Label: information for the user

Karvea 150 mg film-coated tablets

Irbesartán

Read this label carefully before starting to take the medicine, as it contains important information for you.

• Keep this label, as you may need to read it again.
• If you have any questions, consult your doctor or pharmacist.
• This medicine has been prescribed only for you, and you should not give it to others, 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 label. See section 4.

1.What Karvea is and for what it is used

2.What you need to know before starting to take Karvea

3.How to take Karvea

4.Possible adverse effects

5.Storage of Karvea

6.Contents of the package and additional information

Karvea belongs to a group of medications known as angiotensin-II receptor antagonists. Angiotensin-II is a substance produced in the body that binds to receptors, causing blood vessels to constrict. This results in an increase in blood pressure. Karvea prevents angiotensin-II from binding to these receptors, relaxing blood vessels and reducing blood pressure. Karvea slows the deterioration of renal function in patients with high blood pressure and type 2 diabetes.2.

Karvea is used in adult patients:

• to treat high blood pressure (essential hypertension)
• to protect the kidneys in patients with high blood pressure, type 2 diabetes, and clinical evidence of altered renal function.

Do not take Karvea

• if you areallergicto irbesartan or any of the other components of this medication (listed in section 6)
• if you aremore than 3 months pregnant.(In any case, it is better to avoid taking this medication also at the beginning of your pregnancy – see section “Pregnancy”)
• if you havediabetes or kidney insufficiencyand are being treated witha medication to lower blood pressure that contains aliskiren.

Warnings and precautions

Consult your doctor before starting to take Karvea andif any of the following aspects affect you:

• if you haveexcessive vomiting or diarrhea
• if you havekidney problems
• if you haveheart problems
• if you are taking Karvea fordiabetic nephropathy. In this case, your doctor may perform regular blood tests, especially to measure potassium levels in case of impaired renal function

• if you present low blood sugar levels (symptoms may include sweating, weakness, hunger, dizziness, tremors, headache, flushing or pallor, numbness, rapid and strong heartbeats), especially if you are being treated for diabetes

• if you are to be operated(surgical intervention) orif you are to be administeredanesthetics

• if you are taking any of the following medications used to treat high blood pressure (hypertension):

- an angiotensin-converting enzyme inhibitor (ACEI) (for example enalapril, lisinopril, ramipril), particularly if you have kidney problems related to diabetes.

- aliskiren.

Your doctor may monitor your renal function, blood pressure, and electrolyte levels in the blood (such as potassium), at regular intervals.

Consult your doctor if you present abdominal pain, nausea, vomiting, or diarrhea after taking Karvea. Your doctor will decide whether to continue treatment. Do not stop taking Karvea in monotherapy.

See also the information under the heading “Do not take Karvea”.

If you are pregnant, if you suspect you may beor if you plan to become pregnant, you mustinform your doctor. It is generally recommended that you stop taking Karvea before becoming pregnant or as soon as you become pregnant and your doctor will recommend takinganother antihypertensive medication instead. Karvea should not be used at the beginning of pregnancy and should not be administered at all after the third month of pregnancybecause it may cause serious harm to your baby(see section “Pregnancy”).

Children and adolescents

This medication should not be used in children and adolescents as its safety and efficacy have not been fully established.

Taking Karvea with other medications

Inform your doctor or pharmacist if you are using, have used recently, or may need to use any other medication.

Your doctor may need to modify your dose and/or take other precautions:

if you are taking an angiotensin-converting enzyme inhibitor (ACEI) or aliskiren (see also the information under the headings “Do not take Karvea” and “Warnings and precautions”).

You may need to have blood tests if you are taking:

• potassium supplements
• potassium-containing salt substitutes
• potassium-sparing medications (such as certain diuretics)
• medications containing lithium.
• repaglinide (a medication used to reduce blood sugar levels).

If you are using a type of analgesic, known as nonsteroidal anti-inflammatory drugs (NSAIDs), the effect of irbesartan may be reduced.

Taking Karvea with food and drinks

Karvea can be taken with or without food.

Pregnancy and breastfeeding

Pregnancy

You mustinform your doctorif you are pregnant, if you suspect you may beor if you plan to become pregnant. It is generally recommended that you stop taking Karvea before becoming pregnant or as soon as you become pregnant and your doctor will recommend takinganother antihypertensive medication instead. Karvea should not be used at the beginning of pregnancy and should not be administered at all after the third month of pregnancybecause it may cause serious harm to your babywhen administered from that point on.

Breastfeeding

Inform your doctor if you are to start or are in a breastfeeding period as it is not recommended to administer Karvea to women during this period. Your doctor may decide to administer a more suitable treatment if you want to breastfeed, especially for newborns or premature babies.

Driving and operating machinery

It is unlikely that Karvea will affect your ability to drive vehicles or operate machinery. However, during hypertension treatment, occasional dizziness or fatigue may occur. If you experience these symptoms, inform your doctor before driving or operating machinery.

Karvea contains lactose. If your doctor has told you that you have an intolerance to certain sugars (such as lactose), consult with him before taking this medication.

Karvea contains sodium. This medication contains less than 1 mmol of sodium (23 mg) per tablet, which is essentially “sodium-free”.

Follow exactly the administration instructions for this medication as indicated by your doctor. If in doubt, consult your doctor or pharmacist again.

Administration Method

Karvea is administeredorally. The tablets should be swallowed with a sufficient amount of liquid (e.g. a glass of water). Karvea can be taken with or without food. You should try to take your daily dose at the same time every day. It is essential that you continue taking this medication until your doctor advises you otherwise.

• Patients with High Blood Pressure

The usual dose is 150mg once a day. Subsequently, and depending on the blood pressure response, this dose may be increased to 300mg once a day (two tablets a day).

• Patients with High Blood Pressure and Type2 Diabetes with Renal Impairment

In patients with high blood pressure and type2 diabetes, the recommended maintenance dose for the treatment of associated renal impairment is 300mg once a day (two tablets a day).

Your doctor may advise a lower dose, especially at the beginning of treatment, in certain patients, such as those undergoinghemodialysisor those75years or older.

The maximum blood pressure-lowering effect should be achieved within 4-6weeks after starting treatment.

Use in Children and Adolescents

Karvea should not be administered to children under 18years. If a child swallows several tablets, contact your doctor immediately.

If You Take More Karvea Than You Should

If you accidentally take too many tablets, contact your doctor immediately.

If You Forget to Take Karvea

If you accidentally forget to take a dose, simply take your usual dose when it is due next. Do not take a double dose to make up for the missed doses.

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

Like all medicines, this medicine may cause side effects, although not everyone will experience them.

However, some of these side effects can be serious and may require medical attention.

Like with similar medicines, in rare cases, cases of skin allergic reactions (skin rash, urticaria) have been reported, as well as localized inflammation in the face, lips, and/or tongue in patients treated with irbesartan. If you think you may have this type of reaction or experience shortness of breath,stop takingKarveaand seek immediate medical attention.

The side effects mentioned below are grouped by frequency:

Very common: may affect more than 1 in 10 people

Common: may affect up to 1 in 10 people

Uncommon: may affect up to 1 in 100 people

The side effects reported in clinical trials conducted in patients treated withKarveawere:

• Very common (may affect more than 1 in 10 people): If you have high blood pressure and type 2 diabetes with kidney impairment, blood tests may show an increase in potassium levels.

• Common (may affect up to 1 in 10 people): Dizziness, nausea/vomiting, fatigue, and blood tests may show elevated levels of an enzyme that measures muscle and heart function (creatine kinase). In patients with high blood pressure and type 2 diabetes with kidney impairment, dizziness (especially when standing up), low blood pressure (especially when standing up), muscle or joint pain, and decreased levels of a protein present in red blood cells (hemoglobin).

• Uncommon (may affect up to 1 in 100 people): Tachycardia, skin redness, cough, diarrhea, indigestion/heartburn, sexual dysfunction (sexual function alterations), and chest pain.
• Rare (may affect up to 1 in 1,000 people): Intestinal angioedema: intestinal swelling that presents symptoms such as abdominal pain, nausea, vomiting, and diarrhea.

Since the marketing ofKarvea, some side effects have been reported.The side effects observed with unknown frequency are: feeling of spinning, headache, altered taste, ringing in the ears, muscle cramps, muscle and joint pain, decreased number of red blood cells (anemia - symptoms may include fatigue, headaches, difficulty breathing during exercise, dizziness, and paleness), reduced platelet count, abnormal liver function, increased potassium levels in the blood, kidney function impairment, inflammation of small blood vessels, mainly in the skin area (condition known as leukocytoclastic vasculitis), severe allergic reactions (anaphylactic shock), and low blood sugar levels. Cases of rare ictericia (yellowing of the skin and/or white of the eyes) have also been observed.

Reporting side effects

If you experienceany type of side effect, consult your doctor or pharmacist, even if it is apossibleside effect that does not appear in this prospectus.You can alsoreport them directly through thenational notification system included in theAppendix V.By reporting side effects, you cancontribute to providing more information on the safety of this medicine.

Keep out of 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.

Do not store above 86°F (30°C).

Dispose of medications through a proper disposal method, not through drains or regular trash. Ask your pharmacist how to dispose of unused packaging and medications. This will help protect the environment.

Composition of Karvea

• The active ingredient is irbesartan. Each Karvea tablet150mg contains 150mg of irbesartan.
• The other components are lactose monohydrate, microcrystalline cellulose, sodium croscarmellose, hypromellose, colloidal silicon dioxide, magnesium stearate, titanium dioxide, macrogol 3000, carnauba wax. See section 2 “Karvea contains lactose”.

Appearance of the product and contents of the pack

Karvea150mg film-coated tablets are white or off-white, biconvex, oval-shaped tablets with a trocheeled core on one face and the number2872 engraved on the other face.

Karvea150mg film-coated tablets are available in blister packs of 14, 28, 30, 56, 84, 90or98film-coated tablets. They are also available in packs of 56x1film-coated tablet containing single-dose blisters for hospital supply.

Only some pack sizes may be marketed.

Marketing Authorisation Holder:

Sanofi Winthrop Industrie

82 avenue Raspail

94250 Gentilly

France

Manufacturer:

SANOFIWINTHROPINDUSTRIE
1, rue de la Vierge
Ambarès & Lagrave
F-33565Carbon Blanc Cedex-France

SANOFIWINTHROPINDUSTRIE
30-36Avenue Gustave Eiffel, BP7166
F-37071ToursCedex2-France

Sanofi-Aventis, S.A.

Ctra. C-35 (La Batlloria-Hostalric), km. 63.09

17404 Riells i Viabrea (Girona)

Spain

For further information about this medicinal product, please consult the representative of the marketing authorisation holder in your country.

Date of the last revision of this leaflet:

The detailed information on this medicinal product is available on the website of the European Medicines Agencyhttp://www.ema.europa.eu/