorders. Benzodiazepines are only indicated for the treatment of intense disorders that limit activity or subject the person to significant stress.

It may also be useful for relieving symptoms of acute agitation, tremors, and hallucinations in patients with alcohol withdrawal syndrome.

Diazepam contributes to the relief of muscle pain caused by muscle spasms or inflammation of muscles or joints, trauma, etc. It may also be used to combat spasms caused by diseases such as cerebral palsy (a group of disorders that affect a person's ability to move, maintain balance, and posture) and paraplegia (paralysis of the lower half of the body, affecting both legs), as well as in athetosis (continuous, involuntary, slow, and extravagant movements of fingers and hands) and in the stiff person syndrome.

Diazepam may be used as an adjunctive treatment (treatment given after the main treatment to increase the chances of a cure) for convulsive disorders (such as epilepsy, convulsions), but it has not been shown to be useful as a single treatment. In these cases, your doctor will periodically assess the usefulness of the medicine for your case.

2. What you need to know before taking Diazepam Stada

Do not take Diazepam Stada

• If you are allergic to diazepam or any of the other ingredients of this medicine (listed in section 6).
• If you are allergic to other medicines in the benzodiazepine group.
• If you have long-standing breathing difficulties related or not to sleep.
• If you have a disease called "myasthenia gravis", which is characterized by muscle weakness and fatigue.
• If you have severe respiratory problems (severe respiratory failure).
• If you have severe liver problems (severe liver failure).

If you are drug or alcohol dependent, you should not take diazepam unless your doctor has formally indicated it.

This medicine is not recommended for the primary treatment of psychotic disorders (severe mental disorders that cause abnormal ideas and perceptions), nor should it be used as the only treatment in patients with depression, alone or associated with anxiety. Your doctor will probably have prescribed another medicine for these cases.

Warnings and precautions

Talk to your doctor or pharmacist before starting to take Diazepam Stada.

• If you have any liver or kidney disease
• If you have breathing difficulties
• If you have severe muscle weakness
• If you have other diseases
• If you have allergies
• If you have a history of drug or alcohol dependence
• If you are taking other medicines

Your doctor will decide whether it is convenient for you to take a lower dose of diazepam or not to take it at all.

If you are epileptic and are undergoing long-term treatment with diazepam, it is not recommended to use the benzodiazepine antagonist Anexate (flumazenil) to reverse the effect of diazepam, as convulsions may appear.

Children

Do not use this medicine in children under 6 months of age.

Taking Diazepam Stada with other medicines

Tell your doctor or pharmacist if you are taking or have recently taken or may need to take other medicines. This is extremely important because taking more than one medicine at the same time can increase or decrease its effect.

Therefore, you should not take diazepam with other medicines unless your doctor is informed and approves it beforehand. For example, tranquilizers, sleep inducers, and similar medicines act on the brain and nerves and can reinforce the effect of diazepam.

Cisapride, cimetidine, ketoconazole, fluvoxamine, fluoxetine, and omeprazole temporarily increase the sedative effect of diazepam, which increases the risk of drowsiness.

Also, the metabolism of phenytoin may be affected if you are taking diazepam, so if you are taking this medicine, your doctor will adjust the doses of the same.

Taking diazepam and opioids (potent painkillers, substitution therapy medications, and some cough medications) at the same time increases the risk of drowsiness, breathing difficulties (respiratory depression), coma, and can be potentially fatal. Therefore, concomitant use should only be considered when other treatment options are not possible.

However, if your doctor prescribes diazepam along with opioids, your doctor should limit the dose and duration of concomitant treatment.

Tell your doctor about all opioid medications you are taking and strictly follow your doctor's recommendation regarding the dose. It may be helpful to inform friends or family members who are aware of the signs and symptoms indicated above. Contact your doctor when you experience these symptoms.

If you need more information about this, consult your doctor or pharmacist.

Taking Diazepam Stada with food, drinks, and alcohol

Alcoholic beverages increase the sedative effects of diazepam, so you should avoid consuming alcoholic beverages during treatment. If you need additional information, consult your doctor.

Risk of dependence

The use of benzodiazepines can lead to dependence. This occurs mainly after uninterrupted use of the medicine for a long time. To minimize the risk of dependence, the following precautions should be taken into account:

• The use of benzodiazepines will only be done under medical prescription (never because they have been effective in other patients), and never advise them to other people.
• Do not increase the prescribed doses in any way, nor prolong the treatment for longer than recommended.
• Consult your doctor regularly so that he can decide whether to continue treatment.

Pregnancy and breastfeeding

Before starting treatment, your doctor should know if you are or suspect you may be pregnant or if you want to become pregnant. The doctor will then decide whether it is convenient for you to take diazepam.

Benzodiazepines pass into breast milk, so you should consult your doctor about taking diazepam while breastfeeding.

Driving and using machines

Do not drive or operate tools or machines because this medicine can cause sedation, amnesia, difficulty concentrating, and muscle weakness, which can negatively affect your ability to drive vehicles or operate machinery. This effect is increased if you have also consumed alcohol.

Use in elderly people

Elderly people may need lower doses of diazepam than younger patients. If you are an elderly person, your doctor may prescribe a lower dose and check your response to treatment. Please follow your doctor's instructions carefully.

Diazepam Stada contains lactose

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

3. How to take Diazepam Stada

Follow the administration instructions of the medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

Depending on the nature of your illness, your age, and weight, your doctor will prescribe the most suitable dose and indicate the duration of your treatment with diazepam.

Remember to take your medicine.

Follow these instructions unless your doctor has given you different instructions:

Use in adults

Anxiety symptoms:2 to 10 mg, 2 to 4 times a day, depending on the severity of the symptoms.

Symptomatic relief in acute alcohol withdrawal:10 mg, 3 or 4 times during the first 24 hours, reducing to 5 mg 3 or 4 times a day, as needed.

Adjunctive treatment for muscle spasms:2 to 10 mg, 3 or 4 times a day.

Adjunctive treatment in anticonvulsant therapy: 2 to 10 mg, 2 or 4 times a day.

Use in children

From 2 to 2.5 mg, 1 or 2 times a day, gradually increasing as needed and tolerated; as a general rule 0.1-0.3 mg/kg per day. Due to the variety of response of children to medicines that act on the central nervous system, treatment should be started with the lowest dose and increased as required. Do not use in children under 6 months of age.

Use in elderly people or in the presence of debilitating diseases

From 2 to 2.5 mg, 1 or 2 times a day, gradually increasing as needed and tolerated.

Treatment should be started with the lowest dose. Do not exceed the maximum dose.

If you think the effect of diazepam is too strong or too weak, tell your doctor or pharmacist.

In elderly patients or those with liver or kidney disorders, or muscle weakness, in children, in debilitated patients, or those with low serum albumin levels, the doctor will prescribe a lower dose.

Rules for correct administration

Do not increase the prescribed doses in any way.

Each individual dose should not exceed the indicated limits, and the total daily dose should not either, unless your doctor prescribes a higher dose.

Diazepam tablets should be taken without chewing, with a little water or a non-alcoholic drink.

Tablets will be taken at the times that are most necessary, normally in the afternoon or evening. Never change the dose that has been prescribed for you.

Duration of treatment

The duration of treatment should be as short as possible and never more than 2-3 months. Consult your doctor regularly so that he can decide whether to continue treatment.

Do not prolong treatment for longer than recommended.

To avoid withdrawal symptoms, you should not stop taking diazepam abruptly, especially if you have been taking it for a long time.

If you take more Diazepam Stada than you should

If you or someone else has taken an overdose of diazepam, call your doctor, pharmacist, or the nearest hospital immediately.

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 used. It is recommended to take the package and the package leaflet of the medicine to the healthcare professional.

If you forget to take Diazepam Stada

Do not take a double dose to make up for forgotten doses. Instead, you should continue with the normal dose.

If you stop taking Diazepam Stada

When stopping the administration, restlessness, anxiety, insomnia, lack of concentration, headache, and hot flashes may appear. It is not recommended to interrupt the medication abruptly, but rather to gradually reduce the dose, according to the doctor's instructions.

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

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everyone gets them.

If you think any of the side effects you are suffering from is serious, or if you notice any side effect not mentioned in this package leaflet, tell your doctor or pharmacist.

Most patients tolerate diazepam well, but the most common side effects, which occur especially at the beginning of treatment, are fatigue and drowsiness.

Occasionally, other side effects have been described, such as confusion, impaired alertness, loss of sensitivity, constipation, depression, double vision, ataxia, difficulty articulating words, digestive disorders, alteration of heart rhythm, headache, hypotension, circulatory disorders, increased or decreased libido, nausea, dry mouth or hypersalivation, incontinence or urinary retention, skin rashes, stuttering, tremors, dizziness, and blurred vision. The most common skin reactions are rash, urticaria, and pruritus.

Very rarely, increased transaminases and alkaline phosphatase, jaundice, and cardiac arrest have been reported.

An increased risk of falls and fractures has been observed in elderly patients and in patients who are taking other sedative medicines at the same time (including alcoholic beverages).

It is known that when benzodiazepines are used, behavioral side effects such as restlessness, agitation, irritability, delirium, outbursts of anger, aggression, nightmares, hallucinations, psychosis, or inappropriate behavior may occur. These reactions are more frequent in the elderly and in children. If you experience these effects, you should stop treatment and contact your doctor immediately.

Furthermore, the use of benzodiazepines can lead to dependence, mainly when the medicine is taken uninterrupted for a long time. It is not recommended to interrupt the medication abruptly, but rather to gradually reduce the dose, according to the doctor's instructions.

Anterograde amnesia (difficulty remembering recent events) may occur at normal doses, and the risk increases when the dose is increased. Amnestic effects may be associated with behavioral disorders.

If you notice any other reaction not described in this package leaflet, consult your doctor or pharmacist.

Reporting of side effects

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

5. Storage of Diazepam Stada

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

Do not use this medicine after the expiry date which is stated on the packaging after EXP. The expiry date is the last day of the month indicated.

This medicine does not require special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Dispose of the packaging and any unused medicine in the pharmacy's SIGRE collection point. Ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Contents of the pack and further information

Composition of Diazepam Stada

• The active substance is diazepam. Each tablet contains 10 mg of diazepam.
• The other ingredients are lactose monohydrate, cornstarch, and magnesium stearate.

Appearance of the product and pack contents

Diazepam Stada 10 mg tablets: round, flat, and beveled tablets, white or almost white in color, with the inscription E1 on one side.

Diazepam Stada 10 mg tablets are available in packs of 25 and 30 tablets.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Laboratorio Stada, S.L.

Frederic Mompou, 5

08960 Sant Just Desvern (Barcelona)

Spain

[email protected]

Manufacturer

Neuraxpharm Pharmaceuticals, S.L.

Avda. de Barcelona, 69

08970 Sant Joan Despí (Barcelona)

Spain

Date of last revision of this package leaflet:July 2018

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