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AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION

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About the medicine

How to use AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the Patient

AJOVY 225mg solution for injection in pre-filled syringe

fremanezumab

Read all of this leaflet carefully before you start using 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, pharmacist, or nurse.
  • 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, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What is AJOVY and what is it used for
  2. What you need to know before you use AJOVY
  3. How to use AJOVY
  4. Possible side effects
  5. Storage of AJOVY
  6. Contents of the pack and other information

1. What is AJOVY and what is it used for

What is AJOVY

AJOVY is a medicine that contains the active substance fremanezumab, a monoclonal antibody, a type of protein that recognizes and binds to a specific target in the body.

How AJOVY works

A substance in the body called calcitonin gene-related peptide (CGRP) plays an important role in migraine. Fremanezumab binds to CGRP and prevents it from working. This reduction in CGRP activity reduces migraine attacks.

What AJOVY is used for

AJOVY is used to prevent migraine in adults with at least four days of migraine per month.

What are the benefits of using AJOVY

AJOVY reduces the frequency of migraine attacks and the number of days with headache. This medicine also reduces the disability associated with migraine and decreases the need to use medicines to treat migraine attacks.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you use AJOVY

Do not use AJOVY

Do not use this medicine if you are allergic to fremanezumab or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Tell your doctor, pharmacist, or nurse immediately if you notice any signs of a severe allergic reaction such as difficulty breathing, swelling of the lips and tongue, or severe skin rash after injection of AJOVY. These reactions can occur within 24 hours of administration of AJOVY, although they can sometimes appear later.

Tell your doctor if you have or have had any cardiovascular disease (problems affecting the heart and blood vessels) before starting to use this medicine, as AJOVY has not been studied in patients with certain cardiovascular diseases.

Children and adolescents

AJOVY is not recommended for use in children and adolescents under 18 years of age, as it has not been studied in this age group.

Other medicines and AJOVY

Tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine. It is preferable to avoid using AJOVY during pregnancy, as the effects of this medicine on pregnant women are unknown.

If you are breastfeeding or plan to breastfeed, consult your doctor or pharmacist before starting to use this medicine. You and your doctor will decide whether to use AJOVY during breastfeeding.

Driving and using machines

This medicine is not expected to have any effect on your ability to drive and use machines.

AJOVY contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per dose; it is essentially "sodium-free".

3. How to use AJOVY

Follow exactly the administration instructions of this medicine given by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist again.

Read carefully the "Instructions for use" of the pre-filled syringe before starting to use AJOVY.

How much and when to inject

Your doctor will discuss and decide with you the most suitable dosage regimen. There are two alternative dosage regimens recommended:

  • one injection (225 mg) once a month (monthly dosage regimen) or
  • three injections (675 mg) every three months (quarterly dosage regimen)

If your dose is 675 mg, administer the three injections one after the other, in a different place each time.

AJOVY is administered by injection under the skin (subcutaneous injection). Your doctor or nurse will explain to you or your caregiver how to administer the injection. Do not inject AJOVY until your doctor or nurse has taught you or your caregiver how to do it.

Use some reminder method, such as notes in a calendar or diary, to help you remember the next dose and not miss a dose or inject a dose too soon after the last one.

If you use more AJOVY than you should

If you have used more AJOVY than you should, consult your doctor.

If you forget to use AJOVY

If you have missed a dose of AJOVY, inject the missed dose as soon as possible. Do not administer a double dose to make up for missed doses. If you are unsure when you should inject AJOVY, consult your doctor, pharmacist, or nurse.

If you have any other questions about the use of this medicine, ask your doctor, pharmacist, or nurse.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

The following side effects may occur:

Very common (may affect more than 1 in 10 people)

Pain, hardening, or redness at the injection site

Common (may affect up to 1 in 10 people)

Itching at the injection site

Uncommon (may affect up to 1 in 100 people)

Skin rash at the injection site

Allergic reactions such as exanthema, swelling, or urticaria

Rare (may affect up to 1 in 1,000 people)

Severe allergic reactions (signs may be difficulty breathing, swelling of the lips and tongue, or severe skin rash) (see section 2 "Warnings and precautions").

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. You can also report side effects directly through the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of AJOVY

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 label of the syringe and on the outer packaging after "EXP". The expiry date is the last day of the month shown.

Store in a refrigerator (between 2°C and 8°C). Do not freeze.

Keep the pre-filled syringe in the outer packaging to protect the medicine from light.

This medicine can be taken out of the refrigerator and stored at a temperature not above 30°C for a maximum of 7 days. The medicine should be discarded if it has been out of the refrigerator for more than 7 days. Once stored at room temperature, do not put it back in the refrigerator.

Do not use this medicine if you notice that the outer packaging has been tampered with, the syringe is damaged, or the medicine is cloudy, has changed color, or contains particles.

The syringe is for single use.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Container Contents and Additional Information

AJOVY Composition

  • The active ingredient is fremanezumab.

Each prefilled syringe contains 225 mg of fremanezumab.

  • The other components (excipients) are L-histidine, L-histidine hydrochloride monohydrate, sucrose, disodium edetate dihydrate, polysorbate 80, and water for injectable preparations.

Product Appearance and Container Contents

AJOVY is an injectable solution in a prefilled syringe with a fixed needle in a blister. AJOVY is a clear, colorless to slightly yellow solution. Each prefilled syringe contains 1.5 ml of solution.

AJOVY is available in packs containing 1 or 3 prefilled syringes. Not all pack sizes may be available in your country.

Marketing Authorization Holder

TEVA GmbH

Graf-Arco-Str. 3

89079 Ulm

Germany

Manufacturer

Merckle GmbH

Graf-Arco-Str. 3

89079 Ulm

Germany

Teva Pharmaceuticals Europe B.V.

Swensweg 5

2031 GA Haarlem

Netherlands

You can request more information about this medicinal product from the local representative of the marketing authorization holder.

België/Belgique/Belgien

Teva Pharma Belgium N.V./S.A./AG

Tél/Tel: +32 38207373

Lietuva

UAB Teva Baltics

Tel: +370 52660203

България

Тева Фарма ЕООД

Тел: +359 24899585

Luxembourg/Luxemburg

Teva Pharma Belgium N.V./S.A./AG

Belgique/Belgien

Tél/Tel: +32 38207373

Ceská republika

Teva Pharmaceuticals CR, s.r.o.

Tel: +420 251007111

Magyarország

Teva Gyógyszergyár Zrt.

Tel: +36 12886400

Danmark

Teva Denmark A/S

Tlf: +45 44985511

Malta

Teva Pharmaceuticals Ireland

Ireland

Tel: +44 2075407117

Deutschland

TEVA GmbH

Tel: +49 73140208

Nederland

Teva Nederland B.V.

Tel: +31 8000228400

Eesti

UAB Teva Baltics Eesti filiaal

Tel: +372 6610801

Norge

Teva Norway AS

Tlf: +47 66775590

Ελλάδα

ΤΕΒΑ ΕΛΛΑΣ Α.Ε.

Τηλ: +30 2118805000

Österreich

ratiopharm Arzneimittel Vertriebs-GmbH

Tel: +43 1970070

España

Teva Pharma, S.L.U.

Tel: +34 913873280

Polska

Teva Pharmaceuticals Polska Sp. z o.o.

Tel: +48 223459300

France

Teva Santé

Tél: +33 155917800

Portugal

Teva Pharma - Produtos Farmacêuticos, Lda.

Tel: +351 214767550

Hrvatska

Pliva Hrvatska d.o.o.

Tel: +385 13720000

România

Teva Pharmaceuticals S.R.L.

Tel: +40 212306524

Ireland

Teva Pharmaceuticals Ireland

Tel: +44 2075407117

Slovenija

Pliva Ljubljana d.o.o.

Tel: +386 15890390

Ísland

Teva Pharma Iceland ehf.

Sími: +354 5503300

Slovenská republika

TEVA Pharmaceuticals Slovakia s.r.o.

Tel: +421 257267911

Italia

Teva Italia S.r.l.

Tel: +39 028917981

Suomi/Finland

Teva Finland Oy

Puh/Tel: +358 201805900

Κύπρος

ΤΕΒΑ ΕΛΛΑΣ Α.Ε.

Ελλάδα

Τηλ: +30 2118805000

Sverige

Teva Sweden AB

Tel: +46 42121100

Latvija

UAB Teva Baltics filiale Latvija

Tel: +371 67323666

United Kingdom (Northern Ireland)

Teva Pharmaceuticals Ireland

Ireland

Tel: +44 2075407117

Date of Last Revision of this Leaflet:{Month YYYY}.

Other Sources of Information

Detailed information on this medicinal product is available on the European Medicines Agency website: http://www.ema.europa.eu.

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Instructions for Use

AJOVY 225 mg Solution for Injection in Prefilled Syringe

fremanezumab

Before Using the AJOVY Prefilled Syringe, Read and Follow the Step-by-Step Instructions Carefully.

Important Information:

  • Read the AJOVY leaflet carefully to obtain more information about the medicinal product.
  • Do notpull the plunger at any time, as the prefilled syringe may break.
  • Do notshake the prefilled syringe.
  • Return the box to the refrigerator immediatelyif you have any unused prefilled syringes in the box.

AJOVY Prefilled Syringe Components

Syringe with needle cap, plunger, and wing showing lot and expiry date labels

Step 1: Preparation for Injection

  1. Gather the Following Materials for Your Injection:
    • 1 or 3 AJOVY prefilled syringes to administer 1 or 3 injections depending on your dose
    • 1 alcohol swab per injection
    • 1 cotton ball or swab per injection
    • 1 puncture-resistant container for disposal of sharp objects
  2. Place the Gathered Materials on a Clean, Flat Surface.
  3. Wait 30 Minutes to Allow AJOVY to Reach Room Temperature to Reduce Discomfort During Injection.
    • Do notexpose the prefilled syringe to direct sunlight.
    • Do notheat the prefilled syringe in a microwave or with any other heat source.
    • Do notremove the needle cap.
  4. Wash Your Handswith water and soap and dry them well with a clean towel.
  5. Inspect the AJOVY Prefilled Syringe.
    • Check the syringe label. Make sure the name AJOVY appears on the label.
    • Check that the medicine inside the syringe is clear and colorless to slightly yellow.
    • You may see small air bubbles in the prefilled syringe. This is normal.
    • Do notuse the prefilled syringe if you notice any of the following:
      • The syringe appears damaged.
      • The expiry date has passed or the prefilled syringe has been out of the refrigerator for more than 7 days.
      • The medicine is cloudy, has changed color, or contains particles.

Hand holding autoinjector with dose window visible and eye observing injection process

  1. Choose the Injection Site.
    • Chooseone of the following injection sites:
      • the abdomen(stomach area), avoiding a 5 cm margin around the navel
      • the front of the thighs, about 5 cm above the knee and 5 cm below the groin
      • the back of the arms, in the fleshy areas of the back of the arm
    • If more than one injection is required, they can be administered in the same area or in different areas (abdomen, thigh, arm), but avoid administering them exactly in the same spot.

Three human silhouettes showing application areas on abdomen, hip, and arm with blue highlighting

  1. Clean the Injection Site.
    • Clean the chosen injection site using a new alcohol swab.
    • Wait 10 seconds to allow the skin to dry before administering the injection.
    • Do notinject AJOVY into an area that is painful, red, hot, bruised, hardened, or scarred.

Step 2: How to Inject

  1. Only When You Are Ready to Inject, Pull the Needle Cap Straight Off and Dispose of It.
    • Do notreplace the needle cap on the prefilled syringe to avoid injury or infection.
    • Do nottouch the needle.

Prefilled syringe with needle cap about to be removed with blue arrows indicating opposite direction

  1. Inject Following the Four Steps Indicated Below.
  1. Gently pinch at least 2.5 cm of the cleaned skin.
  1. Insert the needle into the pinched skin at an angle of 45° to 90°.
  1. Slowly press the plunger.
  1. Press the plunger all the way down to inject all the medicine.

Subcutaneous injection sequence showing skin pinch, 45-degree angle, and needle advancement with hand holding syringe

  1. Remove the Needle from the Skin.
    • Once all the medicine has been injected, pull the needle straight out.
    • Do notreplace the needle cap at any time to avoid injury or infection.

Hand holding syringe with needle inserted in skin, blue arrow indicates direction of subcutaneous injection

  1. Apply Pressure to the Injection Site.
    • Use a clean, dry cotton ball or swab to apply gentle pressure to the injection site for a few seconds.
    • Do notrub the injection site or reuse the prefilled syringe.

Step 3: Disposal of the Prefilled Syringe

  1. Discard the Prefilled Syringe Immediately.
    • Throw away used prefilled syringes (with the needle still attached) in a puncture-resistant container right after use.
    • Do notthrow away loose needles, syringes, or prefilled syringes in the trash.
    • Do notrecycle the used puncture-resistant container.
  2. Ask Your Doctor, Pharmacist, or Nurse How to Dispose of the Container.

If Your Dose is 675 mg, Repeat Steps 1 to 3 with the Second and Third Prefilled Syringes to Inject the Full Dose.

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Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

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  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Nuno Tavares Lopes

Family medicine 18 years exp.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
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Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Frequently Asked Questions

Is a prescription required for AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION?
AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION?
The active ingredient in AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION is fremanezumab. This information helps identify medicines with the same composition but different brand names.
Who manufactures AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION?
AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION is manufactured by Teva Gmbh. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to AJOVY 225 mg PRE-FILLED SYRINGE SOLUTION FOR INJECTION?
Other medicines with the same active substance (fremanezumab) include AJOVY 225 mg SOLUTION FOR INJECTION IN A PRE-FILLED PEN, AIMOVIG 140 mg SOLUTION FOR INJECTION IN A PRE-FILLED PEN, AIMOVIG 70 mg SOLUTION FOR INJECTION IN A PRE-FILLED PEN. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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