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HSA Approval

NATRIXAM MODIFIED RELEASE TABLET 1.5 mg/5 mg

SIN14901P

NATRIXAM MODIFIED RELEASE TABLET 1.5 mg/5 mg

NATRIXAM MODIFIED RELEASE TABLET 1.5 mg/5 mg

December 3, 2015

SERVIER (S) PTE LTD

SERVIER (S) PTE LTD

Regulatory Information

SERVIER (S) PTE LTD

SERVIER (S) PTE LTD

Therapeutic

Prescription Only

Formulation Information

TABLET, MULTILAYER, EXTENDED RELEASE

**4.2 Posology and method of administration** Posology One tablet per day as single dose, preferably to be taken in the morning, to be swallowed whole with water and not chewed. The fixed dose combination is not suitable for initiation therapy. If a change of the posology is required, titration should be done with the individual components. Special populations _Paediatric population_ The safety and efficacy of Natrixam in children and adolescents have not been established. No data are available. _Patients with renal impairment (see sections 4.3 and 4.4_ – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_ _):_ In severe renal impairment (creatinine clearance below 30 ml/min), treatment is contraindicated. In patients with mild to moderate renal impairment, no dose adjustment is needed. _Older people (see section 4.4 and 5.2_ – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_ _):_ Older people can be treated with Natrixam according to renal function. _Patients with hepatic impairment (see sections 4.3 and 4.4_ – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_ _):_ In severe hepatic impairment, treatment is contraindicated. Dosage recommendations of amlodipine have not been established in patients with mild to moderate hepatic impairment; therefore dose selection should be cautious and should start at the lower end of the dosing range (see sections 4.4 and 5.2 – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). **Method of administration** Oral administration.

ORAL

Medical Information

**4.1 Therapeutic indications** Natrixam is indicated as substitution therapy for treatment of essential hypertension in patients already controlled with indapamide and amlodipine given concurrently at the same dose level.

**4.3 Contraindications** - hypersensitivity to the active substances, to other sulfonamides, to dihydropyridine derivatives or to any of the excipients listed in section 6.1 – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_ - severe renal failure (creatinine clearance below 30 ml/min) - hepatic encephalopathy or severe impairment of liver function - hypokalaemia - severe hypotension - shock (including cardiogenic shock) - obstruction of the outflow tract of the left ventricle (e.g., high grade aortic stenosis) – haemodynamically unstable heart failure after acute myocardial infarction

C08GA02

amlodipine and diuretics

Manufacturer Information

SERVIER (S) PTE LTD

LES LABORATOIRES SERVIER INDUSTRIE

Active Ingredients

Amlodipine besilate 6.935 mg eqv amlodipine

5 mg

Amlodipine

Indapamide

1.5 mg

Indapamide

Documents

Package Inserts

Natrixam_PI.pdf

Approved: March 30, 2023

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