AZILECT is used for the treatment of Parkinson?s disease. It can be used together with or without Levodopa (another medicine that is used to treat Parkinson?s disease).
With Parkinson?s disease, there is a loss of cells that produce dopamine in the brain. Dopamine is a chemical in the brain involved in movement control. AZILECT helps to increase and sustain levels of dopamine in the brain.
|Table of Contents|
|What do you have to consider before using it?|
|How is it used?|
|What are possible side effects?|
|How should it be stored?|
Do not take AZILECT
- if you are allergic (hypersensitive) to rasagiline or any of the other ingredients of AZILECT.
- if you have severe liver problems.
Do not take the following medicines while taking AZILECT:
- monoamine oxidase (MAO) inhibitors (e.g. for treatment of depression or Parkinson?s disease, or used for any other indication), including medicinal and natural products without prescription e.g. St. John's Wort.
- pethidine (a strong pain killer). You must wait at least 14 days after stopping AZILECT treatment and starting treatment with MAO inhibitors or pethidine.
Take special care with AZILECT
- if you have mild to moderate liver problems
- You should speak with your doctor about any suspicious skin changes.
AZILECT is not recommended for use under the age of 18.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without prescription or if you are smoking or intend to stop smoking.
Ask your doctor for advice before taking any of the following medicines together with AZILECT:
- Certain antidepressants(selective serotonin reuptake inhibitors, selective serotonin-norepinephrine reuptake inhibitors, tricyclic or tetracyclic antidepressants)
- the antibiotic ciprofloxacin used against infections
- the cough suppressant dextromethorphan
- sympathomimetics such as those present in eye drops, nasal and oral decongestants and cold medicine containing ephedrine or pseudoephedrine
The use of AZILECT together with the antidepressants containingfluoxetine or fluvoxamine should be avoided.
If you are starting treatment with AZILECT, you should wait at least 5 weeks after stopping fluoxetine treatment.
If you are starting treatment with fluoxetine or fluvoxamine, you should wait at least 14 days after stopping AZILECT treatment.
Taking AZILECT with food and drink
AZILECT may be taken with or without food.
Pregnancy and breast-feeding
Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
No studies on the effects on the ability to drive and use machines have been performed. Ask your doctor for advice prior to driving or using machines.
Always take AZILECT exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
The usual dose of AZILECT is 1 tablet of 1 mg taken by mouth once daily. AZILECT may be taken with or without food.
If you take more AZILECT than you should
If you think that you may have taken too many AZILECT tablets, contact your doctor or pharmacist immediately. Take the AZILECT carton/bottle with you to show the doctor or pharmacist.
If you forget to take AZILECT
Do not take a double dose to make up for a forgotten dose. Take the next dose normally, when it is time to take it.
If you stop taking AZILECT
Do not stop taking AZILECT without first talking to your doctor.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
Like all medicines, AZILECT can cause side effects, although not everybody gets them.
The following side effects have been reported in placebo controlled clinical trials:
The frequency of possible side effects listed below is defined using the following convention Very common affects more than 1 user in 10 Common affects 1 to 10 users in 100 Uncommon affects 1 to 10 users in 1,000 Rare affects 1 to 10 users in 10,000 Very rare affects less than 1 user in 10,000 Not known frequency cannot be estimated from the available data
- abnormal movements (dyskinesia)
- abdominal pain
- flu (influenza)
- general feeling of being unwell (malaise)
- neck pain
- chest pain (angina pectoris)
- low blood pressure when rising to a standing position with symptoms like dizziness/light-headedness (orthostatic hypotension)
- Decreased appetite
- dry mouth
- nausea and vomiting
- abnormal results of blood tests (leucopenia)
- joint pain (arthralgia)
- musculoskeletal pain
- joint inflammation (arthritis)
- numbness and muscle weakness of the hand (carpal tunnel syndrome )
- decreased weight
- abnormal dreams
- difficulty in muscular coordination (balance disorder)
- dizziness (vertigo)
- prolonged muscle contractions (dystonia)
- runny nose (rhinitis)
- irritation of the skin (dermatitis)
- bloodshot eyes (conjunctivitis)
- urinary urgency
- stroke (cerebrovascular accident)
- heart attack (myocardial infarction)
- blistering rash (vesiculobullous rash)
In addition, skin cancer was reported in around 1% of patients in the placebo controlled clinical trials. Nevertheless, scientific evidence suggests that Parkinson?s disease, and not any medicine in particular, is associated with a higher risk of skin cancer (not exclusively melanoma). You should speak with your doctor about any suspicious skin changes.
Parkinson's disease is associated with symptoms of hallucinations and confusion.
In post marketing experience these symptoms have also been observed in Parkinson's disease patients treated with AZILECT.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Keep out of the reach and sight of children.
Do not use AZILECT after the expiry date which is stated on the carton, bottle or blister. The expiry date refers to the last day of that month.
Do not store above 25oC.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
What AZILECT contains
- The active substance is rasagiline. Each tablet contains 1 mg rasagiline (as mesilate).
- The other ingredients are mannitol, colloidal anhydrous silica, maize starch, pregelatinised maize starch, stearic acid, talc.
What AZILECT looks like and contents of the pack
AZILECT tablets are presented as white to off-white, round, flat, bevelled tablets, debossed with ?GIL? and ?1? underneath on one side and plain on the other side.
The tablets are available in blister packs of 7, 10, 28, 30, 100 and 112 tablets or in a bottle containing 30 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder Teva Pharma GmbH Kandelstrasse 10 D-79199 Kirchzarten Germany Manufacturer Teva Pharmaceuticals Europe B.V. Computerweg 10 3542 DR Utrecht The Netherlands
For any information about this medicinal product, please contact the local representative of the Marketing Authorisation Holder:
BelgiëBelgiqueBelgien Lundbeck S.A.N.V. Avenue Molière 225 B-1050 BruxellesBrusselBrüssel TélTel 32 2 340 2828 LuxembourgLuxemburg Lundbeck S.A. Avenue Molière 225 B-1050 BruxellesBrüssel BelgiqueBelgien TélTel 32 2 340 2828
Magyarország Teva Magyarország Zrt. Rákóczi út 70-72. H-1074 Budapest Tel. 36 1 288 6400 2000 . . 55 1407 . 359 2 962 46 96
eská republika Lundbeck eská republika s.r.o. Bozdchova 7 CZ-150 00 Praha 5 Tel 420 225 275 600 Malta Charles di Giorgio Ltd Triq il-Kanonku Karmenu MT-1114 BKara BKR Tel 356 25600500
Danmark Lundbeck Pharma AS Dalbergstrøget 5 DK-2630 Taastrup Tlf 45 4371 4270 Nederland Teva Pharma B.V. Swensweg 5 NL-2003 RN Haarlem Tel 31 23 514 7147
Deutschland Lundbeck GmbH Karnapp 25 D-21079 Hamburg Tel 49 40 23649 0 Norge H. Lundbeck AS Postboks 361 N-1326 Lysaker Tlf 47 91300800
Eesti Lundbeck Eesti AS Weizenbergi 29 EE-10150 Tallinn Tel 372 605 9350 Österreich Lundbeck Austria GmbH Dresdner Straße 82 A-1200 Wien Tel 43 1 33107 0
Lundbeck Hellas S.A. 64 GR-151 25 , 30 210 610 5036 Polska Lundbeck Poland Sp. z o. o. ul. Krzywickiego 34 PL-02-078 Warszawa Tel 48 22 626 93 00
España Lundbeck España S.A. Av. Diagonal, 605, 9-1a E-08028 Barcelona Tel 34 93 494 9620 Portugal Lundbeck Portugal, Lda. Quinta da Fonte Edifício D. João I Piso 0 Ala A P-2770-203 Paço dArcos Tel 351 21 00 45 900
France Lundbeck SAS 37-45, quai du Président Roosevelt F-92445 Issy-les-Moulineaux Cedex Tél 33 1 79 41 29 00 România Lundbeck Export AS Reprezentana din România Str. Ghiocei no.7A, Sector 2 Bucureti 020571 RO Tel 40 21 319 88 26
Slovenija Lundbeck Pharma d.o.o. Titova cesta 8 SI-2000 Maribor Tel 386 2 229 45 00 Ireland Lundbeck Ireland Limited 7 Riverwalk Citywest Business Campus IRL - Dublin 24 Tel 353 1 4689800
Ísland Lundbeck Export AS, útibú á Íslandi Ármúla 1 IS-108 Reykjavik Sími 354 414 7070 Slovenská republika Lundbeck Slovensko s.r.o. Zvolenská 19 SK-821 09 Bratislava 2 Tel 421 2 5341 4218
Italia Lundbeck Italia S.p.A. Via G. Fara 35 I-20124 Milano Tel 39 02 677 4171 SuomiFinland Oy H. Lundbeck Ab Itäinen Pitkäkatu 4 FIN-20520 Turku Åbo PuhTel 358 2 276 5000
Lundbeck Hellas A .E . STADYL BUILDING CY-1066 357 22490305 Sverige H. Lundbeck AB Rundgången 30 B Box 23 S-250 53 Helsingborg Tel 46 42 254300
Latvija SIA Lundbeck Latvia Kleistu iela 24 LV-1067 Riga Tel 371 7 067 884 United Kingdom Lundbeck Limited Lundbeck House Caldecotte Lake Business Park Caldecotte Milton Keynes MK7 8LG - UK Tel 44 1908 64 9966
UAB Lundbeck Lietuva
L. Stuokos-Gucevi-iaus 9-3
Tel: +370 5 231 4188