Patient Information Leaflet

Entecavir Sandoz 1 mg Film-Coated Tablets

entecavir

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

• Keep this leaflet, as you may need to read it again.
• If you have any questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not give it to others even if they have similar symptoms, as it may harm them.
• If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

1. What isEntecavirSandoz and what it is used for

2. What you need to know before you start takingEntecavirSandoz

3. How to takeEntecavirSandoz

4. Possible side effects

5. Storage ofEntecavirSandoz

6. Contents of the pack and additional information

Entecavirisamedicationthatisusedtotreatchronic(long-term)infectioncausedbythehepatitisBvirus(VHB)inadults.

Entecavirmaybeusedinpatientswhoseliverisdamagedbutstillfunctionsadequately(compensatedliverdisease)andinpatientswhoseliverisdamagedanddoesnotfunctionadequately(decompensatedliverdisease).

Entecavirisalsousedtotreatchronic(long-term)infectioncausedbyVHBinchildrenandadolescentsfrom2yearstolessthan18yearsold.

Entecavirmaybeusedinchildrenwhoseliverisdamagedbutstillfunctionsadequately(compensatedliverdisease).

TheinfectioncausedbythehepatitisBviruscandamagetheliverEntecavirreducestheamountofvirusinthebodyandimprovestheconditionoftheliver.

Do not take Entecavir Sandoz

• if you are allergicto entecavir or to any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor or pharmacist before starting to take entecavir.

• if you have ever had problems with your kidneys, inform your doctor. This is important because entecavir is eliminated from the body through the kidneys and it may be necessary to adjust your dose or treatment schedule,
• do not stop taking entecavir without consulting your doctor,as your hepatitis may worsen by interrupting treatment. When your treatment with entecavir is interrupted, your doctor will continue to monitor you and perform blood tests for several months,
• ask your doctor if your liver is functioning properlyand if not, about the possible effects that your treatment with entecavir may have,
• if you are also infected with HIV(human immunodeficiency virus), make sure to inform your doctor. Do not take entecavir for the treatment of your hepatitis B infection unless you are also taking medications for the treatment of HIV infection, as otherwise, the effectiveness of future HIV treatments may be reduced. Entecavir will not control your HIV infection,
• taking entecavir will not prevent you from infecting others with the hepatitis B virus (HBV)through sexual contact or bodily fluids (including blood contamination). Therefore, it is essential to take the necessary precautions to prevent others from becoming infected with HBV. There is a vaccine to protect individuals at risk of HBV infection,
• entecavir belongs to a class of medicines that may cause lactic acidosis(excess lactic acid in your blood) and liver enlargement. Symptoms such as nausea, vomiting, and abdominal pain may indicate the development of lactic acidosis. In some cases, this rare but serious side effect has been fatal. Lactic acidosis occurs more frequently in women, especially those who are overweight. Your doctor will monitor you periodically while you are taking entecavir,
• if you have received previous treatment for chronic hepatitis B, please inform your doctor.

Children and adolescents

Entecavir should not be used in children under 2 years of age or weighing less than 10 kg.

Use of Entecavir Sandoz with other medicines

Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medicine.

Taking Entecavir Sandoz with food and drinks

In most cases, you can take entecavir with or without food. However, if you have received previous treatment with another medicine containing lamivudine as the active ingredient, consider the following. If you have switched to entecavir because lamivudine treatment was unsuccessful, take entecavir on an empty stomach, once a day. If your liver disease is advanced, your doctor will also instruct you on taking entecavir on an empty stomach.

Empty stomach means at least 2 hours after and 2 hours before the next meal.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consultyour doctor or pharmacist before using this medicine. Entecavir use has not been proven to be safe during pregnancy. Do not use entecavir during pregnancy except when clearly necessary, according to your doctor. It is essential that women of childbearing age who are being treated with entecavir use an effective contraceptive method to avoid becoming pregnant.

Do not breastfeed during treatment with entecavir. If you are doing so, inform your doctor. It is unknown whether entecavir, the active ingredient of Entecavir Sandoz, is excreted in breast milk.

Driving and operating machinery

Dizziness, fatigue, and drowsiness are common side effects that may impair your ability to drive and operate machinery. If you have any doubts, consult your doctor.

This medicine contains lactose

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

Not all patients need to take the same dose of entecavir.

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

For adultsthe recommended dose is 0.5 mg or 1 mg once a day (oral administration).

Your dose will depend on:

• whether you have been previously treated for a hepatitis B infection, as well as the medication you received,
• if you have kidney problems. Your doctor may prescribe a lower dose or indicate that you take it less frequently than once a day,
• your liver condition.

For children and adolescents(from 2 to less than 18 years of age). Entecavir 0.5 mg tablets or entecavir oral solution are available. Your child's doctor will decide on the correct dose based on your child's weight.

Your doctor will advise you on what dose is correct for you. Always take the dose recommended by your doctor to ensure the medication is fully effective and to reduce the development of treatment resistance. Take entecavir for the entire time your doctor has indicated. Your doctor will tell you when to stop treatment.

Some patients must take this medication on an empty stomach (seeEntecavir Sandoz with food and drinksin theSection 2). If your doctor tells you to take this medication on an empty stomach, empty stomach means at least 2 hours after a meal and 2 hours before the next meal.

If you take more Entecavir Sandoz than you should

If you have taken more entecavir than you should, consult your doctor, pharmacist, or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medication and the amount used.

If you forget to take Entecavir Sandoz

It is essential not to forget any dose. If you forget a dose of entecavir, take it as soon as you remember and then take the next scheduled dose at the usual time. If it is almost time for your next dose, do not take the missed dose. Wait and take the next dose at the usual time. Do not take a double dose to compensate for the missed doses.

Do not interrupt treatment with Entecavir Sandoz without consulting your doctor

Some people develop severe hepatitis symptoms when stopping entecavir treatment. Inform your doctor immediately of any changes in symptoms you observe after stopping treatment.

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

Like all medications, this medication may produce adverse effects, although not all people may experience them.

Adults

Patients treated with entecavir have reported the following adverse effects:

• frequent (may affect up to 1 in 10 patients): headache, insomnia (inability to sleep), extreme fatigue, dizziness, somnolence (drowsiness), vomiting, diarrhea, nausea, indigestion, and increased levels of liver enzymes in the blood.
• infrequent (may affect up to 1 in 100 patients): skin rash, hair loss.
• rare (may affect up to 1 in 1,000 patients): severe allergic reaction.

Children and Adolescents

The side effects experienced by children and adolescents are similar to those experienced by adults as described above with the following difference:

• very frequent (may affect more than 1 in 10 patients): low levels of neutrophils (a type of white blood cell, which is important for fighting infections).

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 does not appear in this prospectus. You can also report them directly through the Spanish System for Pharmacovigilance of Medicinal Products for Human Use:https://www.notificaram.es. By reporting adverse effects, you can contribute to providing more information about the safety of this medication.

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

Do not use this medication after the expiration date that appears on the bottle, packaging, and blister pack after CAD.

The expiration date is the last day of the month indicated.

No special storage conditions are required.

After opening the bottle, use within a period of 6 months.

Medicines should not be disposed of through drains or in the trash. Dispose of the containers and medicines you no longer need at the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the containers and medicines you no longer need. By doing so, you will help protect the environment.

Composition of Entecavir Sandoz

• The active ingredient is entecavir (as monohydrate).
• • Each film-coated tablet contains 1 mg of entecavir (as monohydrate)
• The other components are:

Core of the tablet: lactose monohydrate, microcrystalline cellulose, crospovidone (Type A), and magnesium stearate.

Film coating: hypromellose 2910, macrogol 6000, titanium dioxide (E171), talc, iron oxide red (E172), and iron oxide yellow (E172).

Appearance of the product and contents of the package

Film-coated tablet, pink in color, rounded, marked on both sides with “SZ” on one face and “109” on the other, with a diameter of approximately 10.0 mm.

The film-coated tablets are packaged in blistersOPA/Aluminum/PVC-Aluminum or in aHDPE bottle with a polypropylene child-resistant closure, inserted in a package.

Package size:

Blister: 30 and 90 film-coated tablets.

Bottle: 30 film-coated tablets.

Only some package sizes may be marketed in your country.

Marketing authorization holder and responsible manufacturer

Sandoz Farmacéutica, S.A.

Corporate Park North

Roble Building

Serrano Galvache Street, 56

28033 Madrid

Spain

Responsible manufacturer

Lek Pharmaceuticals d.d.

Verovškova Street 57

1526 Ljubljana

Slovenia

or

Lek Pharmaceuticals d.d.

Trimlini 2d

9220 Lendava

Slovenia

This medicinal product is authorized in the member states of the European Economic Area with the following names

Netherlands:Entecavir Sandoz 1 mg, filmomhulde tabletten

Italy:Entecavir Sandoz

NorwayEntecavir Sandoz 1 mg filmdrasjerte tabletter

Poland:Entecavir Sandoz, 1 mg, tabletki powlekane

Romania:Entecavir Sandoz 1 mg comprimate filmate

Sweden:Entecavir Sandoz 1 mg filmdragerade tabletter

Last review date of this leaflet:February 2021

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