Patient leaflet - ERLOTINIB 150 MG FILM-COATED TABLETS
Erlotinib 25mg film coated Tablets
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
- Keep this leaflet. You may need to read it again.
- If you have further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4
What is in this leaflet
51 What Erlotinib Tablets are and what they are used for
51
What you need to know before you take Erlotinib Tablets
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How to take Erlotinib Tablets
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Possible side effects
How to store Erlotinib Tablets
Contents of the pack and other information
51 What Erlotinib Tablets are and what they are used for
Erlotinib Tablets contain the active substance erlotinib. Erlotinib Tablets are a medicine used to treat cancer by preventing the activity of a protein called epidermal growth factor receptor (EGFR). This protein is known to be involved in the growth and spread of cancer cells.
Erlotinib Tablets are indicated for adults. This medicine can be prescribed to you if you have non-small cell lung cancer at an advanced stage. It can be prescribed as initial therapy or as therapy if your disease remains largely unchanged after initial chemotherapy, provided your cancer cells have specific EGFR mutations. It can also be prescribed if previous chemotherapy has not helped to stop your disease.
This medicine can also be prescribed to you in combination with another treatment called gemcitabine if you have cancer of the pancreas at a metastatic stage.
51 what you need to know before you take erlotinib tablets
Do not take Erlotinib Tablets:
- If you are allergic to erlotinib or any of the ingredients of this medicine (listed in section 6).
Warnings and precautions:
Talk to your doctor before using Erlotinib Tablets:
- If you are taking other medicines that may increase or decrease the amount of erlotinib in your blood or influence its effect (for example antifungals like ketoconazole, protease inhibitors, erythromycin, clarithromycin, phenytoin, carbamazepine, barbiturates, rifampicin, ciprofloxacin, omeprazole, ranitidine, St. John’s Wort or proteasome inhibitors), talk to your doctor. In some cases these medicines may reduce the efficacy or increase the side effects of Erlotinib Tablets and your doctor may need to adjust your treatment. Your doctor might avoid treating you with these medicines while you are receiving Erlotinib Tablets.
- If you are taking anticoagulants (a medicine which helps to prevent thrombosis or blood clotting e.g. warfarin), Erlotinib Tablets may increase your tendency to bleed. Talk to your doctor, he will need to regularly monitor you with some blood tests.
- If you are taking statins (medicines to lower your blood cholesterol), Erlotinib Tablets may increase the risk of statin related muscle problems, which on rare occasions can lead to serious muscle breakdown (rhabdomyolysis) resulting in kidney damage, talk to your doctor.
- If you use contact lenses and/or have a history of eye problems such as severe dry eyes, inflammation of the front part of the eye (cornea) or ulcers involving the front part of the eye, tell your doctor.
See also below “Other medicines and Erlotinib Tablets”
You should tell your doctor:
- If you have sudden difficulty in breathing associated with cough or fever because your doctor may need to treat you with other medicines and interrupt your Erlotinib Tablets treatment;
- If you have diarrhoea because your doctor may need to treat you with anti-diarrhoeal (for example loperamide);
- immediately, if you have severe or persistent diarrhoea, nausea, loss of appetite, or vomiting because your doctor may need to interrupt your Erlotinib Tablet treatment and may need to treat you in the hospital;
- If you have severe pain in the abdomen, severe blistering or peeling of skin. Your doctor may need to interrupt or stop your treatment;
- If you develop acute or worsening redness and pain in the eye, increased eye watering, blurred vision and/or sensitivity to light, please tell your doctor or nurse immediately as you may need urgent treatment (see Possible Side Effects below).
- If you are also taking a statin and experience unexplained muscle pain, tenderness, weakness or cramps. Your doctor may need to interrupt or stop your treatment.
See also section 4 “Possible side effects”.
Liver or kidney disease
It is not known whether Erlotinib Tablets have a different effect if your liver or kidneys are not functioning normally. The treatment with this medicine is not recommended if you have a severe liver disease or severe kidney disease.
Glucuronidation disorder like Gilbert’s syndrome
Your doctor must treat you with caution if you have a glucuronidation disorder like Gilbert’s syndrome.
Smoking
You are advised to stop smoking if you are treated with Erlotinib Tablets as smoking could decrease the amount of your medicine in the blood.
Children and adolescents
Erlotinib has not been studied in patients under the age of 18 years.
The treatment with this medicine is not recommended for children and adolescents.
Other medicines and Erlotinib
Tell your doctor or pharmacist if you are taking, have recently taken any other medicines or might take any other medicines.
Erlotinib with food and drink
Do not take Erlotinib Tablets with food. See also section 3 ‘How to take Erlotinib Tablets’
Pregnancy and breast-feeding
Avoid pregnancy while being treated with Erlotinib Tablets. If you could become pregnant, use adequate contraception during treatment, and for at least 2 weeks after taking the last tablet.
If you become pregnant while you are being treated with Erlotinib Tablets, immediately inform your doctor who will decide if the treatment should be continued.
Do not breast-feed if you are being treated with Erlotinib Tablets.
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Driving and using machines
Erlotinib has not been studied for its possible effects on the ability to drive and use machines but it is very unlikely that your treatment will affect this ability.
Hypersensitivity
Erlotinib Tablets contain a sugar called lactose
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking erlotinib
Erlotinib Tablets contain sodium
This medicine contains less than 1mmol sodium (23mg) per film-coated tablet, that is to say essentially ‘sodium-free’.
How to take Erlotinib Tablets
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
The tablet should be taken at least one hour before or two hours after the ingestion of food.
The usual dose is one tablet of Erlotinib 150mg each day if you have nonsmall cell lung cancer. Continued over page
The usual dose is one tablet of Erlotinib Tablets 100mg each day if you have metastatic pancreatic cancer. Erlotinib is given in combination with gemcitabine treatment.
Your doctor may adjust your dose in 50mg steps. For the different dose regimens Erlotinib Tablets are available in strengths of 25mg, 100mg or 150mg.
If you take more Erlotinib Tablets than you should
Contact your doctor or pharmacist immediately.
You may have increased side effects and your doctor may interrupt your treatment.
If you forget to take Erlotinib tablets
If you miss one or more doses of Erlotinib Tablets, contact your doctor or pharmacist as soon as possible.
Do not take a double dose to make up for a forgotten dose.
If you stop taking Erlotinib Tablets
It is important to keep taking Erlotinib Tablets every day, as long as your doctor prescribes it for you.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4l possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Contact your doctor as soon as possible if you suffer from any of the below side effects. In some cases your doctor may need to reduce your dose of Erlotinib Tablets or interrupt treatment:
- Diarrhoea and vomiting (very common: may affect more than 1 out of 10 people). Persistent and severe diarrhoea may lead to low blood potassium and impairment of your kidney function, particularly if you receive other chemotherapy treatments at the same time. If you experience more severe or persistent diarrhoea contact your doctor immediately as your doctor may need to treat you in the hospital.
- Eye irritation due to conjunctivitis/keratoconjunctivitis (very common: may affect more than 1 out of 10 people) and keratitis (common: may affect up to 1 in 10 people).
- Form of lung irritation called interstitial lung disease (uncommon in European patients; common in Japanese patients: may affect up to 1 in 100 people in Europe and up to 1 in 10 in Japan). This disease can also be linked to the natural progression of your medical condition and can have a fatal outcome in some cases. If you develop symptoms such as sudden difficulty in breathing associated with cough or fever contact your doctor immediately as you could suffer from this disease. Your doctor may decide to permanently stop your treatment with Erlotinib Tablets.
- Gastrointestinal perforations have been observed (uncommon: may affect up to 1 in 100 people). Tell your doctor if you have severe pain in your abdomen. Also, tell your doctor if you had peptic ulcers or diverticular disease in the past, as this may increase this risk.
- In rare cases liver failure was observed (rare: may affect up to 1 in 1,000 people). If your blood tests indicate severe changes in your liver function, your doctor may need to interrupt your treatment.
Very common side effects (may affect more than 1 in 10 people):
- Rash which may occur or worsen in sun exposed areas. If you are exposed to sun, protective clothing, and/or use of sun screen (e.g. mineral-containing) may be advisable
- Infection
- Loss of appetite, decreased weight
- Depression
- Headache, altered skin sensation or numbness in the extremities
- Difficulty in breathing, cough
- Nausea
- Mouth irritation
- Stomach pain, indigestion and flatulence
- Abnormal blood tests for the liver function
- Itching, dry skin and loss of hair
- Tiredness, fever, rigors
Common side effects (may affect up to 1 in 10 people):
- Bleeding from the nose
- Bleeding from the stomach or the intestines
- Inflammatory reactions around the fingernail
- Infection of hair follicles
- Acne
- Cracked skin (skin fissures)
- Reduced kidney function (when given outside the approved indications in combination with chemotherapy)
Uncommon side effects (may affect up to 1 in 100 people):
- Eyelash changes
- Excess body and facial hair of a male distribution pattern
- Eyebrow changes
- Brittle and loose nails
Rare side effects (may affect up to 1 in 1,000 people):
- Flushed or painful palms or soles (Palmar plantar erythrodysaesthesia syndrome)
Very rare side effects (may affect up to 1 in 10,000 people):
- Cases of perforation or ulceration of the cornea
- Severe blistering or peeling of skin (suggestive of Stevens-Johnson syndrome)
- Inflammation of the coloured part of the eye
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme, Website: , or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects, you can help provide more information on the safety of this medicine.
71 how to store erlotinib tablets
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the blister and the carton after EXP. The expiry date refers to the last day of that month.
This medicine does not require any special storage conditions.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
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Contents of the pack and other information
What Erlotinib Tablets contain:
- The active substance of Erlotinib Tablets is erlotinib. Each film-coated tablet contains 25mg, 100mg or 150mg of erlotinib (as erlotinib hydrochloride) depending on the strength.
- The other ingredients are: Tablet core: Lactose anhydrous, Cellulose microcrystalline (E460), Sodium starch glycolate Type A, Sodium laurilsulfate (E487), Silica, colloidal anhydrous (E551), Magnesium stearate (E470 b).
What Erlotinib Tablets look like and contents of the pack:
Erlotinib 25mg Tablets are supplied as a white to off white, round, biconvex film-coated tablets debossed “E” upon “25” on one side and plain on the other side and is available in pack sizes of 30 tablets (3 blisters of 10 tablets each).
Erlotinib 100mg Tablets are supplied as a white to off white, round, biconvex film-coated tablets debossed “E” upon “100” on one side and plain on the other side and is available in pack sizes of 30 tablets (3 blisters of 10 tablets each)
Erlotinib 150mg Tablets are supplied as a white to off white, round, biconvex film-coated tablets debossed “E” upon “150” on one side and plain on the other side and is available in pack sizes of 30 tablets (3 blisters of 10 tablets each).
Marketing Authorisation Holder and Manufacturer
Waverley Pharma Europe Limited
Alexandra House, Office# 234,
The Sweepstakes,
Ballsbridge, Dublin 4, D04 C7H2,
Ireland
Manufacturer(s )
Pharmadox HeaIthcare Ltd.
KW20A Kordin Industrial Park,
Paola, PLA 3000
Malta
This leaflet was last revised in January 2020
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