HEMLIBRA 30 mg/mL Injectable Solution

The Box Includes:

• Vial with the medication

• Hemlibra Instructions for Use

The Box Does Not Include:

? Alcohol swabs

Note:If you need to use more than 1 vial to inject the prescribed dose, you should use a new alcohol swab for each vial.

? Gauze

? Cotton

? Syringe

• To inject up to 1 ml, use a 1 ml syringe.
• For an injection of 1 ml to 2 ml, use a 2 ml or 3 ml syringe.
• Note: Do notuse a 2 ml or 3 ml syringe for doses up to 1 ml.

? Transfer Needle

with 5-micron filter

18 G

Note:If you need to use more than 1 vial to inject the prescribed dose, you should use a new transfer needle for each vial. Do notuse the transfer needle to inject the medication.

? Injection Needle with safety shield (used to inject the medication).

• Do notuse the injection needle to withdraw the medication from the vial.

• Sharps Container

for sharp objects

Prepare:

? Before using it/them, leave the vial(s) for 15 minutes on a flat, clean, and light-protected surface to reach room temperature.

? Do notattempt to heat the vial in any other way.

? Wash your handswell with water and soap.

Selection and Preparation of the Injection Site:

? Clean the chosen injection site area with an alcohol swab.

? Let the skin dry for about 10 seconds.

• Do nottouch, fan, or blow on the cleaned area before injection.

For Injection, You Can Use:

? The thigh (front and middle).

? The stomach area (abdomen), except for the 5 cm around the navel.

? The outer area of the upper arm (only if the caregiver administers the injection).

? You must use a different injection site each time you apply an injection, at least 2.5 cm away from the one used in any previous injection.

? Do notinject into areas that may be irritated by a belt or band.

? Do notinject into moles, scars, bruises, or areas where the skin is sensitive, red, hardened, or damaged.

Preparing the Syringe for Injection:

? When you have filled the syringe with the medication, you must use it immediately.

? Once the injection needle cap is removed, the medication must be injected under the skin within 5 minutes.

? Do nottouch the exposed needles or leave them on any surface once the cap is removed.

? Do notuse the syringe if the needle touches any surface.

Important Information After Injection:

? If you notice blood droplets at the injection site, you can press it with a sterile cotton swab or gauze for at least 10 seconds until the bleeding stops.

? If you have a hematoma (a small bleed under the skin), you can also apply ice with gentle pressure. If the bleeding does not stop, contact a healthcare professional.

? Do notrub the injection site after injection.

Disposal of Medication and Materials:

Important: Always keep the sharps container out of the reach of children.

? Discard any used cap(s), vial(s), needles, and syringes in a sharps container.

? Dispose of used needles and syringes in a sharps container immediately after use. Do notdispose of caps, vials, needles, or syringes loosely in household trash.

? If you do not have a sharps container, you can use a household trash container that:

• is made of reinforced plastic.
• can be closed with a tight and puncture-resistant lid that does not allow sharp objects to escape.
• is kept upright and stable during use.
• is leak-proof.
• is properly labeled to indicate that it contains hazardous waste.

? When the sharps container is almost full, you should follow local guidelines for proper disposal.

? Do not dispose of any used sharps container in household trash unless local guidelines permit it. Do not recycle your sharps container.

1. PREPARATION

Step 1. Remove the Vial Cap and Clean

• Remove the cap from the vial(s).

• Discard the cap(s) in the sharps container.

• Clean the top of the stopper of the vial(s) with an alcohol swab.

Step 2. Attach the Transfer Needle with Filter to the Syringe

• Push and turn the transfer needle with filter clockwiseonto the syringe until it is securely attached.

• Slowly pull the plunger back and draw into the syringe the same amount of air as the prescribed dose.

Step 3. Remove the Transfer Needle Cap

• Hold the syringe body with the transfer needle pointing upwards.

• Carefully remove the transfer needle cap, keeping it away from you. Do notdiscard the cap.

Step 4. Inject air into the vial

• Hold the vial on a flat work surface and insert the transfer needle and syringe just into the centerof the vial stopper.

• Keep the needle in the vial and turn it upside down.

• With the needle pointing upwards, push the plunger to inject the air from the syringe above the medication.

• Without changing position, continue pushing the syringe plunger with your finger.
• Do notinject air into the medication, as it may form air bubbles or foam inside.

Step 5. Transfer the medication to the syringe

• Slide the tip of the needle downwards so that it is inside the medication.
• With the syringe facing upwards, slowly pull back the plunger to fill the syringewith more than the amount of medicationneeded for the prescribed dose.
• Hold the plunger firmlyto ensure it does not retract.
• Avoid pulling the plunger out of the syringe.

Step 6. Remove air bubbles

• Keep the needle in the vial and check that there are no large air bubbles in the syringe. Large bubbles can reduce the dose received.

• Remove the larger air bubblesby gently tapping the syringe body with your fingers until the air bubbles rise to the top of the syringe. Move the tip of the needle above the medicationand slowly push the plunger upwards to remove the air bubbles from the syringe.

• If the amount of medication in the syringe is now equal to or less than the prescribed dose, move the tip of the needle to the inside of the medicationand slowly pull backthe plunger until you have moreof the medication needed for the prescribed dose.

• Avoid pulling the plunger out of the syringe.

• Repeat the previous steps until the larger air bubbles have been removed.

Note:Make sure you have enough medication in the syringe to complete the dose before proceeding to the next step. If you cannot extract all the medication, turn the vial upside down to reach the remaining amount.

1. INJECTION

Step 7. Replace the transfer needle cap

• Remove the syringe and transfer needle from the vial.

• Using one hand, insertthe transfer needle into the cap and push upwardsto cover the needle.

• Once the needle is covered, push the transfer needle cap towards the syringe to secure it completely with one handto avoid accidental needlestick injury.

Step 8. Clean the injection site

• Select and cleanthe injection site with an alcohol swab.

Step 9. Remove the used transfer needle from the syringe

• Remove the used transfer needle from the syringe by rotating it counterclockwise and pulling it gently.

• Discard the used transfer needle in a sharps container.

Step 10. Attach the injection needle to the syringe

• Push and rotate the injection needle clockwise over the syringe until it is securely attached.

Step 11. Remove the safety protector

• Remove the safety protector from the needle by sliding it towardsthe syringe body.

Step 12. Remove the injection needle cap

• Carefully, pull the injection needle cap straight off the syringe.

• Discard the cap in a sharps container.

• Do nottouch the tip of the needle or allow it to touch any surface.

• After removing the injection needle cap, the medication in the syringe must be injected within 5 minutes.

Step 13. Adjust the plunger according to the prescribed dose

• Hold the syringe with the needle pointing upwards and slowly push the plunger until the prescribed dose is reached.

• Check your dose, ensure that the top edge of the plunger is aligned with the syringe mark corresponding to the prescribed dose.

Step 14. Subcutaneous injection (under the skin)

• Pinch the selected injection site and insert the needle completely at an angle of between 45º and 90ºwith a quick and firm motion. Do nothold or push the plunger while inserting the needle.

• Maintain the position of the syringe and release the selected injection site.

Step 15. Inject the medication

• Slowly, inject all the medication by gently pressing the plunger until it reaches the end.

• Remove the needle and syringe from the injection site at the same angle they were inserted.

1. SYRINGE AND NEEDLE DISPOSAL

Step 16. Cover the needle with the safety protector

• Slide the safety protector forward 90º, away from the syringe body.

• Holding the syringe with one hand, press the safety protectordownwardsagainst a flat surface with a firm and quick motion until you hear a “click”.

• If you do not hear the click, check that the needle is completely covered by the safety protector.

• Keep your fingers behind the safety protector and away from the needle at all times.

• Do notseparate the injection needle.

Step 17. Discard the syringe and needle.

• Discard used needles and syringes in a sharps container immediately after use. For more information, refer to the section “Disposal of medication and materials”.

• Do notattempt to remove the used injection needle from the syringe.

• Do notrecapthe injection needle.

• Important:Always keep the sharps container out of the reach of children.

• Discard any caps, vial(s), needles, and syringes in the sharps container.

Combining vials

If you need to use more than 1 vial to reach the prescribed dose, follow these steps after extracting the medication from the first vial as described in step 5. You must use a new transfer needle for each vial.

Step A. Replace the transfer needle cap

• Remove the syringe and transfer needle from the first vial.

• Using one hand, insertthe transfer needle into the cap and push upwardsto cover the needle.
• Once the needle is covered, push the transfer needle cap towards the syringe to secure it completely with one handto avoid accidental needlestick injury.

Step B. Remove the used transfer needle from the syringe

• Remove the used transfer needle from the syringe by rotating it counterclockwise and pulling it gently.
• Discard the used transfer needle in a sharps container.

Step C. Attach a new transfer needle with a filter to the syringe

• Push and rotate a newtransfer needle clockwise over the syringe until it is securely attached.

• Slowly, pull back the plunger and introduce a little air into the syringe.

Step D. Remove the transfer needle cap

• Hold the syringe body with the transfer needle cap pointing upwards.
• Carefully, remove the transfer needle cap while keeping it away from you. Do not discard the cap.You will need to replace the transfer needle cap after transferring the medication.
• Do nottouch the tip of the needle.

Step E. Inject air into the vial

• With the new vial on a flat work surface, insert the new transfer needle and syringe just into the centerof the vial stopper.

• Keep the transfer needle in the vial and turn it upside down.

• With the needle pointing upwards, inject the air from the syringe above the medication.

• Keep your finger pressing on the plunger in the same position.

• Do notinject air into the medication, as it may form air bubbles or foam inside.

Step F. Transfer the medication to the syringe

• Slide the tip of the needle downwards so that it is inside the medication.
• With the syringe facing upwards, slowly pull back the plunger to fill the syringe body with moreof the medicationneeded for the prescribed dose.
• Hold the plunger firmlyto ensure it does not retract.
• Avoid pulling the plunger out of the syringe.

Note:Make sure you have enough medication in the syringe to complete the dose before proceeding to the next steps. If you cannot extract all the medication, turn the vial upside down to reach the remaining amount.

Repeat steps A to F with each additional vial until you have more than the amount of medication needed for your prescribed dose. When finished, keep the transfer needle inserted in the vial and return to step 6 “Remove air bubbles”. Continue with the remaining steps.

Vial adapter with filter

Option

(for transferring the medication from the vial to the syringe)

Instructions for Use

Hemlibra

Injection

Single-dose vial(s)

You must read, understand, and follow the Instructions for Use before injecting Hemlibra. Your healthcare professional should teach you how to prepare, measure, and inject Hemlibra correctly before you use it for the first time. If you have any questions, consult your healthcare professional.

Important information:

Do not follow these instructions when using a Transfer Needle to transfer Hemlibra from the vial. These instructions are only used with the Vial Adapter.

• Do notinject yourself or another person unless your healthcare professional has taught you how to do it.
• Check that the name Hemlibra appears on the carton and vial label.
• Before opening the vial, read the vial label to check that you have the correct concentration of the medication to administer the prescribed dose for you. You may need to use more than 1 vial to administer the correct total dose.
• Check the expiration date on the carton and vial label. Do not useit after the expiration date.
• Use the vial only once.Once the dose is injected, discard the remaining Hemlibra solution in the vial. Do notstore unused medication in the vial for later use.
• Only use the syringes, vial adapters, and injection needles prescribed by your healthcare professional.
• Only use the syringes, vial adapters, and injection needles once. Discard used caps, vial(s), syringes, and needles.
• If the prescribed dose is greater than 2 ml, you will need to administer more than one subcutaneous injection of Hemlibra; contact your healthcare professional for proper injection instructions.
• You must inject Hemlibra only under the skin.

Storage of Hemlibra vials: Store the vial in the refrigerator (2 °C to 8 °C). Do notfreeze. Store the vial in its original packaging to protect the medication from light. Once removed from the refrigerator, the unopened vial can be stored at room temperature (below 30 °C) for at least 7 days. After storage at room temperature, unopened vials can be returned to the refrigerator. The total time of storage outside the refrigerator and at room temperature should not exceed 7 days. Discard vials that have been stored at room temperature for more than 7 days or have been at temperatures above 30 °C. Keep vials out of sight and reach of children. Remove the vial from the refrigerator 15 minutes before use and let it reach room temperature (below 30 °C) before preparing an injection. Do notshake the vial.

Storage of vial adapters, needles, and syringes: Keep the vial adapter, injection needle, and syringe dry. Keep the vial adapter, injection needle, and syringe out of sight and reach of children.

Inspection of the medication and materials: Gather all the materials mentioned below to prepare and administer the injection. Checkthe expiration date on the box, vial label, and the materials mentioned below. Do not usethem after the expiration date. Do not usethe vial if: the medication is cloudy, blurry, or has changed color the medication contains particles. the cap covering the stopper is missing. Inspect the materials for damage. Do not usethem if they appear damaged or have fallen to the floor. Place the materials on a flat, clean, and well-lit work surface.

The box includes:
	Vial with the medication
	Hemlibra instructions for use
The box does not include:
	Alcohol wipesNote:if you need to use more than 1 vial to inject the prescribed dose, you must use a new alcohol wipe for each vial. Gauze Cotton
	Vial adapter with filter(to be inserted into the top of the vial).Note:use it to transfer the medicine from the vial to the syringe. If you need more than 1 vial to inject the prescribed dose, you must use a new vial adapter for each vial. Do not insertthe injection needle into the vial adapter.
	Low Dead Space (LDS) syringe with plunger Important: To inject up to 1 ml, use a 1 ml LDS syringe. To inject more than 1 ml, use a 2 or 3 ml LDS syringe. Note: do notuse a 2 or 3 ml LDS syringe for doses up to 1 ml.
	Injection needle with safety protector (used to inject the medication) Do not insertthe injection needle into the vial adapter or use the injection needle to withdraw the medication from the vial.
	Sharps container

Prepare:
	Before using it/them, leave the vial(s) for about 15 minutes on a flat, clean, and sun-protected surface to reach room temperature. Do notattempt to heat the vial in any other way. Wash your handswell with water and soap.
Selection and preparation of the injection site:
	Clean the injection site area with an alcohol wipe. Let the skin dry for about 10 seconds. Do nottouch, fan, or blow on the cleaned area before injection.
For injection, you can use: The thigh (front and middle). The stomach area (abdomen), except for the 5 cm around the navel. The outer area of the upper arm (only if the caregiver administers the injection). You must use a different injection site each time you apply an injection, at least 2.5 cm away from the one used in any previous injection. Do notinject into areas that may be irritated by a belt or girdle. Do notinject into moles, scars, bruises, or areas where the skin is sensitive, red, hardened, or damaged.
Preparation of the syringe for injection: When you have filled the syringe with the medication, the injection should be administered immediately. Once the injection needle cap is removed, the medication must be injected under the skin within 5 minutes. Do nottouch exposed needles or leave them on any surface once the cap is removed. Do notuse the syringe if the needle touches any surface.
Important information after injection: If you notice blood drops at the injection site, you can press it with a sterile cotton ball or gauze for at least 10 seconds until the bleeding stops. If you have a hematoma (a small bleeding under the skin), you can also apply ice with gentle pressure. If the bleeding does not stop, contact a healthcare professional. Do notrub the injection site after injection.
Disposal of medication and materials: Important: Always keep the sharps container out of the reach of children. Discard any cap(s), vial(s), vial adapters, needles, and syringes used in a sharps container. Dispose of vial adapters, needles, and syringes in a sharps container. Do notdiscard caps, vials, needles, or syringes loose in household trash. If you do not have a sharps container, you can use a household trash container that: is made of reinforced plastic. can be closed with a tight and puncture-resistant lid that does not allow sharp objects to escape. is kept upright and stable during use. is leak-proof. is properly labeled to indicate that it contains hazardous waste. When the sharps container is almost full, you must follow local guidelines for proper disposal. Do not discardany used sharps container in household trash unless local guidelines permit it. Do not recycleyour sharps container.

PREPARATION
Step 1. Remove the vial cap and clean the top
	Remove the cap from the vial(s). Discard the cap(s) in the sharps container.
	Clean the top of the stopper of the vial(s) with an alcohol wipe.
Step 2. Insert the vial adapter into the vial
	Open the blister pack by peeling off the cover. Do not removethe vial adapter from the transparent plastic blister.
	Press the plastic blister with the vial adapter firmly onto the new vial until you hear a “click”.
	Remove and discard the plastic blister. Do not touchthe tip of the vial adapter.
Step 3. Connect the syringe to the vial adapter
	Remove the syringe cap(if necessary). Push and turn the syringe clockwiseonto the vial adapter until it is fully secured.
Step 4. Transfer the medication to the syringe
	Hold the vial adapter in place on the syringe and turn the vial upside down.
	With the syringe facing upwards, slowly pull back the plunger to fill the syringewith more than the required amount of medicationfor the prescribed dose. Hold the plunger firmlyto ensure it does not retract. Try not to pull the plunger out of the syringe.
Important:if the prescribed dose is more than the amount of Hemlibra in the vial, withdraw all the medicationand consult the “Combining vials”section now.
Step 5. Remove air bubbles
	Hold the vial attached to the syringe and check for air bubbles. Large air bubbles can reduce the dose received.
	Remove large air bubblesby gently tapping the syringe body with your fingers until the air bubbles rise to the top of the syringe. Slowly push the plungerto remove the large air bubbles from the syringe. If the amount of medication in the syringe is now equal to or less than the prescribed dose, slowly pull back the plunger until you have morethan the required amount of medication for the prescribed dose. Try not to pull the plunger out of the syringe. Repeat the above steps until you have removed the large air bubbles.
Note:make sure you have enough medication in the syringe to complete the dose before proceeding to the next step.

INJECTION
Step 6. Clean the injection site
	Select and cleanthe injection site with an alcohol wipe.
Step 7. Remove the syringe from the vial adapter
	Remove the syringe from the vial adapter by turning it counterclockwise and gently pulling it. Discard the used vial and vial adapter in a sharps container.
Step 8. Place the injection needle on the syringe
	Push and turn the injection needle clockwise onto the syringe until it is fully secured. Do notinsert the injection needle into the vial adapter to withdraw the medication from the vial.
Step 9. Remove the safety protector
	Remove the safety protector from the needle by sliding it towardthe syringe body.
Step 10. Remove the needle cap
	Carefully, pull the needle cap straight off awayfrom the syringe. Discard the cap in a sharps container. Do nottouch the needle tip or allow it to touch any surface. After removing the needle cap, the medication in the syringe must be injected within 5 minutes.
Step 11. Adjust the plunger according to the prescribed dose
	Hold the syringe with the needle facing upwards and slowly push the plunger until you reach the prescribed dose. Check your doseand make sure the top edge of the plunger is aligned with the syringe mark corresponding to the prescribed dose.
Step 12. Subcutaneous injection (under the skin)
	Pinch the selected injection site and insert the needle completely at an angle of between 45° and 90°with a quick and firm motion. Do nothold or push the plunger while inserting the needle. Maintain the position of the syringe and release the pinched injection site.
Step 13. Inject the medication
	Slowly inject all the medication by gently pressing the plunger until it reaches the end. Remove the needle and syringe from the injection site at the same angle you inserted them.

• Country of registration
  Spain
• Active substance
  emicizumab
• Prescription required
  Yes
• Manufacturer
  Roche Registration Gmbh
• This information is for reference only and does not constitute medical advice. Always consult a doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
• Alternatives to HEMLIBRA 30 mg/mL Injectable Solution
  

  HEMLIBRA 150 mg/mL Injectable Solution

  Dosage form:  INJECTABLE, 150 mg/ml

  Active substance:  emicizumab

  Manufacturer:  Roche Registration Gmbh

  Prescription required

  

  ALHEMO 150 MG/1.5 ML INJECTABLE SOLUTION IN PRE-FILLED PEN

  Dosage form:  INJECTABLE, 100 mg/ml

  Active substance:  concizumab

  Manufacturer:  Novo Nordisk A/S

  Prescription required

  

  ALHEMO 300 MG/3 ML INJECTABLE SOLUTION IN PRE-FILLED PEN

  Dosage form:  INJECTABLE, 100 mg/ml

  Active substance:  concizumab

  Manufacturer:  Novo Nordisk A/S

  Prescription required

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Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

• Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
• Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
• Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
• Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
• General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
• Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
• Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
• Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Book a video appointment

€60



0.0 (0)



Karim BenHarbi

General medicine 9 years exp.

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

• General health concerns, prevention, and primary care.
• Hypertension, type 1 and type 2 diabetes, metabolic issues.
• Cold, cough, flu, respiratory infections, sore throat, fever.
• Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
• Skin rashes, mild allergic reactions, basic dermatological complaints.
• Medication guidance, treatment adjustments, prescription review.
• Paediatric concerns — fever, infections, general well-being.
• Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

Book a video appointment

€79



5.0 (115)



Roman Raevskii

General medicine 7 years exp.

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

• Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
• Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
• Supportive care for oncology patients – pain control, symptom relief, and side effect management.
• Preventive medicine and health screenings.
• Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

Book a video appointment

€55

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Frequently Asked Questions

Is a prescription required for HEMLIBRA 30 mg/mL Injectable Solution?

HEMLIBRA 30 mg/mL Injectable Solution 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 HEMLIBRA 30 mg/mL Injectable Solution?

The active ingredient in HEMLIBRA 30 mg/mL Injectable Solution is emicizumab. This information helps identify medicines with the same composition but different brand names.

Who manufactures HEMLIBRA 30 mg/mL Injectable Solution?

HEMLIBRA 30 mg/mL Injectable Solution is manufactured by Roche Registration Gmbh. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of HEMLIBRA 30 mg/mL Injectable Solution 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 HEMLIBRA 30 mg/mL Injectable Solution 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 HEMLIBRA 30 mg/mL Injectable Solution?

Other medicines with the same active substance (emicizumab) include HEMLIBRA 150 mg/mL Injectable Solution, ALHEMO 150 MG/1.5 ML INJECTABLE SOLUTION IN PRE-FILLED PEN, ALHEMO 300 MG/3 ML INJECTABLE SOLUTION IN PRE-FILLED PEN. 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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DISPOSAL
Step 14. Cover the needle with the safety protector
	Slide the safety protector forward 90°, away from the syringe body. Holding the syringe with one hand, press the safety protector downagainst a flat surface with a firm and quick motion until you hear a “click”.
	If you do not hear the click, check that the needle is completely covered by the safety protector. ? Keep your fingers behind the safety protector and away from the needle at all times. ? Do notseparate the needle from the syringe. Step 15. Dispose of the syringe and needle Discard used needles and syringes in a puncture-resistant container immediately after use. For more information, see the "Disposal of Medication and Materials" section. Do notattempt to remove the used injection needle from the syringe. Do notrecap the injection needle with the cap. Important:always keep the puncture-resistant container out of the reach of children. Discard any cap(s), vial(s), vial adapter(s), needles, and syringes in the puncture-resistant container. Vial Combination If you need to use more than 1 vial to reach the prescribed dose, follow these steps after withdrawing the medication from the first vial as described in step 4. You must use a new vial adapter for each vial. Step A. Insert a new vial adapter into the new vial Peel off the cap to open the blister. Do notremove the vial adapter from the transparent plastic blister. Press the plastic blister with the vial adapter firmly down onto the new vial until you hear a "click". Remove and discard the plastic blister. Do not touchthe tip of the vial adapter. Step B. Withdraw the syringe from the used vial adapter Remove the syringe from the used vial adapter by turning it counterclockwise and pulling gently. Discard the used vial and vial adapter in a puncture-resistant container. Step C. Attach the syringe to the new vial adapter Push and turn the same syringe clockwiseinto the new vial adapter until it is fully secured. Step D. Transfer the medication to the syringe Hold the vial adapter secure on the syringe and turn the vial upside down. With the syringe facing up, slowly pull back the plunger to fill the syringewith more than the amount of medicationneeded for the prescribed dose. Hold the plunger firmlyto ensure it does not retract. Try not to pull the plunger out of the syringe. Note:make sure you have enough medication in the syringe to complete the dose before proceeding to the next step. Repeat steps A to D with each additional vial until you have more than the amount of medication needed for your prescribed dose. When finished, keep the vial adapter on the vial and return to step 5 "Withdraw air bubbles". Continue with the remaining steps.