PACKAGE LEAFLET: INFORMATION FOR THE USER Donepezil Hydrochloride 5mg Film-Coated Tablets Donepezil Hydrochloride 10mg Film-Coated Tablets (Referred to as Donepezil Tablets in the remainder of the leaflet) Taking Donepezil Tablets with food and drink Alcohol can affect the way Donepezil Tablets work. During treatment with Donepezil Tablets, talk to your doctor before consuming alcoholic drinks. 26.25mm 6th fold 26.25mm 5th fold 26.25mm 4th fold 26.25mm 3rd fold 26.25mm 2nd fold 1st fold 26.25mm Neutral code not required on the leaflet artworks. Read all of this leaflet carefully before you start to take this medicine. - Keep this leaflet. You may need to read it again whilst you are receiving your treatment. - If you have any further questions, please ask your doctor or pharmacist. - This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. - If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. In this leaflet: 1. What Donepezil Tablets are and what they are used for 2. Before you take Donepezil Tablets 3. How to take Donepezil Tablets 4. Possible side effects 5. How to store Donepezil Tablets 6. Further information 1. What Donepezil Tablets are and what they are used for 26.25mm 8th fold 26.25mm 7th fold The name of your medicine is Donepezil Tablets. The active ingredient in your medicine is donepezil hydrochloride. Donepezil hydrochloride belongs to a group of medicines called cholinesterase inhibitors, which are used to treat patients suffering from Alzheimer’s dementia (a brain disorder). Donepezil Tablets are used to treat the symptoms of mild to moderately severe Alzheimer’s dementia. They are not a cure. 26.25mm 16th fold 26.25mm 15th fold 26.25mm 14th fold 26.25mm 13th fold 26.25mm 12th fold 26.25mm 11th fold 26.25mm 10th fold 26.25mm 9th fold 2. Before you take Donepezil Tablets You should not take Donepezil Tablets if you: • are allergic (hypersensitive) to donepezil hydrochloride, piperidine derivatives or to any of the other ingredients in this medicine (see section 6. ‘Further information’). Talk to your doctor before taking Donepezil Tablets if you: • are due to have an operation and are therefore going to be given an anaesthetic • have an irregular heart beat caused by ‘heart block’ or ‘sick sinus syndrome’ • have a history of stomach ulcers • are currently taking non steroidal anti-inflammatory drugs (NSAIDs), medicines used to treat pain and high temperature • have a history of asthma or other breathing problems • have a movement disorder causing parts of your body to make repetitive, involuntary movements • are already taking a medicine similar to Donepezil Tablets, for Alzheimer’s dementia • are taking a ‘cholinergic’ medicine, used to treat conditions such as muscle weakness and glaucoma (increased pressure in the eyes affecting the vision). Taking other medicines Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. The following medicines can affect or can be affected by Donepezil Tablets: • ketoconazole and itraconazole, used to treat fungal infections • quinidine, used to treat some heart conditions • erythromycin and rifampicin, used to treat bacterial infections • fluoxetine, used to treat depression • carbamazepine and phenytoin, used to treat fits/seizures • succinylcholine, used as a muscle relaxant • beta blockers, used to treat heart conditions. Pregnancy and breast-feeding If you are pregnant, check with your doctor before you use Donepezil Tablets. Your doctor will decide if you should take them. You should not breast-feed if you are taking Donepezil Tablets. Ask your doctor for advice before taking any medicine. Driving and using machinery Donepezil Tablets have minor to moderate effects on the ability to drive and use machinery. However, Alzheimer’s dementia itself may affect your ability to drive and use machinery. When you start the treatment with Donepezil Tablets, or if your doctor has recently increased your dose, you may feel tired, dizzy/light headed or experience muscle cramps. Your doctor will routinely evaluate your ability to drive or use machinery and advise you accordingly. Important information about some of the ingredients in Donepezil Tablets This medicine contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine. 3. How to take Donepezil Tablets Always take Donepezil Tablets exactly as your doctor has told you. Your doctor will decide the right dose for you. This will be on the pharmacist’s label. You should take Donepezil Tablets in the evening, just before going to bed. Swallow them whole, with a glass of water. Adults and elderly • for the first month of treatment take one Donepezil 5mg Tablet a day. After the first month your doctor will assess your condition and may increase your dose to one Donepezil 10mg Tablet a day. Children • Donepezil Tablets are not recommended for use in children. If you take more Donepezil Tablets than you should If you or anybody else, including a child, takes too many Donepezil Tablets, contact your nearest hospital casualty department or your doctor immediately. Always take the remaining tablets in the pack and this leaflet with you. Symptoms of overdose include: feeling very sick, being sick, salivation, sweating, decreased blood pressure (symptoms of which include light headedness), abnormally slow breathing, an abnormally slow heart and pulse rate, fits/seizures and collapse. Increasing muscle weakness may also be experienced, which can be life threatening if the lungs are affected. If you forget to take Donepezil Tablets If you forget a dose, take another as soon as you remember. If it is almost time for your next dose, then do not take the missed dose at all. NEVER take a double dose to make up for the one missed. If you have any further questions on the use of Donepezil Tablets, ask your doctor or pharmacist. 4. Possible side effects Like all medicines, Donepezil Tablets can cause side effects, although not everybody gets them. 105386/2 pg 1/2 ART WORK CHECK BOX Process Black PRODUCT : CUSTOMER : FP CODE: PLANT LOCATION : DIMENSIONS : PHARMACODE No. : SAP CODE No. : TEXT FONT SIZE : FILE NAME : SOFTWARE : TYPEFACES : ARTWORK (DETAILS) RECEIVED ON : PROOF REVISION : Donepezil 5mg/10mg Tablets Wockhardt UK FP3592/3593 EOU (w)128 x (h)420mm 2303 215831 8pt. Donepezil_Leaflet_105386-2.ai Adobe Illustrator CS5 Helvetica Regular / Bold 22nd June & 2nd July, 2012 1st PDF sent on - 5TH JULY 2012 2nd PDF sent on - 11TH FEB. 2013 CHANGE CONTROL : Version changes due to change in: Size/Layout Regulatory Non-Regulatory Changes in detail: • Regulatory text change • Introduced new Wockhardt logo • Removed pre-printed neutral code 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 protect the environment. 6. Further information What Donepezil Tablets contain The active ingredient is donepezil hydrochloride. Each Donepezil 5 mg Tablet contains 5mg of donepezil hydrochloride. Each Donepezil 10 mg Tablet contains 10mg of donepezil hydrochloride. The other ingredients are: lactose monohydrate, microcrystalline cellulose, maize starch, hydroxypropylcellulose (E463), magnesium stearate, hypromellose, talc (E553b), polyethylene glycol and titanium dioxide (E171). Donepezil 10mg Tablets also contain yellow iron oxide (E172). 1st fold 26.25mm 26.25mm 2nd fold 26.25mm 3rd fold 26.25mm 4th fold 26.25mm 5th fold This is a service provided by the Royal National Institute of Blind People. Leaflet prepared: July 2012. 26.25mm 26.25mm 7th fold 26.25mm 8th fold 26.25mm 9th fold These medicinal products are authorised under the following names, in the following EEA Member States: Cyprus Donepezil Hydrochloride Wockhardt 5mg Επικαλυμμένα με λεπτό υμένιο δισκία Donepezil Hydrochloride Wockhardt 10mg Επικαλυμμένα με λεπτό υμένιο δισκία France Donepezil Wockhardt 5mg comprimé pelliculé Donepezil Wockhardt 10mg comprimé pelliculé Germany Donepezilhydrochlorid Wockhardt 5mg Filmtabletten Donepezilhydrochlorid Wockhardt 10mg Filmtabletten Greece Donepezil Hydrochloride Wockhardt 5mg Επικαλυμμένα με λεπτό υμένιο δισκία Donepezil Hydrochloride Wockhardt 10mg Επικαλυμμένα με λεπτό υμένιο δισκία Ireland Donepezil Hydrochloride 5mg Film-Coated Tablets Donepezil Hydrochloride 10mg Film-Coated Tablets Malta Donepezil Hydrochloride 5mg Film-Coated Tablets Donepezil Hydrochloride 10mg Film-Coated Tablets Poland Wockhardt Donepezil Hydrochloride United Kingdom Donepezil Hydrochloride 5mg Film-Coated Tablets Donepezil Hydrochloride 10mg Film-Coated Tablets 6th fold For the Republic of Ireland please call 052 6186000. 26.25mm Keep out of the reach and sight of children. • this medicinal product does not require any special storage conditions • do not take Donepezil Tablets after the expiry date stated on the packaging. The expiry date refers to the last day of the month. Donepezil Hydrochloride 10mg Film-Coated Tablets PL 29831/0441 10th fold 5. How to store Donepezil Tablets Donepezil Hydrochloride 5mg Film-Coated Tablets PL 29831/0440 26.25mm If you experience any side effects not listed in this leaflet or feel that the medicine is affecting you badly, tell your doctor or pharmacist immediately. Reference number 11th fold Very common (affecting at least 1 in 10 patients) • diarrhoea • feeling sick • headache. Product name 26.25mm Common (affecting at least 1 in 100 but less than 1 in 10 patients) • common cold • loss of appetite • hallucinations • agitation • aggressive behaviour • fainting • feeling dizzy • difficulty in sleeping • being sick • stomach upset • skin rashes and itching • muscle cramps • urinary incontinence • feeling tired • pain • accident and injury proneness. 0800 198 5000 (UK Only) Please be ready to give the following information: 12th fold Uncommon (affecting at least 1 in 1000 but less than 1 in 100 patients) • fits/seizures • slow heart rate • ulcers in the stomach or intestine • bleeding in the digestive system • increased levels of creatinine kinase in muscles (which are detected by blood tests). Other formats: To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge: 105386/2 215831 26.25mm Rare (affecting at least 1 in 10000 but less than 1 in 1000 patients) • movement disorder causing parts of the body to make repetitive, involuntary movements • an irregular heart beat caused by ‘heart block’ or ‘sick sinus syndrome’ • hepatitis and other liver problems (symptoms can include yellowing of the skin and whites of the eyes). Manufacturer: CP Pharmaceuticals Ltd, Ash Road North, Wrexham, LL13 9UF, UK. 13th fold The following side effects may be experienced: 26.25mm 14th fold What Donepezil Tablets look like and the contents of the pack Donepezil 5mg Tablets are white to off white, round, biconvex, film-coated tablets debossed with ‘W’ on one side and ‘3II’ on the other side. Donepezil 10mg Tablets are yellow, round, biconvex, film-coated tablets debossed with ‘W’ on one side and ‘3I2’ on the other side. 26.25mm 15th fold Both strengths of tablet are available in tablet containers (HDPE) of 28, 30 or 100 tablets. They are also available in blister packs (PVC/PVDC/aluminium) of 7, 14, 28, 30, 50, 56, 60, 84, 98,112 or 120 tablets. Not all pack sizes may be marketed. 26.25mm 16th fold Marketing Authorisation Holder: Wockhardt UK Ltd, Ash Road North, Wrexham, LL13 9UF, UK. pg 2/2