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About the medicine

How to use FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE

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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

Fluad injectable suspension in a pre-filled syringe

Influenza vaccine (surface antigen, inactivated, with adjuvant)

Read all of this leaflet carefully before you are given 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.
  • 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 package leaflet

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

1. What is Fluad and what is it used for

Fluad is an influenza vaccine.

When a person is given the vaccine, the immune system (the body's natural defense system) will produce its own protection against the influenza virus. None of the components of the vaccine can cause influenza.

Fluad is used to prevent influenza in people aged 50 years and over.

The vaccine is aimed at the strains of the influenza virus following the recommendations of the World Health Organization for the 2025/2026 campaign.

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 are given Fluad

You should not be given Fluad

  • if you are allergic to:
  • the active substances or any of the other ingredients of this medicine (listed in section 6).
  • egg or chicken proteins (such as ovalbumin), kanamycin, and neomycin sulfate, formaldehyde, cetyltrimethylammonium bromide (CTAB), and hydrocortisone, which are residues of the manufacturing process that may be present in minimal amounts.
  • If you have had a severe allergic reaction (e.g., anaphylaxis) to a previous influenza vaccine.

Warnings and precautions

Talk to your doctor, pharmacist, or nurse before you are given Fluad.

BEFORE vaccination

  • your doctor or nurse will check that medical treatment and adequate supervision are readily available in case of a rare anaphylactic reaction (a very severe allergic reaction with symptoms such as difficulty breathing, dizziness, weak and rapid pulse, and skin rash) after administration. This reaction can occur with Fluad, as with all injectable vaccines.
  • you should inform your doctor if you have a disease with fever. Your doctor may decide to delay your vaccination until the fever has disappeared.
  • you should inform your doctor if your immune system is compromised or if you are receiving treatment that affects it, for example, cancer medication (chemotherapy) or corticosteroids (see section "Other medicines and Fluad").
  • you should inform your doctor if you have a bleeding problem or if you bruise easily.
  • you may faint after injection with a needle, or even before, therefore inform your doctor or nurse if you have fainted previously with any injection.

As with all vaccines, Fluad may not completely protect all people who are vaccinated.

Children

Fluad is not recommended for use in children.

Other medicines and Fluad

Tell your doctor or nurse if you are using, have recently used, or might use any other medicines, including those obtained without a prescription, or if you have recently received any other vaccine.

Pregnancy and breastfeeding

This vaccine is intended for adults aged 50 years and over. It should not be used in women who are or may be pregnant, or during breastfeeding.

Driving and using machines

Fluad has no or negligible influence on the ability to drive and use machines.

Fluad contains potassium and sodium

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

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

3. How Fluad is given

Your doctor or nurse will give you Fluad as an injection into the muscle of the upper arm (deltoid muscle).

Adults aged 50 years and over:

A dose of 0.5 ml

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.

Tell your doctor or go to the emergency department of your nearest hospital immediately if you experience the following serious side effects, as you may need urgent medical attention or hospitalization:

  • Difficulty breathing, dizziness, weak and rapid pulse, and skin rash, which are symptoms of an anaphylactic reaction (a very severe allergic reaction)

The following side effects have been reported during clinical trials in adults aged 50 years and over.

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

  • Pain or tenderness at the injection site
  • Fatigue
  • Headache
  • Joint pain (arthralgia)1
  • Muscle pain (myalgia)1

1 Reported as frequent in elderly subjects aged 65 years and over.

Common (may affect up to 1 in 10 people):

  • Redness at the injection site (erythema)
  • Hardening of the skin at the injection site (induration)
  • Diarrhea
  • Chills
  • Nausea
  • Loss of appetite
  • Bruising at the injection site (ecchymosis)
  • Flu-like symptoms2
  • Fever (≥38 °C)3

2 Reported in elderly subjects aged 65 years and over.

3 Reported as uncommon in elderly subjects aged 65 years and over.

Uncommon (may affect up to 1 in 100 people):

  • Vomiting
  • Swelling of the lymph nodes in the neck, armpit, or groin (lymphadenopathy)

Most side effects were mild or moderate and disappeared within 3 days of onset.

In addition to the side effects mentioned, the following side effects have occasionally occurred during general use of the quadrivalent influenza vaccine or Fluad.

  • reduction in the number of a certain type of particle in the blood called platelets; a low number of these can cause bruising or bleeding (thrombocytopenia)
  • swelling, pain, and redness at the injection site (reaction similar to cellulitis at the injection site)
  • extensive swelling of the limb where the medicine was injected, lasting more than one week.
  • general weakness or lack of energy (asthenia), feeling unwell (malaise)
  • fever (pyrexia)
  • muscle weakness
  • pain in the nerve pathway (neuralgia), unusual sensation of touch, pain, heat, and cold (paresthesia), seizures (convulsions), neurological disorders that can cause stiffness of the neck, confusion, numbness, pain, and weakness of the limbs, loss of balance, loss of reflexes, paralysis of part or all of the body (encephalomyelitis, neuritis, Guillain-Barré syndrome)
  • skin reactions that can spread throughout the body, such as itching of the skin (pruritus, urticaria), redness of the skin (erythema), non-specific rash, severe skin rash (erythema multiforme)
  • more pronounced swelling of the face, lips, tongue, throat, or any other part of the body (angioedema)
  • swelling of the blood vessels that can cause skin rashes (vasculitis) and temporary kidney problems
  • fainting, feeling of being about to faint (syncope, presyncope)

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if it is possible that the side effects 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 Fluad

Keep this medicine out of the sight and reach of children.

Store in a refrigerator (between 2 °C and 8 °C). Do not freeze. Discard if the vaccine has been frozen. Keep the pre-filled syringe in the outer packaging to protect it from light.

Do not use this vaccine after the expiry date which is stated on the label and on the carton after EXP/CAD. The expiry date is the last day of the month stated.

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

6. Contents of the pack and other information

Composition of Fluad

  • The active substances are surface antigens of the influenza virus (hemagglutinin and neuraminidase), inactivated, of the following strains*:

Per 0.5 ml dose

Strain similar to A/Victoria/4897/2022

(H1N1)pdm09

(A/Victoria/4897/2022, IVR-238)

15 micrograms HA**

Strain similar to A/Croatia/10136RV/2023 (H3N2)

(A/Croatia/10136RV/2023, X-425A)

15 micrograms HA**

Strain similar to B/Austria/1359417/2021

(B/Austria/1359417/2021, BVR-26)

15 micrograms HA**

*propagated in embryonated chicken eggs from healthy chicken flocks and adjuvanted with MF59C.1

**hemagglutinin

This vaccine complies with the recommendation of the World Health Organization (WHO) (northern hemisphere) and with the EU recommendation for the 2025/2026 season.

  • This vaccine includes MF59C.1 as an adjuvant. Adjuvants are substances included in certain vaccines to accelerate, improve, or prolong the protective effects of the vaccine. MF59C.1 is an adjuvant that contains per 0.5 ml dose: squalene (9.75 mg), polysorbate 80 (1.175 mg), sorbitan trioleate (1.175 mg), sodium citrate (0.66 mg), and citric acid (0.04 mg).
  • The other ingredients are sodium chloride, potassium chloride, potassium dihydrogen phosphate, disodium phosphate dihydrate, magnesium chloride hexahydrate, calcium chloride dihydrate, and water for injections.

Appearance of the product and pack contents

Fluad is an injectable suspension in a pre-filled syringe. Fluad is a white, cloudy suspension. Each pre-filled syringe contains a single dose (0.5 ml) of injectable suspension. Fluad is available in packs containing 1 or 10 pre-filled syringes with or without needles.

Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

Seqirus Netherlands B.V.

Paasheuvelweg 28, 1105 BJ Amsterdam, Netherlands

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

Belgium/Belgique/Belgien

Seqirus Netherlands

B.V.Nederland/Netherlands

Tel: +31 (0) 20 204 6900

Lithuania

Seqirus Netherlands B.V. Nyderlandai

Tel: +31 (0) 20 204 6900

Text in a foreign language with contact information of a company in the Netherlands including address and phone number

Luxembourg/Luxemburg

Seqirus Netherlands B.V. Netherlands

Tél/Tel: +31 (0) 20 204 6900

Czech Republic

Seqirus Netherlands B.V. Nizozemsko

Tel: +31 (0) 20 204 6900

Hungary

Seqirus Netherlands B.V. Hollandia

Tel.: +31 (0) 20 204 6900

Denmark

Seqirus Netherlands B.V. Holland

Tlf: +31 (0) 20 204 6900

Malta

Seqirus Netherlands B.V. In-Netherlands

Tel: +31 (0) 20 204 6900

Germany

Seqirus GmbH Marburg

Tel: 0800/3601010

Netherlands

Seqirus Netherlands B.V. Amsterdam

Tel: +31 (0) 20 204 6900

Estonia

Seqirus Netherlands B.V. Holland

Tel: +31 (0) 20 204 6900

Norway

Seqirus Netherlands B.V. Nederland

Tlf: +31 (0) 20 204 6900

Text with the company name WIN MEDICA A E and phone number 210 7488821 in black letters

Austria

Valneva Austria GmbH, Wien

Tel: +43 1 20620 2020

Spain

Seqirus Spain S.L. Barcelona

Tel 937 817 884

Poland

Seqirus Netherlands B.V. Holandia

Tel.: +31 (0) 20 204 6900

France

Seqirus Netherlands B.V. Netherlands

Tél: +31 (0) 20 204 6900

Portugal

Seqirus Netherlands B.V. Países Baixos

Tel: +31 (0) 20 204 6900

Croatia

Seqirus Netherlands B.V. Nizozemska

Tel: +31 (0) 20 204 6900

Romania

Seqirus Netherlands B.V. Olanda

Tel: +31 (0) 20 204 6900

Ireland

Seqirus UK Limited Maidenhead

Tel: +44 1628 641 500

Slovenia

Seqirus Netherlands B.V. Nizozemska

Tel: +31 (0) 20 204 6900

Iceland

Seqirus Netherlands B.V. Holland

Sími: +31 (0) 20 204 6900

Slovakia

Seqirus Netherlands B.V. Holandsko

Tel: +31 (0) 20 204 6900

Italy

Seqirus S.r.l. Siena

Tel: +39 0577 096400

Finland

Seqirus Netherlands B.V. Alankomaat

Puh/Tel: +31 (0) 20 204 6900

Text in Greek and Dutch with contact information of Seqirus Netherlands BV including phone number

Sweden

Seqirus Netherlands B.V. Nederländerna

Tel: +31 (0) 20 204 6900

Latvia

Seqirus Netherlands B.V. Niderlande

Tel: +31 (0) 20 204 6900

Date of last revision of this leaflet: 07/2025.

Other sources of information

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

-----------------------------------------------------------------------------------------------------------------------------

This information is intended only for healthcare professionals:

Medical treatment and adequate supervision should always be readily available in case of an anaphylactic episode, which can rarely occur after vaccine administration.

Shake gently before use. After shaking, the normal appearance of the vaccine is a white, cloudy suspension.

The vaccine should be inspected visually for particulate matter and color changes before administration. If particulate matter and/or any variation of the physical appearance is observed, do not administer the vaccine.

If a pre-filled syringe without a needle is used, the protective cap should be removed from the tip of the syringe and a needle should be attached for administration. A sterile needle of suitable size should be used for intramuscular injection. For LuerLock syringes, remove the protective cap from the tip of the syringe by unscrewing it in an anticlockwise direction. Once the protective cap has been removed, attach a needle to the syringe by screwing it in a clockwise direction until it is secure. When the needle is securely in place, remove the needle protector and administer the vaccine.

Online doctors for FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE

Discuss questions about FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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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
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  • 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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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
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
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  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
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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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She has also developed her professional activity within the Primary Care Management Service, providing consultations in general medicine. In this setting she is responsible for patient follow-up, management of acute and chronic conditions, as well as health promotion and disease prevention.

She has also worked as a physician in a mobile ICU unit, providing medical assistance in out-of-hospital emergencies, treating critical patients and participating in medicalized patient transport.

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Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

Dr. Correa Bellido has worked with several healthcare providers in Spain, focusing particularly on patient-centered care and public health initiatives aimed at communities with limited access to healthcare services.

In addition, he actively participates in international medical conferences and workshops, which allows him to stay up to date with the latest medical advances and collaborate with healthcare professionals from different countries.

Dr. Correa Bellido provides comprehensive care for a wide variety of medical conditions, including:

  • respiratory infections
  • gastrointestinal disorders
  • cardiovascular problems
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  • as well as mental health conditions such as anxiety and depression.

He also treats infectious and allergic diseases, general health concerns, and provides guidance on prevention and healthy lifestyle habits.

His services include virtual consultations, diagnosis and management of acute and chronic diseases, prescription renewals, and personalized medical advice.

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  • 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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Daniel Cichi

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Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

Get FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE Prescription Online

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Frequently Asked Questions

Is a prescription required for FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE?

FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE 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 FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE?

The active ingredient in FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE is influenza, inactivated, split virus or surface antigen. This information helps identify medicines with the same composition but different brand names.

Who manufactures FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE?

FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE is manufactured by Seqirus Netherlands B.V.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE 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 FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to FLUAD SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE?

Other medicines with the same active substance (influenza, inactivated, split virus or surface antigen) include ADJUPANRIX 3.75 micrograms EMULSION AND SUSPENSION FOR INJECTABLE EMULSION, EFLUELDA SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE, EFLUELDA TETRA Injectable Suspension in Pre-filled Syringe. 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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