AVANDIA Film-coated tablet Ref.[108135] Active ingredients: Rosiglitazone

Source: European Medicines Agency (EU)  Publisher: SmithKline Beecham Ltd, 980 Great West Road, Brentford, Middlesex, TW8 9GS, United Kingdom

4.1. Therapeutic indications

Rosiglitazone is indicated in the treatment of type 2 diabetes mellitus:

as monotherapy:

  • in patients (particularly overweight patients) inadequately controlled by diet and exercise for whom metformin is inappropriate because of contraindications or intolerance

as dual oral therapy in combination with:

  • metformin, in patients (particularly overweight patients) with insufficient glycaemic control despite maximal tolerated dose of monotherapy with metformin
  • a sulphonylurea, only in patients who show intolerance to metformin or for whom metformin is contraindicated, with insufficient glycaemic control despite monotherapy with a sulphonylurea

as triple oral therapy in combination with:

  • metformin and a sulphonylurea, in patients (particularly overweight patients) with insufficient glycaemic control despite dual oral therapy (see section 4.4).

4.2. Posology and method of administration

Rosiglitazone therapy is usually initiated at 4 mg/day. This dose can be increased to 8 mg/day after eight weeks if greater glycaemic control is required. In patients administered rosiglitazone in combination with a sulphonylurea, an increase in rosiglitazone to 8 mg/day should be undertaken cautiously following appropriate clinical evaluation to assess the patient’s risk of developing adverse reactions relating to fluid retention (see 4.4 and 4.8).

Rosiglitazone may be given once or twice a day.

Rosiglitazone may be taken with or without food.

Elderly (see section 4.4 Fluid retention and cardiac failure)

No dose adjustment is required in the elderly.

Patients with renal impairment (see section 4.4 Fluid retention and cardiac failure)

No dose adjustment is required in patients with mild and moderate renal insufficiency. Limited data are available in patients with severe renal insufficiency (creatinine clearance <30 ml/min) and therefore rosiglitazone should be used with caution in these patients.

Patients with hepatic impairment

Rosiglitazone should not be used in patients with hepatic impairment.

Children and adolescents

There are no data available on the use of rosiglitazone in patients under 10 years of age. For children aged 10 to 17 years, there are limited data on rosiglitazone as monotherapy (see sections 5.1 and 5.2).

The available data do not support efficacy in the paediatric population and therefore such use is not recommended.

4.9. Overdose

Limited data are available with regard to overdose in humans. In clinical studies in volunteers rosiglitazone has been administered at single oral doses of up to 20 mg and was well tolerated.

In the event of an overdose, it is recommended that appropriate supportive treatment should be initiated, as dictated by the patient’s clinical status. Rosiglitazone is highly protein bound and is not cleared by haemodialysis.

6.3. Shelf life

2 years.

6.4. Special precautions for storage

This medicinal product does not require any special storage conditions.

6.5. Nature and contents of container

Opaque blister packs (PVC/aluminium). 56, 112, 168 or 180 film-coated tablets or 56 film-coated tablets, unit dose pack.

Not all pack sizes may be marketed.

6.6. Special precautions for disposal and other handling

Any unused product should be disposed of in accordance with local requirements.

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