Product Information for the User

Eslicarbazepine Tarbis 200 mg Tablets EFG

Eslicarbazepine Tarbis 800 mg Tablets EFG

Eslicarbazepine acetate

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, 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 any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

1.What Eslicarbazepine Tarbis is and what it is used for

2.What you need to know before starting to take Eslicarbazepine Tarbis

3.How to take Eslicarbazepine Tarbis

4.Possible side effects

5.Storage of Eslicarbazepine Tarbis

6.Contents of the pack and additional information

Eslicarbazepina Tarbis contains the active ingredient eslicarbazepine acetate.

Eslicarbazepine acetatebelongs to a group of medicines called antiepileptics, used to treat epilepsy, a condition where the affected person has seizures or repeated convulsive crises.

Eslicarbazepine acetate is used:

• as a single medication (monotherapy) in adult patients with newly diagnosed epilepsy;
• in combination with other antiepileptic medications (adjunctive therapy) in adult, adolescent, and children over 6 years old who suffer from seizures (convulsions) that affect a part of the brain (partial seizures). These seizures may be followed or not by a seizure that affects the entire brain (secondary generalization).

Your doctor has prescribed eslicarbazepine acetate to reduce the number of seizures.

Do not take Eslicarbazepina Tarbis:

• if you are allergic to eslicarbazepine acetate, other carboxamide derivatives (such as carbamazepine or oxcarbazepine, used for the treatment of epilepsy), or any of the other components of this medication (listed in section 6);
• if you have a certain type of heart rhythm disorder (second- or third-degree atrioventricular (AV) block).

Warnings and precautions

Consult your doctor or pharmacist before starting to take eslicarbazepine acetate.

Inform your doctor immediately:

• if you experience blisters or peeling of the skin and/or mucous membranes, rash, difficulty swallowing or breathing, swelling of the lips, face, eyelids, throat, or tongue. These may be signs of an allergic reaction;
• if you experience confusion, worsening of seizures, or decreased consciousness, which may be signs of low blood levels of salts.

Inform your doctor:

• if you have kidney problems. Your doctor may need to adjust the dose. Eslicarbazepine acetate is not recommended for patients with severe kidney disease;
• if you have liver problems. Eslicarbazepine acetate is not recommended for patients with severe liver disease;
• if you are taking any medication that can cause an abnormality in the ECG (electrocardiogram) called an increased PR interval. If you are unsure whether the medications you are taking can cause this effect, discuss it with your doctor;
• if you have any heart disease, such as heart failure or myocardial infarction, or have any alteration of heart rhythm;
• if you have seizures that begin with a generalized electrical discharge affecting both sides of the brain.

A small number of people taking antiepileptic medications have had thoughts of self-harm or suicide. If this occurs while taking eslicarbazepine acetate, contact your doctor immediately.

Eslicarbazepine acetate may cause dizziness and/or drowsiness, particularly at the start of treatment. Be especially careful while taking eslicarbazepine acetate to avoid accidental injuries, such as falls.

Be especially careful with Eslicarbazepina Tarbis

In the post-marketing experience, severe skin reactions and potentially life-threatening reactions, including Stevens-Johnson syndrome/toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS), have been reported in patients treated with eslicarbazepine acetate.

If you develop a severe rash or other skin symptoms (see section 4), stop taking eslicarbazepine acetate and consult your doctor or seek medical attention immediately.

In patients of Thai and Chinese Han ethnic origin, the risk of severe skin reactions associated with carbamazepine or chemically related compounds may be predicted by blood analysis. Your doctor will advise on the need for this blood test before taking eslicarbazepine acetate.

Children

Eslicarbazepine should not be administered to children under 6 years of age.

Taking Eslicarbazepina Tarbis with other medications

Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medication. This is to ensure that none of them interfere with the way eslicarbazepine acetate works, or that eslicarbazepine acetate does not interfere with the effect of such medications. Inform your doctor if you are taking:

• phenytoin (a medication used for the treatment of epilepsy), as you may need to adjust the dose;
• carbamazepine (a medication used for the treatment of epilepsy), as you may need to adjust the dose, and the following side effects of eslicarbazepine acetate may occur more frequently: double vision, abnormal coordination, and dizziness;
• hormonal contraceptives (such as the birth control pill), as eslicarbazepine acetate may reduce their effectiveness;
• simvastatin (a medication used to reduce cholesterol levels), as you may need to adjust the dose;
• rosuvastatin, a medication used to reduce cholesterol levels;
• the anticoagulant warfarin;
• monoamine oxidase inhibitors (MAOIs);
• do not take oxcarbazepine (a medication used for the treatment of epilepsy) with eslicarbazepine acetate, as it is unknown whether it is safe to take these two medications together.

See the section “Pregnancy and breastfeeding” for recommendations on contraception.

Pregnancy and breastfeeding

Eslicarbazepine acetate is not recommended for use during pregnancy, as its effects on pregnancy and the fetus are unknown.

If you intend to become pregnant, discuss this with your doctor before stopping your contraceptive method and before becoming pregnant. Your doctor may decide to change your treatment.

There is limited data on the use of eslicarbazepine acetate in pregnant women.

Research has shown an increased risk of congenital defects and neurological development problems (brain development) in the children of women taking antiepileptic medications, particularly when taking more than one antiepileptic medication at a time.

If you are or think you may be pregnant, inform your doctor immediately. Do not stop taking your medication until you have discussed this with your doctor. Stopping your medication without consulting your doctor may cause seizures, which can be dangerous for you and your unborn child. Your doctor may decide to change your treatment.

If you are a fertile woman and are not planning to become pregnant, you should use an effective contraceptive method during treatment with eslicarbazepine acetate. Eslicarbazepine acetate may affect the functioning of hormonal contraceptives, such as the birth control pill, and make them less effective for preventing pregnancy.

Therefore, it is recommended that you use other safe and effective forms of contraception while taking eslicarbazepine acetate. Discuss this with your doctor, who will advise on the type of contraceptive most suitable for use while taking eslicarbazepine acetate. If you stop treatment with eslicarbazepine acetate, continue using an effective contraceptive method until the end of the current menstrual cycle.

If you take eslicarbazepine acetate during pregnancy, your baby may also be at risk of bleeding problems immediately after birth. Your doctor may give you and your baby a medication to prevent this.

Do not breastfeed while taking eslicarbazepine acetate. It is unknown whether it passes into breast milk.

Driving and operating machinery

Eslicarbazepine acetate may cause dizziness, drowsiness, and affect your vision, particularly at the start of treatment. If this occurs, do not drive or use any tools or machinery.

Eslicarbazepina Tarbis contains sodium

This medication contains less than 23 mg of sodium (1 mmol) per tablet; this is essentially “sodium-free”.

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

Adults

Initial treatment dose

400 mg once a day for one or two weeks, before increasing to the maintenance dose. Your doctor will decide if you should take this dose for one or two weeks.

Maintenance dose

The usual maintenance dose is 800 mg once a day.

In accordance with how you respond to eslicarbazepine acetate, the dose may be increased to 1,200 mg once a day. If you are taking eslicarbazepine acetate alone (monotherapy), your doctor may consider increasing your dose to 1,600 mg once a day.

Patients with kidney problems

If you have kidney problems, you will usually be given a lower dose of eslicarbazepine acetate. Your doctor will determine the correct dose for you. Eslicarbazepine acetate is not recommended if you have severe kidney problems.

Older adults (65 years or older)

If you are an older adult and taking eslicarbazepine acetate in monotherapy, the dose of 1,600 mg is not suitable for you.

Children over 6 years old

Initial treatment dose

The initial dose is 10 mg per kg of body weight once a day for one or two weeks, before increasing to the maintenance dose.

Maintenance dose

Depending on your response to eslicarbazepine, the dose may be increased by 10 mg per kg of body weight, at intervals of one or two weeks, up to 30 mg per kg of body weight. The maximum dose is 1,200 mg once a day.

Children ≥ 60 kg

Children with a body weight of 60 kg or more should take the same dose as adults.

The oral suspension, another pharmaceutical form of the medication, may be more suitable for administration in children. Consult your doctor or pharmacist.

Form and route of administration

Eslicarbazepine acetate is administered orally. Swallow the tablet with a glass of water.

Eslicarbazepine acetate can be taken with or without food.

If you have difficulty swallowing the entire tablet, you can crush it and add it to a small amount of water or apple sauce to take it immediately.

The tablet can be divided into equal doses.

If you take more Eslicarbazepine Tarbis than you should

If you accidentally take more eslicarbazepine acetate than you should, you are at risk of having more seizures; or you may feel that your heartbeat is irregular or faster. Contact your doctor or go immediately to a hospital if you experience any of these symptoms. Bring the medication packaging with you, so the doctor knows what you have taken.

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 medication and the amount ingested.

If you forget to take Eslicarbazepine Tarbis

If you forget to take a tablet, take it as soon as you remember and continue as usual. Do not take a double dose to compensate for the missed doses.

If you interrupt treatment with Eslicarbazepine Tarbis

Do not suddenly stop taking the tablets. If you do, you are at risk of having more seizures. Your doctor will decide for how long you should take eslicarbazepine acetate. If your doctor decides to stop your treatment with eslicarbazepine acetate, you will usually be gradually reduced in dose. It is essential that you complete the treatment as instructed by your doctor; otherwise, your symptoms may worsen.

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

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

The following side effects can be very serious. If they occur, stop taking eslicarbazepine acetate and inform your doctor or go to the hospital immediately, as you may need urgent medical treatment:

• blistering or peeling of the skin and/or mucous membranes, rash, difficulty swallowing or breathing, swelling of the lips, face, eyelids, throat, or tongue. These could be signs of an allergic reaction.

The side effectsvery common(can affect more than 1 in 10 people) are:

• dizziness or drowsiness.

The side effectscommon(can affect up to 1 in 10 people) are:

• feeling unsteady, or like you are spinning or floating;
• nausea or vomiting;
• headache;
• diarrhea;
• double vision or blurred vision;
• difficulty concentrating;
• feeling tired or a decrease in energy;
• trembling;
• skin rash;
• blood tests showing low sodium levels;
• decreased appetite;
• difficulty sleeping;
• difficulty with coordination of movements (ataxia);
• weight gain.

The side effectsnot common(can affect up to 1 in 100 people) are:

• clumsiness of movements;
• allergy;
• constipation;
• seizures;
• underactive thyroid gland. Symptoms include decreased levels of thyroid hormones (detected in blood tests), intolerance to cold, increased size of the tongue, nails, or hair, and low body temperature
• liver problems (such as increased liver enzymes);
• high blood pressure or intense increase in blood pressure;
• low blood pressure, or blood pressure decreased when standing up;
• blood tests showing low levels of salts (including chloride), or a decrease in the number of red blood cells;
• dehydration;
• changes in eye movements, blurred vision, or red eyes;
• experiencing falls;
• burns;
• extreme drowsiness;
• sedation;
• neurological motor disorder where muscles contract, causing twisting and repetitive movements or abnormal postures. Symptoms include trembling, pain, and cramps;
• medication toxicity;
• anxiety.

The side effects ofunknown frequency(cannot be estimated from available data) are:

• reduction of platelets that increases the risk of bleeding or bruising;
• intense pain in the back or stomach (caused by inflammation of the pancreas) ;
• reduction of white blood cells that makes infections more likely;
• red spots or circular patches often with central blisters on the trunk, peeling of the skin, ulcers in the mouth, throat, nose, genitals, and eyes, red and inflamed eyes, and may be preceded by fever and/or symptoms similar to the flu (Stevens-Johnson syndrome/toxic epidermal necrolysis) ;
• initially symptoms similar to the flu, rash on the face, generalized rash, elevated body temperature, elevated liver enzymes, blood abnormalities (eosinophilia), enlarged lymph nodes, and other body conditions (drug reaction with eosinophilia and systemic symptoms that is also known as DRESS or drug hypersensitivity syndrome) ;
• severe allergic reaction that causes swelling of the face, throat, hands, feet, ankles, or lower legs;
• urticaria (skin rash with itching) ;
• lethargy, confusion, muscle spasms, or a significant worsening of seizures (possible symptoms of low sodium levels in the blood due to inadequate secretion of the antidiuretic hormone (ADH).

The use of eslicarbazepine acetate is associated with an ECG anomaly called an increase in the PR interval. Side effects associated with this ECG anomaly (such as fainting and slowing of the heart rate) may occur.

Bone disorders including osteopenia and osteoporosis (bone thinning) and fractures have been reported with antiepileptic drugs related structurally to eslicarbazepine acetate such as carbamazepine and oxcarbazepine. Talk to your doctor or pharmacist if you are on long-term treatment with antiepileptics, have a history of osteoporosis, or take steroids.

Reporting of side effects

If you experience any type of side effect, consult your doctor, pharmacist, or nurse, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through the Spanish System for Pharmacovigilance of Medicines for Human Use:https://www.notificaram.es.

By reporting side effects, you can contribute to providing more information on the safety of this medicine.

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

Do not use this medication after the expiration date that appears on the blister pack, bottle, and box after the letters CAD. The expiration date is the last day of the month indicated.

No special storage conditions are required.

Medications should not be disposed of through drains or in the trash. Dispose of the containers and medications 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 medications you no longer need. By doing so, you will help protect the environment.

Composition of Eslicarbazepine Tarbis

The active ingredient is eslicarbazepine acetate.

Eslicarbazepine Tarbis 200 mg tablets EFG

Each tablet contains 200 mg of eslicarbazepine acetate.

Eslicarbazepine Tarbis 800 mg tablets EFG

Each tablet contains 800 mg of eslicarbazepine acetate.

The other components are

Povidone K30, sodium croscarmellose, monoestearate of glycerol and sodium stearate fumarate.

Appearance of the product and contents of the package

Eslicarbazepine Tarbis 200 mg tablets EFG

Oval-shaped tablets of 11.1 mm x 5.7 mm, white to off-white in color, with a notch on both sides and engraved with 'E31' on one side and 'H' on the other. The tablets may be speckled.

The tablet can be divided into equal doses.

Eslicarbazepine Tarbis 800 mg tablets EFG

Oval-shaped tablets of 19.1 mm x 9.9 mm, white to off-white in color, with a notch on both sides and engraved with 'E34' on one side and 'H' on the other. The tablets may be speckled.

The tablet can be divided into equal doses.

Blister PVC/Al/OPA//Al

Eslicarbazepine Tarbis 200 mg tablets EFG: 60 tablets.

Eslicarbazepine Tarbis 800 mg tablets EFG: 30 and 90 tablets.

High-density polyethylene container with a polypropylene child-resistant closure.

Eslicarbazepine Tarbis 200 mg tablets EFG: 30 tablets

Eslicarbazepine Tarbis 800 mg tablets EFG: 30 and 90 tablets

Only some package sizes may be marketed.

Marketing Authorization Holder

Tarbis Farma S.L.

Gran Vía Carlos III, 94

08028 Barcelona

Spain

Responsible for manufacturing

Amarox Pharma B.V.

Rouboslaan 32

Voorschoten, 2252TR

Netherlands

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

Germany:Eslicarbazepin Amarox 200 mg/800 mg Tabletten

Spain:Eslicarbazepine Tarbis 200 mg/800 mg tablets EFG

Last review date of this leaflet: February 2023

For detailed and updated information on this medicinal product, please visit the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/