SUGAMMADEX AGUETTANT 50 mg/ml Injectable Solution in Pre-filled Syringe

2. What you need to know before you are given Sugammadex Aguettant

Do not receiveSugammadex Aguettant

• if you are allergic to sugammadex or any of the other ingredients of this medicine (listed in section 6).

→ Tell your anaesthetist if this applies to you.

Warnings and precautions

Talk to your anaesthetist before you start receiving sugammadex

• if you have any kidney disease or have had it in the past. This is important because sugammadex is removed from your body by the kidneys.
• if you have liver disease or have had it before.
• if you have fluid retention (oedema).
• if you have a disease that increases the risk of bleeding (blood coagulation disorders) or are taking anticoagulant medication.

Children and adolescents

This medicine is not recommended for children under 2 years of age.

Other medicines andSugammadex Aguettant

→ Tell your anaesthetist if you are taking, have recently taken, or might take any other medicines.

Sugammadex may affect other medicines or be affected by them.

Some medicines reduce the effect ofSugammadex Aguettant

→ It is especially important that you tell your anaesthetist if you have recently taken:

• toremifene (used to treat breast cancer).
• fusidic acid (an antibiotic).

Sugammadex Aguettantmay affect hormonal contraceptives

• Sugammadex may make hormonal contraceptives - such as the "Pill", vaginal ring, implants, or an Intrauterine Hormonal Device (IUD-h) - less effective because it reduces the amount of progestogen that reaches you. The amount of progestogen lost due to the use of sugammadex is approximately the same as that lost when you miss a contraceptive pill.

• If you are taking the Pillon the same day that you are given sugammadex, follow the instructions for missing a pill in the Pill's package leaflet.
• If you are using otherhormonal contraceptives (e.g., vaginal ring, implant, or IUD-h), you should use a non-hormonal contraceptive method (such as a condom) for the next 7 days and follow the recommendations in the package leaflet.

Effects on blood tests

Generally, sugammadex does not affect laboratory tests. However, it may affect the results of a blood test when progesterone levels are measured. Consult your doctor if your progesterone levels need to be analyzed on the same day you receive sugammadex.

Pregnancy and breastfeeding

Tell your anaesthetist if you are pregnant, think you may be pregnant, or are breastfeeding.

It may still be given to you, but this needs to be discussed beforehand.

It is not known whether sugammadex can pass into breast milk. Your anaesthetist will help you decide whether to stop breastfeeding or avoid treatment with sugammadex, considering the benefit of breastfeeding to the baby and the benefit of sugammadex to the mother.

Driving and using machines

Sugammadex has no known influence on the ability to drive and use machines.

Sugammadex Aguettantcontains sodium

Sugammadex Aguettant 10 mg/ml

Each 10 ml pre-filled syringe contains 42.6 mg of sodium (main component of table/cooking salt).

This is equivalent to 2.1% of the maximum recommended daily intake of sodium for an adult.

Sugammadex Aguettant 50 mg/ml

Each 5 ml pre-filled syringe contains 30.8 mg of sodium (main component of table/cooking salt).

This is equivalent to 1.5% of the maximum recommended daily intake of sodium for an adult.

3. How Sugammadex Aguettant is given

Sugammadex will be given to you by your anaesthetist, or under the supervision of your anaesthetist.

Dose

Your anaesthetist will calculate the dose of sugammadex you need based on:

• your weight
• the amount of muscle relaxant that is still affecting you.

Sugammadex Aguettant 10 mg/ml

The 100 mg/10 ml pre-filled syringe is more suitable for children and adults who weigh less than 50 kg.

For high doses or weights over 50 kg, other presentations or formulations are available.

The usual dose is 2-4 mg per kg of body weight for adults and for children and adolescents between 2-17 years. A dose of 16 mg/kg can be used in adults if urgent recovery of muscle relaxation is needed.

HowSugammadex Aguettantis given

Sugammadex Aguettant will be given to you by your anaesthetist. It is injected once into a vein (intravenously).

If you are given moreSugammadex Aguettantthan recommended

Since your anaesthetist will be carefully monitoring the situation, it is unlikely that you will be given too much sugammadex. But even if this happens, it is unlikely to cause any problems.

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

4. Possible side effects

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

If these side effects occur while you are under anaesthesia, your anaesthetist will detect and treat them.

Common (may affect up to 1 in 10 people)

• Cough
• Respiratory difficulties that may include cough or movements as if waking up or taking a breath
• Light anaesthesia – you may start to wake up, so you may need more anaesthetic. This may cause you to move or cough at the end of the operation
• Complications during the procedure, such as changes in heart rate, cough, or movement
• Decrease in blood pressure due to the surgical procedure

Uncommon (may affect up to 1 in 100 people)

• Difficulty breathing due to muscle spasms in the airways (bronchospasm) that occur in patients with a history of lung problems
• Allergic reactions (hypersensitivity to medicines) - such as rash, skin redness, swelling of your tongue and/or pharynx, difficult breathing, changes in blood pressure or heart rate, which sometimes result in a severe drop in blood pressure. Allergic reactions or severe allergic reactions can be life-threatening.

Allergic reactions were reported more frequently in healthy conscious volunteers.

• Reappearance of muscle relaxation after the operation.

Frequency not known

• When sugammadex is administered, a significant slowing of the heart can occur, which can even lead to cardiac arrest

Reporting of side effects

If you experience any side effects, talk to your anaesthetist or another doctor, even if they are not listed in this leaflet. You can also report side effects directly through the Spanish Medicines Monitoring System for Human Use: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Sugammadex Aguettant

Storage will be the responsibility of healthcare professionals.

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 carton, blister, and syringe label after "EXP". The expiry date is the last day of the month shown.

Do not freeze.

Store the syringe in the outer packaging to protect it from light.

Keep the pre-filled syringe in its blister pack until use.

After opening, the medicine must be used immediately.

Any pre-filled syringe, even if partially used, must be disposed of properly after 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. Contents of the pack and other information

Composition ofSugammadex Aguettant

• The active substance is sugammadex

Sugammadex Aguettant 10 mg/ml

Each ml of solution for injection contains sugammadex sodium equivalent to 10 mg of sugammadex.

Each 10 ml pre-filled syringe contains sugammadex sodium equivalent to 100 mg of sugammadex.

Sugammadex Aguettant 50 mg/ml

Each ml of solution for injection contains sugammadex sodium equivalent to 50 mg of sugammadex.

Each 5 ml pre-filled syringe contains sugammadex sodium equivalent to 250 mg of sugammadex.

• The other ingredients are sodium chloride, hydrochloric acid or sodium hydroxide (for pH adjustment), and water for injections.

Appearance ofSugammadex Aguettantand pack contents

Sugammadex Aguettant 10 mg/ml

Sugammadex Aguettant is a clear, colourless to slightly yellow solution for injection in a 10 ml polypropylene pre-filled syringe, with a transparent, graduated, self-adhesive label (sub-divisions of 0.5 ml from 0 to 10 ml). Each pre-filled syringe is packaged in a transparent blister.

Sugammadex Aguettant 50 mg/ml

Sugammadex Aguettant is a clear, colourless to slightly yellow solution for injection in a 5 ml polypropylene pre-filled syringe, with a transparent, graduated, self-adhesive label (sub-divisions of 0.2 ml from 0 to 5 ml). Each pre-filled syringe is packaged in a transparent blister.

Cartons of 10 pre-filled syringes.

Marketing Authorisation Holder and Manufacturer

Laboratoire Aguettant

1, rue Alexander Fleming

69007 Lyon

France

Local Representative:

Aguettant Ibérica S.L.

Baldiri Reixac, 4-8, Torre I, 4º

08028 Barcelona

Date of last revision of this leaflet 08/2023.

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This information is intended only for healthcare professionals:

Please prepare the syringe carefully as follows

The pre-filled syringe is for single patient use. Discard the syringe after use. DO NOT REUSE.

The content of an unopened and undamaged blister is sterile, and the blister should not be opened until the syringe is ready to be used.

The product should be visually inspected for particles and colour changes before administration. Only a clear, colourless to slightly yellow solution, free of particles or precipitates, should be used.

The product should not be used if the tamper-evident seal of the syringe is broken.

Do not use this medicine if you notice visible signs of deterioration.

The outer surface of the syringe is sterile until the blister is opened. The blister should not be opened until use.

When handled with an aseptic method, this medicine can be placed in a sterile field once it has been removed from the blister.

The administration volume should be calculated taking into account the appropriate dosage.

1. Remove the pre-filled syringe from the blister.

1. Connect the syringe to the vascular access device using a luer/luer lock system. Slowly push the plunger to inject the required volume. Administer the product according to the appropriate route of administration.

The pre-filled syringe is not suitable for syringe pumps. The pre-filled syringe is a ready-to-administer product.

Do not use any syringe that has been damaged or handled without respecting the conditions of sterility.

Disposal of unused medicine and all materials that have come into contact with it will be carried out in accordance with local regulations.