LINESTAT 60 mg HARD CAPSULES

Introduction

Package Leaflet: Information for the User

Linestat 60 mg Hard Capsules

Orlistat

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 pharmacist.

If you experience any side effects, talk to your doctor or pharmacist, even if it is not listed in this leaflet. See section 4.

• If you do not lose weight after taking Linestat for 12 weeks, talk to your doctor or pharmacist. You may need to stop taking Linestat.

Contents of the Pack

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

1. What is Linestat and what is it used for

Linestat is used to help with weight loss in adults over 18 years of age who are overweight, with a body mass index (BMI) of 28 or higher. Linestat should be used in combination with a low-calorie, low-fat diet.

BMI is a way to find out if you have a healthy weight or if you are overweight, taking into account your height. The table below will help you find out if you are overweight and if this medicine is suitable for you.

Check your weight in the table below. If your weight is lower than the weight listed next to your height, do not take this medicine.

Risks of being overweight

Being overweight increases the risk of developing serious health problems, such as diabetes or heart disease. These conditions may not make you feel unwell, so you should see your doctor for a general check-up.

How Linestat works

The active ingredient in Linestat (orlistat) is designed to target the fat in your digestive system. It prevents about a quarter of the fat you eat from being absorbed. This fat will be eliminated from your body in your stools. You may experience treatment-related effects (see section 4). Therefore, it is important that you follow a low-calorie, low-fat diet to control these effects. If you do, the action of the capsules will help you in your efforts to lose more weight than just with diet alone. For every 2 kg you lose just with diet, Linestat may help you lose an additional 1 kg.

2. What you need to know before taking Linestat

Do not takeLinestatif:

• you are allergic to orlistat or any of the other ingredients of this medicine (listed in section 6),
• you are pregnant or breastfeeding,
• you are taking ciclosporin, used after organ transplants, for severe rheumatoid arthritis, and for certain severe skin conditions,
• you are taking warfarin or other anticoagulant medicines,
• you have cholestasis (a disease where bile flow from the liver is blocked),
• you have problems absorbing food (chronic malabsorption syndrome) diagnosed by a doctor.

Warnings and precautions

Talk to your doctor or pharmacist before starting to take Linestat.

• If you have diabetes. Consult your doctor if you need to adjust your anti-diabetic medication.

• If you have any kidney disease. Talk to your doctor before taking this medicine if you have kidney problems. The use of orlistat may be associated with kidney stones in patients with chronic kidney disease.

Children and adolescents

Children and adolescents under 18 years of age should not take this medicine.

Taking Linestat with other medicines

Linestat may affect some medicines you are taking.

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

Do not take Linestat with the following medicines:

• Ciclosporin, used after organ transplants, for severe rheumatoid arthritis, and for certain severe skin conditions.
• Warfarin or other anticoagulant medicines.

Using oral contraceptives with Linestat:

• Oral contraceptives may be less effective if you have severe diarrhea. Use an additional contraceptive method if you have severe diarrhea.

Multivitamin complexes and Linestat:

• It is recommended to take a multivitamin complex every day, as this medicine may reduce the levels of some vitamins absorbed by the body. The multivitamin complex should contain vitamins A, D, E, and K. Take it before bedtime, when you will not be taking Linestat, to ensure that the vitamins are absorbed.

Talk to your doctor before taking Linestat if you are taking:

• Amiodarone, used for heart rhythm problems,
• Acarbose (an anti-diabetic used to treat type 2 diabetes mellitus), the use of Linestat is not recommended in people taking acarbose,
• A medicine for the thyroid (levothyroxine), as you may need to adjust the dose and take your medicines at different times of the day,
• A medicine for epilepsy, as any changes in the frequency and severity of seizures should be discussed with your doctor.

• HIV medicines. It is important that you consult your doctor before taking Linestat if you are receiving treatment for HIV.
• Medicines for depression, psychiatric disorders, or anxiety.

Talk to your doctor or pharmacist while taking Linestat:

• If you are taking any medicine for high blood pressure, as you may need to adjust the dose.
• If you are taking any medicine for high cholesterol, as you may need to adjust the dose.

Taking Linestat with food and drink

Linestat should be used in combination with a low-calorie, low-fat diet. Try to start this diet before you start treatment. For information on how to set your calorie and fat goals, see "More useful information" in section 6.

You can take Linestat immediately before, during, or up to one hour after a meal. The capsule should be swallowed with water. This usually means one capsule with breakfast, one with lunch, and one with dinner. Make sure your three main meals are balanced and low in calories and fat.

If you miss a meal or if your meal does not contain fat, do not take a capsule. This medicine does not work unless the meal contains some fat.

If you take a meal with high fat content, do not take a higher dose than recommended. Taking a capsule with a meal that contains too much fat increases the chances of experiencing treatment-related effects (see section 4). You should make every effort to avoid meals with high fat content while taking Linestat.

Pregnancy and breastfeeding

Do not take Linestat during pregnancy or breastfeeding.

Driving and using machines

It is unlikely that Linestat will affect your ability to drive or use machines.

Linestat contains sodium

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

3. How to take Linestat

Preparation for weight loss

1. Choose your start date

Choose the day you will start using the capsules in advance. Before you start taking the capsules, start your low-calorie, low-fat diet and give your body a few days to adjust to your new eating habits. Keep a record of what you are eating in a food diary. These food diaries are effective because they make you aware of what you are eating, how much you are eating, and provide a basis for making changes.

1. Decide on your weight loss goal

Think about how much weight you want to lose and set a weight goal. A realistic goal is to lose between 5% and 10% of your initial weight. The amount of weight you lose may vary from week to week. You should try to lose weight at a gradual and steady rate of about 0.5 kg per week.

1. Set your calorie and fat goals

To help you reach your weight loss goal, you need to set two daily goals, one for calories and one for fat. For more information, see "More useful information" in section 6.

Taking Linestat

Adults over 18 years of age

• Take one capsule, three times a day.
• Take Linestat just before, during, or up to one hour after meals. This usually means one capsule with breakfast, one with lunch, and one with dinner. Make sure your three main meals are balanced and low in calories and fat.
• If you miss a meal or if your meal does not contain fat, do not take a capsule. Linestat does not work unless the meal contains some fat.
• Swallow the capsule whole with water.
• Do not take more than three capsules per day.
• Take low-fat meals to help reduce treatment-related effects (see section 4).
• Try to be more physically active before starting treatment. Exercise is an important part of weight loss programs. Remember to consult your doctor if you have not exercised before.
• Continue to be active while taking Linestat and after stopping it.

How long should I take Linestat?

• Linestat should not be taken for more than 6 months.
• If you do not lose weight after taking this medicine for 12 weeks, talk to your doctor or pharmacist. You may need to stop taking it.
• To be successful in weight loss, it is not enough to eat differently for a short period and then return to old habits. People who lose weight and maintain weight loss make lifestyle changes, including changes in what they eat and how active they are.

If you take more Linestat than you should

Do not take more than three capsules per day.

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 taken.

If you forget to take Linestat

If you forget to take a dose of Linestat:

• If it is less than one hour since your last meal, take the missed dose.
• If it is more than one hour since your last meal, do not take the missed dose. Wait and take the next dose with your meal as usual.

If you have any further 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 everybody gets them.

Most of the common side effects related to the use of Linestat (such as gas with or without oily spots, or more frequent and softer stools) are the result of its mechanism of action (see section 1). Take low-fat foods to try to control these treatment-related effects.

Serious side effects

The frequency of these side effects is not known.

Severe allergic reactions

• Signs of a severe allergic reaction include: severe difficulty breathing, sweating, skin rash, itching, swelling of the face, rapid heartbeat, and collapse.

Stop taking the capsules and seek medical help immediately.

Other serious side effects

• Rectal bleeding,
• Diverticulitis (inflammation of the large intestine). Symptoms include pain in the lower abdomen, possibly with fever and constipation,
• Pancreatitis (inflammation of the pancreas). Symptoms may include severe abdominal pain, sometimes radiating to the back, possibly with fever, nausea, and vomiting,
• Blisters on the skin (including blisters that burst),
• Severe stomach pain caused by gallstones (stones in the gallbladder),
• Hepatitis (inflammation of the liver). Symptoms may include yellowing of the skin and eyes, itching, dark urine, stomach pain, and a sensitive liver (indicated by pain under the front of the rib cage on the right side), sometimes with loss of appetite.
• Oxalate nephropathy (calcium oxalate deposits that can lead to kidney stones). See section 2, be especially careful with Linestat.

Stop taking the capsules. Tell your doctor if you experience any of these effects.

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

• Gas (flatulence) with or without oily spots,
• Sudden bowel movements,
• Oily or fatty stools,
• Soft stools,

Tell your doctor or pharmacist if any of these side effects get worse or become more serious.

Common side effects(may affect up to 1 in 10 people)

• Stomach pain (abdominal),
• Incontinence (fecal),
• Fluid or liquid stools,
• More frequent stools,
• Anxiety,

Tell your doctor or pharmacist if any of these side effects get worse or become more serious.

Side effects observed in blood tests(the frequency of these effects is not known)

• Increased levels of some liver enzymes,
• Effects on blood clotting in people taking warfarin or other anticoagulant medicines.

Tell your doctor that you are taking Linestat when you have a blood test.

Reporting side effects

If you experience any side effects, talk to your doctor or pharmacist, even if it is not listed in this 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.

Learn to control treatment-related effects

The most common side effects are caused by the mechanism of action of the capsules and occur due to the elimination of some of the fat from your body. These effects usually occur during the first few weeks of using the capsules, before you have learned to limit the amount of fat in your diet. These treatment-related effects can be a sign that you have eaten more fat than you should have.

You can learn to minimize treatment-related effects by following these basic guidelines:

• Start a low-fat diet a few days, or even a week, before you start taking the capsules.
• Find out more about the fat content of your favorite foods and the size of the portions. If you become familiar with portions, you will be less likely to accidentally exceed your fat goal.
• Distribute your daily fat limit evenly across meals throughout the day. Do not "save" fat and calorie intake for a meal with high fat content or a dessert, as you may have done with other weight loss programs.
• Most users who experience these effects find that they can control them and manage them by adjusting their diet.

Do not worry if you do not experience these problems. This does not mean that the capsules are not working.

5. Storage of Linestat

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

? Do not store above 25°C.

? Store in the original packaging to protect from light and moisture.

? Do not use this medicine after the expiry date stated on the carton and label after EXP. The expiry date is the last day of the month shown.

Medicines should not be disposed of via wastewater or household waste. Return the containers and any unused medicines to the pharmacy. If you are unsure, ask your pharmacist how to dispose of the containers and any unused medicines. This will help protect the environment.

6. Package Contents and Additional Information

Linestat Composition

• The active ingredient is orlistat. Each hard capsule contains 60 mg of orlistat.
• The other components are:

Capsule content: microcrystalline cellulose, sodium carboxymethyl starch (type A) of potato, anhydrous colloidal silica, and sodium lauryl sulfate.

Capsule body: gelatin, carmine indigo (E132), and titanium dioxide (E171).

Product Appearance and Package Contents

Linestat 60 mg hard capsules have a light blue body and cap.

Linestat 60 mg hard capsules are available in packages of 42, 84, and 120 capsules.

Only some package sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Teva Pharma S.L.U.

C/Anabel Segura 11, Edificio Albatros B 1ª planta

28108 Alcobendas, Madrid (Spain)

Manufacturer

Pharmaceutical Works POLPHARMA SA

Pelplinska 19

83-200 Starogard Gdanski

Poland

or

RONTIS HELLAS MEDICAL AND PHARMACEUTICAL PRODUCTS S.A.

P.O. BOX 3012 Larisa Industrial Area,

Larisa, 41004 Greece

Date of Last Revision of this Leaflet: January 2022

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

MORE USEFUL INFORMATION

Risks of Being Overweight

Being overweight will affect your health and increase your risk of developing serious health problems such as:

• Hypertension
• Diabetes
• Heart disease
• Stroke
• Certain types of cancer
• Osteoarthritis

Talk to your doctor about the risk of developing these diseases.

Importance of Weight Loss

Losing weight and maintaining weight loss, for example by improving your diet and increasing your physical activity, can help you reduce the risks of serious health problems and improve your health.

Useful Tips on Your Diet and Calorie and Fat Goals While Taking Linestat

Linestat should be used with a low-calorie and low-fat diet. The capsules work by preventing some of the fat you eat from being absorbed, but you can still eat foods from all the main food groups. Although you should focus on the calories and fat you eat, it is essential to eat a balanced diet. You should choose meals that contain a range of different nutrients and learn to eat healthily in the long term.

Understanding the Importance of Calorie and Fat Goals

Calories are a measure of the energy your body needs. Sometimes they are called kilocalories or kcal. Energy can also be measured in kilojoules, which you may also have seen in nutritional tables.

• Your calorie goal is the maximum number of calories you will eat each day. See the chart included later in this section.
• Your fat goal is the maximum number of grams of fat you will eat at each meal. The fat goal chart has been developed based on the information shown below on how to set your calorie goal.
• Controlling your fat goal is essential due to the mechanism of action of the capsules. Taking Linestat means that your body will eliminate more fat, and therefore it will be more challenging to handle as much fat in meals as before. Therefore, by adjusting to your fat goal, you will maximize your weight loss results while minimizing the risk of treatment-related effects on your diet.
• You should aim to lose weight gradually and consistently. Ideally, you should lose around 0.5 kg per week.

How to Set Your Calorie Goal

The following table has been designed to provide you with a calorie goal that is approximately 500 calories less than your body needs to maintain your current weight. This means up to 3,500 calories less per week, approximately the number of calories in 0.5 kg of fat.

Your calorie goal should allow you to lose weight at a gradual and stable rate of 0.5 kg per week without feelings of frustration or deprivation.

It is not recommended to take less than 1200 kcal per day.

You will need to know your physical activity level to set your calorie goals. The more active you are, the higher your calorie goal will be.

• Low activity means that you never or almost never walk, climb stairs, garden, or engage in other daily activities.
• Moderate activity means burning 150 calories per day in physical activity. Examples of moderate activity are walking approximately three kilometers, gardening for 30 to 45 minutes, or running two kilometers in 15 minutes. Choose the level that best fits your daily routine. If you are unsure which level you are at, choose Low activity.

Women

Men

How to Set Your Fat Goal

The following chart shows how to set your fat goal based on the number of calories you can take per day. You should plan to have three meals a day. If you have set a goal of 1,400 calories per day, for example, the maximum amount of fat allowed per meal would be 15 g. To stay within the assigned amount of fat, snacks should not contain more than 3 g of fat.

Remember

• Adjust to realistic calorie and fat goals, as it is a way to maintain long-term weight loss achievements.
• Write down what you eat in a food diary, including calorie and fat content.
• Try to be more physically active before starting to take the capsules. Physical activity is an essential part of a weight loss program. Remember to consult with your doctor if you have not exercised before.

Continue being active while taking Linestat and after stopping treatment.