Gravitate Health FHIR Implementation Guide, published by Gravitate Health Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/joofio/test-epi-composition/ and changes regularly. See the Directory of published versions
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Generated Narrative: Bundle TEST PURPOSES ONLY - lumigan
Language: en
Profile: Bundle - ePI
Final Document at 2022-02-16 13:28:17+0000 by Organization ACME industry for Bundle: identifier = http://ema.europa.eu/identifier#None; type = document; timestamp = 2023-06-27 10:09:22+0000
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Document Content
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Language: en
Profile: Composition (ePI)
identifier: http://ema.europa.eu/identifier
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status: Final
type: Package Leaflet
category: Raw
date: 2022-02-16 13:28:17+0000
author: Organization ACME industry
title: TEST PURPOSES ONLY - lumigan
Mode | Time |
Official | 2022-02-16 13:28:17+0000 |
What is in this leaflet:
LUMIGAN is an antiglaucoma preparation. It belongs to a group of medicines called prostamides. LUMIGAN eye drops are used to reduce high pressure in the eye. This medicine may be used on its own or with other drops called beta-blockers which also reduce pressure. Your eye contains a clear, watery liquid that feeds the inside of the eye. Liquid is constantly being drained out of the eye and new liquid is made to replace this. If the liquid cannot drain out quickly enough, the pressure inside the eye builds up. This medicine works by increasing the amount of liquid that is drained. This reduces the pressure inside the eye. If the high pressure is not reduced, it could lead to a disease called glaucoma and eventually damage your sight.
You have had a viral infection or inflammation of the eye During treatment, LUMIGAN may cause a loss of fat around the eye, which may cause your eyelid crease to deepen, your eye to appear sunken (enophthalmos), your upper eyelid to droop (ptosis), the skin around your eye to tighten (involution of dermatochalasis) and the lower white part of your eye to become more visible (inferior scleral show). The changes are typically mild, but if pronounced, they can affect your field of vision. The changes may disappear if you stop taking LUMIGAN. LUMIGAN may also cause your eyelashes to darken and grow, and cause the skin around the eyelid to darken too. The colour of your iris may also go darker. These changes may be permanent. The changes may be more noticeable if you are only treating one eye. Children and adolescents LUMIGAN has not been tested in children under the age of 18 and therefore should not be used by patients under 18 years. Other medicines and LUMIGAN Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. Pregnancy and breast-feeding If you are pregnant or breast feeding, think you might be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking any medicine. LUMIGAN may get into breast milk so you should not breast-feed while you are taking LUMIGAN. Driving and using machines Your sight may become blurred for a short time just after using LUMIGAN. You should not drive or use machines until your sight is clear again. LUMIGAN 0.1 mg/ml contains benzalkonium chloride This medicine contains 0.6 mg benzalkonium chloride in each 3 ml of solution which is equivalent to 0.2 mg/ml. Do not use the drops when you are wearing your lenses. A preservative in LUMIGAN, benzalkonium chloride may be absorbed by soft contact lenses and may change the colour of the contact lenses. You should remove contact lenses before using this medicine and wait 15 minutes after using the drops before you put your lenses back in. Benzalkonium chloride may also cause eye irritation, especially if you have dry eyes or disorders of the cornea (the clear layer at the front of the eye). If you feel abnormal eye sensation, stinging or pain in the eye after using this medicine, talk to your doctor.
Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. LUMIGAN should only be applied to the eye. The recommended dose is one drop of LUMIGAN in the evening, once daily in each eye that needs treatment. If you use LUMIGAN with another eye medicine, wait at least five minutes between using LUMIGAN and the other eye medicine. Do not use more than once a day as the effectiveness of treatment may be reduced. Instructions for use: You must not use the bottle if the tamper-proof seal on the bottle neck is broken before you first use it.
Like all medicines, this medicine can cause side effects, although not everybody gets them. Very common side effects These may affect one or more users in Affecting the eye
Slight redness (up to 29 % of people)
Loss of fat in the eye region which can lead to deepening of your eyelid crease, sunken eye (enophthalmos), drooping eyelid (ptosis), tightening of the skin around your eye (involution of dermatochalasis), and the lower white part of your eye to become more visible (inferior scleral show) Common side effects These may affect 1 to 9 users in Affecting the eye
Small breaks in the surface of the eye, with or without inflammation
Irritation
Itchy eyes
Longer eyelashes
Irritation, when drop is put in the eye
Eye pain Affecting the skin
Red and itchy eyelids
Darker skin colour around the eye
Hair growth around the eye Uncommon side effects These may affect 1 to 9 users in 1Affecting the eye
Darker Iris colour
Tired eye
Swelling of the surface of the eye
Blurred vision
Loss of eye lashes Affecting the skin
Dry skin
Crusting on the edge of the eyelid
Swelling of the eyelid
Itching Affecting the body
Headache
Feeling of sickness Side effects where the frequency is not known Affecting the eye
Macular oedema (swelling of the retina at the back of the eye which may lead to worsening vision)
Darker eyelid colour
Dryness
Sticky eyes
A feeling that something is in your eye
Swelling of the eye
Increasing tears
Ocular discomfort
Sensitivity to light Affecting the body
Asthma
Worsening of asthma
Worsening of the lung disease called chronic obstructive pulmonary disease (COPD)
Shortness of breath
Symptoms of allergic reaction (swelling, redness of the eye and rash of the skin)
Dizziness
Increased blood pressure
Skin discoloration (periocular) In addition to the side effects for LUMIGAN 0.1 mg/ml, the following side effects have been seen with another medicine containing a higher strength of bimatoprost (0.3 mg/ml):
Ocular burning
An allergic reaction in the eye
Inflamed eyelids
Difficulty in seeing clearly
Worsening of vision
Swelling of the see-through layer that covers the eye
Tears
Darker eyelashes
Retinal bleeding
Inflammation within the eye
Cystoid macular oedema (swelling of the retina within the eye leading to worsening vision)
Eyelid twitching
Eyelid shrinking, moving away from surface of the eye
Skin redness around the eye
Weakness
An increase in blood-test results that show how your liver is working Other side effects reported with eye drops containing phosphates In very rare cases, some patients with severe damage to the clear layer at the front of the eye (the cornea) have developed cloudy patches on the cornea due to calcium build-up during treatment. Reporting 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 national reporting system listed in Appendix V. By reporting side effects you can help provide more information on the safety of the medicine.
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 bottle label and the carton after EXP. The expiry date refers to the last day of that month. You must throw away the bottle at the latest four weeks after you first opened it, even if there are still some drops left. This will prevent infections. To help you remember, write down the date you opened it in the space on the box. 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 to protect the environment.
The other ingredients are benzalkonium chloride (preservative), sodium chloride, sodium phosphate dibasic heptahydrate, citric acid monohydrate and purified water. Small amounts of hydrochloric acid or sodium hydroxide may be added to keep the level of acid (pH levels) normal. What LUMIGAN 0.1 mg/ml looks like and contents of the pack LUMIGAN is a colourless clear eye drop solution in a pack containing either 1 plastic bottle or 3 plastic bottles each with a screw cap. Each bottle is approximately half full and contains 3 millilitres of solution. This is enough for 4 weeks usage. Not all pack sizes may be marketed. Marketing Authorisation Holder AbbVie Deutschland GmbH & Co. KG Knollstra e 67061 Ludwigshafen Deutschland Manufacturer Allergan Pharmaceuticals Ireland Castlebar Road Westport Co. Mayo Ireland For any information about this medicine, please contact the local representative of the marketing authorisation holder. Belgi /Belgique/Belgien AbbVie SA T l/Tel: +32 10 477Lietuva AbbVie UAB Tel: + 370 5 205 3
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.
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