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TIBOLONE Tablet (2019)

Αναφορές

Βιβλιογραφική αναφορά

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Περιεχόμενα

Name of the medicinal product

Tibolone 2.5 mg tablets.

Qualitative and quantitative composition

Each tablet contain contains 2.5 mg tibolone. Excipient(s) with known effect: each tablet contains 43.2 mg of lactose monohydrate. For the full list of excipients, see section 6.1.

Pharmaceutical form

Tablet. White to off-white round uncoated tablets of 6 mm diameter with bevelled edge without any marking.

Therapeutic indications

Treatment of oestrogen deficiency symptoms in postmenopausal women, more than one year after menopause. Prevention of osteoporosis in postmenopausal women at high risk of future fractures who are intolerant ...

Posology and method of administration

Posology The dosage is one tablet per day. The tablets should be swallowed with some water or other drink, preferably at the same time every day. For initiation and continuation of treatment of postmenopausal ...

Contraindications

Pregnancy and lactation Known, past or suspected breast cancer – Tibolone increased the risk of breast cancer recurrence in placebo controlled trial. Known or suspected oestrogen-dependent malignant tumours ...

Special warnings and precautions for use

For the treatment of postmenopausal symptoms, Tibolone 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 ...

Interaction with other medicinal products and other forms of interaction

Since Tibolone may increase blood fibrinolytic activity, it may enhance the effect of anticoagulants. This effect has been demonstrated with warfarin. Caution should therefore be exercised during the simultaneous ...

Fertility, pregnancy and lactation

Pregnancy Tibolone is contraindicated during pregnancy (see section 4.3). If pregnancy occurs during medication with Tibolone, treatment should be withdrawn immediately. For Tibolone no clinical data on ...

Effects on ability to drive and use machines

Tibolone is not known to have any effects on alertness and concentration.

Undesirable effects

This section describes undesirable effects, which were registered in 21 placebo-controlled studies (including the LIFT study), with 4079 women receiving therapeutic doses (1.25 or 2.5 mg) of Tibolone and ...

Overdose

The acute toxicity of tibolone in animals is very low. Therefore, toxic symptoms are not expected to occur, even when several tablets are taken simultaneously. In cases of acute overdose, nausea, vomiting ...

Pharmacodynamic properties

Pharmacotherapeutic group: other estrogens ATC code: G03CX01 Following oral administration, tibolone is rapidly metabolised into three compounds, which all contribute to the pharmacodynamic profile of ...

Pharmacokinetic properties

Absorption and biotransformation Following oral administration, tibolone is rapidly and extensively absorbed. Due to rapid metabolism, the plasma levels of tibolone are very low. The plasma levels of the ...

Preclinical safety data

In animal studies, tibolone had anti-fertility and embryotoxic activities by virtue of its hormonal properties. Tibolone was not teratogenic in mice and rats. It displayed teratogenic potential in the ...

List of excipients

Tibolone contains: Lactose monohydrate Mannitol Potato starch Magnesium stearate Ascorbyl palmitate

Incompatibilities

Not applicable.

Shelf life

Shelf life: 3 years.

Special precautions for storage

This medicinal product does not require any special temperature storage conditions. Store in the original package, in order to protect from light and moisture.

Nature and contents of container

Push-through pack of transparent PVC-Alu tablets pack sizes: cardboard boxes containing 1, 3 or 6 blisters with 28 or 30 tablets. Not all pack size may be marketed.

Special precautions for disposal and other handling

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

Marketing authorization holder

Mercury Pharmaceuticals Limited, Capital House, 85 King William Street, London, EC4N 7BL

Marketing authorization number(s)

PL 12762/0528

Date of first authorization / renewal of the authorization

24/03/2016

Date of revision of the text

20/06/2019

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