Patient leaflet - Rasagiline Macleods 1 mg tablets
1. What Rasagiline Macleods is and what it is used for
Rasagiline Macleods contains the active substance rasagiline and it is used for the treatment of Parkinson’s disease in adults. 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. Rasagiline Macleods helps to increase and sustain levels of dopamine in the brain.
2. What you need to know before you take Rasagiline Macleods
Do not take Rasagiline Macleods
If you are allergic to rasagiline or any of the other ingredients of this medicine
(listed in section 6).
- If you have severe liver problems.
Do not take the following medicines while taking Rasagiline Macleods:
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 Rasagiline Macleods treatment and starting treatment with MAO inhibitors or pethidine.
Warnings and precautions
Talk to your doctor before taking Rasagiline Macleods
- If you have any liver problems
- You should speak with your doctor about any suspicious skin changes. Treatment with Rasagiline Macleods may possibly increase the risk of skin cancer.
Tell your doctor if you or your family/carer notices that you are developing unusual behaviours where you cannot resist the impulse, urges or cravings to carry out certain harmful or detrimental activities to yourself or others. These are called impulse control disorders. In patients taking Rasagiline Macleods and/or other medicines used to treat Parkinson’s disease, behaviours such as compulsions, obsessive thoughts, addictive gambling, excessive spending, impulsive behaviour and an abnormally high sex drive or an increase in sexual thoughts or feelings have been observed. Your doctor may need to adjust or stop your dose (see section 4).
Rasagiline Macleods may cause drowsiness and may cause you to suddenly fall asleep during day time activities, especially if you are taking other dopaminergic medicinal products (used for the treatment of Parkinson’s disease). For further information please refer to section driving and using machines.
Children and adolescents
There is no relevant use of Rasagiline Macleods in children and adolescents. Therefore, Rasagiline Macleods is not recommended for use under the age of 18.
Other medicines and Rasagiline Macleods
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Especially tell your doctor if you are taking any of the following medicines:
- 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 Rasagiline Macleods together with the antidepressants containing fluoxetine or fluvoxamine should be avoided.
If you are starting treatment with Rasagiline Macleods, 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 Rasagiline Macleods treatment.
Tell your doctor or pharmacist if you are smoking or intend to stop smoking. Smoking could decrease the amount of Rasagiline Macleods in the blood.
Pregnancy, breast-feeding and fertility
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.
You should avoid taking Rasagiline Macleods if you are pregnant, as the effects of Rasagiline Macleods on pregnancy and the unborn child are not known.
Driving and using machines
Ask your doctor for advice before you drive and operate machines, since Parkinson’s disease itself as well as the treatment with Rasagiline Macleods may influence your ability to do so. Rasagiline Macleods can make you feel dizzy or drowsy; it can also cause episodes of sudden sleep onset.
This might be enhanced if you take other medicines to treat the symptoms of your Parkinson’s disease, or if you take medicines which can make you feel drowsy, or if you drink alcohol while taking Rasagiline Macleods. If you have experienced somnolence and/or episodes of sudden sleep onset before, or while taking Rasagiline Macleods do not drive or operate machinery (see section 2).
3. How to take Rasagiline Macleods
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
The recommended dose of Rasagiline Macleods is 1 tablet of 1 mg taken by mouth once daily. Rasagiline Macleods may be taken with or without food.
If you take more Rasagiline Macleods than you should
If you think that you may have taken too many Rasagiline Macleods tablets, contact your doctor or pharmacist immediately. Take the Rasagiline Macleods carton/ blister or bottle with you to show the doctor or pharmacist.
Symptoms reported following overdose of Rasagiline Macleods included slightly euphoric mood (light form of mania), extremely high blood pressure and serotonin syndrome (see section 4)
If you forget to take Rasagiline Macleods
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 Rasagiline Macleods
Do not stop taking Rasagiline Macleods without first talking to your doctor.
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 you doctor right away if you notice any of the following symptoms. You may need urgent medical advice or treatment:
- If you develop unusual behaviours such as compulsions, obsessive thoughts, addictive gambling, excessive shopping or spending, impulsive behaviour and an abnormally high sex drive or an increase in sexual thoughts (impulse control disorders) (see section 2).
- If you see or hear things which are not there (hallucinations).
Any combination of hallucinations, fever, restlessness, tremor and sweating
(serotonin syndrome)
-
Contact your doctor if you notice any suspicious skin changes because there may be an increased risk of skin cancer (melanoma) with the use of this medicine (see section 2).
Other side effects
Very common (may affect more than 1 in 10 people)
- Involuntary movements (dyskinesia)
- Headache
Common (may affect up to 1 in 10 people)
- Abdominal pain
- Fall
- Allergy
- Fever
- 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
- Constipation
- Dry mouth
- Nausea and vomiting
- Flatulence
- 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)
- Depression
- Dizziness (vertigo)
- Prolonged muscle contractions (dystonia)
- Runny nose (rhinitis)
- Irritation of the skin (dermatitis)
- Rash
- Bloodshot eyes (conjunctivitis)
- Urinary urgency
Uncommon (may affect up to 1 in 100 people)
- Stroke (cerebrovascular accident)
- Heart attack (myocardial infarction)
- Blistering rash (vesiculobullous rash)
Not known: frequency cannot be estimated from the available data
- Elevated blood pressure
- Excessive drowsiness
- Sudden onset of sleep
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 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 Rasagiline Macleods
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 carton and blister after EXP. The expiry date refers to the last day of that month.
Do not store above 30°C.
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 Rasagiline Macleods contains
- The active substance is rasagiline. Each tablet contains 1 mg rasagiline (as mesilate).
- The other ingredients are microcrystalline cellulose, corn starch (maize starch), colloidal silicon dioxide, anhydrous citric acid, pregelatinised starch, talc, stearic acid.
What Rasagiline Macleods looks like and contents of the pack
Rasagiline Macleods are presented as White to off-white, round, flat, beveled edged tablets debossed with “C13” on one side and plain on the other side. (Approximate size: 8 mm).
The tablets are available in pack size of 28, 30, 60 and 100 tablets in blister pack.
Not all pack sizes may be marketed.
Marketing Authorisation Holder & Manufacturer
Marketing Authorisation Holder
Macleods Pharma UK Limited
Wynyard Park House,
Wynyard Avenue, Wynyard,
Billingham, TS22 5TB
United Kingdom
Manufacturer
Macleods Pharma UK Limited
Wynyard Park House,
Wynyard Avenue, Wynyard,
Billingham, TS22 5TB,
United Kingdom.
Synoptis Industrial Sp. z o.o
ul. Rabowicka 15, Swarzędz,
62-020, Poland
Fairmed Healthcare GmbH
Dorotheenstraße 48
22301 Hamburg
Deutschland
pv@fair-med.com
PL 34771/0224