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ROSUVASTATIN10 MG FILM-COATED TABLETS

Active substance(s): ROSUVASTATIN CALCIUM / ROSUVASTATIN CALCIUM / ROSUVASTATIN CALCIUM

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PACKAGE LEAFLET: INFORMATION FOR THE USER

SZ00000LT000

Rosuvastatin 5 mg film-coated tablets
Rosuvastatin 10 mg film-coated tablets
Rosuvastatin 20 mg film-coated tablets
Rosuvastatin 40 mg film-coated tablets
rosuvastatin

Read all of this leaflet carefully before you start taking this medicine because it contains
important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their
signs of illness are the same as yours.
• If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in
this leaflet. See section 4.

What is in this leaflet
1. What Rosuvastatin is and what it is used for
2. What you need to know before you take
Rosuvastatin
3. How to take Rosuvastatin
4. Possible side effects
5. How to store Rosuvastatin
6. Contents of the pack and other information

1

What Rosuvastatin is and what it
is used for

Rosuvastatin belongs to a group of medicines called statins.
You have been prescribed Rosuvastatin because:
• You have a high cholesterol level. This means you
are at risk from a heart attack or stroke. Rosuvastatin is
used in adults, adolescents and children 6 years or
older to treat high cholesterol.
You have been advised to take a statin, because changing
your diet and taking more exercise were not enough to
correct your cholesterol levels. You should continue with
your cholesterol-lowering diet and exercise while you
are taking Rosuvastatin.
Or
• You have other factors that increase your risk of having
a heart attack, stroke or related health problems.
Heart attack, stroke and other problems can be caused
by a disease called atherosclerosis. Atherosclerosis is
due to build up of fatty deposits in your arteries.
Why is it important to keep taking
Rosuvastatin?
Rosuvastatin is used to correct the levels of fatty substances
in the blood called lipids, the most common of which is
cholesterol. There are different types of cholesterol found
in the blood – ‘bad’ cholesterol (LDL-C) and ‘good’
cholesterol (HDL-C).
• Rosuvastatin can reduce the ‘bad’ cholesterol and
increase the ‘good’ cholesterol.
• It works by helping to block your body’s production
of ‘bad’ cholesterol. It also improves your body’s
ability to remove it from your blood.
For most people, high cholesterol does not affect the way
they feel because it does not produce any symptoms.
However, if it is left untreated, fatty deposits can build up
in the walls of your blood vessels causing them to narrow.
Sometimes, these narrowed blood vessels can get
blocked which can cut off the blood supply to the heart
or brain leading to a heart attack or a stroke. By lowering
your cholesterol levels, you can reduce your risk of
having a heart attack, a stroke or related health problems.
You need to keep taking Rosuvastatin, even if it
has got your cholesterol to the right level, because it
prevents your cholesterol levels from creeping
up again and causing build up of fatty deposits.
However, you should stop if your doctor tells you to do
so, or you have become pregnant.

2

What you need to know before
you take Rosuvastatin

Do not take Rosuvastatin:
• If you are allergic to rosuvastatin or any of the
other ingredients of this medicine (listed in section 6
and end of section 2).
• If you are pregnant or breast-feeding. If you become
pregnant while taking Rosuvastatin, stop taking it
immediately and tell your doctor. Women
should avoid becoming pregnant while taking
Rosuvastatin, by using suitable contraception.
• If you have liver disease.
• If you have severe kidney problems.
• If you have repeated or unexplained muscle
aches or pains.
• If you take a medicine called ciclosporin
(used, for example, after organ transplants).
If any of the above applies to you (or you are in doubt),
please go back and see your doctor.
In addition, do not take Rosuvastatin 40 mg
(the highest dose):
• If you have moderate kidney problems (if in
doubt, please ask your doctor).
• If your thyroid gland is not working properly.
• If you have had any repeated or unexplained
muscle aches or pains, a personal or family history
of muscle problems, or a previous history of muscle
problems when taking other cholesterol-lowering
medicines.
• If you regularly drink large amounts of
alcohol.
• If you are of Asian origin (Japanese, Chinese,
Filipino, Vietnamese, Korean and Indian).
• If you take other medicines called fibrates to
lower your cholesterol.
If any of the above applies to you (or you are in doubt),
please go back and see your doctor.
Warnings and precautions
Talk to your doctor or pharmacist before taking
Rosuvastatin.
• If you have problems with your kidneys.
• If you have problems with your liver.
• If you have had repeated or unexplained
muscle aches or pains, a personal or family history
of muscle problems, or a previous history of muscle
problems when taking other cholesterol-lowering
medicines. Tell your doctor immediately if you have
unexplained muscle aches or pains especially if you
feel unwell or have a fever. Also tell your doctor or
pharmacist if you have a muscle weakness that is
constant.
• If you regularly drink large amounts of
alcohol.
• If your thyroid gland is not working properly.
• If you take other medicines called fibrates to
lower your cholesterol. Please read this leaflet
carefully, even if you have taken other medicines for
high cholesterol before.
• If you take medicines used to treat the HIV

infection e.g. ritonavir with lopinavir, atazanavir
and/or tipranavir, please see Other medicines and
Rosuvastatin.
• If you are taking or have taken in the last
7 days a medicine called fusidic acid (a medicine
for bacterial infection) orally or by injection. The
combination of fusidic acid and rosuvastatin can lead
to serious muscle problems (rhabdomyolysis).
• If you are over 70 (as your doctor needs to
choose the right start dose of Rosuvastatin to suit you).
• If you have severe respiratory failure.
• If you are of Asian origin – that is Japanese,
Chinese, Filipino, Vietnamese, Korean and Indian.
Your doctor needs to choose the right start dose of
Rosuvastatin to suit you.
If any of the above applies to you (or if you are not sure):
• Do not take Rosuvastatin 40 mg (the highest
dose) and check with your doctor or
pharmacist before you actually start
taking any dose of Rosuvastatin.
In a small number of people, statins can affect the liver.
This is identified by a simple test which looks for increased
levels of liver enzymes in the blood. For this reason, your
doctor will usually carry out this blood test (liver function
test) before and during treatment with Rosuvastatin.
While you are on this medicine your doctor will monitor
you closely if you have diabetes or are at risk of developing
diabetes. You are likely to be at risk of developing diabetes
if you have high levels of sugars and fats in your blood,
are overweight and have high blood pressure.
Children and adolescents
• If the patient is under 6 years old: Rosuvastatin
should not be given to children younger than 6 years.
• If the patient is below 18 years of age: The
Rosuvastatin 40 mg tablet is not suitable for use in
children and adolescents below 18 years of age.
Other medicines and Rosuvastatin
Tell your doctor or pharmacist if you are taking, have
recently taken or might take any other medicines.
If you need to take oral fusidic acid to treat a
bacterial infection you will need to temporarily
stop using this medicine. Your doctor will tell you
when it is safe to restart Rosuvastatin. Taking
Rosuvastatin with fusidic acid may rarely lead
to muscle weakness, tenderness or pain
(rhabdomyolysis). See more information
regarding rhabdomyolysis in section 4.
Tell your doctor if you are taking any of the following:
ciclosporin (used for example, after organ transplants),
warfarin or clopidogrel (or any other medicine used for
thinning the blood), fibrates and other lipid-lowering
products (such as gemfibrozil, fenofibrate) or any other
medicine used to lower cholesterol (such as ezetimibe),
indigestion remedies (used to neutralise acid in your
stomach), erythromycin (an antibiotic), an oral contraceptive
(the pill), hormone replacement therapy or anti-viral
medicines such as ritonavir with lopinavir and/or
atazanavir and/or tipranavir or simeprevir (used to treat
infections, including HIV or hepatitis C infection – please
see Warnings and precautions). The effects of these
medicines could be changed by Rosuvastatin or they
could change the effects of Rosuvastatin.
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be
pregnant or are planning to have a baby, ask your doctor
or pharmacist for advice before taking this medicine.
Do not take Rosuvastatin if you are pregnant or
breast-feeding. If you become pregnant while taking
Rosuvastatin stop taking it immediately and tell your
doctor. Women should avoid becoming pregnant while
taking Rosuvastatin by using suitable contraception.
Driving and using machines
Most people can drive a car and operate machinery while
taking Rosuvastatin – it will not affect their ability.
However, some people feel dizzy during treatment
with Rosuvastatin. If you feel dizzy, consult your doctor
before attempting to drive or use machines.
Rosuvastatin contains lactose
If you have been told by your doctor that you have
an intolerance to some sugars (lactose or milk sugar),
contact your doctor before taking Rosuvastatin.

3

How to take Rosuvastatin

Always take this medicine exactly as your doctor or
pharmacist has told you. Check with your doctor or
pharmacist if you are not sure.
Usual doses in adults
If you are taking Rosuvastatin for high
cholesterol:
Starting dose
Your treatment with Rosuvastatin must start with the 5 mg
or the 10 mg dose, even if you have taken a higher
dose of a different statin before. The choice of your start
dose will depend upon:
• Your cholesterol level.
• The level of risk you have of experiencing a heart
attack or stroke.
• Whether you have a factor that may make you more
sensitive to possible side effects.
Please check with your doctor or pharmacist which start
dose of Rosuvastatin will best suit you.
Your doctor may decide to give you the lowest dose
(5 mg) if:
• You are of Asian origin (Japanese, Chinese,
Filipino, Vietnamese, Korean and Indian).
• You are over 70 years of age.
• You have moderate kidney problems.
• You are at risk of muscle aches and pains (myopathy).
Continued on the next page >>

Increasing the dose and maximum daily dose
Your doctor may decide to increase your dose. This is
so that you are taking the amount of Rosuvastatin that
is right for you. If you started with a 5 mg dose, your
doctor may decide to double this to 10 mg, then 20 mg
and then 40 mg if necessary. If you started on 10 mg,
your doctor may decide to double this to 20 mg and
then 40 mg if necessary. There will be a gap of four
weeks between every dose adjustment.
The maximum daily dose of Rosuvastatin is 40 mg. It is
only for patients with high cholesterol levels and a high
risk of heart attacks or stroke whose cholesterol levels
are not lowered enough with 20 mg.
If you are taking Rosuvastatin to reduce your
risk of having a heart attack, stroke or related
health problems:
The recommended dose is 20 mg daily. However, your
doctor may decide to use a lower dose if you have any
of the factors mentioned above.
Use in children and adolescents aged 6-17
years
The usual start dose is 5 mg. Your doctor may increase
your dose to find the right amount of Rosuvastatin for
you. The maximum daily dose of Rosuvastatin is
10 mg for children aged 6 to 9 years and 20 mg for
children aged 10 to 17 years. Take your dose once a
day. Rosuvastatin 40 mg tablet should not be used by
children.
Taking your tablets
Swallow each tablet whole with a drink of water.
Take Rosuvastatin once daily. You can take it at
any time of the day with or without food.
Try to take your tablet at the same time every day to help
you to remember it.
Regular cholesterol checks
It is important to go back to your doctor for regular
cholesterol checks, to make sure your cholesterol has
reached and is staying at the correct level.
Your doctor may decide to increase your dose so that
you are taking the amount of Rosuvastatin that is right
for you.
If you take more Rosuvastatin than you should
Contact your doctor or nearest hospital for advice.
If you go into hospital or receive treatment for another
condition, tell the medical staff that you’re taking
Rosuvastatin.
If you forget to take Rosuvastatin
Don’t worry, just take your next scheduled dose at the
correct time. Do not take a double dose to make up for a
forgotten dose.
If you stop taking Rosuvastatin
Talk to your doctor if you want to stop taking
Rosuvastatin. Your cholesterol levels might increase
again if you stop taking Rosuvastatin.
If you have any further questions on the use of this
medicine, ask your doctor or pharmacist.

4

Possible side effects

Like all medicines, this medicine can cause side effects,
although not everybody gets them.
It is important that you are aware of what these side
effects may be. They are usually mild and disappear
after a short time.
Stop taking Rosuvastatin and seek medical
help immediately if you have any of the following
allergic reactions:
• Difficulty in breathing, with or without swelling of the
face, lips, tongue and/or throat
• Swelling of the face, lips, tongue and/or throat, which
may cause difficulty in swallowing
• Severe itching of the skin (with raised lumps).
Also, stop taking Rosuvastatin and talk to
your doctor immediately if you have any
unusual aches or pains in your muscles which go on
for longer than you might expect. Muscle symptoms are
more common in children and adolescents than in adults.
As with other statins, a very small number of people have
experienced unpleasant muscle effects and rarely these
have gone on to become a potentially life threatening
muscle damage known as rhabdomyolysis.
Common side effects (may affect up to 1 in 10
people):
• Headache
• Stomach pain
• Constipation
• Feeling sick
• Muscle pain
• Feeling weak
• Dizziness
• An increase in the amount of protein in the
urine - this usually returns to normal on its own
without having to stop taking your Rosuvastatin tablets
(only Rosuvastatin 40 mg)
• Diabetes. This is more likely if you have high levels of
sugars and fats in your blood, are overweight and
have high blood pressure. Your doctor will monitor
you while you are taking this medicine.
Uncommon side effects (may affect up to 1 in
100 people):
• Rash, itching or other skin reactions
• An increase in the amount of protein in the urine this usually returns to normal on its own without having
to stop taking your Rosuvastatin tablets (only
Rosuvastatin 5 mg, 10 mg and 20 mg).
Rare side effects (may affect up to1 in 1,000
people):
• Severe allergic reaction – signs include swelling of the
face, lips, tongue and/or throat, difficulty in
swallowing and breathing, a severe itching of the skin
(with raised lumps).
If you think you are having an allergic
reaction, then stop taking Rosuvastatin and seek
medical help immediately
• Muscle damage in adults – as a precaution, stop
taking Rosuvastatin and talk to your doctor
immediately if you have any unusual aches
or pains in your muscles which go on for longer than
expected
• A severe stomach pain (inflamed pancreas)
• Increase in liver enzymes in the blood
• Unusual bruising and bleeding due to low level of
blood platelets.

• Breathing problems, including persistent cough and/
or shortness of breath or fever
• Tendon disorders, sometimes complicated by rupture
• Muscle weakness that is constant
Reporting of side effects
If you get any side effects, talk to your doctor or
pharmacist. This includes any possible side effects not
listed in this leaflet. You can also report side effects
directly via the Yellow Card Scheme website:
www.mhra.gov.uk/yellowcard. By reporting side effects
you can help provide more information on the safety of
this medicine.

5

How to store Rosuvastatin

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which
is stated on the carton and the blister. The expiry date
refers to the last day of that month.
The shelf-life after first opening of the HDPE bottles is
100 days.
Store in the original package in order to protect from
moisture.
Do not throw away any medicines via wastewater or
household waste. Ask your pharmacist how to throw
away medicines you no longer use. These measures will
help protect the environment.

6

Contents of the pack and other
information

What Rosuvastatin contains
• The active substance is rosuvastatin.
Rosuvastatin 5 mg film-coated tablets
Each film-coated tablet contains 5 mg rosuvastatin (as
rosuvastatin calcium).
Rosuvastatin 10 mg film-coated tablets
Each film-coated tablet contains 10 mg rosuvastatin (as
rosuvastatin calcium).
Rosuvastatin 20 mg film-coated tablets
Each film-coated tablet contains 20 mg rosuvastatin (as
rosuvastatin calcium).
Rosuvastatin 40 mg film-coated tablets
Each film-coated tablet contains 40 mg rosuvastatin (as
rosuvastatin calcium).
The other ingredients are:
Tablet contents:
Anhydrous lactose, colloidal anhydrous silica,
microcrystalline cellulose, maize starch, talc, sodium
stearyl fumarate
Tablet coat:
Hypromellose, mannitol (E421), macrogol 6000, talc,
titanium dioxide (E171), yellow ferric oxide (E172), red
ferric oxide (E172)
What Rosuvastatin looks like and contents of
the pack
Film-coated tablets
Rosuvastatin 5 mg film-coated tablets
Brown, round, film-coated tablets with a diameter of 5 mm.
Rosuvastatin 10 mg film-coated tablets
Brown, round, film-coated tablets, with a diameter of 6 mm,
with “RSV 10”debossed on one side.
Rosuvastatin 20 mg film-coated tablets
Brown, round, film-coated tablets, with a diameter of 8 mm,
with “RSV 20”debossed on one side.
Rosuvastatin 40 mg film-coated tablets
Brown, round, film-coated tablets, with a diameter of
10 mm, with “RSV 40”debossed on one side.
Rosuvastatin 5, 10, 20, and 40 mg film-coated tablets
are available in:
OPA_Al-PVC/Al blister: 7, 10, 14, 20, 21, 28, 30, 40,
42, 50, 60, 70, 84, 90, 98, 100 film-coated tablets
HDPE bottles with PP cap and silica gel desiccant: 28,
30, 50, 84, 90, 100 film-coated tablets
Not all pack sizes may be marketed
Marketing Authorisation Holder and
Manufacturer
Marketing Authorisation holder:
Sandoz Ltd,
Frimley Business Park,
Frimley,
Camberley,
Surrey,
GU16 7SR, UK
Manufacturer:
Lek Pharmaceuticals d.d,
Verovskova ulica 57,
1526 Ljubljana,
Slovenia
or
Lek S.A.,
Ul. Domaniewska 50 C,
02-672 Warszawa,
Poland
or
S.C. Sandoz S.R.L.,
Str. Livezeni nr. 7A,
Targu Mures,
Mures, 540472,
Romania
This leaflet was last revised in 05/2017.

Very rare side effects (may affect up to 1 in
10,000 people):
• Jaundice (yellowing of the skin and eyes)
• Hepatitis (an inflamed liver)
• Traces of blood in your urine
• Damage to the nerves of your legs and arms (such as
numbness)
• Joint pain
• Memory loss
• Breast enlargement in men (gynaecomastia)
Side effects of not known frequency
(frequency cannot be estimated from the
available data):
• Diarrhoea (loose stools)
• Stevens-Johnson syndrome (serious blistering condition
of the skin, mouth, eyes and genitals)
• Cough
• Shortness of breath
• Oedema (swelling)
• Sleep disturbances, including insomnia and
nightmares
• Sexual difficulties
• Depression

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Date prepared:
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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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