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AREXVY powder and suspension for injectable suspension

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About the medicine

How to use AREXVY powder and suspension for injectable suspension

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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 User

Arexvy powder and suspension for suspension for injection

vaccine against respiratory syncytial virus (recombinant, adjuvanted)

This medicine is subject to additional monitoring, which will allow for quick identification of new safety information. You can help by reporting any side effects you may get. The last section of this leaflet includes information on how to report side effects.

Read all of this leaflet carefully before you start receiving this vaccine, 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.
  • If you experience any side effects, talk to your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the package leaflet

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

1. What is Arexvy and what is it used for

Arexvy is a vaccine that helps protect adults aged 60 years and older against a virus called respiratory syncytial virus (RSV).

Arexvy also helps protect against RSV in adults aged 50 to 59 years with a higher risk of getting the disease.

RSV is a respiratory virus that spreads very easily.

  • RSV can cause lower respiratory tract disease - infections in the lungs and other parts of the body that help you breathe.

RSV infection usually causes mild symptoms similar to those of a cold in healthy adults. However, it can also:

  • cause more serious respiratory diseases and complications, such as lung infections (pneumonia), in older adults and adults with underlying diseases
  • worsen some diseases, such as long-term respiratory or heart diseases.

How Arexvy works

Arexvy helps your body's natural defenses to produce antibodies and special white blood cells. These protect you against RSV.

Arexvy does not contain the virus. This means it cannot cause an infection.

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 receive Arexvy

Do not use Arexvy

  • if you are allergic to the active substances or to any of the other components of this vaccine (listed in section 6).

Do not use Arexvy if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist.

Warnings and precautions

Talk to your doctor, pharmacist, or nurse before receiving Arexvy if:

  • you have ever had a severe allergic reaction after being injected with any other vaccine
  • you have a severe infection with a high temperature (fever). If this happens, vaccination may be delayed until you feel better. A minor infection, such as a cold, should not be a problem, but check with your doctor first
  • you have a bleeding problem or bruise easily
  • you have fainted after a previous injection. Fainting can occur before or after any injection with a needle.

If any of the above applies to you, or if you are not sure, talk to your doctor or pharmacist before Arexvy is administered.

As with all vaccines, Arexvy may not fully protect all people who are vaccinated.

Other medicines/vaccines and Arexvy

Tell your doctor or pharmacist if:

  • you are taking, have recently taken, or might take any other medicines. This includes medicines obtained without a prescription
  • you have recently received any other vaccine.

Arexvy can be given at the same time as a flu vaccine.

If Arexvy is given at the same time as another injectable vaccine, a different injection site will be used for each vaccine, i.e. a different arm for each injection.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before receiving this vaccine.

Arexvy is not recommended during pregnancy or breastfeeding.

Driving and using machines

Some of the effects mentioned below in section 4 "Possible side effects" (e.g. feeling tired) may temporarily affect your ability to drive or use machines. Do not drive or use machines or tools if you do not feel well.

Arexvy contains sodium and potassium

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

This medicine contains potassium, less than 1 mmol (39 mg) per dose; this is essentially "potassium-free".

3. How Arexvy is administered

Arexvy is given as a single injection of 0.5 ml into a muscle. It is usually given in the upper arm.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

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 vaccine can cause side effects, although not everybody gets them.

Serious side effects

Very rare(may affect up to 1 in 10,000 doses of vaccine):

  • a neurological disorder that usually starts with a tingling sensation and weakness in the limbs and can progress to paralysis of one part or all of the body (Guillain-Barré syndrome).

Tell your doctor immediately if you notice signs of this serious side effect.

The following side effects may occur after receiving Arexvy:

Very common(may affect more than 1 in 10 doses of vaccine):

  • pain at the injection site
  • fatigue
  • headache
  • muscle pain
  • joint pain
  • redness at the injection site

Common(may affect up to 1 in 10 doses of vaccine):

  • swelling at the injection site
  • fever
  • chills

Uncommon(may affect up to 1 in 100 doses of vaccine):

  • itching at the injection site
  • pain
  • general feeling of being unwell
  • enlargement of the lymph nodes, or swelling of the lymph nodes in the neck, armpits, or groin (lymphadenopathy)
  • allergic reactions, such as rash
  • nausea
  • vomiting
  • stomach pain

Not known(cannot be estimated from the available data):

  • death of skin tissue at the injection site (necrosis at the injection site)

Tell your doctor or pharmacist if you get any of the side effects mentioned above. The intensity of most of these side effects is mild to moderate and does not last long.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if they are not listed in this leaflet. You can also report side effects directly via 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 Arexvy

  • 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 and carton, after EXP. The expiry date is the last day of the month stated.
  • Store in a refrigerator (between 2°C and 8°C).
  • Do not freeze.
  • Store in the original package to protect from light.
  • 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. Contents of the pack and other information

Composition of Arexvy

  • The active substances are:

After reconstitution, one dose (0.5 ml) contains:

RSVPreF3 antigen

120 micrograms

1 recombinant RSV F glycoprotein stabilised in a prefusion conformation = RSVPreF3

2 RSVPreF3 produced in Chinese Hamster Ovary (CHO) cells using recombinant DNA technology

3 adjuvanted with AS01E which contains:

Quillaja saponaria Molina fraction 21 (QS-21) plant extract

25 micrograms

3-O-desacetyl-4’-monophosphoryl lipid A (MPL) from Salmonella minnesota

25 micrograms

RSVPreF3 is a protein from the respiratory syncytial virus. This protein is not infectious.

The adjuvant is used to enhance the body's response to the vaccine.

  • The other ingredients are:
  • Powder(RSVPreF3 antigen): trehalose dihydrate, polysorbate 80 (E 433), potassium dihydrogen phosphate (E 340), and dipotassium phosphate (E 340).
  • Suspension: dioleoyl phosphatidylcholine (E 322), cholesterol, sodium chloride, disodium phosphate anhydrous (E 339), potassium dihydrogen phosphate (E 340), and water for injections.

See section 2 "Arexvy contains sodium and potassium".

Appearance and pack contents

  • Powder and suspension for injection.
  • The powder is white.
  • The suspension is an opalescent liquid, colorless to light brown.

One pack of Arexvy consists of:

  • Powder (antigen) for 1 dose in a vial
  • Suspension (adjuvant) for 1 dose in a vial

Arexvy is available in packs of 1 vial with powder and 1 vial with suspension or in packs of 10 vials with powder and 10 vials with suspension.

Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

GlaxoSmithKline Biologicals SA

Rue de l’Institut 89

1330 Rixensart

Belgium

For further information on this medicine, contact the local representative of the marketing authorisation holder:

België/Belgique/Belgien

GlaxoSmithKline Pharmaceuticals s.a./n.v

Tel: + 32 (0) 10 85 52 00

Lietuva

GlaxoSmithKline Biologicals SA

Tel: +370 80000334

Text in Bulgarian language with contact information of GlaxoSmithKline Biologicals SA and phone number

Luxembourg/Luxemburg

GlaxoSmithKline Pharmaceuticals s.a./n.v

Belgique/Belgien

Tel: + 32 (0) 10 85 52 00

Ceská republika

GlaxoSmithKline s.r.o.

Tel: + 420 222 001 111

[email protected]

Magyarország

GlaxoSmithKline Biologicals SA

Tel.: +36 80088309

Danmark

GlaxoSmithKline Pharma A/S

Tlf: + 45 36 35 91 00

[email protected]

Malta

GlaxoSmithKline Biologicals SA

Tel: +356 80065004

Deutschland

GlaxoSmithKline GmbH & Co. KG

Tel: + 49 (0)89 360448701

[email protected]

Nederland

GlaxoSmithKline BV

Tel: + 31 (0)33 2081100

Eesti

GlaxoSmithKline Biologicals SA

Tel: +372 8002640

Norge

GlaxoSmithKline AS

Tlf: + 47 22 70 20 00

Ελλάδα

GlaxoSmithKline Mοβπρóσωπη A.E.B.E.

Τηλ: + 30 210 68 82 100

Österreich

GlaxoSmithKline Pharma GmbH

Tel: + 43 (0)1 97075 0

[email protected]

España

GlaxoSmithKline, S.A.

Tel: + 34 900 202 700

[email protected]

Polska

GSK Services Sp. z o.o.

Tel.: + 48 (22) 576 9000

France

Laboratoire GlaxoSmithKline

Tél : + 33 (0) 1 39 17 84 44

[email protected]

Portugal

GlaxoSmithKline – Produtos Farmacêuticos, Lda.

Tel : + 351 21 412 95 00

[email protected]

Hrvatska

GlaxoSmithKline Biologicals SA

Tel.: +385 800787089

România

GlaxoSmithKline Biologicals SA

Tel: +40 800672524

Ireland

GlaxoSmithKline (Ireland) Ltd

Tel: + 353 (0)1 495 5000

Slovenija

GlaxoSmithKline Biologicals SA

Tel: +386 80688869

Ísland

Vistor hf.

Sími: +354 535 7000

Slovenská republika

GlaxoSmithKline Biologicals SA

Tel.: +421 800500589

Italia

GlaxoSmithKline S.p.A.

Tel: + 39 (0)45 7741 111

Suomi/Finland

GlaxoSmithKline Oy

Puh/Tel: + 358 10 30 30 30

Κύπρος

GlaxoSmithKline Biologicals SA

Τηλ: +357 80070017

Sverige

GlaxoSmithKline AB

Tel: + 46 (0)8 638 93 00

[email protected]

Latvija

GlaxoSmithKline Biologicals SA

Tel: +371 80205045

United Kingdom (Northern Ireland)

GlaxoSmithKline Biologicals SA

Tel: +44(0)800 221441

[email protected]

Date of last revision of this leaflet:

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu, and on the web site of the Spanish Agency for Medicines and Health Products (AEMPS) (http://www.aemps.gob.es/).

The leaflet can be found in all EU/EEA languages on the European Medicines Agency website.

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This information is intended only for healthcare professionals:

Arexvy is presented as a vial with a removable green mustard cap containing the powder (antigen) and a vial with a removable brown cap containing the suspension (adjuvant).

The powder and suspension must be reconstituted before administration.

Antigen

Adjuvant

Powder

Suspension

Two pharmaceutical vials with gray liquid and black caps connected by a line and a central cross symbol

1 dose (0.5 ml)

Visually inspect the powder and suspension for any foreign particles and/or variation in appearance. If you notice any of these, do not reconstitute the vaccine.

How to prepare Arexvy

Arexvy must be reconstituted before administration.

  1. Withdraw the entire contents of the vial containing the suspension with a syringe.
  2. Add the entire contents of the syringe to the vial containing the powder.
  3. Gently shake until the powder is completely dissolved.

The reconstituted vaccine is an opalescent liquid, colorless to light brown.

Visually inspect the reconstituted vaccine for any foreign particles and/or variation in appearance. If you notice any of these, do not administer the vaccine.

Physical and chemical stability after reconstitution has been demonstrated for 4 hours between 2°C and 8°C or at room temperature up to 25°C.

From a microbiological point of view, the vaccine should be used immediately. If not used immediately, the in-use storage times and conditions are the responsibility of the user and should not exceed 4 hours.

Before administration

  1. Withdraw 0.5 ml of the reconstituted vaccine with the syringe.
  2. Change the needle so that a new needle is used.

Administer the vaccine by intramuscular injection.

Disposal of unused medicinal products and their waste should be in accordance with local requirements.

Online doctors for AREXVY powder and suspension for injectable suspension

Discuss questions about AREXVY powder and suspension for injectable suspension, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

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:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • 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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  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
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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Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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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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  • sports-related health questions
  • general family medicine concerns
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 AREXVY powder and suspension for injectable suspension?
AREXVY powder and suspension for injectable suspension 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 AREXVY powder and suspension for injectable suspension?
The active ingredient in AREXVY powder and suspension for injectable suspension is respiratory syncytial virus vaccines. This information helps identify medicines with the same composition but different brand names.
Who manufactures AREXVY powder and suspension for injectable suspension?
AREXVY powder and suspension for injectable suspension is manufactured by Glaxosmithkline Biologicals. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of AREXVY powder and suspension for injectable suspension 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 AREXVY powder and suspension for injectable suspension 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 AREXVY powder and suspension for injectable suspension?
Other medicines with the same active substance (respiratory syncytial virus vaccines) include ABRYSVO powder and solvent for injectable solution, MRESVIA DISPERSION INJECTABLE IN PRE-FILLED SYRINGE, MVABEA INJECTABLE SUSPENSION. 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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