Package Insert: Information for the Patient

Rosuvastatina Normon 15 mg Film-Coated Tablets

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

• Keep this package insert, 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 package insert. See section 4.

1. What isRosuvastatina Normonand for what it is used

2. What you need to know before starting to takeRosuvastatina Normon

3. How to takeRosuvastatina Normon

4. Possible adverse effects

5. Storage ofRosuvastatina Normon

6. Contents of the package and additional information

Rosuvastatina Normon belongs to a group of medications called statins.

Theyhave prescribed Rosuvastatina Normon because:

• You have high levels of cholesterol. This means you are at risk of having a heart attack or a cerebral infarction. Rosuvastatina is used in adults, adolescents, and children aged 6 years or older to treat high cholesterol.
• They have indicated that you should take a statin because the changes made to your diet and the increase in physical exercise have not been sufficient to correct your cholesterol levels. You must maintain a diet that helps to reduce cholesterol and continue to perform physical exercise while undergoing treatment with rosuvastatina.
• You have other factors that increase your risk of suffering a heart attack, cerebral infarction, or other health-related problems.

A heart attack, cerebral infarction, and other health-related problems may be caused by a disease called atherosclerosis. Atherosclerosis is caused by the formation of fatty deposits in your arteries.

WhyitisimportantthatyoucontinuetotakeRosuvastatina Normon

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

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

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

In most people, high levels of cholesterol do not affect how they feel since they do not produce any symptoms. However, if not treated, fatty deposits can form in the walls of blood vessels, causing them to narrow.

Sometimes, these narrowed vessels can become blocked and prevent blood supply to the heart or brain, causing a heart attack or cerebral infarction. By reducing your cholesterol levels, you can reduce the risk of having a heart attack, cerebral infarction, or other health-related problems.

You need to continue taking Rosuvastatina Normon, even if you have already achieved the correct cholesterol levels, as it prevents cholesterol levels from increasing again and forming fatty deposits. However, you should interrupt treatment if your doctor indicates so or if you become pregnant.

Do not take Rosuvastatina Normon

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

• If you are pregnantor breastfeeding. If you become pregnant while taking rosuvastatinastop taking it immediately and inform your doctor. Women should avoid becoming pregnant during treatment with rosuvastatina using an appropriate contraceptive method.

• If you have liver disease.
• If you have severe kidney problems.
• If you have repeated or unjustified muscle pain and cramps.
• If you are taking a medicine called ciclosporina(used, for example, after an organ transplant).

• If you are taking a combination of sofosbuvir/velpatasvir/voxilaprevir(used for a liver virus infection called hepatitis C).
• If you have ever developed a severe skin rash or skin peeling, blisters and/or mouth sores after taking rosuvastatina or other related medicines.

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

Do not take rosuvastatina 30 mg or 40 mg (the highest dose)

-If you have moderate kidney problems(if in doubt, consult your doctor).

-If your thyroid glanddoes not function correctly.

-If you have repeated or unjustified muscle pain and cramps, 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 consume large amounts of alcohol.

-If you are of Asian origin(for example, Japanese, Chinese, Filipino, Vietnamese, Korean or Indian).

- If you are taking other medicines called fibratesto lower cholesterol.

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

Warnings and precautions

Consult your doctor or pharmacist before starting to take rosuvastatina:

-If you have kidney problems.

• If you have liver problems.
• If you have repeated or unjustified muscle pain and cramps, 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 unjustified muscle pain or cramps, especially if you have general discomfort or fever. Also inform your doctor or pharmacist if you have constant muscle weakness.
• If you regularly consume large amounts of alcohol.
• If your thyroid glanddoes not function correctly.
• If you are taking other medicines called fibratesto lower cholesterol. Read this leaflet carefully, even if you have taken cholesterol-lowering medicines previously.
• If you are taking medicines to treat HIV (AIDS virus) infection, such as ritonavir with lopinavir and/or atazanavir, see“Other medicines and Rosuvastatina Normon”.
• If you are taking or have taken within the last 7 days a medicine called fusidic acid(an antibiotic), by mouth or by injection. The combination of fusidic acid and rosuvastatina may cause severe muscle problems (rhabdomyolysis), please see“Other medicines and Rosuvastatina Normon”.
• If you are over 70 years old,since your doctor must establish the starting dose of rosuvastatina suitable for you.

-If you have severe respiratory failure.

• If you are of Asian origin(for example, Japanese, Chinese, Filipino, Vietnamese, Korean or Indian). Your doctor must establish the starting dose of rosuvastatina suitable for you.
• If you have or have had myasthenia(a disease that causes generalised muscle weakness, which in some cases affects the muscles used for breathing) or ocular myasthenia (a disease that causes weakness of the eye muscles), as statins may sometimes worsen the disease or cause myasthenia (see section 4).

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

If you find yourself in any of these situations mentioned above (or are unsure):

- Do not take Rosuvastatina 30 mg and 40 mg (the highest dose) and consult your doctor or pharmacist before starting to take any dose of rosuvastatina.

In a small number of people, statins can affect the liver. This is detected by a simple test that detects increased levels of liver enzymes (transaminases) in the blood. For this reason, your doctor will normally perform blood tests (liver function test) before and after 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 may be at risk of developing diabetes if you have high blood sugar levels, are overweight and have high blood pressure.

Children and adolescents

• If the patient is under 6 years of age: Rosuvastatina should not be administered to children under 6 years of age.

Other medicines and Rosuvastatina Normon

Inform your doctor or pharmacist if you are taking, have taken recently or may need to take any other medicine.

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

The effects of these medicines may be modified by rosuvastatina or may change the effect of rosuvastatina.

If you need to take fusidic acid orally to treat a bacterial infection, you must stop taking this medicinetemporarily.Your doctor will tell you when it is safe to start taking rosuvastatina again.Taking rosuvastatina with fusidic acid may rarely cause weakness, sensitivity or muscle pain (rhabdomyolysis). ver more information about rhabdomyolysis in section 4.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, consult your doctor or pharmacist before using this medicine.

Do not take rosuvastatinaif you are pregnant or breastfeeding. If you become pregnant while taking rosuvastatinastop taking it immediatelyand inform your doctor. Women should avoid becoming pregnant during treatment with rosuvastatina using an appropriate contraceptive method.

Consult your doctor or pharmacist before using any medicine.

Driving and operating machines

Most patients can drive vehicles and use machines during treatment with rosuvastatinasince it will not affect your ability. However, some people may feel dizzy during treatment with rosuvastatina. If you feel dizzy, consult your doctor before attempting to drive or use machines.

Rosuvastatina Normon contains lactose and sodium

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

This medicine contains less than 1 mmolof sodium (23 mg) per tablet; it is essentially “sodium-free”.

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

Usual doses in adults

If you are takingrosuvastatinafor high cholesterol levels:

Starting dose

Your treatment with rosuvastatina should start withthe dose of 5 mg or 10 mg, even if you have taken a higher dose of another statin previously.

The choice of the starting dose will depend on:

• Your cholesterol levels.
• The degree of risk you have of suffering a heart attack or cerebral infarction.
• If you have factors that make you more vulnerable to possible side effects.

Check with your doctor or pharmacist which is the best starting dose of rosuvastatina for you.

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

• If you are ofAsian origin(for example, Japanese, Chinese, Filipino, Vietnamese, Korean or Indian).
• If you areover 70 years old.
• If you have moderate renal problems.
• If you have a risk of suffering muscle pain and cramps (myopathy).

Dose increase and maximum daily dose

Your doctor may decide to increase your dose. This is to ensure you are taking the right dose of rosuvastatina for you. If you started with a dose of 5 mg, your doctor may decide to double the dose to 10 mg, then 15 mg or 20 mg and later to 30-40 mg, if necessary. If you started with a dose of 10 mg, your doctor may decide to increase the dose to 15-20 mg and later to 30-40 mg, if necessary. There will be a four-week interval between each dose adjustment.

The maximum daily dose of rosuvastatina is 40 mg. This dose is only for patients with high cholesterol levels and a high risk of suffering a heart attack or cerebral infarction, whose cholesterol levels do not decrease enough with 20 mg.

If you are taking rosuvastatina to reduce the risk of suffering a heart attack, a cerebral infarction or related health problems:

The recommended dose is 20 mg per day. 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 dose range in children and adolescents aged 6 to 17 years is 5 mg to 20 mg once a day. The usual starting dose is 5 mg per day and your doctor may increase your dose gradually to reach the right dose of rosuvastatina for you. The maximum recommended daily dose of rosuvastatina is 10-20 mg for children aged 6-17 years, depending on the underlying disease being treated. Take your dose once a day.

Swallowing the tablets

Swallow each tablet whole with water.

Takerosuvastatinaonce a day. You can take it at any time of the day with or without food.

Try to take the tablets at the same time every day. This will help you remember to take them.

Regular cholesterol level checks

It is essential that you attend your doctor regularly for cholesterol level checks, to ensure your cholesterol levels have normalized and remain at appropriate levels.

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

If you take more Rosuvastatina Normon than you should

Contact your doctor or nearest hospital for advice.

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

If you enter a hospital or receive treatment for another illness, inform the healthcare staff that you are taking rosuvastatina.

If you forget to take Rosuvastatina Normon

Do not worry, simply take the next scheduled dose at the planned time. Do not take a double dose to compensate for a missed dose.

If you interrupt treatment with Rosuvastatina Normon

Consult your doctor if you want to stop taking rosuvastatina. Your cholesterol levels may increase again if you stop taking rosuvastatina.

If you have any other doubts 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.

It is important that you know which side effects may occur. They are usually mild and disappear within a short period of time.

Stop takingrosuvastatinaand seek medical attention immediatelyif you experience any of the following allergic reactions:

• Difficulty breathing, with or without swelling of the face, lips, tongue, and/or throat.
• Swelling of the face, lips, tongue, and/or throat, which may cause difficulty swallowing.
• Intense skin itching (with rashes).
• Reddish patches on the trunk, in the shape of a target or circles, often with central blisters, skin peeling, ulcers in the mouth, throat, nose, genitals, and eyes. These severe skin eruptions may be preceded by fever and flu-like symptoms (Stevens-Johnson syndrome).
• Generalized rash, high body temperature, and enlarged lymph nodes (DRESS or drug hypersensitivity syndrome).

Alsostop taking rosuvastatina andconsult your doctor immediately:

• If you experience unexplained muscle pain and crampsthat last longer than expected. Muscle symptoms are more common in children and adolescents than in adults. Like other statins, a very small number of people have experienced unpleasant muscle effects, which, very rarely, have resulted in a potentially fatal muscle injury calledrabdomiólisis.

• If you experience muscle rupture.

• If you experience a syndrome with symptoms similar to lupus(including urticaria, joint disorders, and effects on blood cells).

Frequent side 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 urine – this usually returns to normal on its own without the need to stop treatment with rosuvastatina tablets (frequent side effect only with a daily dose of 40 mg of rosuvastatina).
• Diabetes. This is more likely if you have high blood sugar and lipid levels, obesity, and high blood pressure. Your doctor will closely monitor you while you are taking this medicine.

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

• Urticaria, itching, and other skin reactions.
• An increase in the amount of protein in urine – this usually returns to normal on its own without the need to stop treatment with rosuvastatina tablets (rare side effect with daily doses of 5 mg, 10 mg, and 20 mg of rosuvastatina).

Very rare side 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 skin itching (with rashes). If you think you are having an allergic reaction, stop takingrosuvastatinaand seek medical attention immediately.
• Muscle injury in adults – as a precaution,stop takingrosuvastatinaand consult your doctor immediately if you experience unexplained muscle pain or cramps that last longer than expected.
• Severe stomach pain (possible sign of pancreatitis).
• Increased liver enzymes (transaminases) in the blood.
• Bleeding or bruising more easily than normal due to low platelet count in the blood.
• Syndrome with symptoms similar to lupus (including rash, joint disorders, and effects on blood cells).

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

• Jaundice (yellowing of the skin and eyes), hepatitis (inflamed liver), blood in the urine, nerve damage in the legs and arms (with numbness or tingling), joint pain, memory loss, and breast enlargement in men (gynecomastia).

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

• 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, and constant muscle weakness, myasthenia gravis (a disease that causes generalized muscle weakness, which, in some cases, affects the muscles used for breathing), myasthenia ocular (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 eyelid drooping, difficulty swallowing, or difficulty breathing.

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through the Spanish System for the Pharmacovigilance of Medicines for Human Usehttps://www.notificaram.es.By reporting side effects, you can contribute to providing more information on the safety of this medicine.

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

This medication does not require special conditions for conservation.

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

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 pointat 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 Rosuvastatina Normon