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CIRCADIN Prolonged-release tablet (2019)

Αναφορές

Βιβλιογραφική αναφορά

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Περιεχόμενα

Name of the medicinal product

Circadin 2 mg prolonged-release tablets.

Qualitative and quantitative composition

Each prolonged-release tablet contains 2 mg melatonin. Excipient with known effect: each prolonged-release tablet contains 80 mg lactose monohydrate. For the full list of excipients, see section 6.1. ...

Pharmaceutical form

Prolonged-release tablet. White to off-white, round, biconvex tablets.

Therapeutic indications

Circadin is indicated as monotherapy for the short-term treatment of primary insomnia characterised by poor quality of sleep in patients who are aged 55 or over.

Posology and method of administration

Posology The recommended dose is 2 mg once daily, 1-2 hours before bedtime and after food. This dosage may be continued for up to thirteen weeks. Paediatric population The safety and efficacy of Circadin ...

Contraindications

Hypersensitivity to the active substance or to any of the excipients listed in section 6.1.

Special warnings and precautions for use

Circadin may cause drowsiness. Therefore the product should be used with caution if the effects of drowsiness are likely to be associated with a risk to safety. No clinical data exist concerning the use ...

Interaction with other medicinal products and other forms of interaction

Interaction studies have only been performed in adults. Pharmacokinetic interactions Melatonin has been observed to induce CYP3A in vitro at supra-therapeutic concentrations. The clinical relevance of ...

Pregnancy and lactation

Pregnancy For melatonin, no clinical data on exposed pregnancies are available. Animal studies do not indicate direct or indirect harmful effects with respect to pregnancy, embryonal/foetal development, ...

Effects on ability to drive and use machines

Circadin has moderate influence on the ability to drive and use machines. Circadin may cause drowsiness, therefore the product should be used with caution if the effects of drowsiness are likely to be ...

Undesirable effects

Summary of the safety profile In clinical trials (in which a total of 1,931 patients were taking Circadin and 1,642 patients were taking placebo), 48.8% of patients receiving Circadin reported an adverse ...

Overdose

Several cases of overdose have been reported post-marketing. Somnolence was the most reported adverse event. Most were mild to moderate in severity. Circadin has been administered at 5 mg daily doses in ...

Pharmacodynamic properties

Pharmacotherapeutic group: Psycholeptics, melatonin receptor agonists ATC code: N05CH01 Melatonin is a naturally occurring hormone produced by the pineal gland and is structurally related to serotonin. ...

Pharmacokinetic properties

Absorption The absorption of orally ingested melatonin is complete in adults and may be decreased by up to 50% in the elderly. The kinetics of melatonin are linear over the range of 2-8 mg. Bioavailability ...

Preclinical safety data

Non-clinical data revealed no special hazard for humans based on conventional studies of safety pharmacology, repeated dose toxicity, genotoxicity, carcinogenic potential, toxicity to reproduction and ...

List of excipients

Ammonio methacrylate copolymer type B Calcium hydrogen phosphate dihydrate Lactose monohydrate Silica, colloidal anhydrous Talc Magnesium stearate

Incompatibilities

Not applicable.

Shelf life

Shelf life: 3 years.

Special precautions for storage

Do not store above 25°C. Store in the original package in order to protect from light.

Nature and contents of container

The tablets are packed in PVC/PVDC opaque blister strips with aluminium foil backing. The pack consists of one blister strip containing 7, 20 or 21 tablets, or two blister strips containing 15 tablets ...

Special precautions for disposal and other handling

No special requirements for disposal. Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

Marketing authorization holder

RAD Neurim Pharmaceuticals EEC SARL, 4 rue de Marivaux, 75002 Paris, France, e-mail: regulatory@neurim.com

Marketing authorization number(s)

EU/1/07/392/001 EU/1/07/392/002 EU/1/07/392/003 EU/1/07/392/004

Date of first authorization / renewal of the authorization

Date of first authorisation: 29 June 2007 Date of latest renewal: 20 April 2012

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