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SKYRIZI 75 mg SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE

SKYRIZI 75 mg SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use SKYRIZI 75 mg SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE

Introduction

Package Leaflet: Information for the Patient

Skyrizi 75 mg Solution for Injection in Pre-filled Syringe

risankizumab

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 Package Leaflet

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

1. What is Skyrizi and what is it used for

Skyrizi contains the active substance risankizumab.

Skyrizi is used to treat the following inflammatory diseases:

  • Plaque psoriasis
  • Psoriatic arthritis

How Skyrizi works

This medicine works by blocking a protein in the body called “IL-23” that causes inflammation.

Plaque psoriasis

Skyrizi is used to treat moderate to severe plaque psoriasis in adults. Skyrizi reduces inflammation and can help reduce symptoms of plaque psoriasis such as itching, scratching, pain, redness, and flaking.

Psoriatic arthritis

Skyrizi is used to treat psoriatic arthritis in adults. Psoriatic arthritis is a disease that causes inflammation of the joints and psoriasis. If you have active psoriatic arthritis, you may first be given other medicines. If these medicines do not work well enough, you will be given Skyrizi alone or in combination with other medicines to treat your psoriatic arthritis.

Skyrizi reduces inflammation and can help reduce pain, stiffness, and swelling in your joints and around them, pain and stiffness in your spine, psoriatic skin rash, and nail damage due to psoriasis, as well as slow down damage to the bone and cartilage of your joints. These effects can make it easier for you to perform daily activities, reduce fatigue, and improve your quality of life.

2. What you need to know before you use Skyrizi

Do not use Skyrizi

  • if you are allergic to risankizumab or any of the other ingredients of this medicine (listed in section 6).
  • if you have an infection that your doctor thinks is important, for example, active tuberculosis.

Warnings and precautions

Talk to your doctor, pharmacist, or nurse before and during treatment with Skyrizi:

  • if you have a current infection or if you have an infection that keeps coming back.
  • if you have tuberculosis (TB).
  • if you have recently received or are scheduled to receive a vaccine. Certain vaccines should not be given during treatment with Skyrizi.

It is important to keep a copy of the batch number of Skyrizi.

Each time you receive a new pack of Skyrizi, write down the date and batch number (which appears on the pack after “Batch”) and keep this information in a safe place.

Allergic reactions

Talk to your doctor or seek medical attention immediately if you notice any signs of an allergic reaction while receiving Skyrizi, such as:

  • difficulty breathing or swallowing
  • swelling of the face, lips, tongue, or throat
  • intense itching of the skin, with a red rash or hives

Children and adolescents

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

Other medicines and Skyrizi

Tell your doctor, pharmacist, or nurse:

  • if you are using, have recently used, or might use any other medicines.
  • if you have been vaccinated recently or are scheduled to be vaccinated. Certain vaccines should not be given during treatment with Skyrizi.

If in doubt, talk to your doctor, pharmacist, or nurse before using Skyrizi and during treatment.

Pregnancy, contraception, and breastfeeding

If you are pregnant, think you may be pregnant, or plan to become pregnant, consult your doctor before using this medicine. You must do this because it is not known how this medicine will affect your baby.

If you are a woman who can become pregnant, you must use contraception while being treated with this medicine and for at least 21 weeks after your last dose of Skyrizi.

If you are breastfeeding or plan to breastfeed, consult your doctor before using this medicine.

Driving and using machines

Skyrizi is unlikely to affect your ability to drive and use machines.

Skyrizi contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per pre-filled syringe, which is essentially “sodium-free”.

3. How to use Skyrizi

Follow exactly the administration instructions for this medicine given by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

This medicine is given as 2 injections under the skin (called “subcutaneous injections”).

How much Skyrizi to use

The dose is 150 mg given as two 75 mg injections.

How much?

When?

1st dose

150 mg (twoinjections of 75 mg)

When your doctor tells you

2nd dose

150 mg (twoinjections of 75 mg)

4 weeks after the 1st dose

Following doses

150 mg (twoinjections of 75 mg)

Every 12 weeks from the 2nd dose

You and your doctor, pharmacist, or nurse will decide if you can inject this medicine yourself. Do not inject this medicine yourself unless your doctor, pharmacist, or nurse has taught you how to do it. It is also possible that a caregiver who has learned how to do it can give you the injections.

Read section 7 “Instructions for use” at the end of this leaflet before giving yourself the Skyrizi injection.

If you use more Skyrizi than you should

If you have used more Skyrizi than you should or have given yourself a dose earlier than prescribed, talk to your doctor.

If you forget to use Skyrizi

If you forget to give yourself a dose of Skyrizi, inject a dose as soon as you remember. If in doubt, talk to your doctor.

If you stop using Skyrizi

Do not stop using Skyrizi without talking to your doctor first. If you stop treatment, your symptoms may come back.

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

4. Possible side effects

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

Serious side effects

Talk to your doctor or seek medical attention immediately if you have any symptoms of a serious infection, such as:

  • fever, flu-like symptoms, night sweats
  • feeling tired or having trouble breathing, persistent cough
  • heat, redness, and pain in the skin or a painful skin rash with blisters

Your doctor will decide if you can continue using Skyrizi.

Other side effects

Tell your doctor, pharmacist, or nurse if you notice any of the following side effects.

Very common:may affect more than 1 in 10 people

  • upper respiratory tract infections with symptoms such as sore throat and nasal congestion

Common:may affect up to 1 in 10 people

  • feeling tired
  • fungal skin infection
  • reactions at the injection site (such as redness or pain)
  • itching
  • headache
  • rash
  • eczema

Uncommon:may affect up to 1 in 100 people

  • small red bumps on the skin
  • hives (urticaria)

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects 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 Skyrizi

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 carton after EXP.

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

Keep the pre-filled syringes in the original packaging to protect them from light.

Do not use this medicine if the liquid is cloudy or contains large flakes or particles.

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

Skyrizi Composition

  • The active ingredient is risankizumab. Each prefilled syringe contains 75 mg of risankizumab in 0.83 ml of solution.
  • The other components are disodium succinate hexahydrate, succinic acid, sorbitol, polysorbate 20, and water for injectable preparations.

Product Appearance and Container Contents

Skyrizi is a clear, colorless to slightly yellowish liquid contained in a prefilled syringe with a needle guard. The liquid may contain tiny, transparent or white particles.

Each container contains 2 prefilled syringes and 2 alcohol-impregnated wipes.

Marketing Authorization Holder

AbbVie Deutschland GmbH & Co. KG

Knollstrasse

67061 Ludwigshafen

Germany

Manufacturer

AbbVie S.r.l.

04011 Campoverde di Aprilia

(Latina)

Italy

You can request more information about this medication by contacting the local representative of the marketing authorization holder:

Belgium/Belgique/Belgien

AbbVie SA

Tel: +32 10 477811

Lithuania

AbbVie UAB

Tel: +370 5 205 3023

Text in Bulgarian language showing company name, АБВи ЕООД, and phone number +359 2 90 30 430

Luxembourg/Luxemburg

AbbVie SA

Belgique/Belgien

Tel: +32 10 477811

Czech Republic

AbbVie s.r.o.

Tel: +420 233 098 111

Hungary

AbbVie Kft.

Tel: +36 1 455 8600

Denmark

AbbVie A/S

Tlf: +45 72 30-20-28

Malta

V.J.Salomone Pharma Limited

Tel: +356 22983201

Germany

AbbVie Deutschland GmbH & Co. KG

Tel: 00800 222843 33 (toll-free)

Tel: +49 (0) 611 / 1720-0

Netherlands

AbbVie B.V.

Tel: +31 (0)88 322 2843

Estonia

AbbVie OÜ

Tel: +372 623 1011

Norway

AbbVie AS

Tlf: +47 67 81 80 00

Greece

AbbVie ΦΑΡΜΑΚΕΥΤΙΚΗ Α.Ε.

Τηλ: +30 214 4165 555

Austria

AbbVie GmbH

Tel: +43 1 20589-0

Spain

AbbVie Spain, S.L.U.

Tel: +34 91 384 09 10

Poland

AbbVie Sp. z o.o.

Tel: +48 22 372 78 00

France

AbbVie

Tél: +33 (0) 1 45 60 13 00

Portugal

AbbVie, Lda.

Tel: +351 (0)21 1908400

Croatia

AbbVie d.o.o.

Tel: +385 (0)1 5625 501

Romania

AbbVie S.R.L.

Tel: +40 21 529 30 35

Ireland

AbbVie Limited

Tel: +353 (0)1 4287900

Slovenia

AbbVie Biofarmacevtska družba d.o.o.

Tel: +386 (1)32 08 060

Iceland

Vistor hf.

Tel: +354 535 7000

Slovakia

AbbVie s.r.o.

Tel: +421 2 5050 0777

Italy

AbbVie S.r.l.

Tel: +39 06 928921

Finland

AbbVie Oy

Puh/Tel: +358 (0)10 2411 200

Cyprus

Lifepharma (Z.A.M.) Ltd

Τηλ: +357 22 34 74 40

Sweden

AbbVie AB

Tel: +46 (0)8 684 44 600

Latvia

AbbVie SIA

Tel: +371 67605000

Date of Last Revision of this Leaflet:

Other Sources of Information

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

Detailed and updated information about this product is available below or on the outer packaging by scanning the QR code using a smartphone. The same information is also available on the following website: www.skyrizi.eu

QR Code to be included

To request a copy of this leaflet in , , or to listen to it in

  1. Instructions for Use

Read the entire section 7 before using Skyrizi

Syringe detailed with its parts labeled: plunger, wings, needle cap, and syringe body, lateral schematic view

Important Information You Should Know Before Injecting Skyrizi

  • You must have received training on how to inject Skyrizi before administering an injection. If you need help, consult your doctor, pharmacist, or nurse.
  • Mark the dates on a calendar to know when it's time to inject Skyrizi.
  • Keep Skyrizi in its original packaging to protect the medication from light until the time of use.
  • Do notinject the medication if the liquid is cloudy or contains flakes or large particles. The liquid should be clear to slightly yellowish and may contain tiny, transparent or white particles.
  • Do notshake the syringe.
  • Wait to remove the needle cap until the moment before injection.

Return this medication to the pharmacy

  • after the expiration date (EXP) indicated
  • if the liquid has been frozen at any time (even if it has been thawed)
  • if the syringe has been dropped or damaged
  • if the paper cover of the tray is not present or is broken.

For a more comfortable injection: Remove the box from the refrigerator and let it sit at room temperature, away from direct sunlight, for 15 to 30 minutesbefore injection.

  • Skyrizi should not be heated in any other way (e.g., in a microwave or in hot water).
  • Keep the syringes in the box until the time of injection.

Follow these steps each time you use Skyrizi

STEP1

Waste container with two syringes and broken ampoules, showing hands washing with water and soap in lower circle

On a smooth and clean surface, place the following:

  • 2 prefilled syringes and 2 alcohol-impregnated wipes (included in the box)
  • 2 cotton balls or gauzes (not included in the box)
  • special waste container (not included in the box)

Wash and dry your hands.

Start with a syringe for the first injection.

To administer the full dose, it is necessary to give 2consecutive injections.

STEP2

Injection Sites

Female torso with yellow adhesive patches on abdomen, hip, and knees, hand applying patch on skin enlarged

Injection Sites

Choose one of these 3 areas for injection:

  • front of the left thigh
  • front of the right thigh
  • stomach (abdomen) at least 5 cm away from the navel

When using the second syringe, you must inject at least 3 cm away from the site of the first injection. Do notinject in the same place.

Before each injection, clean the injection site with an alcohol-impregnated wipe using circular motions.

  • Do nottouch or blow on the injection site after cleaning. Let the skin dry before administering the injection.
  • Do notinject through clothing.
  • Do notinject into irritated skin, with bruises, redness, hardness, scars, or stretch marks.
  • Do notinject into areas affected by psoriasis.

STEP3

Hand holding autoinjector with needle pointing down and arrow indicating injection point

Inspect the Liquid

Hold the syringe with the needle covered by the cap facing down as shown.

Check the liquid in the syringe.

  • It is normal to have air bubbles in the window.
  • The liquid should be clear to slightly yellowish and may contain tiny, transparent or white particles.
  • Do notuse the medication if the liquid is cloudy or contains flakes or large particles.

STEP4

Hand holding prefilled syringe with needle protector and other hand removing needle cover with arrow indicating direction

Remove the needle cap:

  • Hold the syringe with one hand between the wings and the needle cap.
  • With the other hand, carefully remove the needle cap.
  • Do nothold the syringe by the plunger or pull on it when removing the needle cap.
  • It is possible that there is a drop of liquid on the tip of the needle. This is normal.
  • Discard the needle cap.
  • Do nottouch the needle with your fingers or let it come into contact with anything.

STEP5

Hand holding syringe with needle inserted at 45 degrees in muscle tissue of arm, enlarged detail

Hold the syringe body with one hand between the thumb and index finger, as if holding a pencil.

Gently pinch the cleaned skin area with the other hand and hold it firmly.

Insert the needle into the skin at an approximate angle of 45 degrees, with a short and quick motion. Keep the syringe fixed at the same angle.

STEP6

Hand injecting medication with syringe at 45 degrees in skin, detail of needle and insertion with blue circle

Needle Protector

Slowly push the plunger until it reaches the end, until all the liquid has been injected.

Slowly remove the needle from the skin, keeping the syringe at the same angle.

Slowly release the thumb from the plunger. The needle protector will then cover the needle.

  • The needle protector will not activate unless all the liquid is injected.
  • If you think you have not administered the full dose, consult your doctor, pharmacist, or nurse.

Press a cotton ball or gauze over the injection site and hold for 10 seconds.

Do notrub the skin at the injection site. There may be slight bleeding at the injection site. This is normal.

STEP7

Two prefilled syringes with clear liquid inside blue circles and a plus sign between them

2 Injections are Needed

To administer the full dose, it is necessary to give two consecutive injections.

  • Repeat steps 2 to 6 with the second syringe.
  • You must inject with the second syringe immediately after the first injection, at least 3 cm away from the site of the first injection.

STEP8

Hand holding syringe disposing of it in a gray sharps container with blue lid

Discard the used syringes in a special waste container immediately after use.

  • Do notthrow away used syringes in household trash.
  • Your doctor, pharmacist, or nurse will explain how to dispose of the special waste container.

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