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XILOPAR 1.25MG ORAL LYOPHILISATES

Active substance(s): SELEGILINE HYDROCHLORIDE

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Transcript
Ref: 1055/130416/1/F

®

Zelapar 1.25mg Oral Lyophilisate
(Selegiline hydrochloride)
Patient Information Leaflet
Read all of this leaflet carefully before you start taking this medicine
* 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. Do not pass it on to others. It
may harm them, even if their symptoms 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
In this leaflet:
1 What ZELAPAR is and what it is used for
2 Before you take ZELAPAR
3 How to take ZELAPAR
4 Possible side effects
5 How to store ZELAPAR
6 Further information

1

What ZELAPAR is and what it is used for

The full name of this medicine is ZELAPAR 1.25 mg oral lyophilisate. In this
leaflet the shorter name ZELAPAR will be used. ZELAPAR contains a
medicine called selegiline hydrochloride. This belongs to a group of
medicines called “monoamine oxidase B inhibitors”. An oral lyophilisate looks
like a tablet.
ZELAPAR is used to treat Parkinson’s disease. It can be used with
another medicine called Levodopa or on its own.

2

Before you take ZELAPAR

Do not take ZELAPAR if:
• You are allergic (hypersensitive) to selegiline hydrochloride or any of the
other ingredients of ZELAPAR (listed in Section 6)
• You have a stomach ulcer or ulcer in your gut
• You have a problem called “phenylketonuria”
• You have a movement or muscle problem (“extrapyramidal”) which is not
caused by a lack of dopamine.
Do not take ZELAPAR if any of the above apply to you. If you are not sure,
talk to your doctor or pharmacist before taking ZELAPAR.
Also, you must look in the “Taking other medicines” section below
as ZELAPAR cannot be taken with some medicines.
Take special care with ZELAPAR
Check with your doctor or pharmacist before taking your medicine if:
• You have a liver or kidney problem
• You have sudden and repeated increases in blood pressure
• You have chest pain (angina) or an uneven heart beat
• You have severe dementia
• You have any mental health problem
• You have ever had a stomach ulcer or ulcer in your gut
• You are taking any other medicines. Make sure you look in the
“Taking other medicines” section below.
If any of the above apply to you (or you are not sure), talk to your doctor or
pharmacist before taking ZELAPAR.
The use of ZELAPAR may produce positive results in anti-doping tests.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken
any other medicines. This includes medicines obtained without a
prescription, including herbal medicines. This is because ZELAPAR can
affect the way some other medicines work. Also some other medicines can
affect the way ZELAPAR works.
Do not take this medicine and talk to your doctor or pharmacist if you are
taking any of the following:
• pethidine or any other morphine-like painkiller
• medicines for depression, including tricyclic antidepressants, ‘selective
serotonin reuptake inhibitors’ (SSRIs), such as fluoxetine, and venlafaxine.
Do not start ZELAPAR until at least 5 weeks after stopping fluoxetine. Do
not start ZELAPAR until at least 2 weeks after stopping sertraline. If you
have taken any other SSRI, wait at least 1 week after stopping this SSRI
before starting ZELAPAR.
• medicines called “monoamine oxidase inhibitors” or MAOIs used to treat
depression and also the antibiotic linezolid
• medicines called sympathomimetics, such as medicines for nasal
congestion, ephedrine
• medicines for migraine such as rizatriptan
• Levodopa, a medicine used for your Parkinson’s disease and you have any
of the following:
- High blood pressure or a major heart problem, such as chest pain
(angina) or an uneven or fast heart beat
- A tumour of your prostate gland
- A tumour of your adrenal gland (phaeochromocytoma)
- An eye problem called ‘narrow angle glaucoma’
- An overactive thyroid gland (hyper-thyroid disease)
- Major mental health problems such as schizophrenia
- Severe dementia

Do not take ZELAPAR and talk to your doctor or pharmacist if any of the
above apply to you.
Also tell your doctor or pharmacist if you are taking any of the following:
• Levodopa (used for Parkinson’s disease). If you take the maximum dose of
Levodopa and ZELAPAR together you can feel agitated. Your doctor may
lower your Levodopa dose slightly when you start ZELAPAR
• Oral contraceptives (the pill)
• HRT (hormone replacement therapy)
• Altretamine (used for ovarian cancer)
• Amantadine (used for Parkinson’s disease)
• Dopamine or Digoxin (used for heart problems)
• Medicines for heart problems
• Medicines to relax the gut muscles
• Medicines for anxiety or sleep problems
• Medicines for high or low blood pressure
• Medicines for asthma such as a salbutamol inhaler
• Medicines for depression
• Medicines to thin your blood.
Please tell your doctor if you are due to have a general anaesthetic.
If any of the above apply to you (or you are not sure), talk to your doctor or
pharmacist before taking ZELAPAR.
Also, talk to your doctor or pharmacist if you need to take any of the
medicines shortly after stopping ZELAPAR. Wait at least 14 days
between stopping ZELAPAR and starting to take any of the medicines listed
in this “Taking other medicines” section. Wait at least 24 hours between
stopping ZELAPAR and starting to take any serotonin agonists
(such as triptan medicines used to treat migraine).
Taking ZELAPAR with food and drink
• Do not eat, drink or rinse your mouth for 5 minutes after taking ZELAPAR.
• Do not drink alcohol when you are taking ZELAPAR.
• If you are taking ZELAPAR with another ‘monoamine oxidase inhibitor’
(MAOI), your doctor may ask you to restrict your diet.
Pregnancy and breast-feeding
Do not take ZELAPAR if you are pregnant, breast-feeding or planning to
become pregnant.
Driving and using machines
You may feel slow, dizzy or sleepy or have blurred vision while taking
ZELAPAR. If this happens, do not drive or use any tools or machines.
The medicine can affect your ability to drive as it may make you sleepy or
dizzy.
• Do not drive while taking this medicine until you know how it affects you.
• It is an offence to drive if this medicine affects your ability to drive.
However, you would not be committing an offence if:
• The medicine has been prescribed to treat a medical or dental problem and
• You have taken it according to the instructions given by the prescriber or in
the information provided with the medicine and
• It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe for
you to drive while taking this medicine.
Important information about some of the ingredients of ZELAPAR
ZELAPAR contains a source of phenylalanine. This may be harmful for
people with phenylketonuria.

3

How to take ZELAPAR

Always take ZELAPAR exactly as your doctor has told you. You should
check with your doctor or pharmacist if you are not sure.
Your doctor will monitor you during your treatment to see how you respond.
Taking this medicine
• The usual dose is 1.25 mg (1 tablet) once a day, before breakfast.
• Do not push the tablet through the foil blister.
• To get the tablet out of the packaging, peel back the foil and carefully take
out the tablet.
• Place it on your tongue and let it dissolve. The tablet will dissolve quickly
(in less than 10 seconds).
• Do not eat, drink or rinse your mouth out for 5 minutes after taking it.
If you take more ZELAPAR than you should
If you take more ZELAPAR than you should, talk to a doctor or go to a
hospital straight away.
Take the packet and this leaflet with you so that the doctor will know what
you have taken.
If you forget to take ZELAPAR
• If you forget a dose of ZELAPAR in the morning, take it as soon as you
remember later that day.
• Do not eat, drink or rinse your mouth out for 5 minutes after taking it.
• Do not take a double dose to make up for a forgotten dose.
If you stop taking ZELAPAR
You should continue taking ZELAPAR for as long as your doctor has
advised. Do not stop taking ZELAPAR without talking to your doctor. Do not
stop ZELAPAR suddenly.
If you have any further questions on the use of this product, ask your doctor

Ref: 1055/130416/1/B

®

Zelapar 1.25mg Oral Lyophilisates
(Selegiline hydrochloride)
Patient Information Leaflet (continued)
4

Possible side effects

Like all medicines, ZELAPAR can cause side effects, although not
everybody gets them.
Stop taking ZELAPAR and talk to a doctor straight away, if you notice
any of the following:
• Difficulty breathing or your mouth or throat begins to swell. Also if you start
to get a severe rash, itching or other skin reactions.
These may be signs of a serious allergic reaction.
Stop taking ZELAPAR and talk to a doctor straight away if any of the above
apply to you.
Talk to a doctor straight away, if you notice any of the following:
• Seeing, feeling or hearing things that are not there (hallucinations) or being
confused - these are common and affect less than 1 in 10 patients treated
• Serious mental health problems - these are uncommon and affect less than
1 in 100 patients treated
• Chest pains (angina) - these are uncommon and affect less than 1 in 100
patients treated.
Talk to a doctor straight away if any of the above apply to you.
Other side effects include:
Very common (affects more than 1 in 10 patients treated)
• Sore mouth
Common (affects less than 1 in 10 patients treated)
• Mouth ulcers
• Blocked nose, sore throat
• Sweating more than usual
• High or low blood pressure, low heart rate
• Joint pains, back pain and muscle cramps
• Problems sleeping, depression, feeling tired
• Feeling dizzy or like you are spinning (vertigo)
• Falls, loss of balance, tremor, feeling dizzy, headache
• Constipation or diarrhoea, feeling sick (nausea), dry mouth
• Abnormal liver tests (seen in a blood test)
• Strange movements including lack of movement and slow movement
Uncommon (affects less than 1 in 100 patients treated)
• Feeling faint
• Blurred vision
• Loss of appetite
• Muscle weakness
• Pounding heart beat (palpitations), uneven or fast heartbeat
• Hair loss, skin rashes or spots
• Strange dreams, feeling agitated, anxious or irritable, mood changes
• Swollen ankles
• Throat infections
• Problems passing urine
• Low blood pressure when standing. This may make you feel dizzy or faint
• Low levels of white blood cells (leukocytopenia) and platelets
(thrombocytopenia) in the blood. This may make you more likely to get
infections or bruising. Tell your doctor if you bruise or bleed easily, or often
get sore throats or fever.
Rare (affects less than 1 in 1000 patients treated)
• Skin reactions
The following side effects have also been reported with the use of ZELAPAR
but it is not known how often they may occur: being excessively interested or
involved in sexual activitiy and inability to pass urine.
Side effects if you take ZELAPAR with Levodopa
ZELAPAR increases the effect of Levodopa. This means the side effects you
get with Levodopa may also be increased. Your doctor may want to reduce
your dose of Levodopa while you are taking ZELAPAR.
If you take ZELAPAR with Levodopa you may also notice the following side
effects:
• Difficulty controlling your movements. This is common and affects less than
1 in 10 patients treated.
• Feeling restless
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 at 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 this medicine

Keep out of the sight and reach of children.
Do not store above 25°C. Store in the original package.
After you have opened the sachet containing a blister strip of the medicine,
discard the medicines within 3 months.
Do not use this medicine after the expiry date shown on the carton label or
blister strip. If your doctor tells you to stop taking this medicine, return any
unused medicine to your pharmacist for safe disposal.
Only keep this medicine, if your doctor tells you to. If your medicine becomes
discoloured or shows any other signs of deterioration, consult your pharmacist
who will tell you what to do.

6

Further information

What this medicine contains:
Each oral lyophilisate contains 1.25mg of selegiline hydrochloride equivalent
to 1.05mg selegiline free base as the active ingredient. Inactive ingredients:
gelatin, mannitol, glycine, aspartame, citric acid anhydrous, grapefruit
flavour, yellow ferric oxide (E172) and hypromellose (E464).
What this medicine looks like and contents of the pack
Zelapar is a pale yellow round oral lyophilisate with the letter A on one side,
plain on the other side. Each pack contains 3 blisters of 10 lyophilisates
each.
Manufacturer and Licence Holder
The oral lyophilisate are manufactured by Catalent UK Swindon Zydis
Limited, Frankland Road, Blagrove, Swindon, Wiltshire, Great Britain and are
procured from within the EU and repackaged by the Product Licence Holder:
Lexon (UK) Limited, Unit 18, Oxleasow Road, East Moons Moat, Redditch,
Worcestershire, B98 0RE.

POM

PL 15184/1055 Zelapar 1.25mg Oral Lyophilisates

Zelapar is a registered trademark of Athena Neurosciences, Inc.
Revision date: 13/04/16

Blind or partially sighted?
Is this leaflet hard to see or read?
Phone Lexon (UK) Limited, Tel: 01527 505414
for help.

Ref: 1055/130416/2/F

®

Xilopar 1.25mg Oral Lyophilisates
(Selegiline hydrochloride)
Patient Information Leaflet
Read all of this leaflet carefully before you start taking this medicine
* 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. Do not pass it on to others. It
may harm them, even if their symptoms 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
In this leaflet:
1 What XILOPAR is and what it is used for
2 Before you take XILOPAR
3 How to take XILOPAR
4 Possible side effects
5 How to store XILOPAR
6 Further information

1

What Xilopar is and what it is used for

The full name of this medicine is XILOPAR 1.25 mg oral lyophilisate. In this
leaflet the shorter name XILOPAR will be used. XILOPAR contains a
medicine called selegiline hydrochloride. This belongs to a group of
medicines called “monoamine oxidase B inhibitors”. An oral lyophilisate looks
like a tablet.
XILOPAR is used to treat Parkinson’s disease. It can be used with
another medicine called Levodopa or on its own.

2

Before you take XILOPAR

Do not take XILOPAR if:
• You are allergic (hypersensitive) to selegiline hydrochloride or any of the
other ingredients of XILOPAR (listed in Section 6)
• You have a stomach ulcer or ulcer in your gut
• You have a problem called “phenylketonuria”
• You have a movement or muscle problem (“extrapyramidal”) which is not
caused by a lack of dopamine.
Do not take XILOPAR if any of the above apply to you. If you are not sure,
talk to your doctor or pharmacist before taking XILOPAR.
Also, you must look in the “Taking other medicines” section below
as XILOPAR cannot be taken with some medicines.
Take special care with XILOPAR
Check with your doctor or pharmacist before taking your medicine if:
• You have a liver or kidney problem
• You have sudden and repeated increases in blood pressure
• You have chest pain (angina) or an uneven heart beat
• You have severe dementia
• You have any mental health problem
• You have ever had a stomach ulcer or ulcer in your gut
• You are taking any other medicines. Make sure you look in the
“Taking other medicines” section below.
If any of the above apply to you (or you are not sure), talk to your doctor or
pharmacist before taking XILOPAR.
The use of XILOPAR may produce positive results in anti-doping tests.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken
any other medicines. This includes medicines obtained without a
prescription, including herbal medicines. This is because XILOPAR can
affect the way some other medicines work. Also some other medicines can
affect the way XILOPAR works.
Do not take this medicine and talk to your doctor or pharmacist if you are
taking any of the following:
• pethidine or any other morphine-like painkiller
• medicines for depression, including tricyclic antidepressants, ‘selective
serotonin reuptake inhibitors’ (SSRIs), such as fluoxetine, and venlafaxine.
Do not start XILOPAR until at least 5 weeks after stopping fluoxetine. Do
not start XILOPAR until at least 2 weeks after stopping sertraline. If you
have taken any other SSRI, wait at least 1 week after stopping this SSRI
before starting XILOPAR.
• medicines called “monoamine oxidase inhibitors” or MAOIs used to treat
depression and also the antibiotic linezolid
• medicines called sympathomimetics, such as medicines for nasal
congestion, ephedrine
• medicines for migraine such as rizatriptan
• Levodopa, a medicine used for your Parkinson’s disease and you have any
of the following:
- High blood pressure or a major heart problem, such as chest pain
(angina) or an uneven or fast heart beat
- A tumour of your prostate gland
- A tumour of your adrenal gland (phaeochromocytoma)
- An eye problem called ‘narrow angle glaucoma’
- An overactive thyroid gland (hyper-thyroid disease)
- Major mental health problems such as schizophrenia
- Severe dementia

Do not take XILOPAR and talk to your doctor or pharmacist if any of the
above apply to you.
Also tell your doctor or pharmacist if you are taking any of the following:
• Levodopa (used for Parkinson’s disease). If you take the maximum dose of
Levodopa and XILOPAR together you can feel agitated. Your doctor may
lower your Levodopa dose slightly when you start XILOPAR
• Oral contraceptives (the pill)
• HRT (hormone replacement therapy)
• Altretamine (used for ovarian cancer)
• Amantadine (used for Parkinson’s disease)
• Dopamine or Digoxin (used for heart problems)
• Medicines for heart problems
• Medicines to relax the gut muscles
• Medicines for anxiety or sleep problems
• Medicines for high or low blood pressure
• Medicines for asthma such as a salbutamol inhaler
• Medicines for depression
• Medicines to thin your blood.
Please tell your doctor if you are due to have a general anaesthetic.
If any of the above apply to you (or you are not sure), talk to your doctor or
pharmacist before taking XILOPAR.
Also, talk to your doctor or pharmacist if you need to take any of the
medicines shortly after stopping XILOPAR. Wait at least 14 days
between stopping XILOPAR and starting to take any of the medicines listed
in this “Taking other medicines” section. Wait at least 24 hours between
stopping XILOPAR and starting to take any serotonin agonists
(such as triptan medicines used to treat migraine).
Taking XILOPAR with food and drink
• Do not eat, drink or rinse your mouth for 5 minutes after taking XILOPAR.
• Do not drink alcohol when you are taking XILOPAR.
• If you are taking XILOPAR with another ‘monoamine oxidase inhibitor’
(MAOI), your doctor may ask you to restrict your diet.
Pregnancy and breast-feeding
Do not take XILOPAR if you are pregnant, breast-feeding or planning to
become pregnant.
Driving and using machines
You may feel slow, dizzy or sleepy or have blurred vision while taking
XILOPAR. If this happens, do not drive or use any tools or machines.
The medicine can affect your ability to drive as it may make you sleepy or
dizzy.
• Do not drive while taking this medicine until you know how it affects you.
• It is an offence to drive if this medicine affects your ability to drive.
However, you would not be committing an offence if:
• The medicine has been prescribed to treat a medical or dental problem and
• You have taken it according to the instructions given by the prescriber or in
the information provided with the medicine and
• It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe for
you to drive while taking this medicine.
Important information about some of the ingredients of XILOPAR
XILOPAR contains a source of phenylalanine. This may be harmful for
people with phenylketonuria.

3

How to take XILOPAR

Always take XILOPAR exactly as your doctor has told you. You should check
with your doctor or pharmacist if you are not sure.
Your doctor will monitor you during your treatment to see how you respond.
Taking this medicine
• The usual dose is 1.25 mg (1 tablet) once a day, before breakfast.
• Do not push the tablet through the foil blister.
• To get the tablet out of the packaging, peel back the foil and carefully take
out the tablet.
• Place it on your tongue and let it dissolve. The tablet will dissolve quickly
(in less than 10 seconds).
• Do not eat, drink or rinse your mouth out for 5 minutes after taking it.
If you take more XILOPAR than you should
If you take more XILOPAR than you should, talk to a doctor or go to a
hospital straight away.
Take the packet and this leaflet with you so that the doctor will know what
you have taken.
If you forget to take XILOPAR
• If you forget a dose of XILOPAR in the morning, take it as soon as you
remember later that day.
• Do not eat, drink or rinse your mouth out for 5 minutes after taking it.
• Do not take a double dose to make up for a forgotten dose.
If you stop taking XILOPAR
You should continue taking XILOPAR for as long as your doctor has
advised. Do not stop taking XILOPAR without talking to your doctor. Do not
stop XILOPAR suddenly.
If you have any further questions on the use of this product, ask your doctor

Ref: 1055/130416/2/B

®

Xilopar 1.25mg Oral Lyophilisates
(Selegiline hydrochloride)
Patient Information Leaflet (continued)
4

Possible side effects

Like all medicines, XILOPAR can cause side effects, although not
everybody gets them.
Stop taking XILOPAR and talk to a doctor straight away, if you notice
any of the following:
• Difficulty breathing or your mouth or throat begins to swell. Also if you start
to get a severe rash, itching or other skin reactions.
These may be signs of a serious allergic reaction.
Stop taking XILOPAR and talk to a doctor straight away if any of the above
apply to you.
Talk to a doctor straight away, if you notice any of the following:
• Seeing, feeling or hearing things that are not there (hallucinations) or being
confused - these are common and affect less than 1 in 10 patients treated
• Serious mental health problems - these are uncommon and affect less than
1 in 100 patients treated
• Chest pains (angina) - these are uncommon and affect less than 1 in 100
patients treated.
Talk to a doctor straight away if any of the above apply to you.
Other side effects include:
Very common (affects more than 1 in 10 patients treated)
• Sore mouth
Common (affects less than 1 in 10 patients treated)
• Mouth ulcers
• Blocked nose, sore throat
• Sweating more than usual
• High or low blood pressure, low heart rate
• Joint pains, back pain and muscle cramps
• Problems sleeping, depression, feeling tired
• Feeling dizzy or like you are spinning (vertigo)
• Falls, loss of balance, tremor, feeling dizzy, headache
• Constipation or diarrhoea, feeling sick (nausea), dry mouth
• Abnormal liver tests (seen in a blood test)
• Strange movements including lack of movement and slow movement
Uncommon (affects less than 1 in 100 patients treated)
• Feeling faint
• Blurred vision
• Loss of appetite
• Muscle weakness
• Pounding heart beat (palpitations), uneven or fast heartbeat
• Hair loss, skin rashes or spots
• Strange dreams, feeling agitated, anxious or irritable, mood changes
• Swollen ankles
• Throat infections
• Problems passing urine
• Low blood pressure when standing. This may make you feel dizzy or faint
• Low levels of white blood cells (leukocytopenia) and platelets
(thrombocytopenia) in the blood. This may make you more likely to get
infections or bruising. Tell your doctor if you bruise or bleed easily, or often
get sore throats or fever.
Rare (affects less than 1 in 1000 patients treated)
• Skin reactions
The following side effects have also been reported with the use of XILOPAR
but it is not known how often they may occur: being excessively interested or
involved in sexual activitiy and inability to pass urine.
Side effects if you take XILOPAR with Levodopa
XILOPAR increases the effect of Levodopa. This means the side effects you
get with Levodopa may also be increased. Your doctor may want to reduce
your dose of Levodopa while you are taking XILOPAR.
If you take XILOPAR with Levodopa you may also notice the following side
effects:
• Difficulty controlling your movements. This is common and affects less than
1 in 10 patients treated.
• Feeling restless
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 at 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 this medicine

Keep out of the sight and reach of children.
Do not store above 25°C. Store in the original package.
After you have opened the sachet containing a blister strip of the medicine,
discard the medicines within 3 months.
Do not use this medicine after the expiry date shown on the carton label or
blister strip. If your doctor tells you to stop taking this medicine, return any
unused medicine to your pharmacist for safe disposal.
Only keep this medicine, if your doctor tells you to. If your medicine becomes
discoloured or shows any other signs of deterioration, consult your pharmacist
who will tell you what to do.

6

Further information

What this medicine contains:
Each oral lyophilisate contains 1.25mg of selegiline hydrochloride equivalent
to 1.05mg selegiline free base as the active ingredient. Inactive ingredients:
gelatin, mannitol, glycine, aspartame, citric acid anhydrous, grapefruit
flavour, yellow ferric oxide (E172) and hypromellose (E464).
What this medicine looks like and contents of the pack
Xilopar is a pale yellow round oral lyophilisate with the letter A on one side,
plain on the other side. Each pack contains 3 blisters of 10 lyophilisates
each.
Manufacturer and Licence Holder
The oral lyophilisate are manufactured by Catalent UK Swindon Zydis
Limited, Frankland Road, Blagrove, Swindon, Wiltshire, Great Britain and are
procured from within the EU and repackaged by the Product Licence Holder:
Lexon (UK) Limited, Unit 18, Oxleasow Road, East Moons Moat, Redditch,
Worcestershire, B98 0RE.

POM

PL 15184/1055 Xilopar 1.25mg Oral Lyophilisates

Xilopar is a registered trademark of Athena Neurosciences, Inc.
Revision date: 13/04/16

Blind or partially sighted?
Is this leaflet hard to see or read?
Phone Lexon (UK) Limited, Tel: 01527 505414
for help.

Ref: 1055/130416/3/F

Selegiline Hydrochloride 1.25mg Oral Lyophilisates
(Selegiline hydrochloride)
Patient Information Leaflet
Read all of this leaflet carefully before you start taking this medicine
* 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. Do not pass it on to others. It
may harm them, even if their symptoms 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
In this leaflet:
1 What SELEGILINE HYDROCHLORIDE is and what it is used for
2 Before you take SELEGILINE HYDROCHLORIDE
3 How to take SELEGILINE HYDROCHLORIDE
4 Possible side effects
5 How to store SELEGILINE HYDROCHLORIDE
6 Further information

1

What Selegiline Hydrochloride is and what it is
used for

The full name of this medicine is SELEGILINE HYDROCHLORIDE 1.25 mg
oral lyophilisate. In this leaflet the shorter name SELEGILINE
HYDROCHLORIDE will be used. SELEGILINE HYDROCHLORIDE contains
a medicine called selegiline hydrochloride. This belongs to a group of
medicines called “monoamine oxidase B inhibitors”. An oral lyophilisate looks
like a tablet.
SELEGILINE HYDROCHLORIDE is used to treat Parkinson’s disease. It can
be used with another medicine called Levodopa or on its own.

2

Before you take this medicine

Do not take SELEGILINE HYDROCHLORIDE if:
• You are allergic (hypersensitive) to selegiline hydrochloride or any of the
other ingredients of SELEGILINE HYDROCHLORIDE (listed in Section 6)
• You have a stomach ulcer or ulcer in your gut
• You have a problem called “phenylketonuria”
• You have a movement or muscle problem (“extrapyramidal”) which is not
caused by a lack of dopamine.
Do not take SELEGILINE HYDROCHLORIDE if any of the above apply to
you. If you are not sure, talk to your doctor or pharmacist before taking
SELEGILINE HYDROCHLORIDE.
Also, you must look in the “Taking other medicines” section below
as SELEGILINE HYDROCHLORIDE cannot be taken with some medicines.
Take special care with SELEGILINE HYDROCHLORIDE
Check with your doctor or pharmacist before taking your medicine if:
• You have a liver or kidney problem
• You have sudden and repeated increases in blood pressure
• You have chest pain (angina) or an uneven heart beat
• You have severe dementia
• You have any mental health problem
• You have ever had a stomach ulcer or ulcer in your gut
• You are taking any other medicines. Make sure you look in the
“Taking other medicines” section below.
If any of the above apply to you (or you are not sure), talk to your doctor or
pharmacist before taking SELEGILINE HYDROCHLORIDE.
The use of SELEGILINE HYDROCHLORIDE may produce positive results in
anti-doping tests.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken
any other medicines. This includes medicines obtained without a
prescription, including herbal medicines. This is because SELEGILINE
HYDROCHLORIDE can affect the way some other medicines work. Also
some other medicines can affect the way SELEGILINE HYDROCHLORIDE
works.
Do not take this medicine and talk to your doctor or pharmacist if you are
taking any of the following:
• pethidine or any other morphine-like painkiller
• medicines for depression, including tricyclic antidepressants, ‘selective
serotonin reuptake inhibitors’ (SSRIs), such as fluoxetine, and venlafaxine.
Do not start SELEGILINE HYDROCHLORIDE until at least 5 weeks after
stopping fluoxetine. Do not start SELEGILINE HYDROCHLORIDE until at
least 2 weeks after stopping sertraline. If you have taken any other SSRI,
wait at least 1 week after stopping this SSRI before starting SELEGILINE
HYDROCHLORIDE.
• medicines called “monoamine oxidase inhibitors” or MAOIs used to treat
depression and also the antibiotic linezolid
• medicines called sympathomimetics, such as medicines for nasal
congestion, ephedrine

• medicines for migraine such as rizatriptan
• Levodopa, a medicine used for your Parkinson’s disease and you have any
of the following:
- High blood pressure or a major heart problem, such as chest pain
(angina) or an uneven or fast heart beat
- A tumour of your prostate gland
- A tumour of your adrenal gland (phaeochromocytoma)
- An eye problem called ‘narrow angle glaucoma’
- An overactive thyroid gland (hyper-thyroid disease)
- Major mental health problems such as schizophrenia
- Severe dementia
Do not take SELEGILINE HYDROCHLORIDE and talk to your doctor or
pharmacist if any of the above apply to you.
Also tell your doctor or pharmacist if you are taking any of the following:
• Levodopa (used for Parkinson’s disease). If you take the maximum dose of
Levodopa and SELEGILINE HYDROCHLORIDE together you can feel
agitated. Your doctor may lower your Levodopa dose slightly when you
start SELEGILINE HYDROCHLORIDE
• Oral contraceptives (the pill)
• HRT (hormone replacement therapy)
• Altretamine (used for ovarian cancer)
• Amantadine (used for Parkinson’s disease)
• Dopamine or Digoxin (used for heart problems)
• Medicines for heart problems
• Medicines to relax the gut muscles
• Medicines for anxiety or sleep problems
• Medicines for high or low blood pressure
• Medicines for asthma such as a salbutamol inhaler
• Medicines for depression
• Medicines to thin your blood.
Please tell your doctor if you are due to have a general anaesthetic.
If any of the above apply to you (or you are not sure), talk to your doctor or
pharmacist before taking SELEGILINE HYDROCHLORIDE.
Also, talk to your doctor or pharmacist if you need to take any of the
medicines shortly after stopping SELEGILINE HYDROCHLORIDE. Wait at
least 14 days between stopping SELEGILINE HYDROCHLORIDE and
starting to take any of the medicines listed in this “Taking other medicines”
section. Wait at least 24 hours between stopping SELEGILINE
HYDROCHLORIDE and starting to take any serotonin agonists
(such as triptan medicines used to treat migraine).
Taking SELEGILINE HYDROCHLORIDE with food and drink
• Do not eat, drink or rinse your mouth for 5 minutes after taking
SELEGILINE HYDROCHLORIDE.
• Do not drink alcohol when you are taking SELEGILINE
HYDROCHLORIDE.
• If you are taking SELEGILINE HYDROCHLORIDE with another
‘monoamine oxidase inhibitor’ (MAOI), your doctor may ask you to restrict
your diet.
Pregnancy and breast-feeding
Do not take SELEGILINE HYDROCHLORIDE if you are pregnant,
breast-feeding or planning to become pregnant.
Driving and using machines
You may feel slow, dizzy or sleepy or have blurred vision while taking
SELEGILINE HYDROCHLORIDE. If this happens, do not drive or use any
tools or machines.
The medicine can affect your ability to drive as it may make you sleepy or
dizzy.
• Do not drive while taking this medicine until you know how it affects you.
• It is an offence to drive if this medicine affects your ability to drive.
However, you would not be committing an offence if:
• The medicine has been prescribed to treat a medical or dental problem and
• You have taken it according to the instructions given by the prescriber or in
the information provided with the medicine and
• It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe for
you to drive while taking this medicine.
Important information about some of the ingredients of SELEGILINE
HYDROCHLORIDE
SELEGILINE HYDROCHLORIDE contains a source of phenylalanine. This
may be harmful for people with phenylketonuria.
3

How to take this medicine

Always take SELEGILINE HYDROCHLORIDE exactly as your doctor has
told you. You should check with your doctor or pharmacist if you are not
sure.
Your doctor will monitor you during your treatment to see how you respond.
Taking this medicine
• The usual dose is 1.25 mg (1 tablet) once a day, before breakfast.
• Do not push the tablet through the foil blister.
• To get the tablet out of the packaging, peel back the foil and carefully take
out the tablet.
• Place it on your tongue and let it dissolve. The tablet will dissolve quickly
(in less than 10 seconds).
• Do not eat, drink or rinse your mouth out for 5 minutes after taking it.

Ref: 1055/130416/3/B

Selegiline Hydrochloride 1.25mg Oral Lyophilisates
(Selegiline hydrochloride)
Patient Information Leaflet (continued)
If you take more SELEGILINE HYDROCHLORIDE than you should
If you take more SELEGILINE HYDROCHLORIDE than you should, talk to a
doctor or go to a hospital straight away.
Take the packet and this leaflet with you so that the doctor will know what
you have taken.

If you take SELEGILINE HYDROCHLORIDE with Levodopa you may also
notice the following side effects:
• Difficulty controlling your movements. This is common and affects less than
1 in 10 patients treated.
• Feeling restless

If you forget to take SELEGILINE HYDROCHLORIDE
• If you forget a dose of SELEGILINE HYDROCHLORIDE in the morning,
take it as soon as you remember later that day.
• Do not eat, drink or rinse your mouth out for 5 minutes after taking it.
• Do not take a double dose to make up for a forgotten dose.

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 at www.mhra.gov.uk/yellowcard.
By reporting side effects, you can help provide more information on the
safety of this medicine.

If you stop taking SELEGILINE HYDROCHLORIDE
You should continue taking SELEGILINE HYDROCHLORIDE for as long as
your doctor has advised. Do not stop taking SELEGILINE
HYDROCHLORIDE without talking to your doctor. Do not stop SELEGILINE
HYDROCHLORIDE suddenly.
If you have any further questions on the use of this product, ask your doctor
or pharmacist.

4

Possible side effects

Like all medicines, SELEGILINE HYDROCHLORIDE can cause side effects,
although not everybody gets them.
Stop taking SELEGILINE HYDROCHLORIDE and talk to a doctor
straight away, if you notice any of the following:
• Difficulty breathing or your mouth or throat begins to swell. Also if you start
to get a severe rash, itching or other skin reactions.
These may be signs of a serious allergic reaction.
Stop taking SELEGILINE HYDROCHLORIDE and talk to a doctor straight
away if any of the above apply to you.
Talk to a doctor straight away, if you notice any of the following:
• Seeing, feeling or hearing things that are not there (hallucinations) or being
confused - these are common and affect less than 1 in 10 patients treated
• Serious mental health problems - these are uncommon and affect less than
1 in 100 patients treated
• Chest pains (angina) - these are uncommon and affect less than 1 in 100
patients treated.
Talk to a doctor straight away if any of the above apply to you.
Other side effects include:
Very common (affects more than 1 in 10 patients treated)
• Sore mouth
Common (affects less than 1 in 10 patients treated)
• Mouth ulcers
• Blocked nose, sore throat
• Sweating more than usual
• High or low blood pressure, low heart rate
• Joint pains, back pain and muscle cramps
• Problems sleeping, depression, feeling tired
• Feeling dizzy or like you are spinning (vertigo)
• Falls, loss of balance, tremor, feeling dizzy, headache
• Constipation or diarrhoea, feeling sick (nausea), dry mouth
• Abnormal liver tests (seen in a blood test)
• Strange movements including lack of movement and slow movement
Uncommon (affects less than 1 in 100 patients treated)
• Feeling faint
• Blurred vision
• Loss of appetite
• Muscle weakness
• Pounding heart beat (palpitations), uneven or fast heartbeat
• Hair loss, skin rashes or spots
• Strange dreams, feeling agitated, anxious or irritable, mood changes
• Swollen ankles
• Throat infections
• Problems passing urine
• Low blood pressure when standing. This may make you feel dizzy or faint
• Low levels of white blood cells (leukocytopenia) and platelets
(thrombocytopenia) in the blood. This may make you more likely to get
infections or bruising. Tell your doctor if you bruise or bleed easily, or often
get sore throats or fever.
Rare (affects less than 1 in 1000 patients treated)
• Skin reactions
The following side effects have also been reported with the use of
SELEGILINE HYDROCHLORIDE but it is not known how often they may
occur: being excessively interested or involved in sexual activitiy and inability
to pass urine.
Side effects if you take SELEGILINE HYDROCHLORIDE with Levodopa
SELEGILINE HYDROCHLORIDE increases the effect of Levodopa. This
means the side effects you get with Levodopa may also be increased. Your
doctor may want to reduce your dose of Levodopa while you are taking
SELEGILINE HYDROCHLORIDE.

5

How to store this medicine

Keep out of the sight and reach of children
Do not store above 25°C. Store in the original package.
After you have opened the sachet containing a blister strip of the medicine,
discard the medicines within 3 months.
Do not use this medicine after the expiry date shown on the carton label or
blister strip. If your doctor tells you to stop taking this medicine, return any
unused medicine to your pharmacist for safe disposal.
Only keep this medicine, if your doctor tells you to. If your medicine becomes
discoloured or shows any other signs of deterioration, consult your pharmacist
who will tell you what to do.

6

Further information

What this medicine contains:
Each oral lyophilisate contains 1.25mg of selegiline hydrochloride equivalent
to 1.05mg selegiline free base as the active ingredient. Inactive ingredients:
gelatin, mannitol, glycine, aspartame, citric acid anhydrous, grapefruit
flavour, yellow ferric oxide (E172) and hypromellose (E464).
What this medicine looks like and contents of the pack
Selegiline hydrochloride is a pale yellow round oral lyophilisate with the letter
A on one side, plain on the other side. Each pack contains 3 blisters of 10
lyophilisates each.
Manufacturer and Licence Holder
The oral lyophilisate are manufactured by Catalent UK Swindon Zydis
Limited, Frankland Road, Blagrove, Swindon, Wiltshire, Great Britain and are
procured from within the EU and repackaged by the Product Licence Holder:
Lexon (UK) Limited, Unit 18, Oxleasow Road, East Moons Moat, Redditch,
Worcestershire, B98 0RE.

POM

PL 15184/1055 Selegiline hydrochloride 1.25mg Oral
Lyophilisates

Revision date: 13/04/16

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Phone Lexon (UK) Limited, Tel: 01527 505414
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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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