ROSUVASTATIN ALMUS 20 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the User

Rosuvastatina Almus 20 mg film-coated tablets EFG

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

1. What is Rosuvastatina Almus and what is it used for

Rosuvastatina Almus belongs to a group of medicines called statins.

You have been prescribed Rosuvastatina Almus because:

• You have high levels of cholesterol. This means you are at risk of having a heart attack or stroke. Rosuvastatina Almus is used in adults, adolescents, and children aged 6 years and older to treat high cholesterol.
• You have been told to take a statin because changes to your diet and increasing exercise have not been enough to correct your cholesterol levels. You should continue with a diet and exercise program while taking Rosuvastatina Almus.
• You have other factors that increase your risk of having a heart attack, stroke, or other related health problems.

Heart attack, stroke, and other related health problems can be caused by a disease called atherosclerosis. Atherosclerosis is caused by the buildup of fatty deposits in your arteries.

Why it is important to keep taking Rosuvastatina Almus

Rosuvastatina Almus is used to correct the levels of fatty substances in the blood called lipids, the most well-known of which is cholesterol.

There are different types of cholesterol in the blood, the "bad" cholesterol (LDL-C) and the "good" cholesterol (HDL-C).

• Rosuvastatina decreases the amount of "bad" cholesterol and increases the "good" cholesterol.
• It works by blocking the production of "bad" cholesterol and improving the body's ability to remove it from the blood.

In most people, high cholesterol levels do not affect how they feel because they do not cause any symptoms. However, if left untreated, fatty deposits can build up in the walls of blood vessels, causing them to narrow.

Sometimes, these narrowed blood vessels can become blocked, cutting off the blood supply to the heart or brain, causing a heart attack or stroke. By lowering your cholesterol levels, you can reduce your risk of having a heart attack, stroke, or related health problems.

You need to keep taking Rosuvastatina Almus, even if you have already achieved the correct cholesterol levels, because it prevents cholesterol levels from rising againand causing the buildup of fatty deposits. However, you should stop taking it if your doctor tells you to or if you become pregnant.

2. What you need to know before you take Rosuvastatina Almus

Do not take Rosuvastatina Almus:

• If you are allergicto the active substance rosuvastatina or any of the other ingredients of this medicine (see section 6).
• If you are pregnant or breast-feeding. If you become pregnant while taking rosuvastatina, stop taking it immediately and inform your doctor. Women should avoid becoming pregnant during treatment with Rosuvastatina Almus using an appropriate contraceptive method.
• If you have liver disease.
• If you have severe kidney problems.
• If you have repeated or unexplained muscle pains.
• If you are taking a medicine called ciclosporin(e.g., after an organ transplant).
• If you have ever developed a severe skin rash or peeling of the skin, blisters, and/or sores in the mouthafter taking Rosuvastatina Almus or other related medicines.

If you are in any of the above situations (or if you are unsure), please consult your doctor.

Also, do not take Rosuvastatina 40 mg (the highest dose of this medicine):

• If you have moderate kidney problems(if you are unsure, consult your doctor).
• If your thyroid gland does not work properly.
• If you have repeated or unexplained muscle pains, a personal or family history of muscle problems, or a previous history of muscle problems during treatment with other cholesterol-lowering medicines.
• If you regularly drink large amounts of alcohol.
• If you are of Asian origin(e.g., Japanese, Chinese, Filipino, Vietnamese, Korean, or Indian).
• If you are taking other medicines called fibratesto lower cholesterol.

If you are in any of the above situations (or if you are unsure), please consult your doctor.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Rosuvastatina Almus:

• If you have kidney problems.
• If you have liver problems.
• If you have repeated or unexplained muscle pains, a personal or family history of muscle problems, or a previous history of muscle problems during treatment with other cholesterol-lowering medicines. Inform your doctor immediately if you have unexplained muscle pain, especially if you feel unwell or have a fever. Also, inform your doctor or pharmacist if you experience persistent muscle weakness.
• If you have or have had myasthenia(a disease characterized by muscle weakness that can affect the muscles used for breathing) or ocular myasthenia(a disease that causes weakness of the eye muscles), as statins can sometimes worsen the condition or trigger the onset of myasthenia (see section 4).
• If you regularly drink large amounts of alcohol.
• If your thyroid gland does not work properly.
• If you are taking other medicines called fibratesto lower cholesterol.
• If you are taking medicines to treat HIV or hepatitis C infection, such as ritonavir with lopinavir and/or atazanavir or simeprevir. Please see the section: Taking Rosuvastatina Almus with other medicines.
• If you are taking antibiotics that contain fusidic acid. If you are taking or have taken in the last 7 days a medicine that contains fusidic acid (used to treat bacterial infections) orally or by injection. The combination of fusidic acid and Rosuvastatina Almus can rarely cause serious muscle problems (rhabdomyolysis).

Children and adolescents

If the patient is under 6 years of age: Rosuvastatina Almus should not be givento children under 6 years of age.

If the patient is under 18 years of age: Rosuvastatina 40 mg film-coated tablets are not suitablefor children and adolescents under 18 years of age.

• If you are over 70 years old(as your doctor will determine the starting dose of Rosuvastatina Almus suitable for you)
• If you have severe respiratory failure.
• If you are of Asian origin(e.g., Japanese, Chinese, Filipino, Vietnamese, Korean, or Indian). Your doctor will determine the starting dose of Rosuvastatina Almus suitable for you.

If you are in any of these situations (or if you are unsure):

• Do not take Rosuvastatina 40 mg (the highest dose of this medicine) and consult your doctor or pharmacist before starting to take any dose of Rosuvastatina.

Severe skin reactions, including Stevens-Johnson syndrome and drug reaction with eosinophilia and systemic symptoms (DRESS), have been reported in patients taking Rosuvastatina Almus. Stop taking Rosuvastatina Almus and seek medical attention immediately if you notice any of the symptoms described in section 4.

In a small number of people, statins can affect the liver. This can be detected by a simple blood test that checks for increased levels of liver enzymes in the blood. For this reason, your doctor will normally perform blood tests (liver function tests) before and after starting treatment with rosuvastatina.

While taking this medicine, your doctor will closely monitor you if you have diabetes or are at risk of developing diabetes. You are likely to be at risk of developing diabetes if you have high blood sugar levels, are overweight, and have high blood pressure.

Taking Rosuvastatina Almus with other medicines

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

• If you need to take fusidic acid orally to treat a bacterial infection, you will need to stop taking this medicine temporarily. Your doctor will tell you when you can restart treatment with Rosuvastatina Almus. The use of Rosuvastatina Almus with fusidic acid can rarely cause muscle weakness, tenderness, or pain (rhabdomyolysis). For more information on rhabdomyolysis, see section 4.

Tell your doctor if you are using any of the following medicines:

• ciclosporin (used after an organ transplant)
• warfarin or clopidogrel (or any other anticoagulant medicine)
• fibrates (such as gemfibrozil, fenofibrate) or any other medicine used to lower cholesterol (such as ezetimibe)
• treatments for indigestion (used to neutralize stomach acid)
• erythromycin (an antibiotic)
• oral contraceptives (the pill)
• hormone replacement therapy
• regorafenib (used to treat cancer)
• any of the following medicines used to treat viral infections, including HIV or hepatitis C infection, alone or in combination (see Warnings and Precautions): ritonavir, lopinavir, atazanavir, simeprevir, ombitasvir, paritaprevir, dasabuvir, velpatasvir, grazoprevir, elbasvir, glecaprevir, pibrentasvir.

The effects of these medicines may be altered by Rosuvastatina Almus or may alter the effect of Rosuvastatina Almus.

Pregnancy and breast-feeding

Do not take Rosuvastatina Almusif you are pregnant or breast-feeding. If you become pregnant while taking Rosuvastatina Almus, stop taking it immediately and inform your doctor. Women should avoid becoming pregnant during treatment with Rosuvastatina Almus using an appropriate contraceptive method.

Consult your doctor or pharmacist before using any medicine.

Driving and using machines

Most patients can drive and use machines while taking Rosuvastatina Almus as it is unlikely to affect their ability. However, some people may feel dizzy while taking Rosuvastatina Almus. If you feel dizzy, consult your doctor before attempting to drive or use machines.

Rosuvastatina Almus contains lactose and sodium.

Lactose

If your doctor has told you that you have an intolerance to some sugars, consult them before taking this medicine.

Sodium

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

To see the complete list of excipients, please refer to the section "Contents of the pack and other information".

3. How to take Rosuvastatina Almus

Follow the instructions for administration of this medicine exactly as told by your doctor. If you are unsure, consult your doctor or pharmacist again.

Usual dose in adults

If you are taking Rosuvastatina Almus for high cholesterol:

Starting dose:

Your treatment with Rosuvastatina Almus should start with a dose of 5 mg or 10 mg, even if you have taken a higher dose of another statin before. The choice of starting dose will depend on:

• Your cholesterol levels
• Your level of risk of having a heart attack or stroke
• If you have factors that make you more vulnerable to possible side effects.

Check with your doctor or pharmacist what the best starting dose of Rosuvastatina Almus is for you.

Your doctor may decide to start treatment with the lowest dose (5 mg) if:

• You are of Asian origin(e.g., Japanese, Chinese, Filipino, Vietnamese, Korean, or Indian).
• You are over 70 years old.
• You have moderate kidney problems.
• You are at risk of muscle pains (myopathy).

Dose increase and maximum daily dose

Your doctor may decide to increase your dose so that you are taking the dose of Rosuvastatina Almus that is right for you. If you started with a dose of 5 mg, your doctor may decide to double the dose to 10 mg, then to 20 mg, and later to 40 mg, if necessary. If you started with a dose of 10 mg, your doctor may decide to double the dose to 20 mg and then to 40 mg, if necessary. There will be an interval of four weeks between each dose adjustment.

The maximum daily dose of Rosuvastatina is 40 mg. This dose is only for patients with high cholesterol and a high risk of having a heart attack or stroke, whose cholesterol levels do not decrease sufficiently with 20 mg.

If you are taking Rosuvastatina Almus to reduce the risk of having a heart attack, stroke, or related health problems:

The recommended dose is 20 mg once daily. However, your doctor may decide to use a lower dose if you have any of the factors mentioned above.

Use in children and adolescents aged 6-17 years

The recommended starting dose is 5 mg. Your doctor may increase your dose to achieve the dose of Rosuvastatina Almus that is right for treating your condition. The maximum recommended daily dose is 10 mg for children aged 6 to 9 years and 20 mg for children aged 10 to 17 years. Take the dose prescribed by your doctor once daily. Do notgive rosuvastatina 40 mgtablets to children.

Taking the tablets

Swallow each tablet whole with water.

Take Rosuvastatina Almus once daily. You can take it at any time of day, with or without food. Try to take the tablets at the same time each day. This will help you remember to take them.

Regular checks of cholesterol levels

It is important that you visit your doctor regularly to have your cholesterol levels checked, to ensure that your cholesterol levels have returned to normal and remain at appropriate levels.

Your doctor may decide to increase your dose so that you are taking the dose of Rosuvastatina Almus that is right for you.

If you take more Rosuvastatina Almus than you should

Contact your doctor or the nearest hospital for advice.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, telephone 91 562 04 20, indicating the medicine and the amount taken.

If you are admitted to hospital or receive treatment for another condition, inform the medical staff that you are taking rosuvastatina.

If you forget to take Rosuvastatina Almus

Do not worry, just take the next scheduled dose at the planned time. Do not take a double dose to make up for a forgotten dose.

If you stop taking Rosuvastatina Almus

Consult your doctor if you want to stop taking Rosuvastatina Almus. Your cholesterol levels may rise again if you stop taking Rosuvastatina Almus.

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

4. Possible Adverse Effects

Like all medicines, this medicine can cause adverse effects, although not all people suffer from them.

It is essential that you know what these adverse effects may be. They are usually mild and disappear in a short period.

Stop taking Rosuvastatina Almus and seek immediate medical attentionif you notice any of the following symptoms:

• Difficulty breathing, with or without swelling of the face, lips, tongue, and/or throat.
• Swelling of the face, lips, tongue, and/or throat that can cause difficulty swallowing.
• Intense itching of the skin (with hives).
• Red spots on the torso, not elevated, in a target or circular shape, often with central blisters, skin peeling, ulcers in the mouth, throat, nose, genitals, and eyes. These severe skin eruptions can be preceded by fever and flu-like symptoms (Stevens-Johnson syndrome).
• Widespread rash, high body temperature, and enlarged lymph nodes (DRESS or drug hypersensitivity syndrome).

Also, stop taking Rosuvastatina Almus and consult your doctor immediately if you experience:

• Unjustified muscle pain and cramps that last longer than expected. Muscle symptoms are more frequent in children and adolescents than in adults. As with other statins, a very small number of people have suffered unpleasant muscle effects that, rarely, have resulted in a potentially fatal muscle injury called rhabdomyolysis
• Lupus-like syndrome (including skin rashes, joint disorders, and effects on blood cells)
• Muscle rupture (pain and/or functional disability to use the affected body part, muscle pain, sensitivity, mild swelling, significant loss of strength, and occasionally bruising)

Common Adverse Effects (may affect up to 1 in 10 people):

• Headache.
• Stomach pain.
• Constipation.
• Nausea.
• Muscle pain.
• Weakness.
• Dizziness.
• An increase in the amount of protein in the urine – this usually reverses on its own without the need to interrupt treatment with Rosuvastatina Almus tablets (only with the daily dose of 40 mg of rosuvastatina).
• Diabetes. This is more likely if you have high sugar and lipid levels in your blood, are overweight, and have high blood pressure. Your doctor will closely monitor you while you are taking this medicine.

Uncommon Adverse Effects (may affect up to 1 in 100 people):

• Urticaria, itching, and other skin reactions.
• An increase in the amount of protein in the urine – this usually reverses on its own without the need to interrupt treatment with Rosuvastatina Almus tablets (only with doses of 5 mg, 10 mg, and 20 mg of Rosuvastatina Almus).

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

• Severe allergic reaction – symptoms include swelling of the face, lips, tongue, and/or throat, difficulty swallowing and breathing, intense itching of the skin (with hives). If you think you are having an allergic reaction, stop taking Rosuvastatina Almusand seek immediate medical attention.
• Muscle injury in adults – as a precaution, stop taking Rosuvastatina Almus and consult your doctor immediately if you have unjustified muscle pain or crampsthat last longer than expected.
• Severe stomach pain (possible sign of pancreatitis).
• Increase in liver enzymes in the blood.

Very Rare Adverse Effects (may affect up to 1 in 10,000 people):

• Jaundice (yellowing of the skin and eyes).
• Hepatitis (inflamed liver).
• Traces of blood in the urine.
• Nerve damage in the legs and arms (with numbness).
• Joint pain.
• Memory loss.
• Increase in breast size in men (gynecomastia).

Adverse Effects of Unknown Frequency (cannot be estimated from the available data) that may include:

• Diarrhea (loose stools).
• Cough.
• Shortness of breath.
• Edema (swelling).
• Sleep disturbances, including insomnia and nightmares.
• Sexual difficulties.
• Depression.
• Respiratory problems, including persistent cough and/or shortness of breath or fever.
• Tendon injuries.
• Constant muscle weakness.
• Severe myasthenia (a disease that causes generalized muscle weakness that, in some cases, affects the muscles used for breathing).
• Ocular myasthenia (a disease that causes weakness of the eye muscles).

Consult your doctor if you experience weakness in your arms or legs that worsens after periods of activity, double vision or drooping eyelids, difficulty swallowing, or difficulty breathing.

Reporting Adverse Effects

If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that is not listed in this prospectus. You can also report them directly through the Spanish Medicines Agency's website: www.notificaRAM.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of Rosuvastatina Almus

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

Do not use this medicine after the expiration date that appears on the packaging after CAD. The expiration date is the last day of the month indicated.

Blister:

Store below 30 ºC.

HDPE bottle:

No special storage conditions are required.

Medicines should not be thrown away through wastewater or household waste. Deposit the packaging and medicines you no longer need at the SIGRE point in the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This way, you will help protect the environment.

6. Package Contents and Additional Information

Composition of Rosuvastatina Almus

The active ingredient is rosuvastatina.

Each film-coated tablet contains rosuvastatina calcium equivalent to 20 mg of rosuvastatina.

The other ingredients are:

Core of the tablet:

Microcrystalline cellulose

Lactose monohydrate

Crospovidone (type B)

Hydroxypropyl cellulose

Sodium hydrogen carbonate

Magnesium stearate

Coating:

Lactose monohydrate

Hypromellose 6 Cp

Titanium dioxide (E171)

Triacetin

Red iron oxide (E172)

Appearance of the Product and Package Contents

Rosuvastatina Almus 20 mg film-coated tablets EFG are pink, round, biconvex, scored on one side, and marked with a "20" on the other.

Rosuvastatina Almus 20 mg film-coated tablets EFG: The tablets can be divided into two equal halves.

Rosuvastatina Almus is available in packages with blisters of 7, 14, 15, 20, 28, 30, 30 x 1, 42, 50, 50 x 1, 56, 60, 84, 90, 98, 100, and 100 x 1 film-coated tablets and HDPE bottles of 30 and 100 film-coated tablets.

Only some package sizes may be marketed.

Marketing Authorization Holder

Almus Farmacéutica, S.A.U.

Marie Curie, 54

08840 Viladecans (Barcelona), Spain

Phone: 93 739 71 80

Email: farmacovigilancia@almusfarmaceutica.es

Manufacturer:

PLIVA Hrvatska d.o.o. (PLIVA Croatia Ltd.)

Prilaz Baruna Filipovica 25

10000- Zagreb, Croatia

Merckle GmbH

Ludwig-Merckle-Strasse 3

D-89143 Blaubeuren, Germany

TEVA PHARMA S.L.U.

C/ C, nº 4

Polígono Industrial Malpica

50016 Zaragoza, Spain

This medicine is authorized in the EEA member states under the following names:

FR: Rosuvastatine Almus 20 mg, film-coated tablet

IT: Rosuvastatina Almus 20 mg film-coated tablets

ES: Rosuvastatina Almus 20 mg film-coated tablets EFG

Date of the last revision of this prospectus: 10/2023

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