KLIOGEST Film-coated tablet (2022)
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Περιεχόμενα
1. Name of the medicinal product
Kliogest 2 mg/1 mg film-coated tablets.
2. Qualitative and quantitative composition
<u>Each film-coated tablet contains:</u> estradiol 2 mg (as estradiol hemihydrate) and norethisterone acetate 1 mg. <u>Excipient with known effect:</u> lactose monohydrate. Each white film-coated tablet ...
3. Pharmaceutical form
Film-coated tablets. White, film-coated, biconvex tablets, engraved with NOVO 281. Diameter 6 mm.
4.1. Therapeutic indications
Hormone Replacement Therapy (HRT) for oestrogen deficiency symptoms in postmenopausal women with more than 1 year since last menses. Prevention of osteoporosis in postmenopausal women at high risk of future ...
4.2. Posology and method of administration
Kliogest is a continuous combined HRT product intended for use in women with an intact uterus. One tablet should be taken orally once a day without interruption, preferably at the same time every day. ...
4.3. Contraindications
Known, past or suspected breast cancer. Known, past or suspected oestrogen-dependent malignant tumours (e.g. endometrial cancer). Undiagnosed genital bleeding. Untreated endometrial hyperplasia. Previous ...
4.4. Special warnings and precautions for use
For the treatment of postmenopausal symptoms, HRT should only be initiated for symptoms that adversely affect quality of life. In all cases, a careful appraisal of the risks and benefits should be undertaken ...
4.5. Interaction with other medicinal products and other forms of interaction
The metabolism of oestrogens and progestagens may be increased by concomitant use of substances known to induce drug-metabolising enzymes, specifically cytochrome P450 enzymes, such as anticonvulsants ...
4.6. Pregnancy and lactation
Pregnancy Kliogest is not indicated during pregnancy. If pregnancy occurs during medication with Kliogest, treatment should be withdrawn immediately. Clinically, data on a limited number of exposed pregnancies ...
4.7. Effects on ability to drive and use machines
Kliogest has no known effect on the ability to drive or use machines.
4.8. Undesirable effects
Clinical experience The most frequently reported adverse events in the clinical trials with Kliogest were vaginal bleedings and breast pain/tenderness, reported in approximately 10% to 30% of patients. ...
4.9. Overdose
Symptoms of over dosage with oral oestrogens are breast tenderness, nausea, vomiting and/or metrorrhagia. Over dosage of progestagens may lead to a depressive mood, fatigue, acne and hirsutism. Treatment ...
5.1. Pharmacodynamic properties
<b>Pharmacotherapeutic group:</b> Progestagens and oestrogens, fixed combinations <b>ATC code:</b> G03FA01 <u>Estradiol:</u> The active ingredient, synthetic 17β-estradiol, is chemically and biologically ...
5.2. Pharmacokinetic properties
Following oral administration of 17β-estradiol in micronised form, rapid absorption from the gastrointestinal tract occurs. It undergoes extensive first-pass metabolism in the liver and other enteric organs, ...
5.3. Preclinical safety data
The toxicity profiles of estradiol and norethisterone acetate are well-known. There are no preclinical data of relevance to the prescriber which are additional to that already included in other sections ...
6.1. List of excipients
<u>Tablet core:</u> Lactose monohydrate Maize starch Hydroxypropylcellulose Talc Magnesium stearate <u>Film-coating:</u> White tablets: Hypromellose Triacetin Talc
6.2. Incompatibilities
Not applicable.
6.3. Shelf life
4 years.
6.4. Special precautions for storage
Store below 25ºC. Do not refrigerate. Keep the container in the outer carton in order to protect it from light.
6.5. Nature and contents of container
1 28 tablets in calendar dial packs. The calendar dial pack with 28 tablets consists of the following 3 parts: The base made of coloured non-transparent polypropylene. The ring-shaped lid made of transparent ...
6.6. Special precautions for disposal and other handling
Any unused medicinal product or waste material should be disposed of in accordance with local requirements.
7. Marketing authorization holder
Novo Nordisk A/S, Novo Allé, DK-2880, Bagsværd, Denmark
8. Marketing authorization number(s)
PA0218/022/001
9. Date of first authorization / renewal of the authorization
Date of first authorisation: 18 November 1987 Date of last renewal: 18 November 2007
10. Date of revision of the text
July 2022
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