Updated on 22/11/2011 and displayed until Current
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Reasons for adding or updating:
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Change to section 4.4 - Special warnings and precautions for Use
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Change to section 10 date of revision of the text
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| Date of revision of text on the SPC: 11-Nov-2011 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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| Update of SmPC section 4.4 to reflect the outcome of the clinical study (COLEBI-combination therapy of leflunomide with biologicals) as requested by the CHMP to update the SmPC regarding the unclear benefit-risk ratio of leflunomide with biologicals and to update the SmPC with the tuberculosis cases observed during the combination with the biologicals.
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Updated on 21/11/2011 and displayed until 22/11/2011
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Reasons for adding or updating:
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Change to section 4.2 - Posology and method of administration
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Change to section 5.1 - Pharmacodynamic Properties
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| Date of revision of text on the SPC: 10-Aug-2011 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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| Section 4.2 and 5.1 - updated with information about use of a loading dose from post-marketing studies
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Updated on 12/05/2011 and displayed until 21/11/2011
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Reasons for adding or updating:
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Change to section 4.4 - Special warnings and precautions for Use
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Change to section 4.6 - Pregnancy and Lactation
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Change to section 4.8 - Undesirable Effects
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Change to section 10 date of revision of the text
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| Date of revision of text on the SPC: 18-Apr-2011 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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Section 4.4: Special Warnings and precautions for use
Respiratory reactions
Interstitial lung disease has been reported during treatment with leflunomide (see section 4.8). The risk of its occurrence is increased in patients with a history of interstitial lung disease. Interstitial lung disease is a potentially fatal disorder, which may occur acutely during therapy. Pulmonary symptoms, such as cough and dyspnoea, may be a reason for discontinuation of the therapy and for further investigation, as appropriate.
Section 4.6: (formerly) Pregnancy and Lactation
change of section title to:-
4.6 Fertility, pPregnancy and lactation
Section 4.8: Undesirable effects, first para changed, as follows:-
The most frequently adverse effects reported adverse effects commonly (³1/100 to <1/10) with leflunomide are: mild increase in blood pressure, leucopenia, paraesthesia, headache, dizziness, diarrhoea, nausea, vomiting, oral mucosal disorders (e.g. aphthous stomatitis, mouth ulceration), abdominal pain, increased hair loss, eczema, rash (including maculo-papular rash), pruritus, dry skin, tenosynovitis, CPK increased, anorexia, weight loss (usually insignificant), asthenia, mild allergic reactions and elevation of liver parameters (transaminases (especially ALT), less often gamma-GT, alkaline phosphatise, bilirubin)).
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Updated on 13/08/2010 and displayed until 12/05/2011
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Reasons for adding or updating:
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Change to section 8 - MARKETING AUTHORISATION NUMBER(S)
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| Date of revision of text on the SPC: 20-Apr-2010 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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| Amendment to typographical errors re product strength detail only in Section 8. Please note that the Data of revision of text has not changed
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Updated on 24/05/2010 and displayed until 13/08/2010
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Reasons for adding or updating:
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Change to section 4.4 - Special warnings and precautions for Use
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| Date of revision of text on the SPC: 29-Apr-2010 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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| Section 4.4 - addition of warning about Progressive Multifocal Encephalopathy
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Updated on 10/12/2009 and displayed until 24/05/2010
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Reasons for adding or updating:
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Change to section 4.6 - Pregnancy and Lactation
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| Date of revision of text on the SPC: 02-Sep-2009 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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| Addition of study data in section 4.6 pregnancy and lactation
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Updated on 03/09/2009 and displayed until 10/12/2009
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Reasons for adding or updating:
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Change to section 2 - Qualitative and quantitative composition
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Change to section 4.2 - Posology and method of administration
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Change to section 4.4 - Special warnings and precautions for Use
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Change to section 4.8 - Undesirable Effects
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Change to section 5.1 - Pharmacodynamic Properties
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Change to section 6. 5 - Nature and Contents of Container
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Addition of link to EMEA website
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| Date of revision of text on the SPC: 01-Jul-2009 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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Reformatting of section 2; 4.2; 4.8; 5.1; 6.5
Removal from Section 4.4 of: -
"Arava should be administered to patients only under careful medical supervision"
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Updated on 07/01/2009 and displayed until 03/09/2009
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Reasons for adding or updating:
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Change to section 6.1 - List of Excipients
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Correction of spelling/typing errors
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| Date of revision of text on the SPC: 01-Jan-2008 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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| Section 6.1 - typographical mistake amended
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Updated on 21/05/2008 and displayed until 07/01/2009
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Reasons for adding or updating:
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Change to section 4.8 - Undesirable Effects
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| Date of revision of text on the SPC: 01-Jan-2008 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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| Addition of renal failure with unknown frequency to section 4.8
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Updated on 23/01/2008 and displayed until 21/05/2008
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Reasons for adding or updating:
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Change to section 4.2 - Posology and method of administration
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| Date of revision of text on the SPC: 11/2007 |
| Legal Category: POM |
| Black Triangle (CHM):
NO |
Free-text change information supplied by the pharmaceutical company
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4.8 Undesirable effects
Addition of renal failure (unknown frequency) as an undesirable effect.
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Updated on 21/03/2006 and displayed until 23/01/2008
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Reasons for adding or updating:
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Change to section 4.2 - Posology and Method of Administration
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Change to section 4.8 - Undesirable Effects
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Change to section 5.1 - Pharmacodynamic Properties
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Change to section 5.2 - Pharmacokinetic Properties
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Updated on 21/03/2006 and displayed until 21/03/2006
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Reasons for adding or updating:
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Change to section 4.2 - Posology and Method of Administration
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Change to section 4.8 - Undesirable Effects
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Change to section 5.1 - Pharmacodynamic Properties
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Change to section 5.2 - Pharmacokinetic Properties
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SPC Retired pending re-submission
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Updated on 04/01/2005 and displayed until 21/03/2006
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Change to section 4.1 - Therapeutic Indications
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Change to section 4.4 - Special Warnings and Precautions for Use
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Change to section 4.8 - Undesirable Effects
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Updated on 16/06/2004 and displayed until 04/01/2005
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Change to section 4.1 - Therapeutic Indications
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Updated on 05/02/2004 and displayed until 16/06/2004
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Change to section 4.2 - Posology and Method of Administration
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Change to section 4.9 - Overdose
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Change to section 5.2 - Pharmacokinetic Properties
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Updated on 24/11/2003 and displayed until 05/02/2004
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Change to section 4.2 - Posology and Method of Administration
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Updated on 18/09/2003 and displayed until 24/11/2003
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Change to section 6. 5 - Nature and Contents of Container
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Updated on 19/09/2002 and displayed until 18/09/2003
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Correction of spelling/typing errors
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Updated on 13/09/2002 and displayed until 19/09/2002
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Reasons for adding or updating:
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Change to section 4.4 - Special Warnings and Precautions for Use
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Change to section 4.5 - Interactions with other Medicaments and other forms of Interaction
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Change to section 4.8 - Undesirable Effects
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Change to section 10 (date of (partial) revision of the text
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Correction of spelling/typing errors
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Updated on 29/04/2002 and displayed until 13/09/2002
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Change to section 6. 3 - Shelf Life
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Updated on 24/08/2001 and displayed until 29/04/2002
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Change to section 7 - Marketing Authorisation Holder
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