Venlafaxine Retard Sandoz75 mg hard capsulesof prolonged release EFG
Venlafaxine Retard Sandoz150 mg hard capsulesof prolonged release EFG
Venlafaxine Retard Sandoz225 mg hard capsulesof prolonged release EFG
venlafaxine
Venlafaxina Retard Sandoz contains the active ingredient venlafaxine.
Venlafaxina Retard Sandoz is an antidepressant that belongs to a group of medicines called serotonin and noradrenaline reuptake inhibitors (SNRIs). This group of medicines is used to treat depression and other conditions such as anxiety disorders. The exact way in which antidepressants work is not fully understood, but they may help to increase levels of serotonin and noradrenaline in the brain.
Venlafaxina Retard Sandoz is a treatment for adults with depression. It is also a treatment for adults with the following anxiety disorders: generalised anxiety disorder, social anxiety disorder (fear or avoidance of social situations), panic disorder (panic attacks). Treating depressive and anxiety disorders properly is important to help you feel better. If left untreated, your condition may not go away or may worsen and become harder to treat.
Consult your doctor or pharmacistbeforestarting to take Venlafaxina Retard Sandoz:
Venlafaxine may cause restlessness or difficulty sitting or staying still during the first few weeks of treatment. You should consult your doctor if this happens.
Do not drink alcohol during treatment with venlafaxine, as it may cause extreme drowsiness and unconsciousness. Taking it with certain medicines and/or alcohol may worsen the symptoms of depression and other conditions, such as anxiety disorders.
If you are depressed and/or have anxiety disorders, you may sometimes have thoughts of harming yourself or suicide. This may be more likely to happen:
If you have thoughts of harming yourself or suicide at any time, contact your doctor or go to the hospital directly.
You may find it helpful to tell a close family member or friend that you are depressed or have an anxiety disorder, and ask them to read this leaflet. You can also ask them to tell you if they think your depression or anxiety is getting worse, or if they are concerned about changes in your behavior.
Dry mouth
Dry mouth has been reported in 10% of patients treated with venlafaxine. This may increase the risk of tooth decay (caries). You should take good care of your dental hygiene.
Diabetes
Sexual problems
Some medicines in the group to which venlafaxine belongs (called ISRS/IRSN) may cause sexual symptoms (see section 4). In some cases, these symptoms persist after stopping treatment.
Venlafaxine should not normally be used in the treatment of children and adolescents under 18 years old. You should also know that in patients under 18 years old, there is a higher risk of side effects such as suicidal thoughts, suicidal behavior, and hostility (mainly aggression, confrontational behavior, and irritability) when taking this type of medicine. However, your doctor may prescribe this medicine for patients under 18 years old if they decide it is the best option for the patient. If your doctor has prescribed this medicine for a patient under 18 years old, and you want to discuss this decision, please go back to your doctor. You should inform your doctor if any of the symptoms listed above develop or worsen in these patients under 18 years old who are taking venlafaxine.Additionally, the long-term safety in relation to growth, maturation, and cognitive and behavioral development has not been demonstrated.
Other medicines and Venlafaxina Retard Sandoz
Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medicine.
Your doctor should decide if you can take Venlafaxina Retard Sandoz with other medicines.
Do not start or stop taking any medicine, including those available over the counter, natural remedies, or herbal remedies, without checking with your doctor or pharmacist.
A potentially fatal condition, or reactions similar to Neuroleptic Malignant Syndrome (NMS) (see section “Possible Side Effects”) may occur with treatment with venlafaxine, particularly when taken with other medicines. Examples of these medicines include:
The signs and symptoms of serotonin syndrome may include a combination of the following: restlessness, hallucinations, loss of coordination, rapid heartbeat, increased body temperature, rapid changes in blood pressure, hyperactive reflexes, diarrhea, coma, nausea, vomiting.
In its most severe form, serotonin syndrome may resemble neuroleptic malignant syndrome (NMS). The signs and symptoms of NMS may include a combination of fever, rapid heartbeat, sweating, severe muscle stiffness, confusion, increased muscle enzymes (determined by a blood test).
Inform your doctor immediately or go to the nearest hospital emergency department if you think you are experiencing serotonin syndrome.
Inform your doctor if you are taking medicines that may affect your heart rhythm.
Examples of these medicines include:
The following medicines may interact with Venlafaxina Retard Sandoz and should be used with caution. It is especially important to mention to your doctor or pharmacist if you are taking medicines that contain:
Venlafaxina Retard Sandoz should be taken with food (see section 3 “How to take Venlafaxina Retard Sandoz”).
Do not drink alcohol during treatment with venlafaxine. Taking it with alcohol may cause extreme drowsiness and unconsciousness, and worsen the symptoms of depression and other conditions, such as anxiety disorders.
If you are pregnant or breastfeeding, or think you may be pregnant, or are planning to become pregnant, consult your doctor or pharmacist before using this medicine. You should only take Venlafaxina Retard Sandoz after discussing the possible benefits and risks for the unborn baby with your doctor.
Make sure your midwife and/or doctor know that you are taking Venlafaxina Retard Sandoz. When taken during pregnancy, similar medicines (ISRS) may increase the risk of a severe condition in babies, called persistent pulmonary hypertension of the newborn (PPHN), making the baby breathe faster and turn blue. These symptoms usually start within the first 24 hours after the baby's birth. If this happens to your baby, you should contact your midwife and/or doctor immediately.
If you are taking this medicine during pregnancy, in addition to breathing problems, another symptom your baby may have when born is feeding difficulties. If your baby has these symptoms when born and you are concerned, contact your doctor and/or midwife for advice.
Taking venlafaxine in the final stages of pregnancy may increase the risk of heavy vaginal bleeding after delivery, especially if you have a history of bleeding disorders. Your doctor or midwife should know that you are taking venlafaxine so they can advise you.
Venlafaxina Retard Sandoz passes into breast milk. There is a risk of an effect on the baby. You should discuss this with your doctor and they will decide if you should stop breastfeeding or stop taking this medicine.
Do not drive or operate tools or machines until you know how this medicine affects you.
Venlafaxina Retard Sandoz 150 mg and 225 mg contain sodium and azo dyes
This medicine contains less than 1 mmol (23 mg) of sodium per prolonged-release hard capsule; this is essentially “sodium-free”.
150 mg prolonged-release hard capsules:
This medicine may cause allergic reactions because it contains Yellow Iron Oxide (E 172) and Red Iron Oxide (E 172).
225 mg prolonged-release hard capsules:
This medicine may cause allergic reactions because it contains Carmoisine (E 122)..
Follow exactly the administration instructions of this medication as indicated by your doctor.In case of doubt, consult your doctor or pharmacist again.
The usual initial recommended dose for the treatment of depression, generalized anxiety disorder, and social anxiety disorder is 75 mg per day. Your doctor may gradually increase the dose and if necessary, even more up to a maximum of 375 mg per day for depression. If you are being treated for panic disorder, your doctor will start with a lower dose (37.5 mg) and then gradually increase the dose. The maximum dose for generalized anxiety disorder, social anxiety disorder, and panic disorder is 225 mg/day.
Take Venlafaxina Retard Sandoz approximately at the same time every day, either in the morning or at night. The capsules must be swallowed whole with liquid and should not be opened, crushed, chewed, or dissolved.
Venlafaxina Retard Sandoz should be taken with food.
If you have liver or kidney problems, talk to your doctor as your dose of this medication may need to be different.
Do not stop taking this medication without consulting your doctor (see section “If you interrupt treatment with Venlafaxina Retard Sandoz”).
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.
Overdose can put your life in danger, especially with the simultaneous use of certain medications and/or alcohol (see “Other medications and Venlafaxina Retard Sandoz”)
The symptoms of a possible overdose may include palpitations, changes in alertness (ranging from drowsiness to coma), blurred vision, seizures or attacks, and vomiting.
If you have not taken a dose, take it as soon as you remember. However, if it is already time for your next dose, skip the missed dose and take only one dose as usual. Do not take a double dose to compensate for the missed doses. Do not take more than the daily dose of Venlafaxina Retard Sandoz prescribed in a day.
Do not stop taking your treatment or reduce the dose without consulting your doctor, even if you feel better. If your doctor thinks you no longer need Venlafaxina Retard Sandoz, they may ask you to gradually reduce the dose before stopping treatment completely. It is known that adverse effects occur when people stop using this medication, especially when it is stopped suddenly or if the dose is reduced very quickly. Some patients may experience symptoms such as suicidal thoughts, aggression, fatigue, dizziness, instability, headaches, insomnia, nightmares, dry mouth, loss of appetite, nausea, diarrhea, nervousness, agitation, confusion, ringing in the ears, tingling, or, in rare cases, electric shock sensations, weakness, sweating, seizures, or symptoms similar to the flu, vision problems, and increased blood pressure (which can cause headaches, dizziness, ringing in the ears, sweating, etc.).
Your doctor will advise you on how to gradually stop treatment with Venlafaxina Retard Sandoz. This may take several weeks or months. In some patients, the interruption may need to be produced very gradually over months or more. If you experience any of these or other symptoms that bother you, consult your doctor for advice.
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.
If any of the following effects occur, do not take more Venlafaxina Retard Sandoz.Inform your doctor immediately, or go to the nearest hospital emergency department:
Rare (may affect up to 1 in 100 people)
Uncommon (may affect up to 1 in 1,000 people)
In its most severe form, serotonin syndrome may resemble neuroleptic malignant syndrome (NMS). The signs and symptoms of NMS may include a combination of fever, rapid heartbeat, sweating, severe muscle rigidity, confusion, increased muscle enzymes (determined by blood tests),
Unknown frequency (cannot be estimated from available data)
Signs and symptoms of a condition called "stress cardiomyopathy" that may include chest pain, difficulty breathing, dizziness, fainting, irregular heartbeat.
Other side effects thatyou should inform your doctorare (the frequency of these side effects are included in the following list "other side effects that may occur"):
Very common (may affect more than 1 in 10 people)
Common (may affect up to 1 in 10 people)
Rare (may affect up to 1 in 100 people)
Uncommon (may affect up to 1 in 1,000 people)
Very rare (may affect up to 1 in 10,000 people)
Unknown frequency (cannot be estimated with available data)
Venlafaxina Retard Sandoz sometimes causes unwanted effects that you may not be aware of, such as increased blood pressure or abnormal heartbeat; slight changes in liver enzyme levels, sodium, or cholesterol in the blood. Less frequently, Venlafaxina Retard Sandoz may reduce the function of platelets in the blood, leading to an increased risk of petechiae or bleeding. Therefore, your doctor may wish to perform occasional blood tests, particularly if you have been taking Venlafaxina Retard Sandoz for a long time.
Reporting of 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 Vigilance of Medicinal Products for Human Use:http://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.
Do not use this medication after the expiration date that appears on the packaging and blisterafter CAD/EXP. The expiration date is the last day of the month indicated.
This medication does not require special storage conditions.
Medicines 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 pointof 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 Venlafaxine Retard Sandoz
The active ingredient is venlafaxine.
Capule content:microcrystalline cellulose, povidone (K90 D), talc, anhydrous colloidal silica, magnesium stearate, ethylcellulose, and copovidone.
Capule coating:iron oxide black (E 172), iron oxide red (E 172), titanium dioxide (E 171), gelatin, purified water.
Capule printing ink:shellac, anhydrous ethanol, isopropyl alcohol, butyl alcohol, propylene glycol, concentrated ammonia solution, iron oxide red (E 172).
Capule content:microcrystalline cellulose, povidone (K90 D), talc, anhydrous colloidal silica, magnesium stearate, ethylcellulose, and copovidone.
Capule coating:brilliant blue FCF (E 133) (contains sodium), red Allura AC (E 129) (contains sodium), yellow-orange S (E 110) (contains sodium), titanium dioxide (E 171), gelatin, purified water.
Capule printing ink:shellac, anhydrous ethanol, isopropyl alcohol, butyl alcohol, propylene glycol, sodium hydroxide, povidone, titanium dioxide (E 171).
Capule content:microcrystalline cellulose, povidone (K90 D), talc, anhydrous colloidal silica, magnesium stearate, ethylcellulose, and copovidone.
Capule coating:carmin (E 122) (contains sodium), titanium dioxide (E 171), gelatin, purified water.
Capule printing ink:shellac, anhydrous ethanol, isopropyl alcohol, butyl alcohol, propylene glycol, concentrated ammonia solution, carmine indigo (E 132).
Venlafaxine Retard Sandoz 75 mg prolonged-release hard capsules
Hard gelatin capsules, opaque, orange, approximately 19 mm in size, with a thick and thin radial ring in red printing on the body and cap.
The capsule is filled with 6 mini-coated tablets, white to off-white, round, biconvex, 12.5 mg each.
VenlafaxineRetardSandoz150 mg prolonged-release hard capsules
Hard gelatin capsules, opaque, dark orange, approximately 21 mm in size, with a thick and thin radial ring in white printing on the body and cap.
The capsule is filled with 12 mini-coated tablets, white to off-white, round, biconvex, 12.5 mg each.
VenlafaxineRetardSandoz225 mg prolonged-release hard capsules
Hard gelatin capsules, opaque, pink, approximately 23 mm in size, with a thick and thin radial ring in blue printing on the body and cap.
The capsule is filled with 18 mini-coated tablets, white to off-white, round, biconvex, 12.5 mg each.
They are presented in aluminum-PVC/PVDC blisters, aluminum-PVC/ACLAR blisters, and aluminum-OPA/Alu/PVC blisters (only for 225 mg).
Packaging sizes
Blister packs containing7, 10, 12, 14, 20, 28, 30, 50, 56, 60, 90, 98, 100, and 112 (only for 75 and 150 mg) prolonged-release hard capsules.
Unit dose blister packs containing100 x 1 prolonged-release hard capsules.
Only some packaging sizes may be marketed.
Marketing authorization holder:
Sandoz Farmacéutica, S.A.
Centro Empresarial Parque Norte
Edificio Roble
C/ Serrano Galvache, 56
28033 Madrid
Spain
Responsible manufacturer:
Lek Pharmaceuticals d.d
Verov?kova ulica, 57
1526 Ljubljana
Slovenia
or
Salutas Pharma GmbH
Otto-von-Guericke-Allee 1,Sachsen-Anhalt
39179 Barleben
Germany
Last review date of this leaflet:August 2023
Detailed information about this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/
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