ATECTURA BREEZHALER 125 micrograms/62.5 micrograms INHALATION POWDER (HARD CAPSULE)

2. What you need to know before you use Atectura Breezhaler

Follow your doctor's instructions carefully.

Do not use Atectura Breezhaler

• if you are allergic to indacaterol, mometasone furoate, or any of the other ingredients of this medicine (listed in section 6). If you think you may be allergic, talk to your doctor.

Warnings and precautions

Talk to your doctor, pharmacist, or nurse beforeusing Atectura Breezhaler if any of the following apply to you:

• if you have heart problems, including a fast or irregular heartbeat,
• if you have thyroid problems,
• if you have been told you have diabetes or high blood sugar levels,
• if you have seizures or fits,
• if you have low potassium levels in your blood,
• if you have severe kidney problems,
• if you have pulmonary tuberculosis (TB) or any other long-standing or untreated infection.

During treatment with Atectura Breezhaler

Stop using this medicine and seek medical help immediatelyif you experience any of the following:

• chest tightness, coughing, wheezing, or difficulty breathing immediately after using Atectura Breezhaler (signs that the medicine has unexpectedly constricted the airways, known as paradoxical bronchospasm),
• difficulty breathing or swallowing, swelling of the tongue, lips, or face, skin rash, itching, and hives (signs of an allergic reaction).

Children and adolescents

Do not give this medicine to children under 12 years of age because it has not been studied in this age group.

Other medicines and Atectura Breezhaler

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

• medicines that lower the amount of potassium in the blood. These include diuretics (which increase urine production and may be used to treat high blood pressure, e.g., hydrochlorothiazide), other bronchodilators such as methylxanthines used for respiratory disorders (e.g., theophylline), or corticosteroids (e.g., prednisolone).
• tricyclic antidepressants or monoamine oxidase inhibitors (medicines used to treat depression).
• any medicine that may be similar to Atectura Breezhaler (which contains similar active substances); as their combined use may increase the risk of side effects.
• medicines called beta-blockers which may be used for high blood pressure or other heart problems (such as propranolol), or to treat glaucoma (e.g., timolol).
• ketoconazole or itraconazole (medicines used to treat fungal infections).
• ritonavir, nelfinavir, or cobicistat (medicines used to treat HIV infection).

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before using this medicine. Your doctor will decide whether you can use Atectura Breezhaler.

Driving and using machines

This medicine is unlikely to affect your ability to drive or use machines.

Atectura Breezhaler contains lactose

This medicine contains approximately 25 mg of lactose per capsule. If your doctor has told you that you have an intolerance to some sugars, talk to your doctor before taking this medicine.

3. How to use Atectura Breezhaler

Follow the instructions for administration of this medicine exactly as told by your doctor or pharmacist. If you are not sure, talk to your doctor or pharmacist again.

How much Atectura Breezhaler to inhale

There are three different doses of Atectura Breezhaler capsules. Your doctor will decide which one is best for you.

The usual dose is to inhale the contents of one capsule each day. You only need to inhale the medicine once a day. Do not use more doses than your doctor has told you to use.

You should use Atectura Breezhaler every day, even if your asthma is not bothering you.

When to inhale Atectura Breezhaler

Inhale Atectura Breezhaler at the same time each day. This will help you control your symptoms throughout the day and night. It will also help you remember to use it.

How to inhale Atectura Breezhaler

• Atectura Breezhaler is for inhalation use only.
• In this pack, you will find an inhaler and capsules that contain the medicine. The inhaler allows you to inhale the medicine in the capsule. Use the capsules only with the inhaler provided in this pack. The capsules should be kept in the blister pack until you need to use them.
• Peel open the blister pack to open it, do not push the capsule through the foil.
• When you start a new pack, use the new inhaler provided in the pack.
• Discard the inhaler from each pack once you have used all the capsules.
• Do not swallow the capsules.
• For more information on how to use the inhaler, please read the instructions at the end of this leaflet.

If your pack contains an Atectura Breezhaler sensor

• The Atectura Breezhaler sensor is only for adults. It must not be used in adolescents (12 years and older) as the application does not have the function of patient consent verification or caregiver account.

• The sensor and application are not necessary for you to take your medicine. It is not necessary for the sensor to be connected to the application when you use your medicine.
• Your doctor will decide if using the sensor and application is right for you.
• The electronic sensor for Atectura Breezhaler attaches to the base of the Atectura Breezhaler inhaler.
• The sensor confirms that you have used the Atectura Breezhaler inhaler by recording and monitoring the actions and noise made by the capsule when it is turned during inhalation but does not monitor whether you have received your dose of medicine.
• The sensor must be used with the Propeller application on your mobile phone or any other suitable device. The sensor links to the Propeller application via Bluetooth.
• For more information on how to use the Atectura Breezhaler sensor and application, please read the instructions for use provided with the pack containing the sensor and application.
• Once you have used all the Atectura Breezhaler capsules from a pack, transfer the sensor to the new inhaler in the next pack of Atectura Breezhaler.

If your symptoms do not improve

If your asthma does not improve or even gets worse after you have started using Atectura Breezhaler, talk to your doctor.

If you use more Atectura Breezhaler than you should

If you accidentally inhale too much of this medicine, contact your doctor or hospital immediately. Medical attention may be necessary.

If you forget to use Atectura Breezhaler

If you forget to inhale a dose at the usual time, inhale it as soon as you can on that day.

Then, on the next day, inhale the next dose at the usual time. Do not inhale two doses on the same day.

If you stop using Atectura Breezhaler

Do not stop using Atectura Breezhaler unless your doctor tells you to. Your asthma symptoms may come back if you stop using it.

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

4. Possible side effects

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

Some side effects may be serious

Stop using Atectura Breezhaler and seek medical help immediately if you experience any of the following:

Common:may affect up to 1 in 10 people

• difficulty breathing or swallowing, swelling of the tongue, lips, or face, skin rash, itching, and hives (signs of an allergic reaction).

Uncommon:may affect up to 1 in 100 people

• swelling of the tongue, lips, face, or throat (possible signs of angioedema)

Other side effects

The following is a list of other side effects. If these side effects start to become serious, please talk to your doctor, pharmacist, or nurse.

Very common:may affect more than 1 in 10 people

• sore throat
• nasal discharge
• sudden difficulty breathing and feeling of chest tightness with wheezing or coughing

Common:may affect up to 1 in 10 people

• voice changes (hoarseness)
• nasal congestion
• sneezing, coughing
• headache
• pain in the muscles, bones, or joints (signs of musculoskeletal pain)

Uncommon:may affect up to 1 in 100 people

• fast heartbeat
• mouth sores (signs of oral candidiasis)
• high blood sugar levels
• muscle spasms
• itching
• skin rash
• clouding of the lens in the eye (signs of cataract)
• blurred vision

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. Storing Atectura Breezhaler

• 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 and blister after ‘EXP’. The expiry date refers to the last day of that month.
• Do not store above 30°C.
• Store the capsules in the original blister pack to protect them from light and moisture and do not remove them until just before use.
• 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.
• If your pack contains an electronic sensor for Atectura Breezhaler, please refer to the instructions for use provided with the pack containing the sensor for detailed instructions on how to store it and when to discard it.

6. Container Contents and Additional Information

Composition of Atectura Breezhaler

• The active ingredients are indacaterol (as acetate) and mometasone furoate.

Atectura Breezhaler 125 micrograms/62.5 micrograms

Each capsule contains 173 micrograms of indacaterol as acetate (equivalent to 150 micrograms of indacaterol) and 80 micrograms of mometasone furoate. The delivered dose (the dose that is released from the inhaler mouthpiece) is equivalent to 125 micrograms of indacaterol and 62.5 micrograms of mometasone furoate.

Atectura Breezhaler 125 micrograms/127.5 micrograms

Each capsule contains 173 micrograms of indacaterol as acetate (equivalent to 150 micrograms of indacaterol) and 160 micrograms of mometasone furoate. The delivered dose (the dose that is released from the inhaler mouthpiece) is equivalent to 125 micrograms of indacaterol and 127.5 micrograms of mometasone furoate.

Atectura Breezhaler 125 micrograms/260 micrograms

Each capsule contains 173 micrograms of indacaterol as acetate (equivalent to 150 micrograms of indacaterol) and 320 micrograms of mometasone furoate. The delivered dose (the dose that is released from the inhaler mouthpiece) is equivalent to 125 micrograms of indacaterol and 260 micrograms of mometasone furoate.

• The other component of the powder for inhalation is (see the section "Atectura Breezhaler contains lactose" in section 2).

Appearance of the Product and Container Contents

In this container, you will find an inhaler along with capsules in blisters. Some containers also contain a sensor. The capsules are transparent and contain a white powder.

• The capsules of Atectura Breezhaler 125 micrograms/62.5 micrograms have a product code "IM150-80" printed in blue above a blue bar on the body and the logo printed in blue and surrounded by two blue bars on the cap.
• The capsules of Atectura Breezhaler 125 micrograms/127.5 micrograms have a product code "IM150-160" printed in gray on the body and a logo printed in gray on the cap.
• The capsules of Atectura Breezhaler 125 micrograms/260 micrograms have a product code "IM150-320" printed in black above two black bars on the body and a logo printed in black and surrounded by two black bars on the cap.

The following container sizes are available:

Single container containing 10 x 1 or 30 x 1 hard capsules, along with 1 inhaler.

Container containing 30 x 1 hard capsules, along with 1 inhaler and 1 sensor.

Multiple containers that contain 3 boxes, each with 30 x 1 capsules along with 3 inhalers.

Multiple containers that contain 15 boxes, each with 10 x 1 capsules along with 1 inhaler.

Only some container sizes may be marketed.

Marketing Authorization Holder

Novartis Europharm Limited

Vista Building

Elm Park, Merrion Road

Dublin 4

Ireland

Manufacturer

Novartis Farmacéutica, S.A.

Gran Via de les Corts Catalanes, 764

08013 Barcelona

Spain

Novartis Pharma GmbH

Roonstraße 25

D-90429 Nuremberg

Germany

Novartis Pharma GmbH

Sophie-Germain-Strasse 10

90443 Nürnberg

Germany

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

Date of Last Revision of this Leaflet:

Other Sources of Information

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

Instructions for Use of the Atectura Breezhaler Inhaler

Please read the complete Instructions for Use of the Atectura Breezhaler inhaler before using it.These instructions are available by scanning the QR code or visiting the website: www.breezhaler-asthma.eu/atectura

"Include QR code"