Patient leaflet - Erlotinib Tillomed 25 mg film-coated tablets
1. What Erlotinib Tillomed is and what it is used for
Erlotinib Tillomed contains the active substance erlotinib. Erlotinib Tillomed is 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 Tillomed is 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.
2. What you need to know before you take Erlotinib Tillomed
Do not take Erlotinib Tillomed:
if you are allergic to erlotinib or any of the ingredients
of this medicine (listed in section 6)
Warnings and precautions:
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 Tillomed and your doctor may need to adjust your treatment. Your doctor might avoid treating you with these medicines while you are receiving Erlotinib Tillomed
if you are taking anticoagulants (a medicine which
helps to prevent thrombosis or blood clotting e.g. warfarin), Erlotinib Tillomed 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 Tillomed 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 Tillomed”. 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 Tillomed treatment;
if you have diarrhoea because your doctor may need
to treat you with an 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 Tillomed treatment and may need to treat you in hospital;
if you have ever had problems with your liver. Erlotinib
Tillomed may cause serious liver problems and some cases have been fatal. Your doctor may perform blood tests while you are taking this medicine to monitor whether your liver functions properly;
- 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 Tillomed has 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 Tillomed as smoking could decrease the amount of medicine in your blood.
Children and adolescents
Erlotinib Tillomed 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 Tillomed
Tell your doctor or pharmacist if you are taking, have recently taken any other medicines or might take any other medicines. This includes herbal medicines.
Erlotinib Tillomed with food and drink
Do not take Erlotinib Tillomed with food. See also section 3 ‘How to take Erlotinib Tillomed’.
Pregnancy and breast-feeding
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.
Pregnancy
Avoid pregnancy while being treated with Erlotinib Tillomed. 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 Tillomed, immediately inform your doctor who will decide if the treatment should be continued.
Breast-feeding
Do not breast-feed if you are being treated with Erlotinib Tillomed, and for at least 2 weeks after taking the last tablet.
Driving and using machines
Erlotinib Tillomed 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.
Erlotinib Tillomed 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.
Erlotinib Tillomed contains sodium
This medicine contains less than 1 mmol sodium (23 mg) per tablets, that is to say essentially ‘sodium-free’.
3. How to take Erlotinib Tillomed
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 Tillomed 150 mg each day if you have non-small cell lung cancer. The usual dose is one tablet of Erlotinib Tillomed 100 mg each day if you have metastatic pancreatic cancer. Erlotinib Tillomed is given in combination with gemcitabine treatment.
Your doctor may adjust your dose in 50 mg steps. For the different dose regimens, Erlotinib Tillomed is available in strengths of 25 mg, 100 mg or 150 mg.
PACKAGE LEAFLET:
INFORMATION FOR THE PATIENT
Erlotinib Tillomed 25 mg
Film-coated Tablets
Erlotinib Tillomed 100 mg
Film-coated Tablets
Erlotinib Tillomed 150 mg
Film-coated Tablets
Erlotinib 25/100/150 FCT
Package leaflet
TBA
TW163719
UK
[All]
[NA]
TBA
1
9 points (Reg text)
NA
09/01/2025
16/01/2025
18/01/2025
Black C
23/04/2025
24/04/2025
160 mm
If you take more Erlotinib Tillomed than you should
If you take more Erlotinib Tillomed 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 Tillomed
If you miss one or more doses of Erlotinib Tillomed, 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 Tillomed
It is important to keep taking Erlotinib Tillomed 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.
4. 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 Tillomed 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 hospital
Eye irritation due to keratoconjunctivitis (very common:
may affect more than 1 out of 10 people) conjunctivitis and keratitis (common: may affect up to 1 in10 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 Tillomed
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 inflammation of the liver (hepatitis) was
observed (rare: may affect up to 1 in 1,000 people). Symptoms may include a general feeling of being unwell, with or without possible jaundice (yellowing of the skin and eyes), dark urine, nausea, vomiting and abdominal pain. In rare cases liver failure was observed. This can potentially be fatal. 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 sunscreen (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
- Tiredness, fever, rigors
Common side effects (may affect up to 1 in 10 people):
- Dry skin
- Loss of hair
- 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):
- Inflammation of kidneys (nephritis)
- Excess of protein in the urine (proteinuria)
Eyelash changes
- Excess body and facial hair of a male distribution pattern
- Excess pigmentation of the skin
- 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 or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard 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.
5. How to store Erlotinib Tillomed
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 medicinal product 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 protect the environment.
6. Contents of the pack and other information
What Erlotinib Tillomed contains
The active substance of Erlotinib Tillomed is erlotinib.
Each film-coated tablet contains 25 mg, 100 mg or 150 mg of erlotinib (as erlotinib hydrochloride) depending on the strength
The other ingredients are:
Tablet core: lactose monohydrate, cellulose microcrystalline (E460), sodium starch glycolate type A, sodium lauryl sulfate, magnesium stearate (E572) Tablet coat: Opadry White 20H580004 consists of HPMC 2910/Hypromellose (E464), Hydroxypropyl cellulose, Titanium dioxide (E171), Propylene glycol (E1520)
What Erlotinib Tillomed looks like and contents of the pack
Erlotinib Tillomed 25 mg film-coated tablets are white coloured, round shaped, biconvex, film coated tablets, debossed with “E25” on one side and plain on other side. The diameter of the tablet is 6.45 mm ±0.2 mm.
Erlotinib Tillomed 100 mg film-coated tablets are white coloured, round shaped, biconvex, film coated tablets, debossed with “E100” on one side and plain on other side. The diameter of the tablet is 8.89 mm ±0.2 mm.
Erlotinib Tillomed 150 mg film-coated tablets white coloured, round shaped, biconvex, film coated tablets, debossed with “E150” on one side and plain on other side. The diameter of the tablet is 10.50 mm ±0.2 mm.
The product is available in Aluminium/Clear PVC perforated unit dose blister of 30 x1 film-coated tablets.
Marketing Authorisation Holder & Manufacturer
Tillomed Laboratories Limited
220 Butterfield,Great Marlings
Luton, LU2 8DL, United Kingdom
This leaflet was last revisedin 04/2025
Hard to read?
To get this information in large print or another format, please email medical.information@tillomed.com or call 0800 970 6115.
1224003LFT/Till.Ver.1