Drug Information Sheet ("Kusuri-no-Shiori") 613990072 Revised: 03/2007 Information is based on approvals granted in Japan. In some cases, the approved details may vary in countries other than Japan. In deciding to use a medicine, the risk (side effects) of taking the medicine must be weighed against the benefit (effects) it will do. The patient's cooperation is indispensable here. Brand name: TIGASON Capsule 10 Active ingredient: Etretinate Dosage form: pale red-brown/pale red-white capsule (major axis: approx. 14.5mm) Printings on wrapping: チガソン 10mg Effects of this medicine This medicine makes abnormally stiffened part on the skin and the oral mucosa easy to peel off and re-forms normal surface skin and mucosa. It is usually used to treat serious psoriasis and ichthyosis. Before using this medicine, tell your doctor/pharmacist ・ If you ever experienced any allergic reaction (itch, rash etc.) to any medicine. If you are a patient with hepatic/renal disorder or hypervitaminosis A. If you are predisposed to have hypertriglyceridemia. (For example, you have diabetes, obesity, alcoholism or lipid metabolism abnormality.) ・ If you are pregnant or breastfeeding. ・ If you are using any other prescription or nonprescription (OTC) medicine. (It is important to reduce the risk of drug interactions.) Dosage regimen (proper use of this medicine) ・ Your dosage regimen is:≪ :order of your doctor≫ ・ General dosage regimen: For adults, in order to induce a remission, take 40-50mg of the active ingredient in 2-3 divided doses a day for 2-4 weeks. The maximum daily dosage is 75mg of the active ingredient. After that, in order to maintain remission, take 10-30mg of the active ingredient in 1-3 divided doses a day according to the patient's symptoms. For infants and children, in order to induce a remission, take 1.0mg/kg of the active ingredient in 1-3 divided doses a day for 2-4 weeks. After that, in order to remain remission, take 0.6-0.8 mg/kg of the active ingredient in 1-3 divided doses a day according to the patient's symptoms. It should be adjusted according to your disease, age and symptoms in any case. 1 capsule contains 10mg of the active ingredient. Strictly follow the instructions of your doctor/pharmacist. ・ Avoid taking this medicine with a great amount of milk or fatty food. ・ Missed dose: Take the missed dose as soon as possible. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. DO NOT take a double dose to make up for the missed dose. ・ Overdose: If you took too much of this medicine (more than ordered), check with your doctor/pharmacist. ・ Others: Do not stop taking this medicine without the instructions of your doctor. Continued on next page. TIGASON Capsule 10 Precautions while using this medicine ・ This medicine has teratogenic potential (possibility to cause fetal anomaly) and has a higher incidence of side effects. You need to be informed of the side effects until you fully understand them. ・ In using this medicine, you need to be informed of precautions mentioned below until you fully understand them. If you agree to them, sign the letter of consent. ・ If you have a possibility of pregnancy, you have to wait a few days after your menstruation begins before taking this medicine. Also, you may have a pregnancy test within 2 weeks before taking this medicine. ・ If you have a possibility of pregnancy, make sure to avoid pregnancy during use and for at least 2 years after withdrawal of this medicine. ・ A male patient must avoid pregnancy during use and for at least 6 months after withdrawal of this medicine. ・ You cannot make a blood donation during use and for at least 2 years after withdrawal of this medicine. ・ When you have joint/bone pain, contact your doctor immediately. Also, if you are supposed to take this medicine for a long period, you may have to take an X-ray examination, etc. ・ This medicine may cause liver damage. For the early detection of the side effects, your liver function will be checked before and 1 month after starting this medication, and also every 3 months during use. Do not forget to undergo it on each designated date. ・ A patient with hypertriglyceridemia tends to have lipid metabolism abnormality. So, blood test will be conducted to the patient. ・ This medicine may cause hair loss, cheilitis, or desquamation (peeled surface skin). ・ Avoid breastfeeding. Side effects of this medicine Common side effects are reported as below. If any of them occurs, check with your doctor/pharmacist: cheilitis, desquamation (scurfy thing peeling off), dry mouth, thinning of the skin, pruritus. Symptoms described below may be the sign of side effects indicated in brackets [ ]. If they occur, stop taking your medicine and check with your doctor immediately. ・ joint pain, sore red skin, red spots and breakable blisters all over the body, lassitude[toxic epidermal necrosis (Lyell syndrome)] ・ rash and blister, joint pain, fever[erythema multiforme] ・ angialgia, purple bruise, swelling[vasculitis] Other side effects not listed here may occur. Check with your doctor/pharmacist if you have any worrisome symptom. Storage and other information ・ Keep out of the reach of children. Store at room temperature (1-30℃), away from light and moisture. ・ Discard the remainder. Do not store them. Ask the pharmacist how to discard. For doctor use only: Day Month Year For further information, ask your doctor/pharmacist. "Kanjamuke Iyakuhin Guide" and Japanese package insert information (for medical professionals) is available on the website of Pharmaceuticals and Medical Devices Agency. Drug Information Sheet ("Kusuri-no-Shiori") 613990073 Revised: 03/2007 Information is based on approvals granted in Japan. In some cases, the approved details may vary in countries other than Japan. In deciding to use a medicine, the risk (side effects) of taking the medicine must be weighed against the benefit (effects) it will do. The patient's cooperation is indispensable here. Brand name: TIGASON Capsule 25 Active ingredient: Etretinate Dosage form: pale red-brown/pale red-brown capsule (major axis: approx. 17.6mm) Printings on wrapping: チガソン 25mg Effects of this medicine This medicine makes abnormally stiffened part on the skin and the oral mucosa easy to peel off and re-forms normal surface skin and mucosa. It is usually used to treat serious psoriasis and ichthyosis. Before using this medicine, tell your doctor/pharmacist ・ If you ever experienced any allergic reaction (itch, rash etc.) to any medicine. If you are a patient with hepatic/renal disorder or hypervitaminosis A. If you are predisposed to have hypertriglyceridemia. (For example, you have diabetes, obesity, alcoholism or lipid metabolism abnormality.) ・ If you are pregnant or breastfeeding. ・ If you are using any other prescription or nonprescription (OTC) medicine. (It is important to reduce the risk of drug interactions.) Dosage regimen (proper use of this medicine) ・ Your dosage regimen is:≪ :order of your doctor≫ ・ General dosage regimen: For adults, in order to induce a remission, take 40-50mg of the active ingredient in 2-3 divided doses a day for 2-4 weeks. The maximum daily dosage is 75mg of the active ingredient. After that, in order to maintain remission, take 10-30mg of the active ingredient in 1-3 divided doses a day according to the patient's symptoms. For infants and children, in order to induce a remission, take 1.0mg/kg of the active ingredient in 1-3 divided doses a day for 2-4 weeks. After that, in order to remain remission, take 0.6-0.8 mg/kg of the active ingredient in 1-3 divided doses a day according to the patient's symptoms. It should be adjusted according to your disease, age and symptoms in any case. 1 capsule contains 25mg of the active ingredient. Strictly follow the instructions of your doctor/pharmacist. ・ Avoid taking this medicine with a great amount of milk or fatty food. ・ Missed dose: Take the missed dose as soon as possible. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. DO NOT take a double dose to make up for the missed dose. ・ Overdose: If you took too much of this medicine (more than ordered), check with your doctor/pharmacist. ・ Others: Do not stop taking this medicine without the instructions of your doctor. Continued on next page. TIGASON Capsule 25 Precautions while using this medicine ・ This medicine has teratogenic potential (possibility to cause fetal anomaly) and has a higher incidence of side effects. You need to be informed of the side effects until you fully understand them. ・ In using this medicine, you need to be informed of precautions mentioned below until you fully understand them. If you agree to them, sign the letter of consent. ・ If you have a possibility of pregnancy, you have to wait a few days after your menstruation begins before taking this medicine. Also, you may have a pregnancy test within 2 weeks before taking this medicine. ・ If you have a possibility of pregnancy, make sure to avoid pregnancy during use and for at least 2 years after withdrawal of this medicine. ・ A male patient must avoid pregnancy during use and for at least 6 months after withdrawal of this medicine. ・ You cannot make a blood donation during use and for at least 2 years after withdrawal of this medicine. ・ When you have joint/bone pain, contact your doctor immediately. Also, if you are supposed to take this medicine for a long period, you may have to take an X-ray examination, etc. ・ This medicine may cause liver damage. For the early detection of the side effects, your liver function will be checked before and 1 month after starting this medication, and also every 3 months during use. Do not forget to undergo it on each designated date. ・ A patient with hypertriglyceridemia tends to have lipid metabolism abnormality. So, blood test will be conducted to the patient. ・ This medicine may cause hair loss, cheilitis, or desquamation (peeled surface skin). ・ Avoid breastfeeding. Side effects of this medicine Common side effects are reported as below. If any of them occurs, check with your doctor/pharmacist: cheilitis, desquamation (scurfy thing peeling off), dry mouth, thinning of the skin, pruritus. Symptoms described below may be the sign of side effects indicated in brackets [ ]. If they occur, stop taking your medicine and check with your doctor immediately. ・ joint pain, sore red skin, red spots and breakable blisters all over the body, lassitude[toxic epidermal necrosis (Lyell syndrome)] ・ rash and blister, joint pain, fever[erythema multiforme] ・ angialgia, purple bruise, swelling[vasculitis] Other side effects not listed here may occur. Check with your doctor/pharmacist if you have any worrisome symptom. Storage and other information ・ Keep out of the reach of children. Store at room temperature (1-30℃), away from light and moisture. ・ Discard the remainder. Do not store them. Ask the pharmacist how to discard. For doctor use only: Day Month Year For further information, ask your doctor/pharmacist. "Kanjamuke Iyakuhin Guide" and Japanese package insert information (for medical professionals) is available on the website of Pharmaceuticals and Medical Devices Agency.