CLOZAREM Tablet Ref.[28165] Active ingredients: Clozapine

Source: Υπουργείο Υγείας (CY)  Revision Year: 2020  Publisher: Remedica Ltd, Aharnon Street, Limassol Industrial Estate, 3056 Limassol, Cyprus

Product name and form

Clozarem 25 mg tablets.

Clozarem 100 mg tablets.

Clozarem can cause agranulocytosis. Its use should be limited to patients:

  • with schizophrenia who are non-responsive to or intolerant of antipsychotic medication, or with psychosis in Parkinson’s disease when other treatment strategies have failed (see point 4.1).
  • who have initially normal leukocyte findings [(white blood cell count >3500/mm³ (3.5x109/L) and ANC >2000/mm³ (2.0x109/L)], and
  • in whom regular white blood cell (WBC) counts and absolute neutrophil counts (ANC) can be performed as follows: weekly during the first 18 weeks of therapy, and at least every 4 weeks thereafter throughout treatment. Monitoring must continue throughout treatment and for 4 weeks after complete discontinuation of Clozarem (see section 4.4).

Prescribing physicians must comply fully with the required safety measures. At each consultation, a patient receiving Clozarem should be reminded to contact the treating physician immediately if any kind of infection begins to develop. Particular attention must be paid to flu-like complaints such as fever or sore throat and to other evidence of infection, which may be indicative of neutropenia (see section 4.4).

Clozarem must be dispensed under strict medical supervision in accordance with official recommendations (see section 4.4).

Myocarditis

Clozapine is associated with an increased risk of myocarditis which has, in rare cases, been fatal. The increased risk of myocarditis is greatest in the first 2 months of treatment. Fatal cases of cardiomyopathy have also been reported rarely (see section 4.4).

Myocarditis or cardiomyopathy should be suspected in patients who experience persistent tachycardia at rest, especially in the first 2 months of treatment, and/or palpitations, arrythmias, chest pain and other signs and symptoms of heart failure (e.g. unexplained fatigue, dyspnoea, tachypnoea) or symptoms that mimic myocardial infarction (see section 4.4).

If myocarditis or cardiomyopathy are suspected, Clozarem treatment should be promptly stopped and the patient immediately referred to a cardiologist (see section 4.4).

Patients who develop clozapine-induced myocarditis or cardiomyopathy should not be re-exposed to clozapine (see section 4.3 and 4.4).

Pharmaceutical Form

Tablet.

Clozarem 25 mg tablets:

Yellow, round, NC tablets, scored on one side.

The tablet can be divided into equal doses.

Clozarem 100 mg tablets:

Yellow, round, NC, crossed tablets.

The tablet can be divided into equal doses.

Qualitative and quantitative composition

Each tablet contains clozapine 25 mg and 100 mg respectively.

Excipient(s) with known effect:

These products contain 23,87 mg and 95,5 mg lactose respectively.

For the full list of excipients, see section 6.1.

Active Ingredient Description
Clozapine

Clozapine has been shown to be an antipsychotic agent that is different from classic antipsychotics. Clozapine has potent anti-alpha-adrenergic, anticholinergic, antihistaminic, and arousal-reaction-inhibiting effects. It has also been shown to possess antiserotoninergic properties.

List of Excipients

Cellulose microcrystalline
Sodium starch glycolate (Type A)
Magnesium stearate
Talc
Lactose monohydrate
Povidone
Maize starch

Pack sizes and marketing

Clozarem 25 mg tablets: PVC/Aluminium blisters. Pack sizes of 20, 30, 40, 50, 60, 100, 1000 tablets.
PP containers with PE closure. Pack size of 1000 tablets.

Clozarem 100 mg tablets: PVC/Aluminium blisters. Pack size of 50 tablets.
PP containers with PE closure. Pack size of 1000 tablets.

Not all pack sizes may be marketed.

Marketing authorization holder

Remedica Ltd, Aharnon Street, Limassol Industrial Estate, 3056 Limassol, Cyprus

Marketing authorization dates and numbers

Clozarem 25 mg tablets: 20348
Clozarem 100 mg tablets: 19378

Clozarem 25 mg tablets:

Date of first authorization: 02 June 2008
Date of latest renewal: 02 January 2013

Clozarem 100 mg tablets:

Date of first authorization: 19 February 2002
Date of latest renewal: 22 December 2010

Drugs

Drug Countries
CLOZAREM Albania, Cyprus, Hong Kong, Malta

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