LANSOPRAZOL CINFAMED 15 mg GASTRO-RESISTANT CAPSULES

2. What you need to know before you take Lansoprazole Cinfamed

Do not take Lansoprazole Cinfamed

• If you are allergic to lansoprazole or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Tell your doctor if you have a severe liver disease. The doctor may need to adjust the dose.

Your doctor may have performed or may perform an additional test called endoscopy to diagnose your disease and/or rule out a malignant disease.

In case you experience diarrhoea during treatment with lansoprazol, contact your doctor immediately, as lansoprazol has been associated with a slight increase in infectious diarrhoea.

If your doctor has prescribed lansoprazol in addition to other medicines intended for the treatment of Helicobacter pyloriinfection (antibiotics) or together with anti-inflammatory drugs to treat pain or rheumatism, also read carefully the package leaflets of these medicines.

Taking a proton pump inhibitor like lansoprazole, especially over a period of more than one year, may slightly increase the risk of hip, wrist, or spine fractures. Tell your doctor if you have osteoporosis (reduced bone density) or if your doctor has told you that you are at risk of osteoporosis (for example, if you are taking steroids).

If you have been taking lansoprazol for a long time (more than 1 year), your doctor will probably monitor you regularly. During your visits to the doctor, you should inform him of any new or unusual symptoms or circumstances.

Consult your doctor before starting to take lansoprazol:

• If you have reduced body stores of vitamin B12 or risk factors for this and you receive long-term treatment with lansoprazol. Like all medicines that reduce acid, lansoprazol may reduce the absorption of vitamin B12.
• If a specific blood test (Chromogranin A) is scheduled.
• If you have ever had a skin reaction after treatment with a medicine similar to lansoprazol to reduce stomach acid.
• If you get a skin rash, especially in areas of the skin exposed to the sun, contact your doctor as soon as possible, as it may be necessary to interrupt treatment with lansoprazol. Remember to mention any other symptoms you may notice, such as joint pain.
• There have been reports of serious skin reactions with lansoprazol (Stevens-Johnson syndrome, toxic epidermal necrolysis, and drug rash with eosinophilia and systemic symptoms (DRESS)). Stop using lansoprazol and contact your doctor immediately if you experience any of the symptoms related to serious skin reactions described in section 4.
• When taking lansoprazol, kidney inflammation may occur. The signs and symptoms may include decreased urine output or the presence of blood in the urine and/or hypersensitivity reactions such as fever, skin rash, and joint stiffness. You should inform your doctor of these signs.

Other medicines and Lansoprazole Cinfamed

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including those obtained without a prescription.

In particular, tell your doctor or pharmacist if you are taking medicines that contain any of the following active substances, as lansoprazol may affect their mode of action:

• HIV protease inhibitors such as atazanavir and nelfinavir (used to treat HIV)
• methotrexate (used to treat autoimmune diseases and cancer)
• ketoconazole, itraconazole, rifampicin (used to treat infections)
• digoxin (used to treat heart problems)
• warfarin (used to treat blood clots)
• theophylline (used to treat asthma)
• tacrolimus (used to prevent transplant rejection)
• fluvoxamine (used to treat depression and other psychiatric disorders)
• antacids (used to treat heartburn or acid regurgitation)
• sucralfate (used to heal ulcers)
• St. John's Wort (Hypericum perforatum) (used to treat mild depression)

Taking Lansoprazole Cinfamed with food and drinks

To get the best results from your medicine, you should take lansoprazol at least 30 minutes before meals with a glass of water.

Pregnancy, breast-feeding, and fertility

If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Lansoprazol is unlikely to affect your ability to drive or use tools or machines. However, side effects such as dizziness and visual disturbances (see section 4) may occur. If this happens, do not drive or use machines.

You are responsible for deciding whether you are fit to drive or perform tasks that require a high level of attention. Due to its effects or side effects, one of the factors that can reduce your ability to perform these tasks safely is the use of medicines.

In the following sections, you will find descriptions of these effects.

Read carefully the information in this leaflet.

If you have any further questions, ask your doctor or pharmacist.

Lansoprazole Cinfamed contains sucrose

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

Lansoprazole Cinfamed contains sodium

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

3. How to take Lansoprazole Cinfamed

Follow exactly the instructions of your doctor or pharmacist. If you are in doubt, consult your doctor or pharmacist.

Take the capsule whole with a glass of water. If you have difficulty swallowing the capsule, your doctor will inform you of alternative ways to take the medicine. Do not crush or chew the capsules or the contents of a emptied capsule, as this will make them not work properly.

If you take lansoprazol once a day, try to take it at the same time every day. You may get better results if you take this medicine in the morning.

If you take lansoprazol twice a day, take the first dose in the morning and the second dose at night.

The dose of lansoprazol depends on your general condition. The recommended doses of lansoprazol for adults are indicated below. Sometimes, your doctor may prescribe a different dose and indicate a different duration of treatment.

Treatment of heartburn and acid regurgitation:one 15 mg or 30 mg capsule per day for 4 weeks. If symptoms do not improve after 4 weeks, consult your doctor.

Treatment of duodenal ulcers:one 30 mg capsule per day for 2 weeks.

Treatment of gastric ulcers:one 30 mg capsule per day for 4 weeks.

Treatment of oesophageal inflammation (reflux oesophagitis):one 30 mg capsule per day for 4 weeks.

Long-term prevention of reflux oesophagitis:one 15 mg capsule per day; your doctor may adjust the dose to one 30 mg capsule per day.

Treatment of Helicobacter pyloriinfection:The recommended dose is one 30 mg capsule together with two different antibiotics in the morning and one 30 mg capsule together with two different antibiotics in the evening. The recommended treatment is once a day for 7 days.

The recommended combinations of antibiotics are as follows:

• 30 mg of Lansoprazole Cinfamed with 250-500 mg of clarithromycin and 1000 mg of amoxicillin
• 30 mg of Lansoprazole Cinfamed with 250 mg of clarithromycin and 400-500 mg of metronidazole

If you receive anti-infective treatment due to an ulcer, it is unlikely that the ulcer will come back if the infection is treated successfully. To get the best results from your medicine, take it at the right time and do not forget any dose.

Treatment of duodenal or gastric ulcers in patients who require continuous treatment with NSAIDs:one 30 mg capsule per day for 4 weeks.

Prevention of duodenal or gastric ulcers in patients who require continuous treatment with NSAIDs:one 15 mg capsule per day; your doctor may adjust the dose to one 30 mg capsule per day.

Zollinger-Ellison syndrome:The initial recommended dose is two 30 mg capsules per day; subsequently, based on your response to treatment with lansoprazol, the doctor will decide the best dose for you.

Use in children

Lansoprazol should not be administered to children.

If you take more Lansoprazole Cinfamed than you should

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 forget to take Lansoprazole Cinfamed

If you forget to take a dose, take it as soon as possible unless the time of the next dose is near. In this case, skip the missed dose and take the next capsules as usual. Do not take a double dose to make up for forgotten doses.

If you stop taking Lansoprazole Cinfamed

Do not stop treatment prematurely because the symptoms have improved. It is possible that your condition has not been completely cured and may come back if you do not finish the entire treatment.

If you have any other 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.

If you start to notice any of the following side effects, stop taking lansoprazol and contact your doctor immediately:

• round or ring-shaped patches of redness on the trunk, often with blisters in the centre, peeling, ulcers in the mouth, throat, nose, genitals, and eyes. These serious skin rashes can be preceded by fever and flu-like symptoms (Stevens-Johnson syndrome, toxic epidermal necrolysis)
• generalized rash, high body temperature, and swollen lymph nodes (DRESS or drug hypersensitivity syndrome).

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

• headache, dizziness
• diarrhoea, constipation, stomach pain, nausea, and vomiting, flatulence, dryness or pain in the mouth or throat
• skin rash, itching
• changes in liver function test values
• fatigue
• benign stomach polyps

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

• depression
• joint or muscle pain
• fluid retention or swelling
• changes in blood cell count

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

• fever,
• restlessness, drowsiness, confusion, hallucinations, insomnia, visual disturbances, vertigo,
• altered taste, loss of appetite, inflammation of the tongue (glossitis),
• skin reactions such as burning sensation or itching, bruising, redness, and excessive sweating,
• sensitivity to light,
• hair loss,
• tingling sensation (paresthesia), tremor,
• anaemia (pallor),
• kidney problems,
• pancreatitis,
• inflammation of the liver (may be manifested by yellowing of the skin or eyes),
• breast swelling in males, impotence,
• candidiasis (fungal infection, may affect the skin or mucous membranes),
• angioedema; contact your doctor immediately if you experience symptoms of angioedema, such as swelling of the face, tongue, or pharynx, difficulty swallowing, urticaria, and difficulty breathing.

Very rare side effects (may affect up to 1 in 10,000 people):

• severe hypersensitivity reactions, including anaphylactic shock. The symptoms of a hypersensitivity reaction may include fever, rash, swelling, and, in some cases, a drop in blood pressure,
• inflammation of the mouth (stomatitis),
• colitis (inflammation of the intestine),
• changes in analytical values, such as sodium, cholesterol, and triglyceride levels,
• skin reactions that are very severe with redness, blisters, severe inflammation, and skin loss. In very rare cases, lansoprazol may cause a reduction in the number of white blood cells, which can lead to a decrease in your resistance to infections. If you experience an infection with symptoms such as fever and severe deterioration of your general condition, or fever with symptoms of local infection such as sore throat/pharynx/mouth or urinary problems, contact your doctor immediately. You will have a blood test to check for a possible reduction in white blood cells (agranulocytosis).

Side effects with frequency not known (cannot be estimated from the available data):

• skin rash, possibly with joint pain.
• visual hallucinations.
• if you are taking lansoprazol for more than three months, it is possible that your blood magnesium levels may decrease. Low magnesium levels can cause fatigue, muscle contractions, disorientation, convulsions, dizziness, and increased heart rate. If you experience any of these symptoms, see your doctor immediately. Low magnesium levels can also lead to a decrease in blood potassium and calcium levels. Your doctor may decide to perform periodic blood tests to monitor magnesium levels.
• low sodium levels in the blood. Common symptoms include nausea and vomiting, headache, drowsiness, and fatigue, confusion, muscle weakness or spasms, irritability, convulsions, coma.

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 via the Spanish Medicines Monitoring System for Human Use: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storing Lansoprazole Cinfamed

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

Store below 30°C.

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

Medicines should not be disposed of via wastewater or household waste. Dispose of the packaging and any unused medicine in the SIGRE collection point at the pharmacy. Ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Container Content and Additional Information

Composition of Lansoprazol cinfamed

• The active ingredient is lansoprazol. Each hard gastro-resistant capsule contains 15 mg of lansoprazol.
• The other components are: sugar spheres (which contain sucrose and corn starch), sodium lauryl sulfate, povidone, sodium carboxymethyl starch (type A) (from potato), dodecahydrate disodium phosphate, hypromellose, methacrylic acid - ethyl acrylate copolymer (1:1), triethyl citrate, titanium dioxide (E-171), and talc. The gelatin capsule is composed of: gelatin and titanium dioxide (E-171).

The printing ink of the capsules contains shellac, anhydrous ethyl alcohol, isopropyl alcohol, propylene glycol, n-butyl alcohol, ammonium hydroxide, potassium hydroxide, and black iron oxide (E-172).

Appearance of the Product and Container Content

Lansoprazol cinfamed 15 mg hard gastro-resistant capsules EFG are hard gelatin capsules with a white opaque cap and body. The capsules have been marked with black ink with the letter “L” on the cap and the number “15” on the body.

Containers in HDPE bottles with 28 gastro-resistant capsules.

Containers in Aluminum/Aluminum blisters of 28 gastro-resistant capsules.

Only some package sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Laboratorios Cinfa, S.A.

Carretera Olaz-Chipi, 10. Polígono Industrial Areta

31620 Huarte (Navarra) - Spain

Manufacturer

TEVA PHARMA, S.L.U.

Polígono Malpica c/C, 4

50016 Zaragoza.

or

Laboratorios Cinfa, S.A.

Carretera Olaz-Chipi, 10. Polígono Industrial Areta

31620 Huarte (Navarra) - Spain

Date of the Last Revision of this Prospectus:July 2025

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

You can access detailed and updated information about this medicinal product by scanning the QR code included in the prospectus and packaging with your mobile phone (smartphone). You can also access this information at the following internet address: https://cima.aemps.es/cima/dochtml/p/66349/P_66349.html

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