BEZAFIBRATE Film-coated tablet Ref.[6499] Active ingredients: Bezafibrate

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2018  Publisher: Generics [UK] Ltd t/a Mylan, Station Close, Potters Bar, Herts, EN6 1TL

Therapeutic indications

Bezafibrate is indicated as an adjunct to diet and other non-pharmacological treatment (e.g. exercise, weight reduction) for the following:

  • Treatment of severe hypertriglyceridaemia with or without low HDL cholesterol.
  • Mixed hyperlipidaemia when a statin is contraindicated or not tolerated.

Posology and method of administration

Posology

Adults

The recommended dosage is one tablet (200 mg Bezafibrate) taken three times daily equivalent to 600 mg bezafibrate. Occasionally gastrointestinal symptoms may occur. In susceptible patients, slowly increasing dosage over 5 to 7 days may help to avoid such symptoms.

Elderly

In elderly people there is a physiological reduction of the renal function with age. Bezafibrate dosage should be adjusted based on serum creatinine clearance values (see Patients with renal impairment below).

Patients with renal impairment

In dialysis patients the use of bezafibrate is contraindicated.

In patients with renal insufficiency the dose should be adjusted according to serum creatinine levels or creatinine clearance as shown in the following table.

Serum creatinine (micro mol/l) Creatinine clearance (ml/min) Dosage (tablets/day)
Up to 135Over 603
136-22560-402
226-53040-151 every 1 or 2 days
Over 530Less than 15Contraindicated

The response to therapy is normally rapid, although a progressive improvement may occur over a number of weeks. Treatment should be withdrawn if an adequate response has not been achieved within 3 to 4 months.

Paediatric population

At present there is inadequate information regarding an appropriate dosage in children and adolescents.

Method of administration

Bezafibrate Film-coated Tablets are for oral use.

Tablets should be swallowed whole with a sufficient amount of fluid after each meal.

Overdose

No specific effects of acute overdose are known. Rhabdomyolysis has occurred. There is no specific antidote. Thus appropriate symptomatic therapy is recommended in cases of overdose. In cases of rhabdomyolysis, bezafibrate must be stopped immediately and renal function carefully monitored.

Shelf life

2 years.

Special precautions for storage

This medicinal product does not require any special storage conditions.

Nature and contents of container

Bezafibrate 200 mg Film-coated Tablets are available in either: -

  • cartoned PVC/PVdC/Aluminium foil blister packs along with patient leaflets as packs of 84 or 100 or
  • HDPP containers with tamper evident polyethylene caps (with optional polyethylene ullage filler) as packs of 84 or 100.
  • HDPP containers with tamper evident and child-resistant polyethylene caps (with optional polyethylene ullage filler) as packs of 84 or 100.

Not all pack sizes may be marketed.

Special precautions for disposal and other handling

No special requirements for disposal.

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