FESOTERODINE LICONSA 4 mg PROLONGED-RELEASE TABLETS

Introduction

Package Leaflet: Information for the Patient

Fesoterodina Liconsa 4 mg prolonged-release tablets EFG

Fesoterodina Liconsa 8 mg prolonged-release tablets EFG

fesoterodine, fumarate

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

• Keep this 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 only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

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

1. What is Fesoterodina Liconsa and what is it used for

This medication contains the active substance fesoterodine fumarate and is a treatment called antimuscarinics, which reduce the activity of the overactive bladder and is used in adults to treat symptoms.

Fesoterodina treats symptoms of an overactive bladder, such as:

• inability to control when to urinate (urge incontinence)
• sudden need to urinate (urgency)
• having to urinate more frequently than usual (increased urination frequency).

2. What you need to know before you take Fesoterodina Liconsa

Do not take Fesoterodina Liconsa

• if you are allergic to fesoterodine or any of the other components of this medication (included in section 6) (see section 2, “Fesoterodina Exeltis contains fructose and lactose”)
• if you cannot completely empty your urinary bladder (urinary retention)
• if your stomach empties slowly (gastric retention)
• if you have an eye disease called narrow-angle glaucoma (increased eye pressure) that is not controlled (treated properly)
• if you have excessive muscle weakness (myasthenia gravis)
• if you have severe ulceration and inflammation of the colon (severe ulcerative colitis)
• if you have an abnormally long or dilated colon (toxic megacolon)
• if you have severe liver problems
• if you have kidney problems or moderate to severe liver problems and are taking medications that contain any of the following active substances: itraconazole or ketoconazole (used to treat fungal infections), ritonavir, atazanavir, indinavir, saquinavir, or nelfinavir (antiviral medications used to treat HIV infection), clarithromycin or telithromycin (used to treat bacterial infections), and nefazodone (used to treat depression).

Warnings and precautions

Consult your doctor or pharmacist before starting to take Fesoterodina Liconsa.

Fesoterodina may not always be suitable for you. Talk to your doctor before taking fesoterodine in any of the following cases:

• if you have difficulty completely emptying your urinary bladder (for example, due to prostate enlargement)
• if you have ever suffered from decreased intestinal movement or if you have severe constipation
• if you are being treated for a eye disease called narrow-angle glaucoma
• if you have severe kidney or liver problems, as your doctor may need to adjust the dose you receive
• you have a disease called autonomic neuropathy that causes symptoms such as changes in your blood pressure or alterations in your intestine or sexual function
• if you suffer from a gastrointestinal disease that affects the passage and/or digestion of food
• if you suffer from heartburn or belching
• if you have a urinary tract infection, your doctor may need to prescribe you antibiotics.

Heart problems: Inform your doctor if you have any of the following conditions:

• you have an ECG abnormality (heart activity record) known as QT interval prolongation or if you are taking any medication that is known to cause this effect
• your heart rate is slow (bradycardia)
• you have a heart disease such as myocardial ischemia (reduced blood flow to the heart), irregular heartbeats, or heart failure
• you have hypokalemia, which is a manifestation of abnormally low potassium levels in the blood.

Children and adolescents

Do not give this medication to children and adolescents under 18 years of age because it has not been established whether it can work and whether it would be safe for them.

Other medications and Fesoterodina Liconsa

Tell your doctor or pharmacist if you are taking or have recently taken or may need to take any other medication. Your doctor will tell you if you can use fesoterodine with other medications.

Please inform your doctor if you are taking medications from the list below. Taking these medications at the same time as fesoterodine may cause side effects such as dry mouth, constipation, difficulty emptying the bladder, or more frequent or severe drowsiness.

• medications that contain the active substance amantadine (used to treat Parkinson's disease).
• certain medications used to increase gastrointestinal motility or to relieve stomach cramps or spasms, such as medications that contain metoclopramide.
• certain medications used to treat psychiatric disorders, such as antidepressants and neuroleptics.

Please indicate to your doctor if you are taking any of the following medications:

• medications that contain any of the following active substances that may increase the metabolism of fesoterodine and, therefore, decrease its effect: St. John's Wort (herbal medicine), rifampicin (used to treat bacterial infections), carbamazepine, phenytoin, and phenobarbital (used, among others, to treat epilepsy)
• medications that contain any of the following active substances that may increase fesoterodine levels in the blood: itraconazole or ketoconazole (used to treat fungal infections), ritonavir, atazanavir, indinavir, saquinavir, or nelfinavir (antiviral medications used to treat HIV infection), clarithromycin or telithromycin (used to treat bacterial infections), nefazodone (used to treat depression), fluoxetine or paroxetine (used to treat depression or anxiety), bupropion (used to quit smoking or treat depression), quinidine (used to treat arrhythmias), and cinacalcet (used to treat hyperparathyroidism)
• medications that contain the active substance methadone (used to treat intense pain and drug dependence).

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.

You should not take fesoterodine if you are pregnant, as the effects of fesoterodine on pregnancy and the newborn are unknown.

It is unknown whether fesoterodine is excreted in breast milk; therefore, do not breastfeed during treatment with this medication.

Driving and using machines

Fesoterodina may cause blurred vision, dizziness, and drowsiness. If you experience any of these effects, do not drive or operate tools or machines.

Fesoterodina Liconsa contains lactose

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

Fesoterodina Liconsa contains fructose

This medication contains 72 mg of fructose in each tablet.

3. How to take Fesoterodina Liconsa

Follow your doctor's instructions for taking this medication exactly. If in doubt, consult your doctor or pharmacist again.

The recommended initial dose is one 4 mg fesoterodine tablet per day. Depending on how you respond to the medication, your doctor may prescribe a higher dose; one 8 mg fesoterodine tablet per day.

Swallow the tablet whole with a glass of water. Do not chew the tablet. This medication can be taken with or without food.

To help you remember to take your medication, it may be easier to take it at the same time every day.

If you take more Fesoterodina Liconsa than you should

If you have taken more tablets than you should or if someone else has taken your tablets by accident, contact your doctor or hospital immediately. Show them the package of tablets.

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 Fesoterodina Liconsa

If you have forgotten to take a tablet, take it as soon as you remember, but do not take more than one tablet in a day. Do not take a double dose to make up for forgotten doses.

If you stop taking Fesoterodina Liconsa

Do not stop taking fesoterodine without talking to your doctor first, as the symptoms of overactive bladder may return or worsen when you stop taking this medication.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects

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

Some side effects can be serious

• Rarely, severe allergic reactions may occur, including angioedema. You should stop taking this medication and contact your doctor immediately if you develop swelling in the face, mouth, or throat, as this can be potentially life-threatening.

Other side effects

Very common(may affect more than 1 in 10 people):

• You may notice dry mouth. This effect is usually mild or moderate. This may increase the risk of tooth decay. Therefore, you should brush your teeth habitually twice a day and visit a dentist if in doubt.

Common(may affect up to 1 in 10 people)

• dry eyes
• constipation
• digestive disorders (dyspepsia)
• pain or discomfort when urinating (dysuria)
• dizziness
• headache
• stomach pain
• diarrhea
• nausea
• difficulty sleeping (insomnia)
• dry throat.

Uncommon(may affect up to 1 in 100 people)

• urinary tract infection
• drowsiness
• difficulty tasting (dysgeusia)
• vertigo
• skin rash
• dry skin
• itching
• stomach discomfort
• gas (flatulence)
• difficulty emptying the bladder (urinary retention)
• delayed urination (urinary hesitancy)
• intense fatigue
• increased heart rate (tachycardia)
• palpitations
• liver problems
• cough
• dry nose
• sore throat
• acid reflux
• blurred vision.

Rare(may affect up to 1 in 1,000 people)

• hives
• confusion
• numbness around the mouth (oral hypoesthesia).

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly to the Spanish Medicines and Healthcare Products Agency (AEMPS) through the website: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of Fesoterodina Liconsa

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

Do not use this medication after the expiration date stated on the packaging and blister, after “EXP”. The expiration date is the last day of the month indicated.

Do not store above 25°C.

Keep in the original packaging to protect from moisture.

Medicines should not be disposed of via wastewater or household waste. Return the packaging and any unused medication to the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.

6. Contents of the pack and other information

Composition of Fesoterodina Liconsa

• The active substance is fesoterodine fumarate.

Fesoterodina Liconsa 4 mg prolonged-release tablets EFG: Each prolonged-release tablet contains 4 mg of fesoterodine fumarate, equivalent to 3.1 mg of fesoterodine.

Fesoterodina Liconsa 8 mg prolonged-release tablets EFG: Each prolonged-release tablet contains 8 mg of fesoterodine fumarate, equivalent to 6.2 mg of fesoterodine.

• The other components are:

Core of the tablet: fructose, lactose monohydrate, microcrystalline cellulose, hypromellose, dibehenate of glycerol, talc.

Coating of the tablet: poly(vinyl alcohol), titanium dioxide (E171), macrogol, talc, and carmine indigo (E132).

Appearance of the product and contents of the pack

Fesoterodina Liconsa 4 mg: film-coated tablets, elliptical, biconvex, blue, approximately 6 mm in diameter, engraved with “F4” on one side and smooth on the other.

Fesoterodina Liconsa 8 mg: film-coated tablets, elliptical, biconvex, dark blue, approximately 6 mm in diameter, engraved with “F8” on one side and smooth on the other.

Fesoterodina Liconsa is available in blister packs of 14, 28, 30, 56, 84, 98, and 100 prolonged-release tablets.

Not all pack sizes may be marketed.

Marketing authorisation holder

Laboratorios Liconsa S.A.

C/ Dulcinea S/N, 28805 Alcalá de Henares,

Madrid – Spain

Manufacturer

Laboratorios Liconsa, S.A.

Avda. Miralcampo, 7

Polígono Industrial Miralcampo,

19200 Azuqueca de Henares, Guadalajara

Spain

or

Laboratorios Normon, S.A.

Ronda Valdecarrizo 6

28760 Tres Cantos, Madrid

Spain

Date of last revision of this leaflet:06/2024

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