PRAVAFEN Hard capsule Ref.[50594] Active ingredients: Fenofibrate Pravastatin

Source: Health Sciences Authority (SG)  Revision Year: 2021  Publisher: SMB Technology S.A., Rue du Parc Industriel 39, B-6900 Marche en Famenne, Belgium

4.1. Therapeutic indications

Pravafen is indicated as an adjunct to diet to reduce triglyceride (TG) and increase HDL-C in high coronary heart disease (CHD)-risk adult patients with mixed dyslipidemia whose LDL-C levels are adequately controlled while on a treatment with pravastatin 40 mg monotherapy.

No incremental benefit of Pravafen on cardiovascular morbidity and mortality has been established over and above that demonstrated for statin monotherapy.

4.2. Posology and method of administration

Prior to initiating Pravafen, secondary causes of combined dyslipidaemia should be excluded and patients should be placed on a standard cholesterol and triglycerides-lowering diet which should be continued during treatment.

Posology

The recommended dose is one capsule per day. Dietary restrictions instituted before therapy should be continued.

Response to therapy should be monitored by determination of serum lipid values. Treatment should be discontinued if an adequate response has not been achieved within three months.

Special populations

Elderly patients (≥65 years old)

Treatment initiation with Pravafen should be decided after renal function has been evaluated (see section 4.4 Renal and urinary disorders). Limited safety data on Pravafen is available in patients >75 years of age and care should be exercised.

Renal impairment

No modification of posology should be necessary in patients with mild renal impairment. Pravafen is contraindicated in patients with moderate to severe renal impairment (defined as a creatinine clearance <60 ml/min. See section 4.3.)

Hepatic impairment

No posology adjustment is required in patients with mild hepatic impairment. Pravafen is not recommended in patients with moderate hepatic impairment and is contraindicated in patients with severe hepatic impairment (see section 4.3.).

Paediatric population (<18 years old)

There is no relevant use of Pravafen in the paediatric population in the indication of mixed dyslipidaemia (see section 4.3).

Method of administration

The recommended dose is one capsule taken daily during the evening meal. Since it is less well absorbed from an empty stomach, Pravafen should always be taken with food (see sections 4.5. and 5.2).

4.9. Overdose

In the event of an overdose, symptomatic and supportive measures should be employed.

Pravastatin

Reported cases of overdose were asymptomatic and did not give rise to abnormal laboratory tests. No specific antidote is known. If overdose is suspected, treat symptomatically and institute appropriate supportive measures as required.

Fenofibrate

No specific antidote is known. If an overdose is suspected, treat symptomatically and institute appropriate supportive measures as required. Fenofibrate cannot be eliminated by haemodialysis.

6.3. Shelf life

3 years.

6.4. Special precautions for storage

Store below 30°C.

6.5. Nature and contents of container

Opaque white HDPE bottles containing 30 hard capsules.

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.

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