IV. ORDENACIÓN DEL ESPACIO MARÍTIMO
IV.3. ZONAS DE USO PRIORITARIO
IV.3.7. Zonas de uso prioritario para la energía eólica marina
Like all medicines, Betaferon can cause side effects, although not everybody gets them.
At the beginning of treatment side effects are common but in general they become less with further treatment.
The most common side effects are:
► Flu-like symptoms such as fever, chills, painful joints, malaise, sweating, headache, or muscular pain. These symptoms may be reduced by taking paracetamol or non-steroidal anti-inflammatory medicines such as ibuprofen.
► Injection site reactions. Symptoms can be redness, swelling, discolouration, inflammation, pain, hypersensitivity, necrosis. See ‘Take special care’ in section 2 for more information and what to do, if you experience an injection site reaction. These may be reduced by the use of an auto-injector device. Please talk to your doctor for further information.
To reduce side effects at the start of treatment, your doctor should start you on a low dose of Betaferon and increase it gradually (see section 3. ‘How to use Betaferon’).
Betaferon may also cause serious side effects. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
► Tell your doctor immediately and stop using Betaferon:
if you experience symptoms such as itching all over your body, swelling of your face and/or your tongue or sudden shortness of breath.
if you feel noticeably more sad or hopeless than before the treatment with Betaferon, or if you develop thoughts of suicide.
if you notice any unusual bruising, excessive bleeding after injury or if you seem to be catching a lot of infections.
if you have loss of appetite, fatigue, feeling sick (nausea), repeated vomiting, especially if you notice widespread itching, yellowing of the skin, or of the whites of the eyes or easy bruising.
if you experience symptoms like irregular heart beat, swelling such as of the ankles or legs, or shortness of breath.
if you notice pain in your belly which is radiating to your back , and/or you feel sick or have a fever.
The following side effects listing is based on reports from clinical trials with Betaferon (table 1) and from side effects reported on the marketed product (table 2).
Table 1: (side effects which have occurred in clinical trials with Betaferon very commonly (at a
percentage of ≥ 10% of the cases) and at a higher percentage than those observed with placebo. The table also includes side effects which occur in less than 10% but were significantly associated with the treatment)
- infection, abscess
- reduced number of white blood cells, swollen lymph glands
- decrease of sugar in the blood
- depression, anxiety
- headache, dizziness, sleeplessness, migraine, numbness or tingling feeling (paresthesia)
- conjunctivitis, abnormal vision
- ear pain
- irregular, rapid beating or pulsation of the heart (palpitation)
- redness and/or facial flushing due to widening of blood vessels, increased blood pressure
100 cough increased, shortness of breath
- diarrhoea, constipation, nausea, vomiting, abdominal pain
- rises in the blood levels of liver enzymes (will show up in blood tests) - skin disorder, rash
- muscle stiffness (hypertonia), painful muscles (myalgia), muscular debility (myasthenia), back pain, pain in extremities such as fingers and toes
- holding urine (urine retention), protein in the urine (will show up in urine tests)
urinary frequency, urinary incontinence, urinary urgency
- painful periods (menstruation), menstrual disorder, heavy uterine bleeding especially between menstrual periods, impotence
- injection site reaction (including redness, swelling, discolouration, inflammation, pain, allergic reaction (hypersensitivity), see ‘Take special care with Betaferon’), skin breakdown and tissue destruction (necrosis) at injection site (see ‘Take special care with Betaferon’), flu-like symptoms, fever, pain, chest pain, accumulation of fluid in arm, leg or face, lack/loss of strength, chills, sweating, malaise
Table 2: side effects reports on the marketed product (from spontaneous reporting): ► Very common side effects (more than 1 user in 10 are likely to get these): - flu-like symptoms*,
- chills*, - fever*,
- injection site reaction*, - injection site inflammation*, - injection site pain*.
(*frequencies based on clinical trials)
► Common side effects (1 to 10 users in 100 are likely to get these): - skin breakdown and tissue destruction (necrosis) at injection site*
(*frequencies based on clinical trials)
► Uncommon side effects (1 to 10 users in 1,000 are likely to get these):
- the number of white cells and red cells in the blood may fall, the number of platelets (which help the blood to clot) may fall,
- depression,
- increase of blood pressure, - nausea,
- vomiting,
- liver test may change (rises in the blood levels of enzymes the liver produces), - swollen and usually itching patches of skin or mucous membranes (urticaria), - rash,
- itching (pruritus),
- loss of scalp hair, - painful muscles, - muscle stiffness.
► Rare side effects (1 to 10 users in 10,000 are likely to get these): - swollen lymph glands,
- serious allergic (hypersensitivity) reactions,
- the thyroid gland does not work properly (too much or too little hormone is produced),
- a certain type of blood fats (triglycerides) may increase, see ‘Take special care with Betaferon’ (will show up in blood tests),
- confusion, - anxiety, - mood swings, - suicide attempt, - convulsion,
- disease of the heart muscle (cardiomyopathy), - faster heart beat,
- irregular, rapid beating or pulsation of the heart (palpitation), - sudden shortness of breath (bronchospasm),
- shortness of breath (dyspnoea),
- pancreatitis, see ‘Take special care with Betaferon’,
- a specific liver enzyme (gamma GT) and a reddish yellow pigment (bilirubin), which is produced by your liver, may rise (this will show up in blood tests),
- hepatitis, - skin discolouration, - menstrual disorders, - chest pain, - malaise, - sweating, - loss of weight.
5. HOW TO STORE BETAFERON
Do not store above 25°C. Do not freeze.
Do not use after the expiry date which is stated on the pack.
After preparing the solution you should use it immediately. However, if you are not able to do so, it will be okay for 3 hours, if kept at 2-8 °C (in a refrigerator).
Keep out of the reach and sight of children.
Do not use Betaferon if you notice it contains particles or is discoloured.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. FURTHER INFORMATION
What Betaferon contains:
The active substance is Interferon beta-1b, 250 microgram per millilitre when reconstituted. The other ingredients are
in the powder: mannitol and human albumin,
in the solvent (sodium chloride solution 5.4 mg/ml (0.54 % (w/v))): sodium chloride, water for injections.
The Betaferon powder is provided in a 3-millilitre vial, containing 300 microgram (9.6 million IU) interferon beta-1b per vial. After reconstitution each millilitre contains 250 microgram (8 million IU) interferon beta-1b.
The solvent for Betaferon is provided in a 1.2 ml pre-filled syringe and contains 1.2 ml sodium chloride solution 5.4 mg/ml (0.54 % (w/v)).
102 What Betaferon looks like and contents of the pack:
Betaferon is a sterile white to off-white powder for solution for injection. Betaferon is available in pack sizes of:
5 vials of Interferon beta-1b and 5 pre-filled syringes containing solvent (sodium chloride solution) or 15 vials of Interferon beta-1b and 15 pre-filled syringes containing solvent (sodium chloride solution). Marketing authorisation holder and manufacturer:
Bayer Pharma AG, D-13342 Berlin, Germany
For any information about this medicinal product, please contact the local representative of the Marketing Authorisation Holder. The list of local representatives is located at the end of this leaflet/booklet.
België/Belgique/Belgien Bayer SA-NV Tel. +32-(0)2-535 63 11
България Байер България ЕООД тел. +359-(0)2-81 401 01
Česká republika Bayer s.r.o. Tel: +420-2-66 101 111
Danmark Bayer A/S Tel.+45-45 235 000
Deutschland Bayer Vital GmbH Tel. +49-(0)214-30 513 48
Eesti Bayer OÜ Tel. +372-655 85 65
Ελλάδα Bayer Ελλάς ΑΒΕΕ Τηλ. +30-210-618 75 00
España. Química Farmacéutica Bayer S.L. Tel. +34-93-495 65 00
France Bayer Santé Tel. +33-(0)3-28 16 34 00
Ireland Bayer Limited Tel. +353-(0)1-2999 313
Ísland Icepharma hf. Tel: +354-540 8000
Italia Bayer S.p.A. Tel. +39-02-3978 1
Κύπρος NOVAGEM Limited Τηλ: +357-22-747 747
Latvija SIA Bayer Tel.: +371-67 84 55 63
Lietuva UAB Bayer Tel.: +370-5-233 68 68
Luxembourg/Luxemburg see België/Belgique/Belgien : Bayer SA-NV
Tél/Tel. +32-(0)2-535 63 11
Magyarország Bayer Hungária KFT Tel. +36-1-487 4100
Malta Alfred Gera & Sons Ltd Tel. +356-21 44 62 05
Nederland Bayer B.V. Tel. +31-(0)297-28 06 66
Norge Bayer AS Tlf: +47-24 11 18 00
Österreich Bayer Austria Ges.m.b.H. Tel. +43-(0)1-711 460
Polska Bayer Sp. z o.o. Tel. +48-22-572 35 00
Portugal Bayer Portugal S.A. Tel. +351-21-416 42 00
România SC Bayer SRL Tel.: +40-(0)21-528 59 00
Slovenija Bayer d.o.o. Tel. +386-(0)1-58 14 400
Slovenská republika Bayer, spol. s r.o. Tel. +421-(0)2-59 21 31 11
Suomi/Finland Bayer Oy Puh./Tel.: +358-(0)20-78521
Sverige Bayer AB Tel. +46-(0)8-580 223 00
United Kingdom Bayer plc Tel.: +44-(0)1635-56 30 00
104 Annex: SELF-INJECTION PROCEDURE
The following instructions are intended to explain how to prepare Betaferon for administration and how to inject Betaferon yourself. Please read the instructions carefully and follow them step by step. Your doctor or their assistant will help you to learn the process of self-administration. Do not attempt to inject yourself until you are sure that you understand how to prepare the injection solution and give the injection to yourself.
PART I: STEP BY STEP INSTRUCTIONS