For use in adults
Read this label carefully before starting to take this medication, as it contains important information for you.
Moxifloxacino Tevagen contains moxifloxacino as the active ingredient, which belongs to the group of antibiotics known as fluoroquinolones. Moxifloxacino Tevagen acts by eliminating bacteria that cause infections.
Antibiotics are used to treat bacterial infections and are not effective for treating viral infections such as the flu or a cold. It is essential to follow the instructions regarding the dosage, administration interval, and treatment duration indicated by your doctor. Do not store or reuse this medication. If you have any leftover antibiotic after completing treatment, return it to the pharmacy for proper disposal. Do not dispose of medications through the drain or in the trash. |
Moxifloxacino Tevagen is indicated for patients 18 years of age and older for the treatment of the following bacterial infections when caused by bacteria where moxifloxacino is active: Moxifloxacino Tevagen should only be used to treat these infections when usual antibiotics cannot be used or have not been effective:
For this type of infection, Moxifloxacino Tevagen is not sufficient as a single treatment, so your doctor will also prescribe another antibiotic for the treatment of upper genital tract infections (see section 2 "Warnings and precautions").
If the following bacterial infections have shown improvement during initial treatment with moxifloxacino solution for infusion, your doctor may prescribe Moxifloxacino Tevagen to complete the treatment:
Moxifloxacino Tevagen should not be used as initial treatment for any type of skin and soft tissue infection or for severe pneumonia.
Contact your doctor if you are unsure if you belong to any of the patient groups described below.
Do not take Moxifloxacino Tevagen
This is because Moxifloxacino Tevagen may cause changes in ECG, such as a prolongation of the QT interval, that is, a delay in the conduction of electrical signals in the heart.
Warnings and precautions
Consult your doctor or pharmacist before starting to take Moxifloxacino Tevagen
Before starting to take this medication
Do not take fluoroquinolone or quinolone antibiotics, including Moxifloxacino Tevagen, if you have had a severe reaction to a quinolone or fluoroquinolone in the past. If this is the case, inform your doctor as soon as possible.
During treatment with this medication
Severe skin reactions
Severe skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis (TEN), generalized acute pustular psoriasis (GAP), and drug reaction with eosinophilia and systemic symptoms (DRESS or hypersensitivity syndrome), have been reported with the use of moxifloxacino.
•SSJ/TEN may initially appear on the trunk as red, ring-shaped spots or circular patches often with central blisters. They may also appear as ulcers in the mouth, throat, nose, genitals, and eyes (red and swollen eyes). These severe skin reactions often precede fever and/or flu-like symptoms. The reactions may progress to widespread skin peeling and complications that may be life-threatening or fatal.
•GAP appears at the beginning of treatment as a red, scaly, and generalized rash with subcutaneous nodules and blisters accompanied by fever. The most common location: mainly localized in skin folds, trunk, and upper limbs.
The drug reaction with eosinophilia and systemic symptoms (DRESS) appears initially with flu-like symptoms and a rash on the face, followed by a widespread rash with high body temperature, elevated liver enzymes in blood tests, and elevated levels of a type of white blood cell (eosinophilia), and enlarged lymph nodes. If you develop a severe skin rash or any of these symptoms, stop taking moxifloxacino and contact your doctor or seek medical attention immediately.
Severe, long-lasting, and potentially irreversible adverse effects
Fluoroquinolone or quinolone antibiotics, including Moxifloxacino Tevagen, have been associated with rare but severe adverse effects, some of which were long-lasting (persistent for months or years), incapacitating, or potentially irreversible. This includes tendon pain, muscle pain, and joint pain in the upper and lower limbs, difficulty walking, abnormal sensations such as pinpricks, tingling, numbness, or burning (paresthesia), sensory disorders such as decreased vision, taste, smell, and hearing, depression, decreased memory, intense fatigue, and severe sleep disorders.
If you experience any of these adverse effects after taking Moxifloxacino Tevagen, contact your doctor immediately before continuing treatment. You and your doctor will decide whether to continue or not with the treatment, also considering the use of an antibiotic of another class.
Children and adolescents
Do not administer this medication to children or adolescents under 18 years of age, as its safety and efficacy have not been established in this age group (see section “Do not take Moxifloxacino Tevagen”).
Use of Moxifloxacino Tevagen with other medications
Inform your doctor or pharmacist if you are taking/using or have taken recently or may need to take/use any other medication.
With Moxifloxacino Tevagen, you should be aware of the following:
TakingMoxifloxacinoTevagenwithfoodanddrinks
The effect of Moxifloxacino Tevagen is not altered by food, including dairy products.
Pregnancy, lactation, and fertility
Do not use Moxifloxacino Tevagen if you are pregnant or breastfeeding.
If you are pregnant or breastfeeding, or think you may be pregnant, consult your doctor or pharmacist before using this medication.
Animal studies have not indicated that taking this medication damages fertility.
Driving and operating machinery
Moxifloxacino Tevagen may cause dizziness, you may experience a sudden and temporary loss of vision, or a brief fainting spell. If you experience these symptoms, do not drive vehicles or operate machinery.
Moxifloxacino Tevagen contains sodium
This medication contains less than 23 mg of sodium (1 mmol) per tablet; it is essentially “sodium-free”.
Follow exactly the administration instructions indicated by your doctor or pharmacist for this medication. In case of doubt, consult your doctor or pharmacist again.
Dosage
The recommended dose for adults is one 400 mg film-coated tablet once a day.
Administration form
Moxifloxacino Tevagen tablets are for oral use. Take the tablet whole (to mask the bitter taste) and with plenty of liquid.
You can take Moxifloxacino Tevagen with or without food. It is recommended that you take the tablet approximately at the same time every day.
No dose adjustment is necessary in elderly patients, in patients with low body weight, or in patients with kidney problems.
The duration of treatment depends on the type of infection. Unless your doctor has told you otherwise, the duration of treatment with Moxifloxacino Tevagen is as follows:
When Moxifloxacino Tevagen film-coated tablets are used to complete a treatment initiated with moxifloxacino infusion solution, the recommended durations of use are:
Most patients with pneumonia were switched to oral treatment with moxifloxacino film-coated tablets in 4 days.
Most patients with soft tissue and skin infections were switched to oral treatment with moxifloxacino film-coated tablets in 6 days.
It is essential to complete the treatment, even if you start feeling better after a few days. If you interrupt the treatment too soon, the infection may not be completely cured, the infection may recur, or your condition may worsenand also may cause bacterial resistance to the antibiotic.
Do not exceed the recommended dose and duration of treatment (see section 2 “Warnings and precautions”).
If you take moreMoxifloxacinoTevagen than you should
If you take more than one of the recommended tablets per day,contact your doctor immediately,and,if possible, bring the remaining medication, the packaging, or this leaflet to the doctor or pharmacist.
In case of overdose or accidental ingestionconsult your doctor or pharmacist immediately or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.
If you forgot to take Moxifloxacino Tevagen
In case of forgotten dose, take the tablet as soon as you remember on the same day. If you do not take your tablet one day, take your regular dose (one tablet) the next day. Do not take a double dose to compensate for the missed dose.
If you are unsure about what to do, consult your doctor or pharmacist.
If you interrupt the treatment with Moxifloxacino Tevagen
If you interrupt the treatment with this medication too soon, your infection may not be completely cured. Consult your doctor if you want to stop taking the tablets before completing the full treatment.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everyone will experience them. During treatment with moxifloxacino, the following more serious side effects have been observed:more serious side effectsare detailed below:
If you notice:
Rare: may affect up to 1 in 1,000 patients
Very rare: may affect up to 1 in 10,000 patients
Stop taking Moxifloxacino Tevagen and consult your doctor immediatelyas you may need urgent medical help.
Additionally, if you notice:
•eye discomfort or pain, especially due to exposure to light (side effect of very rare to rare),
contact an ophthalmologist immediately.
If you have experienced potentially fatal irregular heartbeats (Torsade de Pointes) or heart arrhythmia while taking Moxifloxacino Tevagen (very rare side effects),inform your doctor immediately that you are taking Moxifloxacino Tevagen and do not start the treatment again.
There have been cases of worsening of myasthenia gravis symptoms in very rare cases. If this happens to you,consult your doctor immediately.
If you have diabetes and notice that your blood sugar levels increase or decrease (rare or very rare side effect), inform your doctor immediately.
If you are an elderly patient with existing kidney problems and notice a decrease in urine production, inflammation of your legs, ankles, or feet, fatigue, nausea, drowsiness, difficulty breathing, or confusion (these may be signs and symptoms of kidney failure, a rare side effect),consult your doctor immediately.
The following side effects have been observedduring treatment with moxifloxacino that are detailed below according to their probability:
Frequent: may affect up to 1 in 10 patients
Rare: may affect up to 1 in 1,000 patients
Very rare: may affect up to 1 in 10,000 patients
Frequency unknown(cannot be estimated from available data)
-increased sensitivity of the skin to sunlight or UV radiation (see also section 2. Warnings and precautions)
-well-defined, red, and clearly demarcated patches with or without blisters that appear in the hours following administration of moxifloxacino and disappear with residual post-inflammatory hyperpigmentation; they usually reappear in the same place on the skin or mucosa with subsequent exposure to moxifloxacino
In addition, very rare cases of the following side effects have been reported, described after treatment with other quinolone antibiotics and that may also occur during treatment with Moxifloxacino Tevagen:
The administration of quinolone and fluoroquinolone antibiotics has been associated with very rare cases of long-lasting or permanent adverse reactions (even months or years) or permanent, such as tendon inflammation, tendon rupture, joint pain, limb pain, difficulty walking, abnormal sensations such as pinpricks, tingling, numbness, burning, or pain (neuropathy), depression, fatigue, sleep disorders, memory loss, and hearing, vision, taste, and smell disorders, in some cases regardless of the presence of pre-existing risk factors.
Cases of increased size and weakening or tearing of the aortic wall (aneurysms and dissections), which could lead to rupture and be fatal, and heart valve insufficiency in patients who have received fluoroquinolones have been reported. See also section 2.
Reporting of adverse reactions:
If you experience any type of adverse reaction, consult your doctor or pharmacist even if it is a possible adverse reaction that does not appear in this leaflet. You can also report them directly through the Spanish System for the Pharmacovigilance of Medicines for Human Use: https://www.notificaram.es. By reporting adverse reactions, you can contribute to providing more information on the safety of this medicine.
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date that appears on the blister pack and on the carton box after "CAD or EXP". The expiration date is the last day of the month indicated.
This medication does not require special storage conditions.
Medications should not be disposed of through drains or in the trash. Dispose of the packaging and medications you no longer need at the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. By doing so, you will help protect the environment
Composition of Moxifloxacino Tevagen
The active ingredient is moxifloxacino.
Each film-coated tablet contains 400 mg of moxifloxacino.
The other components are:
Core tablet: Microcrystalline cellulose, sodium croscarmellose, anhydrous colloidal silica, magnesium stearate
Film coating: Hypromellose, Macrogol 4000, iron oxide red (E172), and titanium dioxide (E171).
Appearance of Moxifloxacino Tevagen and packaging contents
Moxifloxacino Tevagen film-coated tablets are slightly pink, elongated, and biconvex. The tablets are approximately 17 mm in length and 7.5 mm in width.
Moxifloxacino Tevagen is available in packaging of 5, 7, 10, 14, 25, (5x5), 70 (7x10), 80 (16x5), 100 (10x10), 100 film-coated tablets.
Only some packaging sizes may be commercially available.
Marketing Authorization Holder and Responsible Manufacturer
Marketing Authorization Holder
Teva Pharma, S.L.U.
C/ Anabel Segura, 11. Edificio Albatros B, 1st Floor.
28108 Alcobendas (Madrid)
Spain
Responsible Manufacturer:
Merckle GmbH
Ludwig-Merckle-Straße 3, 89143 Blaubeuren
Germany
Or
TEVA Pharmaceutical Works Private Limited Company
Pallagi út 13, 4042 Debrecen
Hungary
Or
TEVA UK Ltd
Brampton Road, Hampden Park, Eastbourne, East Sussex, BN22 9AG
United Kingdom
Or
Pharmachemie B.V.
Swensweg 5,2031 GA Haarlem
Netherlands
Or
Teva Operations Poland Sp.z.o.o
ul. Mogilska 80. 31-546, Krakow
Poland
This medicinal product is authorized in the EEA member states under the following names:
Germany:Moxifloxacin AbZ 400 mg Filmtabletten
Belgium:Moxifloxacine Teva
Denmark:Moxiva
Spain:Moxifloxacino Tevagen 400 mg film-coated tablets EFG
Hungary:Moxifloxacin-ratiopharm 400 mg filmtabletta
Italy:Moxifloxacina Teva 400 mg Compresse rivestite con film
United Kingdom:Moxifloxacin 400 mg Film-coated Tablets
Last review date of this leaflet::february 2021
Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/
You can access detailed and updated information on this medicine by scanning the QR code included in the packaging with your smartphone. You can also access this information on the following internet address:https://cima.aemps.es/cima/dochtml/p/76633/P_76633.html
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