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Skyrizi 150 mg solucion inyectable en pluma precargada

Skyrizi 150 mg solucion inyectable en pluma precargada

About the medicine

Como usar Skyrizi 150 mg solucion inyectable en pluma precargada

Introduction

Patient Information Leaflet

Skyrizi 150mg pre-filled syringe

risankizumab

Read this leaflet carefully before you start using this medicine because it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any questions, ask your doctor, pharmacist or nurse.
  • This medicine has been prescribed for you only. Do not pass it on to others even if they have similar symptoms, as it may harm them.
  • If you experience any side effects, talk to your doctor, pharmacist or nurse, even if they are not listed in this leaflet. See section4.

1.What Skyrizi is and what it is used for

2.What you need to know before you start using Skyrizi

3.How to use Skyrizi

4.Possible side effects

5.Storage of Skyrizi

6.Contents of the pack and additional information

7.Instructions for use

1. What is Skyrizi and what is it used for

Skyrizi contains the active ingredient risankizumab.

Skyrizi is used to treat the following inflammatory diseases:

  • Plaque psoriasis
  • Psoriatic arthritis

How Skyrizi works

This medication acts 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, therefore, may help reduce the symptoms of plaque psoriasis such as itching, burning, pain, redness, and scaling.

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, it is possible that other medications will be administered to you first. If these medications do not work well enough, Skyrizi will be administered alone or in combination with other medications for the treatment of your psoriatic arthritis.

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

2. What you need to know before starting to use Skyrizi

Do not use Skyrizi

  • If you are allergic to risankizumab or any of the other components of this medication (listed in section 6).
  • If you have an infection that your doctor considers important, for example, active tuberculosis.

Warnings and precautions

Consult your doctor, pharmacist, or nurse before starting to use Skyrizi and during your treatment:

  • If you have an active infection or if you have a recurring infection.
  • If you have tuberculosis (TB).
  • If you have recently received or plan to receive a vaccine. Certain vaccines should not be administered during treatment with Skyrizi.

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

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

Allergic reactions

Consult your doctor or seek immediate medical attention if you notice any signs of an allergic reaction while receiving Skyrizi, for example:

  • Difficulty breathing or swallowing
  • Swelling of the face, lips, tongue, or throat
  • Intense itching on the skin, with a red rash or bumps

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 medications and Skyrizi

Inform your doctor, pharmacist, or nurse:

  • If you are using, have used recently, or may need to use any other medication.
  • If you have recently been vaccinated or plan to be vaccinated. Certain vaccines should not be administered during treatment with Skyrizi.

In case of doubt, consult your doctor, pharmacist, or nurse before using Skyrizi and during your 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 medication. It is necessary to do so because it is not known how this medication may affect the baby.

If you are a woman who may become pregnant, you must use contraception while on treatment with this medication and for a minimum of 21 weeks after your last dose of Skyrizi.

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

Driving and operating machinery

It is unlikely that Skyrizi will affect your ability to drive and operate machinery.

Skyrizi contains sodium

This medication contains less than 1 mmol of sodium (23 mg) per prefilled syringe; this is essentially “sodium-free”.

3. How to Use Skyrizi

Follow exactly the administration instructions for this medication as indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

This medication is administered through a subcutaneous injection.

How Much Skyrizi to Use

Each dose is 150 mg administered through a single injection. After the first dose, the next dose will be administered 4 weeks later, and then every 12 weeks.

You and your doctor, pharmacist, or nurse will decide if this medication can be injected by yourself. Do not inject this medication yourself unless your doctor, pharmacist, or nurse have taught you how to do it. It is also possible that a caregiver who has learned how to do it may administer the injection.

Read Section 7 “Instructions for Use” at the end of this prospectus before administering the Skyrizi injection.

If You Use More Skyrizi Than You Should

If you have used more Skyrizi than you should or have administered the dose before it was prescribed, consult your doctor.

If You Forget to Use Skyrizi

If you forget to administer Skyrizi, you should inject a dose as soon as you remember. If in doubt, consult your doctor.

If You Interrupt Treatment with Skyrizi

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

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

4. Possible Adverse Effects

Like all medications, this medication may produce adverse effects, although not all people will experience them.

Severe Adverse Effects

Consult your doctor or seek immediate medical attention if you experience any symptoms of severe infection, for example:

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

Your doctor will decide if you can continue using Skyrizi.

Other Adverse Effects

Inform your doctor, pharmacist, or nurse if you notice any of the following adverse 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
  • skin fungal infections
  • reactions at the injection site (such as redness or pain)
  • itching
  • headache
  • rash
  • eczema

Rare:may affect up to 1 in 100 people

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

Reporting Adverse Effects

If you experience adverse effects, consult your doctor, pharmacist, or nurse, even if they are possible adverse effects not listed in this prospectus. You can also report them directly through thenational notification system included in theAppendixV. By reporting adverse effects, you can contribute to providing more information about the safety of this medication.

5. Storage of Skyrizi

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

Do not use this medication after the expiration date that appears on the pen label and on the outer box after CAD.

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

Store the preloaded pen in the original packaging to protect it from light.

If necessary, you can also store the preloaded pen outside the refrigerator (at a maximum temperature of 25°C) for a maximum of 24 hours in the original packaging to protect it from light.

Do not use this medication if the liquid is cloudy or contains scales or large particles.

Medicines should not be disposed of through drains or in the trash. Ask your pharmacist how to dispose of the containers and medications that you no longer need. This will help protect the environment.

6. Contents of the packaging and additional information

Composition of Skyrizi

  • The active ingredient is risankizumab. Each pre-filled pen contains 150 mg of risankizumab in 1 ml of solution.
  • The other components are sodium acetate trihydrate, acetic acid, trehalose dihydrate, polisorbate 20, and water for injection.

Appearance of the product and contents of the pack

Skyrizi is a transparent, colorless to yellowish liquid contained in a pre-filled pen. The liquid may contain small, transparent or white particles.

EACH PACK CONTAINS 1 PRE-FILLED PEN.

Marketing Authorization Holder and Responsible Person

AbbVie Deutschland GmbH & Co. KG

Knollstrasse

67061 Ludwigshafen

Germany

For more information about this medicinal product, please contact the local representative of the marketing authorization holder:

België/Belgique/Belgien

AbbVie SA

Tél/Tel: +32 10 477811

Lietuva

AbbVie UAB

Tel: +370 5 205 3023

Luxembourg/Luxemburg

AbbVie SA

Belgique/Belgien

Tél/Tel: +32 10 477811

Ceská republika

AbbVie s.r.o.

Tel: +420 233 098 111

Magyarország

AbbVie Kft.

Tel: +36 1 455 8600

Danmark

AbbVie A/S

Tlf: +45 72 30-20-28

Malta

V.J.Salomone Pharma Limited

Tel: +356 22983201

Deutschland

AbbVie Deutschland GmbH & Co. KG

Tel: 00800 222843 33 (free of charge)

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

Nederland

AbbVie B.V.

Tel: +31 (0)88 322 2843

Eesti

AbbVie OÜ

Tel: +372 623 1011

Norge

AbbVie AS

Tlf: +47 67 81 80 00

Ελλάδα

AbbVie ΦΑΡΜΑΚΕΥΤΙΚΗ Α.Ε.

Τηλ: +30 214 4165 555

Österreich

AbbVie GmbH

Tel: +43 1 20589-0

España

AbbVie Spain, S.L.U.

Tel: +34 91 384 09 10

Polska

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

Hrvatska

AbbVie d.o.o.

Tel: +385 (0)1 5625 501

România

AbbVie S.R.L.

Tel: +40 21 529 30 35

Ireland

AbbVie Limited

Tel: +353 (0)1 4287900

Slovenija

AbbVie Biofarmacevtska družba d.o.o.

Tel: +386 (1)32 08 060

Ísland

Vistor hf.

Tel: +354 535 7000

Slovenská republika

AbbVie s.r.o.

Tel: +421 2 5050 0777

Italia

AbbVie S.r.l.

Tel: +39 06 928921

Suomi/Finland

AbbVie Oy

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

Κύπρος

Lifepharma (Z.A.M.) Ltd

Τηλ: +357 22 34 74 40

Sverige

AbbVie AB

Tel: +46 (0)8 684 44 600

Latvija

AbbVie SIA

Tel: +371 67605000

Last update of this leaflet

Other sources of information

The detailed information on this medicinal product is available on the website of the European Medicines Agency:http://www.ema.europa.eu.

The detailed and updated information on this product is available at the following website or on the outer packaging by scanning the QR code with a smartphone. The same information is also available at the following website:

www.skyrizi.eu

QR code to include

To request a copy of this leaflet in braille, large print or to listen to it in audio, please contact the local representative of the marketing authorization holder.

7.Instructions for use

Read the entire section 7 before using Skyrizi

Pre-filled pen of Skyrizi

Grey dark cap

(Do not remove

Green activator button Inspection window Needle until the time of

injection)

Grey retaining clips White needle cap

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 you are due to inject Skyrizi
  • Keep Skyrizi in its original packaging to protect the medicine from light until the time of use
  • Take the carton out of the refrigerator and leave it at room temperature, away from direct sunlight, for30 to 90minutesbefore injection.
  • Do notinject the medicine if the liquid in the inspection window is cloudy or contains scales or large particles. The liquid must be transparent to yellowish and may contain small, transparent or white particles
  • Do notshake the pen
  • Wait to remove the grey dark cap until the time before injection

Return this medicine to the pharmacy

  • After the expiry date (EXP) indicated
  • if the liquid has frozen at any time (even if it has thawed)
  • if the pen has fallen or been damaged
  • if the packaging perforations are broken

Follow these steps every time you use Skyrizi

STEP1

Take the carton out of the refrigerator and leave it at room temperature, away from direct sunlight, for30 to 90minutesbefore injection.

  • Do notremove the pen from the carton while leaving Skyrizi to reach room temperature
  • Do notheat Skyrizi in any other way. For example,do notheat it in a microwave or in warm water
  • Do notuse the pen if the liquid has frozen, even if it has thawed

STEP2

On a clean and flat surface, place the following:

  • 1pre-filled pen
  • 1alcohol wipe (not included in the carton)
  • 1ball of cotton or gauze (not included in the carton)
  • special waste container (not included in the carton)

Wash and dry your hands.

STEP3

Injection sites

Injection sites

Choose one of these 3sites for the injection:

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

Before the injection, clean the injection site with an alcohol wipe by making circular motions.

  • Do nottouch or blow on the injection site after cleaning it. Let the skin dry before administering the injection
  • Do notinject through clothing
  • Do notinject into skin that is irritated, bruised, red, hard, scarred, or has stretch marks
  • Do notinject into areas affected by psoriasis

STEP4

Inspect the liquid

Hold the pen with the grey dark cap facing upwards as shown.

  • Remove the grey dark cap
  • Dispose of the grey dark cap

Check the liquid through the inspection window.

  • It is normal for there to be air bubbles in the liquid
  • The liquid must be transparent to yellowish and may contain small, transparent or white particles
  • Do notuse the medicine if the liquid is cloudy or contains scales or large particles

STEP5

Abdomen or thigh

Hold the pen with your fingers in the grey retaining clips.

Turn the pen so that the white needle cap points towards the injection site and you can see the green activator button.

Pinch the skin at the injection site to make it rise and hold it firmly.

Place the white needle cap straight (at a 90° angle) against the raised skin.

STEP6

First “click” 15seconds

Hold the pen so that you can see the green activator button and the inspection window.

Push and hold the pen against the raised skin.

  • The pen will only activate if the white needle cap is pressed against the skin before pressing the green activator button.

Press the green activator button and hold the pen for15seconds.

  • A audible “click” will indicate the start of the injection

STEP7

Second “click”

Yellow indicator

Hold the pen against the skin.

The injection is complete when:

  • the pen has made a second “click”or
  • the yellow indicator has filled the inspection window

This takesup to 15seconds.

STEP8

When the injection is complete, slowly withdraw the pen from the skin.

The white needle cap will cover the needle tip and make another “click”.

After completing the injection, place a ball of cotton or gauze over the skin at the injection site.

  • Do notrub the injection site
  • It is normal for there to be a slight bleeding at the injection site

STEP9

Dispose of the used pen in a special waste container immediately after use.

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

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A Dra. Tsurkan acompanha pacientes com uma ampla variedade de queixas de saúde, incluindo:

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  • Queixas oftalmológicas: conjuntivite alérgica ou infeciosa, olhos vermelhos, irritação ocular.
  • Problemas digestivos: refluxo ácido (DRGE), gastrite, síndrome do intestino irritável (SII), obstipação, inchaço abdominal, náuseas.
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