Product Informationfor the Patient

Everolimus Viatris 10mg Tablets EFG

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

• Keep this product information, 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 should not be given 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 product information. See section4.

1.What is Everolimus Viatris and for what it is used

2.What you need to know before starting to take Everolimus Viatris

3.How to take Everolimus Viatris

4.Possible adverse effects

5.Storage of Everolimus Viatris

6.Contents of the package and additional information

Everolimus is a cancer medication that contains the active ingredient everolimus. Everolimus reduces blood supply to the tumor and delays the growth and spread of cancer cells.

Everolimus is used to treat adult patients with:

• Advanced breast cancer with hormone receptor-positive in postmenopausal women, in whom other treatments (designated as "non-steroidal aromatase inhibitors") cannot continue to keep the disease under control. It is administered together with a type of medication called exemestane, a steroidal aromatase inhibitor, which is used for hormonal treatment of cancer.
• Advanced tumors known as neuroendocrine tumors that originate in the stomach, intestine, lung, or pancreas. It is administered if the tumors are not operable and do not produce excess specific hormones or other natural substances related to them.
• Advanced kidney cancer (advanced renal cell carcinoma), when other treatments (designated as anti-VEGF treatment) have not helped to stop their disease.

Everolimus will only be prescribed to you by an experienced doctor in cancer treatment. Follow all the doctor's instructions carefully. They may be different from the general information contained in this prospectus. If you have any doubts about everolimus or the reason why you have been prescribed this medication, consult your doctor.

Do not take Everolimus Viatris:

• If you are allergicto everolimus, related substances such as sirolimus or temserolimus, or to any of the other components of this medication (listed in section 6).

If you think you may be allergic, consult your doctor.

Warnings and precautions

Consult your doctor before starting to take Everolimus Viatris:

• If you have liver problems or have had any disease that may have affected your liver. In this case, your doctor may prescribe a different dose of everolimus.
• If you have diabetes (high blood sugar levels). Everolimus may increase blood sugar levels and worsen diabetes mellitus. This may require treatment with insulin and/or oral antidiabetic medications. Inform your doctor if you notice excessive thirst or if you need to urinate more frequently.
• If you need to receive a vaccine while taking everolimus.
• If you have high cholesterol levels. Everolimus may increase cholesterol and/or other blood fats.
• If you have recently undergone major surgery or have an open wound after surgery. Everolimus may increase the risk of wound healing problems.
• If you have an infection. You may need to treat your infection before starting everolimus treatment.
• If you have previously had hepatitis B, as it may reactivate during everolimus treatment (see section 4 "Possible side effects").
• If you have received or are about to receive radiation therapy.

Everolimus may also:

-Weaken your immune system. Therefore, you may be at risk of infection

while taking everolimus. If you have a fever or other signs of infection, consult your doctor. Some infections can be serious and fatal.

-Affect kidney function. Therefore, your doctor will monitor your kidney function while taking everolimus.

-Causing difficulty breathing, coughing, and fever.

-Cause mouth ulcers and sores. Your doctor may need to interrupt or discontinue Everolimus Viatris treatment. You may need treatment with a mouthwash, gel, or other products. Some mouthwashes and gels may worsen ulcers, so do not try any without consulting your doctor first. Your doctor may restart Everolimus Viatris treatment at the same dose or a lower dose.

-Cause radiation therapy complications. Severe radiation therapy complications (such as difficulty breathing, nausea, diarrhea, skin rash, and mouth, gum, and throat pain), including fatal cases, have been observed in some patients taking everolimus at the same time as receiving radiation therapy or taking everolimus shortly after receiving radiation therapy. Radiation recall syndrome (presenting with skin redness or lung inflammation at the site of previous radiation therapy) has also been reported in patients who had received radiation therapy in the past.

Inform your doctor if you are scheduled to receive radiation therapy soon, or if you have received radiation therapy previously.

Inform your doctorif you experience these symptoms.

During treatment, you will have blood tests performed periodically. These tests will determine the number of blood cells (white blood cells, red blood cells, and platelets) to check if everolimus is having an undesirable effect on these cells. You will also have blood tests to monitor kidney function (creatinine level), liver function (transaminase level), and blood sugar and cholesterol levels. These tests are done because these may be affected by everolimus treatment.

Children and adolescents

Everolimus should not be administered to children or adolescents (under 18 years old).

Other medications and Everolimus Viatris

Everolimus may affect how other medications work. If you are taking other medications at the same time as everolimus, your doctor may change the dose of everolimus or the other medications.

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

The following may increase the risk of adverse effects with everolimus:

• Ketoconazole, itraconazole, voriconazole, or fluconazole and other antifungal medications

used to treat fungal infections.

• Clarithromycin, telithromycin, or erythromycin, antibiotics used to treat bacterial infections.
• Ritonavir and other medications used to treat HIV/AIDS.
• Verapamil or diltiazem, used to treat heart problems or high blood pressure.
• Dronedarone, a medication used to help regulate your heart rhythm.
• Ciclosporin, a medication used to prevent your body from rejecting transplanted organs.
• Cannabidiol(its use includes, among others, the treatment of epilepsy seizures).
• Imatinib, used to inhibit the growth of abnormal cells.
• Inhibitors of the angiotensin-converting enzyme (ACE) (such as ramipril), used to treat high blood pressure or other cardiovascular problems.
• Nefazodone, used to treat depression.

The following may reduce the effectiveness of everolimus:

• Rifampicin, used to treat tuberculosis (TB).
• Efavirenz or nevirapine, used to treat HIV/AIDS.
• St. John's Wort (Hypericum perforatum), a herbal product used to treat depression and other conditions.
• Dexamethasone, a corticosteroid used to treat a wide range of situations, including inflammatory or immune problems.
• Phenobarbital, carbamazepine, or phenytoin and other antiepileptic medications used to control seizures.

You should avoid using these medications during everolimus treatment. If you are taking any of them, your doctor may prescribe a different medication or change your everolimus dose.

Taking Everolimus Viatris with food and drinks

Do not take grapefruit or grapefruit juice while taking everolimus. It may increase the amount of everolimus in your blood, possibly to a harmful level.

Pregnancy, breastfeeding, and fertility

Pregnancy

Everolimus may cause harm to the fetus and is not recommended for use during pregnancy. Inform your doctor if you are pregnant or think you may be pregnant. Your doctor will discuss with you whether you should take this medication during pregnancy.

Women who may become pregnant should use a highly effective contraceptive method during treatment and for 8 weeks after stopping treatment. If, despite these measures, you think you may be pregnant, consult your doctorbeforetaking more everolimus.

Breastfeeding

Everolimus may harm the breastfeeding baby. Do not breastfeed during treatment and for 2 weeks after the last dose of everolimus. Inform your doctor if you are breastfeeding.

Female fertility

Some patients treated with everolimus have experienced amenorrhea (absence of menstrual periods).

Everolimus may affect female fertility. Inform your doctor if you want to have children.

Male fertility

Everolimus may affect male fertility. Consult your doctor if you want to be a father.

Driving and operating machinery

If you feel abnormally tired (fatigue is a very common side effect), be especially careful when driving or operating machinery.

Everolimus Viatris contains lactose

Everolimus Viatris contains lactose (milk sugar). If your doctor has told you that you have a certain sugar intolerance, consult with them before taking this medication.

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

The recommended dose is 10 mg, once a day. Your doctor will inform you about how many everolimus tablets you should take.

If you have liver problems, your doctor may start treatment with a lower dose of everolimus (2.5; 5 or 7.5 mg per day).

If you experience some adverse effects while taking everolimus (see section 4), your doctor may reduce the dose you take or interrupt treatment for a short period of time or permanently.

Take everolimus once a day, more or less at the same time, always with food or always without food.

Swallow the tablets whole with a glass of water. The tablets should not be chewed or crushed.

If you take more Everolimus Viatris than you should

• If you have taken too much everolimus, or if someone has taken your tablets by mistake, consult your doctor or go to the hospital immediately. Urgent treatment may be necessary.
• Bring the packaging and this leaflet so that the doctor knows what you have taken.

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

If you forget to take Everolimus Viatris

If you have forgotten a dose, take the next dose at the time it is due. Do not take a double dose to make up for the missed doses.

If you interrupt treatment with Everolimus Viatris

Do not stop treatment with everolimus unless your doctor tells you to.

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.

STOP treatment with everolimus and seek medical help immediately if you experience any of the following signs of an allergic reaction:

• Difficulty breathing or swallowing
• Swelling of the face, lips, tongue, or throat

-Intense itching of the skin, with red rash or lumps on the skin.

The serious side effects of everolimus include:

Very common(may affect more than 1 in 10 people)

• Increased temperature, chills (signs of infection)
• Fever, cough, difficulty breathing, wheezing (signs of lung inflammation, also known as pneumonitis)

Common(may affect up to 1 in 10 people)

• Excessive thirst, increased urine output, increased appetite with weight loss, fatigue (signs of diabetes)
• Bleeding (hemorrhage), for example, in the intestinal wall
• Significant decrease in urine output (sign of renal insufficiency)

Uncommon(may affect up to 1 in 100 people)

• Fever, skin rash, joint pain and inflammation, as well as fatigue, loss of appetite, nausea, jaundice (yellow discoloration of the skin), right upper abdominal pain, pale stools, dark urine (may be signs of reactivation of hepatitis B)
• Sensation of shortness of breath, difficulty breathing when lying down, swelling of the feet or legs (signs of heart failure)
• Swelling and/or pain in one leg, usually in the calf, redness or heat in the affected skin area (signs of venous thrombosis in the legs caused by a blood clot)
• Onset of sudden breathing problems, chest pain, or coughing up blood (potential signs of pulmonary embolism, a situation that occurs when one or more arteries in the lungs are blocked)

Potential signs of pulmonary embolism, a situation that occurs when one or more arteries in the lungs are blocked)

• Significant decrease in urine output, swelling in the legs, sensation of confusion, back pain (signs of sudden renal insufficiency)
• Rash, itching, acne, difficulty breathing or swallowing, dizziness (signs of severe allergic reaction, also known as hypersensitivity)

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

• Difficulty breathing or rapid breathing (signs of respiratory distress syndrome)

If you experience any of these side effects, report them to your doctor immediately, as they may have fatal consequences.

Other possible side effects of everolimus include:

Very common(may affect more than 1 in 10 people)

• Fatigue, difficulty breathing, dizziness, pale skin, signs of low red blood cell count (anemia)

glóbulos rojos (anemia).

• High blood sugar (hyperglycemia)
• Loss of appetite
• High levels of lipids (fats) in the blood (hypercholesterolemia)
• Alteration of taste (dysgeusia)
• Headache
• Nasal bleeding (epistaxis)
• Cough
• Mouth ulcers
• Stomach discomfort, including nausea or diarrhea
• Skin rash
• Itching (pruritus)
• Sensation of weakness or fatigue
• Swelling of the arms, hands, feet, ankles, or other parts of the body (signs of edema)
• Weight loss

Common(may affect up to 1 in 10 people)

• Bleeding or bruising (signs of low platelet count, also known as thrombocytopenia)
• Fever, sore throat, mouth ulcers due to infections (signs of low white blood cell count, leucopenia, lymphopenia, and/or neutropenia)
• Lymphedema (swelling of the body tissues, usually in the arms or legs)
• Difficulty breathing (dyspnea)
• Thirst, decreased urine output, dark urine, dry, red, and irritated skin (signs of dehydration)
• Insomnia
• Headache, dizziness (signs of high blood pressure, also known as hypertension)
• Fever
• Inflammation of the mucous membranes of the mouth, stomach, and intestines
• Dry mouth
• Heartburn (dyspepsia)
• Vomiting
• Difficulty swallowing (dysphagia)
• Abdominal pain
• Acne
• Skin rash and pain on the palms of the hands or soles of the feet (palmar-plantar syndrome)
• Redness of the skin (erythema)
• Joint pain
• Mouth pain
• Irregular menstrual periods
• High levels of lipids (fats) in the blood (hyperlipidemia, increased triglycerides)
• Low potassium levels in the blood (hypokalemia)
• Low phosphate levels in the blood (hypophosphatemia)
• Low calcium levels in the blood (hypocalcemia)
• Dry skin, skin exfoliation, skin lesions
• Nail changes, nail breakage
• Mild hair loss
• Abnormal liver function tests (increased alanine and aspartate aminotransferase)
• Abnormal kidney function tests (increased creatinine)
• Swelling of the eyelid
• Protein in the urine

Uncommon(may affect up to 1 in 100 people)

• Weakness, spontaneous bleeding or bruising, and frequent infections with signs such as fever, chills, sore throat, or mouth ulcers (signs of low blood cell count, also known as pancitopenia)
• Loss of taste (ageusia)
• Coughing up blood (hemoptysis)
• Irregular menstrual periods (amenorrhea)
• Increased frequency of urination during the day
• Chest pain
• Abnormal wound healing
• Hot flashes
• Excessive tearing with itching and redness, or pink or red conjunctivitis

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

• Fatigue, difficulty breathing, dizziness, pale skin (signs of low red blood cell count, possibly due to a type of anemia called pure red cell aplasia)
• Swelling of the face, around the eyes, mouth, and mucous membranes of the mouth and/or throat, as well as the tongue, and difficulty breathing or swallowing (also known as angioedema), which may be signs of an allergic reaction

Unknown frequency(cannot be estimated from available data)

• Reaction at the site where you received previous radiation therapy (for example, redness of the skin or inflammation of the lungs) (known as radiation recall syndrome)
• Worsening of the side effects of radiation therapy

If these adverse reactions worsen, report them to your doctor and/or pharmacist. Most side effects are mild to moderate and usually disappear if treatment is interrupted for a few days.

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 prospectus. You can also report them directly through the Spanish System for the Vigilance of Medicinal Products 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 packaging and on the

blister after CAD. The expiration date is the last day of the month indicated.

Store in the original packaging to protect it from light.

This medication does not require special temperature conditions for storage.

Medicines should not be thrown down the drains or in the trash. Dispose of the packaging and medicines you no longer need at the SIGRE collection point of the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. In this way, you will help protect the environment.

Everolimus Viatris Composition

• The active ingredient is everolimus. Each tablet contains 10mg of everolimus.
• The other components are butylhydroxytoluene (E-321), hypromellose (E-464), lactose, lactose monohydrate, crospovidone (E-1202), and magnesium stearate (E-470b). See section 2: Everolimus Viatris contains lactose.

Appearance of Everolimus Viatris and packaging contents

Everolimus Viatris are biconvex, oval-shaped, white or off-white tablets with "E9VS 10" engraved on one side.

Everolimus Viatris is supplied in blister packs containing 30 or 90tablets, or blister packs containing 30tablets in single-dose perforated blisters.

Only some packaging sizes may be marketed.

Marketing Authorization Holder

Viatris Limited

Damastown Industrial Park

Mulhuddart, Dublin 15

Dublin

Ireland

Manufacturer

Synthon Hispania S.L.

Castelló 1

Polígono Las Salinas

08830 Sant Boi de Llobregat

Spain

Or

Synthon BV

Microweg 22

6545 CM Nijmegen

Netherlands

For more information about this medication, please contact the local representative of the marketing authorization holder:

Viatris Pharmaceuticals, S.L.

C/ General Aranaz, 86

28027 - Madrid

Spain

This medication is authorized in the member states of the European Economic Areaand in the United Kingdom (Northern Ireland)with the following names:

GermanyEverolimus Mylan 10 mg Tabletten

BulgariaEverolimus Viatris 10 mg tablets

CroatiaEverolimus Viatris 10 mg tablete

DenmarkEverolimus Viatris, 10 mg tabletter

SpainEverolimus Viatris 10 mg comprimidos EFG

FinlandEverolimus Viatris, 10 mg tabletti

FranceEverolimus Mylan 10 mg comprimés

ItalyEverolimus Mylan 10 mg compresse

NorwayEverolimus Viatris, 10 mg tabletter

NetherlandsEverolimus Viatris 10 mg, tabletten

PortugalEverolimus Mylan

United Kingdom (Northern Ireland)Everolimus Mylan 10 mg tablets

SwedenEverolimus Viatris, 10 mg tabletter

Last review date of this leaflet: December 2022

For detailed and updated information about this medication, please visit the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)https://www.aemps.gob.es/