Prospecto:Information for the User

Fingolimod Dr. Reddys 0.5 mg Hard Capsules EFG

fingolimod

Read this prospectus carefully before starting to take this medicine, because it contains important information for you.

• Keep this prospectus, as you may need to read it again.
• If you have any doubts, consult your doctor or pharmacist.

-This medicine has been prescribed only for you, and you must not give it to other people, even if they have the same symptoms as you, as it may harm them.

• If you experience any adverse effects, consult your doctor or pharmacist, even if they are not listed in this prospectus. See section 4.

1.What is Fingolimod Dr. Reddys and what is it used for

2.What you need to know before starting to take Fingolimod Dr. Reddys

3.How to take Fingolimod Dr. Reddys

4.Possible adverse effects

5.Storage of Fingolimod Dr. Reddys

6.Contents of the package and additional information

What is Fingolimod Dr. Reddys

Fingolimod Dr. Reddys contains the active ingredient fingolimod.

What is Fingolimod Dr. Reddys used for

Fingolimod Dr. Reddys is used in adults and in children and adolescents (10 years of age and older) to treat relapsing-remitting multiple sclerosis (MS), particularly in:

• patients who do not respond to treatment despite treatment for MS. Or
• patients who rapidly develop severe MS.

Fingolimod Dr. Reddys does not cure MS, but helps to reduce the number of relapses and slow down the progression of physical disabilities due to MS.

What is multiple sclerosis

MS is a chronic disease that affects the central nervous system (CNS), consisting of the brain and spinal cord. In MS, inflammation destroys the protective covering (called myelin) that surrounds the nerves in the CNS and prevents nerves from functioning correctly. This process is called demyelination.

Relapsing-remitting MS is characterized by repeated attacks (relapses) of CNS symptoms that are a reflection of the inflammation that occurs in the CNS. Symptoms vary from patient to patient, but usually consist of difficulties walking, numbness in some part of the body (tingling), vision problems, or balance disorders. Symptoms of a relapse may disappear completely when the relapse ends, but some problems may persist.

How Fingolimod Dr. Reddys works

Fingolimod helps combat the attacks of the immune system on the CNS by reducing the ability of some white blood cells (lymphocytes) to move freely within the body and preventing them from reaching the brain and spinal cord. This limits nerve damage attributed to MS. Fingolimod also reduces some of the immune responses of your body.

Do not take Fingolimod Dr. Reddys

• if you areallergic to fingolimodor to any of the other ingredients of this medicine (listed in section 6)
• if you have aweakened immune system(due to immunodeficiency syndrome, disease, or medications that suppress the immune system)
• if you have aserious active infectionor a chronic active infection such as hepatitis or tuberculosis
• if you haveactive cancer
• if you havesevere liver problems
• if, in the last 6 months, you have had a heart attack, angina, stroke, or transient ischemic attack, or any type of heart failure
• if you have any type ofirregular or abnormal heart rhythm(arrhythmia), including patients in whom the electrocardiogram (ECG) shows prolongation of the QT interval before starting treatment with fingolimod
• if you are taking or have recently taken medications for irregular heart rhythmssuch as quinidine, disopyramide, amiodarone, or sotalol
• if you arepregnantorif you are a woman of childbearing potential and do not use an effective contraceptive method

If any of these cases apply to you or you are unsure, speak with yourdoctor before taking Fingolimod Dr. Reddys.

Warnings and precautions

Consult your doctor before starting to take Fingolimod Dr. Reddys:

• if you have severe respiratory problems when sleeping (severe sleep apnea)
• if you have been told you have an abnormal electrocardiogram
• if you have symptoms of slow heart rhythm (e.g., dizziness, nausea, or palpitations)
• if you are taking or have recently taken medications that slow your heart rate(such as beta-blockers, verapamil, diltiazem, or ivabradine, digoxin, anticholinesterase agents, or pilocarpine)
• if you have a history of sudden loss of consciousness or fainting (syncope)
• if you plan to get vaccinated
• if you have never had chickenpox
• if you have or have had eye inflammation or other signs of inflammation in the central vision area (macula) of the back of the eye (a condition known as macular edema, see below) or if you have diabetes (which can cause eye problems)
• if you have liver problems
• if you havehigh blood pressure that cannot be controlled with medication
• if you havesevere lung problemsor "smoker's cough"

If any of these cases apply to you or you are unsure, speak with your,doctor before taking Fingolimod Dr. Reddys.

Slow heart rate (bradycardia) and irregular heartbeats

At the start of treatment or after taking the first dose of 0.5 mg, in the case that you have been changed from a previous dose of 0.25 mg once a day, fingolimod causes a decrease in heart rate. As a result, you may feel dizzy or tired, be aware of your heartbeat, or have a decrease in blood pressure.If these effects are severe, inform your doctor as you may need immediate treatment.Fingolimod can also make your heartbeats irregular, especially after the first dose. Irregular heartbeats usually normalize within less than a day. The slow heart rate usually normalizes within a month. During this period, no clinically significant effects on heart rate are generally expected.

Your doctor will ask you to stay in the consultation or hospital for a minimum of 6 hours, with pulse and blood pressure checks every hour, after taking the first dose of fingolimod or after taking the first dose of 0.5 mg, in the case that you have been changed from a previous dose of 0.25 mg once a day, to take appropriate measures if adverse effects appear at the start of treatment. You will need to have an electrocardiogram before the first dose of fingolimod and after the 6-hour monitoring period. Your doctor may continuously monitor your electrocardiogram during this time. If, after the 6-hour period, you have a very slow or decreasing heart rate, or if your electrocardiogram shows abnormalities, you will need to be monitored for a longer period (at least 2 hours more and possibly overnight, until this is resolved). The same may apply if you are restarting fingolimod after a pause in treatment, depending on both the duration of the pause and how long you were taking fingolimod before the pause.

If you have, or are at risk of having, irregular or abnormal heartbeats, if your electrocardiogram is abnormal, or if you have a heart disease or heart failure, fingolimod may be suitable for you.

If you have had sudden fainting episodes in the past or decreased heart rate, fingolimod may not be suitable for you. You will be evaluated by a cardiologist (heart specialist) who will advise you on how to start treatment with fingolimod, including monitoring during the night.

If you are taking other medications that can slow your heart rate, fingolimod may not be suitable for you. It is necessary for a cardiologist to evaluate you, and it is they who will decide if you can change to alternative medications that do not slow your heart rate to allow treatment with fingolimod. If this change is impossible, the cardiologist will advise you on how to start treatment with fingolimod, including monitoring during the night.

If you have never had chickenpox

If you have not had chickenpox, your doctor will check your immunity to the virus that causes it (varicella-zoster virus). If you are not protected against the virus, your doctor will probably delay starting treatment with fingolimod for a month after completing the vaccination cycle.

Infections

Fingolimod reduces the number of white blood cells (especially lymphocytes). White blood cells fight infections.During treatment with fingolimod (and for up to 2 months after stopping treatment), you may be more susceptible to infections. You may even have a worsening of an existing infection. If you think you have an infection, have fever, feel like you have the flu, have shingles, or have headache accompanied by neck stiffness, sensitivity to light, nausea, skin rash, and/or confusion or seizures (which can be symptoms of meningitis and/or encephalitis caused by a fungal or viral infection), contact your doctor immediately, as it could be serious and potentially fatal.

If you think your MS is worsening (e.g., weakness or changes in vision) or if you notice any new symptoms, inform your doctor immediately, as they may be symptoms of a rare brain disorder caused by an infection called progressive multifocal leukoencephalopathy (PML). PML is a serious disease that can cause severe disability or death. Your doctor will evaluate the need for a magnetic resonance imaging (MRI) scan to assess your condition and decide if you need to stop taking fingolimod.

There have been reports of human papillomavirus (HPV) infection, including papilloma, dysplasia, warts, and cancer associated with HPV, in patients treated with fingolimod. Your doctor will evaluate if you need to be vaccinated against HPV before starting treatment. If you are a woman, your doctor will also recommend HPV screening.

Macular edema

Before starting treatment with fingolimod, your doctor may request that you have an eye examination if you have or have had visual disturbances or other signs of inflammation in the central vision area (macula) of the back of the eye, eye inflammation or infection (uveitis), or diabetes.

After starting treatment with fingolimod, your doctor may request that you have an eye examination 3 or 4 months after starting treatment.

The macula is a small area of the retina located at the back of the eye that allows you to see shapes, colors, and details clearly and clearly. Fingolimod can cause inflammation of the macula, and this condition is known as macular edema. Inflammation usually occurs within the first four months of treatment with fingolimod.

If you havediabetesor have had eye inflammation known as uveitis, you are more likely to develop macular edema. In these cases, your doctor will want to have regular eye checks to detect macular edema.

If you have had macular edema, consult your doctor before continuing treatment with fingolimod.

Macular edema can cause the same visual symptoms as an MS attack (optic neuritis). At first, you may not have any symptoms. It is necessary to communicate any changes you notice in your vision to your doctor. Your doctor may want to perform an eye examination, especially if:

• the center of your visual field becomes blurry or contains shadows;
• a blind spot appears in the center of your visual field;
• you have trouble seeing colors or small details.

Liver function tests

If you have severe liver problems, do not take fingolimod. Fingolimod can affect your liver function. You may not notice any symptoms, but if you notice a yellowish discoloration of the skin or the white of the eyes, dark urine (brown color), right-sided abdominal pain, fatigue, decreased appetite, nausea, or vomiting, inform your doctor immediately.Inform your doctor immediately if you have any of these symptoms after starting treatment with fingolimod.

Before, during, and after treatment, your doctor will request blood tests to monitor your liver function. You may need to stop treatment with fingolimod if the results of your blood tests indicate a liver problem.

High blood pressure

As fingolimod causes a slight increase in blood pressure, your doctor will want to monitor your blood pressure regularly.

Lung problems

Fingolimod has a mild effect on lung function. Patients with severe lung problems or "smoker's cough" have a higher probability of developing adverse effects.

Blood count

The expected effect of treatment with fingolimod is to reduce the number of white blood cells in your blood. This effect usually normalizes within 2 months after stopping treatment. If you need to have blood tests, inform your doctor that you are taking fingolimod, as if you do not, the doctor may not understand the results of the blood tests. For certain blood tests, your doctor may need to take more blood than usual.

Before starting treatment with fingolimod, your doctor will confirm if you have enough white blood cells in your blood and may want to repeat the checks regularly. If you do not have enough white blood cells, you may need to stop treatment with Gilenia.

Posterior reversible encephalopathy syndrome (PRES)

Rarely, a condition called posterior reversible encephalopathy syndrome (PRES) has been described in patients with MS treated with fingolimod. Symptoms may include sudden and intense headache, confusion, seizures, and changes in vision. Inform your doctor immediately if you experience any of these symptoms during treatment with fingolimod, as it can be serious.

Cancer

In patients with MS who have been treated with fingolimod, cases of skin cancer have been reported. Inform your doctor immediately if you notice any nodules on your skin (e.g., shiny nodules with a pearl-like appearance), spots, or open wounds that do not heal within weeks. Symptoms of skin cancer may include abnormal growth or changes in skin tissue (e.g., unusual moles) that change color, shape, or size over time. Before starting treatment with fingolimod, your doctor will examine your skin to check for any nodules on your skin. Your doctor will also perform regular skin checks during treatment with fingolimod. If any skin problems appear, your doctor may refer you to a dermatologist, who may decide if you need regular visits.

In patients with MS who have been treated with fingolimod, a type of lymphoma has been reported.

Exposure to the sun and sun protection

Fingolimod weakens your immune system, increasing the risk of developing cancer, especially skin cancer. You should limit your exposure to the sun and UV rays by:

• using protective clothing
• regularly applying a high-protection sunscreen

Unusual brain lesions associated with MS relapses

Rare cases of large and unusual brain lesions associated with MS relapses have been reported in patients treated with fingolimod. In the case of severe relapses, your doctor will evaluate the need for an MRI scan to assess your condition and decide if you need to stop taking fingolimod.

Switching from other treatments to fingolimod

Your doctor may switch you directly from interferon beta, glatiramer acetate, or dimethyl fumarate to fingolimod if there are no signs of abnormalities caused by previous treatment. Your doctor may need to perform a blood test to rule out these abnormalities. After stopping natalizumab, you may need to wait 2-3 months before starting treatment with fingolimod.

To switch from teriflunomide, your doctor may advise you to wait or undergo accelerated elimination. If you have been treated with alemtuzumab, a thorough evaluation is necessary, and you should discuss it with your doctor to decide if fingolimod is suitable for you.

Women of childbearing potential

If fingolimod is used during pregnancy, it may be harmful to the fetus. Before starting treatment with fingolimod, your doctor will explain the risks and ask you to have a pregnancy test to ensure you are not pregnant. Your doctor will give you a card explaining why you should not become pregnant while taking fingolimod. They will also explain what you should do to avoid becoming pregnant while taking fingolimod. During treatment and for 2 months after stopping treatment, you must use an effective contraceptive method to avoid becoming pregnant. Talk to your doctor about reliable contraceptive methods.

Worsening of MS after stopping treatment with fingolimod

Do not stop taking fingolimod or change the dose your doctor has prescribed without discussing it with your doctor first.

Inform your doctor immediately if you think your MS is worsening after stopping treatment with fingolimod, as it can be serious (see section 3 "If you stop treatment with Fingolimod Dr. Reddys" and also section 4 "Possible side effects").

Older adults

The experience with fingolimod in patients over 65 years old is limited. If you have any doubts, consult your doctor.

Children and adolescents

Fingolimod should not be administered to children under 10 years of age as it has not been studied in patients with MS in this age group.

The warnings and precautions mentioned above also apply to children and adolescents. The following information is especially important for children and adolescents and their caregivers:

• Before starting treatment with fingolimod, your doctor will check your vaccination status. If you have not been vaccinated with certain vaccines, you may need to have them before starting treatment with fingolimod.
• The first time you take fingolimod, or when changing from a daily dose of 0.25 mg to a daily dose of 0.5 mg, your doctor will monitor your heart rate and heartbeats (see the previous section "Slow heart rate (bradycardia) and irregular heartbeats").
• If you have seizures or attacks before taking or while taking fingolimod, inform your doctor.
• If you suffer from depression or anxiety or if you feel depressed or anxious during treatment with fingolimod, inform your doctor. You may need closer monitoring.

Other medications and Fingolimod Dr. Reddys

Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medication. Inform your doctor if you are taking any of the following medications:

• medications that suppress or modulate the immune system,includingother medications used to treat MS, such as interferon beta, glatiramer acetate, natalizumab, mitoxantrone, teriflunomide, dimethyl fumarate, or alemtuzumab. You should not use fingolimod with these medications because this could intensify the effect on the immune system (see also "Do not take Fingolimod Dr. Reddys").
• corticosteroidsdue to an additional effect on the immune system.
• vaccines. If you need a vaccine, inform your doctor first. During treatment with fingolimod and for up to 2 months after stopping treatment, you should not be given certain types of vaccines (vaccines made with live, attenuated viruses) as they may cause the infections that these vaccines are intended to prevent. Other vaccines may not have the desired effect if given during this period of time.
• medications that slow heart rate(e.g., beta-blockers such as atenolol). The use of fingolimod with these medications may intensify the effect on heart rate during the first few days after starting treatment with fingolimod.
• medications for irregular heartbeats, such as quinidine, disopyramide, amiodarone, or sotalol. If you are taking any of these medications, you should not use fingolimod, as this could intensify the effect on irregular heartbeats (see also the section "Do not take Fingolimod Dr. Reddys").
• orother medications:

• protease inhibitors, antifungals such as ketoconazole, azole antifungals, clarithromycin, or telithromycin.
• carbamazepine, rifampicin, phenobarbital, phenytoin, efavirenz, or St. John's Wort (potential risk of reduced efficacy of fingolimod).

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, or if you think you may be pregnant, consult your doctor before using this medication.

Pregnancy

Do not use fingolimod during pregnancy, or if you are planning to become pregnant, or if you are a woman who may become pregnant and do not use an effective contraceptive method. If fingolimod is used during pregnancy, there is a risk of harming the fetus. The rate of congenital malformations observed in babies exposed to fingolimod during pregnancy is approximately 2 times higher than that observed in the general population (where the rate of congenital malformations is approximately 2-3%). The most frequently reported malformations included heart, kidney, and musculoskeletal malformations.

Therefore, if you are a woman of childbearing potential:

• before starting treatment with fingolimod, your doctor will inform you about the risk to the fetus and ask you to have a pregnancy test to ensure you are not pregnant,

and,

• during treatment with fingolimod and for 2 months after stopping treatment, you must use an effective contraceptive method to avoid becoming pregnant. Talk to your doctor about reliable contraceptive methods.

Your doctor will give you a card explaining why you should not become pregnant while taking fingolimod.

If you become pregnant during treatment with fingolimod, inform your doctor immediately.Your doctor will decide to stop treatment (see section 3 "If you stop treatment with Fingolimod Dr. Reddys" and also section 4 "Possible side effects"). You will have specific prenatal follow-up.

Breastfeeding

Do not breastfeed during treatment with fingolimod.

Fingolimod passes into breast milk, and there is a risk that the baby may have severe adverse effects.

Driving and operating machinery

Your doctor will inform you if your disease allows you to drive vehicles, including bicycles, and use machines safely. Fingolimod is not expected to have an influence on your ability to drive and use machines.

However, after taking the first dose of fingolimod, you will need to stay in the consultation or hospital for 6 hours. During this period and possibly afterwards, your ability to drive and use machines may be impaired.

Fingolimod Dr. Reddys contains sodium.

This medicine contains less than 1 mmol of sodium (23 mg) per capsule, which is essentially "sodium-free".

The treatment with fingolimod will be supervised by a doctor with experience in the treatment of multiple sclerosis.

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

The recommended dose is:

Adults:

The dose is one capsule of 0.5 mg per day.

Use in children and adolescents (10 years of age and older):

The dose depends on body weight:

• Children and adolescents with a body weight equal to or less than 40 kg: onecapsule of 0.25 mg per day.

Fingolimod Dr. Reddys 0.5 mg hard capsules are not suitable for pediatric patients with a body weight ≤ 40 kg. Other medications containing fingolimod are available in a lower concentration (such as 0.25 mg capsules).

• Children and adolescents with a body weight greater than 40 kg: one capsule of 0.5 mg per day.

Children and adolescents who start with one capsule of 0.25 mg per day and later reach a stable weight greater than 40 kg, the doctor will instruct them to switch to one capsule of 0.5 mg per day. In this case, it is recommended to repeat the observation period of the first dose.

Do not exceed the recommended dose.

Fingolimod Dr. Reddys is taken orally.

Take Fingolimod Dr. Reddys once a day with a glass of water. Fingolimod Dr. Reddys capsules must always be swallowed whole, without opening. You can take Fingolimod Dr. Reddys with or without food.

Taking Fingolimod Dr. Reddys every day at the same time will help you remember when to take the medication. If you have doubts about the duration of treatment with Fingolimod Dr. Reddys, consult your doctor or pharmacist.

If you take more Fingolimod Dr. Reddys than you should

If you have taken more Fingolimod Dr. Reddys than you should, inform your doctor immediately.

If you forgot to take Fingolimod Dr. Reddys

If you have been taking fingolimod for less than 1 month and forget to take 1 dose for an entire day, talk to your doctor before taking the next dose. Your doctor may decide to keep you under observation when you take the next dose.

If you have been taking fingolimod for at least 1 month and forget to take your treatment for more than 2 weeks, talk to your doctor before taking the next dose. Your doctor may decide to keep you under observation when you take the next dose. However, if you forget to take your treatment for a period of up to 2 weeks, you can take the next dose as planned.

Never take a double dose to compensate for missed doses.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.

If you interrupt treatment with Fingolimod Dr. Reddys

Do not stop taking Fingolimod Dr. Reddys or change the dose that should be taken without consulting your doctor first.

Fingolimod will remain in your body for up to two months after treatment interruption. The number of white blood cells in the blood (lymphocyte count) may remain low during this period and it is possible that the adverse effects described in this prospectus may still occur. After interrupting treatment with fingolimod, you may need to wait 6-8 weeks before starting a new treatment with EM.

If you need to restart treatment with fingolimod after a pause of more than two weeks, the effect on heart rhythm that may occur at the beginning of treatment may repeat and you will need to be monitored in the medical consultation to restart treatment. Do not restart treatment with fingolimod after interrupting it for more than two weeks without consulting your doctor.

Your doctor will decide if you need to be followed up after interrupting treatment with fingolimod and how. Inform your doctor immediately if you think your MS is worsening after interrupting treatment with fingolimod, as it could be serious.

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.

Some side effects can be serious or potentially serious

Frequent(may affect up to 1 in 10 patients)

• Cough with phlegm (mucus), chest discomfort, fever (signs of lung changes)
• Herpes virus infection (cold sore or shingles) with symptoms such as blisters, itching, burning, or skin pain, especially on the upper body or face. Other symptoms you may have are fever and weakness in the early stages of the infection, followed by numbness, itching, or red spots with intense pain
• Slow heart rate (bradycardia), irregular heart rhythm
• A type of skin cancer called basal cell carcinoma (BCC) that often presents as a pearl-like nodule, although it can also have other forms
• It is known that the population with multiple sclerosis has depression and anxiety more frequently, and it has also been reported in pediatric patients treated with fingolimod.
• Weight loss.

Less frequent(may affect up to 1 in 100 patients)

• Pneumonia, with symptoms such as fever, cough, difficulty breathing
• Macular edema (inflammation in the central vision area of the retina in the back of the eye) with symptoms such as shadows or a blind spot or no vision in the center of the visual field, blurry vision, problems seeing colors or details
• Decreased platelet count, which increases the risk of bleeding or hematomas
• Malignant melanoma (a type of skin cancer that usually develops from an unusual mole). Possible signs of melanoma include moles that over time can change in size, shape, thickness, or color, or the formation of new moles. Moles can cause itching, bleeding, or ulceration
• Seizures, attacks (more common in children and adolescents than in adults)

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

• A disease called reversible posterior leukoencephalopathy syndrome (RPLS). Symptoms may include the sudden and intense onset of headache, confusion, seizures, and/or visual disturbances
• Lymphoma (a type of cancer that affects the lymphatic system)
• Squamous cell carcinoma: a type of skin cancer that can present as a firm, red nodule, a sore with a scab, or a new sore over an existing scar

Very rare(may affect up to 1 in 10,000 patients)

• Electrocardiogram anomaly (T wave inversion)
• Tumor related to human herpesvirus 8 infection (Kaposi's sarcoma)

Frequency unknown(cannot be estimated from available data)

• Allergic reactions, including symptoms of rash or urticaria with itching, swelling of lips, tongue, or face, which is more likely to appear on the day treatment with fingolimod begins
• Signs of liver disease (including liver failure), such as yellowing of the skin or white of the eyes (jaundice), nausea or vomiting, pain in the right side of the stomach (abdomen), dark urine (brown), decreased appetite, fatigue, and abnormal liver function tests. In a very small number of cases, liver failure could lead to liver transplantation.
• Risk of a rare brain infection called progressive multifocal leukoencephalopathy (PML). Symptoms of PML may be similar to those of MS. You may also experience symptoms that you may not notice yourself, such as changes in mood or behavior, memory loss, difficulty speaking and communicating, which your doctor may need to investigate further to rule out PML. Therefore, if you think your MS is getting worse or if you or those around you notice any new or unusual symptoms, it is very important to inform your doctor as soon as possible
• Cryptococcal infections (a type of fungal infection), including cryptococcal meningitis with symptoms such as headache accompanied by neck stiffness, sensitivity to light, nausea, and/or confusion
• Merkel cell carcinoma (a type of skin cancer). Possible signs of Merkel cell carcinoma include the formation of a painless, flesh-colored or red-blue nodule, usually on the face, head, or neck. Merkel cell carcinoma can also present as a nodule or firm, painless mass. Long-term exposure to sunlight and a weakened immune system may affect the risk of developing Merkel cell carcinoma.
• After stopping treatment with fingolimod, MS symptoms may reappear and may be worse than they were before or during treatment.
• Autoimmune hemolytic anemia (a decrease in the number of red blood cells) in which red blood cells are destroyed.

If you have any of these symptoms,inform your doctor immediately.

Other side effects

Very frequent(may affect more than 1 in 10 patients)

• Influenza virus infection with symptoms such as fatigue, chills, sore throat, joint or muscle pain, fever
• Sensation of pressure or pain in the cheeks and forehead (sinusitis)
• Headache
• Diarrhea
• Back pain
• Blood test with alterations in liver enzyme levels
• Cough

Frequent(may affect up to 1 in 10 patients)

• Pityriasis versicolor (fungal infection of the skin)
• Dizziness
• Severe headache, usually accompanied by nausea, vomiting, and sensitivity to light (migraine)
• Low white blood cell count (lymphocytes, leukocytes)
• Weakness
• Eczema with itching, redness of the skin, and burning (eczema)
• Itching
• Increased blood levels of certain lipids (triglycerides)
• Hair loss

Difficulty breathing

• Depression
• Blurred vision (see also the section on macular edema under the title "Some side effects can be serious or potentially serious")
• Hypertension (fingolimod may cause a slight increase in blood pressure)
• Muscle pain
• Joint pain

Poorly frequent(may affect up to 1 in 100 patients)

• Low neutrophil count
• Depressive mood
• Nausea

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

• Lymphoma (a type of cancer that affects the lymphatic system)

Frequency unknown(cannot be estimated from available data)

• Peripheral inflammation

If you consider that any of the side effects you are experiencing are serious, inform your doctor.

Reporting side effects

If you experience any type of side effect, consult your doctor, the hospital 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 the Vigilance of Medicinal Products 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 packaging and the aluminum blister after “CAD”. The expiration date is the last day of the month indicated.

This medication does not require special storage conditions.

Do not use this medication if you observe that the packaging is damaged or shows signs of having been manipulated.

Medications should not be disposed of through drains or in the trash. Dispose of the packaging 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 packaging and medications you no longer need. In this way, you will help protect the environment.

Fingolimod Dr. Reddys Composition

The active ingredient is fingolimod.

Each capsule contains 0.5 mg of fingolimod (as hydrochloride).

The other components are:

Capsule content: beta-cyclodextrin, magnesium stearate.

Capsule coating: yellow iron oxide (E172), titanium dioxide (E171), gelatin, sodium lauryl sulfate.

Printing ink: shellac, black iron oxide (E172), potassium hydroxide.

Appearance of the product and contents of the package

Fingolimod Dr. Reddys 0.5 mg hard capsules are hard gelatin capsules of white to off-white color, size 3, with a dark yellow opaque cap with "FGM" printed in black ink and a white opaque body with "0.5 mg" printed in black ink.

Fingolimod Dr. Reddys 0.5 mg hard capsules are available in packages containing 7 x 1, 7, 28, 42, 56, or 98 capsules or in multiple packs containing 56 (2 x 28) or 84 capsules (3 packs of 28 capsules).

It is possible that not all package sizes are marketed in your country.

Marketing authorization holder and responsible manufacturer

Marketing authorization holder

Reddy Pharma Iberia, S.A.

Avda Josep Tarradellas, nº 38

08029 Barcelona (Spain)

Telephone: 93 355 49 16

Fax: 93 355 49 61

Responsible manufacturer:

betapharm Arzneimittel GmbH

Kobelweg 95,

86156 Augsburg (Germany)

Fax number: 004982174881-420

Telephone number: 004982174881-0

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

Last review date of thisleaflet:July 2021.

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