OLANZAPINE RATIO 10 mg ORALLY DISINTEGRATING TABLETS

Introduction

Package Leaflet: Information for the User

Olanzapine ratio 10 mg orodispersible tablets EFG

Olanzapine

1. What is Olanzapine ratio and what is it used for

Olanzapine ratio contains the active substance Olanzapine. Olanzapine ratio belongs to a group of medicines called antipsychotics.

Olanzapine ratio is used to:

? treat a disease with symptoms such as hearing, seeing or feeling unreal things, mistaken beliefs, unusual suspiciousness and a tendency to withdraw. People suffering from these diseases may also be depressed, anxious or tense.

? treat a disorder characterized by symptoms such as feeling euphoric, having excessive energy, a need to sleep much less than usual, talking very quickly with a flight of ideas and, sometimes, considerable irritability. It is also a mood stabilizer that prevents the appearance of extreme variations in mood.

2. What you need to know before you take Olanzapine ratio

Do not take Olanzapine ratio:

? if you are allergic to the active substance or to any of the other ingredients of this medicine (listed in section 6). The allergic reaction may manifest as a rash, itching, swelling of the face or lips or difficulty breathing. If this happens to you, tell your doctor.

? if you have previously been diagnosed with eye problems such as certain types of glaucoma (increased pressure in the eye).

Warnings and precautions

Talk to your doctor or pharmacist before starting to take Olanzapine ratio

? The use of olanzapine is not recommended in elderly patients with dementia as it may have serious side effects

? Medicines of this type may cause unusual movements, especially in the face or tongue. If this happens to you after taking Olanzapine, tell your doctor.

? In very rare cases, medicines of this type produce a combination of fever, rapid breathing, sweating, muscle stiffness and a state of confusion or drowsiness. If this happens to you, contact your doctor immediately.

? Weight gain has been observed in patients taking Olanzapine. You and your doctor should check your weight regularly. If necessary, your doctor can help you plan a diet or consider referring you to a nutritionist.

? High levels of sugar and fats (triglycerides and cholesterol) have been observed in the blood of patients taking Olanzapine. Your doctor should perform blood tests to control your blood sugar and fat levels before you start taking Olanzapine and regularly during treatment.

? If you or someone in your family has a history of blood clots, consult your doctor, as medicines of this type have been associated with the formation of blood clots.

If you suffer from any of the following diseases, tell your doctor as soon as possible:

• Diabetes
• Heart disease
• Liver or kidney disease
• Parkinson's disease
• Epilepsy
• Prostate problems
• Intestinal blockage (Paralytic ileus)
• Blood disorders
• Stroke or transient cerebral ischemia (transient stroke symptoms)

If you suffer from dementia, you or your caregiver or family member should inform your doctor if you have ever had a stroke or cerebral ischemia.

As a routine precaution, if you are over 65 years old, it would be advisable for your doctor to check your blood pressure.

Children and adolescents

Patients under 18 years of age should not take Olanzapine ratio.

Other medicines and Olanzapine ratio

Only use other medicines at the same time as Olanzapine ratio if your doctor authorizes it. You may feel drowsy if you combine Olanzapine ratio with antidepressants or medicines for anxiety or to help you sleep (tranquilizers).

You should inform your doctor if you are taking fluvoxamine (antidepressant) or ciprofloxacin (antibiotic), as it may be necessary to modify your dose of Olanzapine ratio.

Tell your doctor or pharmacist if you are taking or have recently taken other medicines or if you might need to take another medicine.

Tell your doctor especially if you are using:

• medication for Parkinson's disease.
• carbamazepine (an antiepileptic and mood stabilizer), fluvoxamine (an antidepressant) or ciprofloxacin (an antibiotic). Your dose of Olanzapine ratio may need to be changed.

Taking Olanzapine ratio with food, drinks, and alcohol

Olanzapine ratio can be taken with or without food.

You should not drink alcohol if you have been given Olanzapine ratio because the combination of Olanzapine ratio and alcohol can cause drowsiness.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant or plan to become pregnant, consult your doctor before using this medicine.

Pregnancy

Newborns of mothers who have used Olanzapine ratio in the last trimester of pregnancy may present with the following symptoms: tremors, muscle stiffness and/or weakness, drowsiness, agitation, breathing problems, and feeding problems. If your newborn presents with any of these symptoms, contact your doctor.

Breastfeeding

You should not take this medicine when you are breastfeeding because small amounts of Olanzapine ratio may pass into breast milk.

Driving and using machines

Olanzapine ratio may cause symptoms such as drowsiness, dizziness, or changes in vision, and may reduce your reaction ability. These effects, as well as the disease itself, may make it difficult for you to drive vehicles or operate machines. Therefore, do not drive, operate machines, or engage in other activities that require special attention until your doctor assesses your response to this medicine.

Olanzapine ratio contains lactose and aspartame

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

This medicine contains 4.50 mg of aspartame in each tablet.

Aspartame is a source of phenylalanine that may be harmful in case of phenylketonuria (PKU), a rare genetic disease in which phenylalanine accumulates because the body is unable to eliminate it properly.

3. How to take Olanzapine ratio

Follow exactly the administration instructions of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist if you have doubts.

Your doctor will indicate how many Olanzapine ratio tablets you should take and for how long.

The daily dose of Olanzapine ratio ranges from 5 mg to 20 mg. Consult your doctor if you suffer from symptoms again, but do not stop taking Olanzapine ratio unless your doctor tells you to.

You should take your Olanzapine ratio tablets once a day, following your doctor's instructions. Try to take the tablets at the same time every day. The tablets are for oral administration. Suck the tablets until they are completely dissolved in the mouth.

If you take more Olanzapine ratio than you should

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 ingested.

Patient who have taken more Olanzapine ratio than they should have experienced the following symptoms: rapid heartbeat, agitation/aggressiveness, speech problems, unusual movements (especially of the face and tongue) and a reduced level of consciousness.

Other symptoms may include: acute confusion, seizures (epilepsy), coma, a combination of fever, rapid breathing, sweating, muscle stiffness, and a state of confusion or drowsiness, slowing of respiratory rate, aspiration, increased or decreased blood pressure, and abnormal heart rhythms.

If you forget to take Olanzapine ratio

Take your tablet as soon as you remember. Do not take a double dose to make up for the forgotten dose.

If you stop taking Olanzapine ratio

Do not stop treatment when you feel better. It is very important that you continue taking Olanzapine ratio while your doctor tells you to.

If you suddenly stop taking Olanzapine ratio, you may have symptoms such as sweating, insomnia, tremors, anxiety, nausea, or vomiting. Your doctor may suggest gradually reducing the dose before stopping treatment.

Patient under 18 years of age should not take Olanzapine ratio.

If you have any further questions on 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.

Contact your doctor immediately if you have:

? Unusual movements (a frequent side effect that can affect up to 1 in 10 patients), especially of the face or tongue

? Blood clots in the veins (an uncommon side effect that can affect up to 1 in 100 patients), especially in the legs (symptoms include sweating, pain, and redness in the leg), which can travel through the blood to the lungs, causing chest pain and difficulty breathing. If you experience any of these symptoms, go to the doctor immediately

? A combination of fever, rapid breathing, sweating, muscle stiffness, and a state of confusion or drowsiness (the frequency cannot be estimated from the available data)

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

? Weight gain

? Drowsiness

? Increased prolactin levels in the blood

? In the early stages of treatment, some people experience dizziness or fainting (with slower heartbeats), especially when getting up from a lying or sitting position. This feeling usually disappears on its own, but if it does not, inform your doctor

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

? Changes in the levels of some blood cells, circulating lipids, and temporary increases in liver enzymes at the start of treatment

? Increased blood sugar and urine levels

? Increased levels of uric acid, creatine phosphokinase in the blood, and increased alkaline phosphatase

? Increased appetite

? Dizziness

? Agitation

? Tremors

? Abnormal movements (dyskinesia)

? Constipation

? Dry mouth

? Skin rash

? Joint pain

? Loss of strength

? Excessive fatigue

? Fluid retention that causes swelling of the hands, ankles, or feet

? Fever

? Sexual dysfunction such as decreased libido in men and women or erectile dysfunction in men

Uncommon side effects: (may affect up to 1 in 100 patients)

? Hypersensitivity (e.g., inflammation of the mouth and throat, itching, skin rash)

? Diabetes or worsening of diabetes, occasionally related to ketoacidosis (acetone in blood and urine) or coma

? Seizures, in most cases related to a history of seizures (epilepsy)

? Muscle stiffness or spasms (including eye movements)

? Restless legs syndrome

? Speech problems

? Slow pulse

? Abnormal heart rhythm

? Sensitivity to sunlight

? Nosebleeds

? Blood clots such as deep vein thrombosis of the legs and blood clots in the lungs

? Abdominal distension

? Memory loss or forgetfulness

? Urinary incontinence

? Urinary retention

? Difficulty urinating

? Hair loss

? Absence or decrease of menstrual periods

? Changes in the breast gland in men and women, such as abnormal milk production or abnormal growth

? Increased total bilirubin

• Excessive salivation

Rare side effects: (may affect up to 1 in 1000 patients)

? Decreased platelets

? Decrease in normal body temperature

? Withdrawal syndrome when stopping treatment

? Sudden unexplained death

? Rapid heartbeat

? Pancreatitis, which causes severe stomach pain, fever, and discomfort

? Liver disease, with yellowing of the skin and the white areas of the eyes

? Muscle disorder that presents as unexplained pain

? Prolonged and/or painful erection

Side effects of unknown frequency (cannot be estimated from the available data)

? Withdrawal syndrome in newborns

During treatment with olanzapine, elderly patients with dementia may suffer from stroke, pneumonia, urinary incontinence, falls, extreme fatigue, visual hallucinations, a rise in body temperature, skin redness, and walking problems.

A small increase in the number of deaths has been reported in elderly patients with dementia treated with antipsychotics, compared to those who do not receive this treatment.

Olanzapine ratio may worsen symptoms in patients with Parkinson's disease.

In rare cases, women who have been taking medicines of this type for a long time may secrete milk from the breast gland, stop having menstrual periods, or have them irregularly. If this situation persists, consult your doctor. In very rare cases, babies of mothers who have taken Olanzapine ratio in the last stage of pregnancy (third trimester) may present with tremors, drowsiness, or lethargy.

Severe allergic reactions, such as Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), have been reported. DRESS initially manifests with symptoms similar to those of the flu, with a skin rash on the face that then spreads to other areas, fever, swelling of the lymph nodes, elevated liver enzyme levels in blood tests, and an increase in a type of white blood cell (eosinophilia).

Reporting of side effects:

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if it is possible side effects not listed in this leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency's website: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Olanzapine ratio

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

This medicine does not require special storage conditions.

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

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and further information

Composition of Olanzapine ratio:

• The active substance is olanzapine. Each tablet contains 10 mg of active substance.

• The other ingredients are: Mannitol (E421), aspartame (E951), magnesium stearate (E470B), crospovidone, lactose monohydrate, hydroxypropylcellulose (E463), lemon flavor.

Appearance of the product and contents of the pack.

Olanzapine ratio 10 mg tablets are yellow, round, 10 mm in diameter.

Olanzapine ratio 10 mg is available in tablet form. It is available in packs of 28 and 56 tablets.

Other presentations

Olanzapine ratio 5 mg: Pack of 28 tablets.

Marketing authorization holder and manufacturer:

Marketing authorization holder

Teva Pharma, S.L.U.

Anabel Segura, 11, Edificio Albatros B, 1st floor,

Alcobendas, 28108, Madrid

Manufacturer:

Teva Pharma, S.L.U.

Malpica industrial estate, C/ C 4,

50016 Zaragoza.

Date of last revision of this leaflet:April 2020

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