your firazyr self-administration guide · pdf fileindication firazyr® (icatibant...

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Indication FIRAZYR ® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important Safety Information Laryngeal attacks can become life threatening. If you have an HAE attack of the throat (laryngeal attack), inject FIRAZYR and then go to the nearest hospital emergency room right away. Please see complete Important Safety Information on page 11 and the Full Prescribing Information available at www.firazyr.com. Your FIRAZYR self-administration guide You can inject FIRAZYR ® (icatibant injection) to treat acute attacks of hereditary angioedema (HAE), after training by a healthcare professional. Hereditary Angioedema

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Page 1: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

IndicationFIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older.

Important Safety InformationLaryngeal attacks can become life threatening. If you have an HAE attack of the throat (laryngeal attack), inject FIRAZYR and then go to the nearest hospital emergency room right away.

Please see complete Important Safety Information on page 11 and the Full Prescribing Information available at www.firazyr.com.

Your FIRAZYR self-administration guide

You can inject FIRAZYR® (icatibant injection) to treat acute attacks of hereditary angioedema (HAE), after training by a healthcare professional.

Hereditary Angioedema

Page 2: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

Important Safety InformationThe most common side effects of FIRAZYR include:

These are not all of the possible side effects of FIRAZYR. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Welcome to your step-by-step guide to self-administration with FIRAZYRFIRAZYR® (icatibant injection) is a prefilled syringe that allows you to treat acute attacks of hereditary angioedema (HAE) at the first sign of symptoms. You should always use FIRAZYR exactly as your doctor tells you to use it. A healthcare provider will teach you or your caregiver how to inject FIRAZYR.

You can also watch the step-by-step FIRAZYR injection training video at www.firazyr.com/injectionvideo.

Please see complete Important Safety Information on page 11 and the Full Prescribing Information available at www.firazyr.com.

• redness, bruising, swelling, warmth, burning, itching, irritation, hives, numbness, pressure, or pain at the injection site

• fever

• too much of an enzyme called transaminase in your blood

• dizziness

• nausea

• headache

• rash

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Page 3: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

My doctor and I talked about adding an option for treating my HAE attacks as soon as I recognize symptoms, and he suggested FIRAZYR.

“ “

—Katie, a real HAE patient

Page 4: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

FIRAZYR—designed to treat acute attacks of HAE as soon as you recognize symptomsYou can carry FIRAZYR with you so you can treat attacks both in and out of the home

• FIRAZYR® (icatibant injection) is supplied in a 3 mL, prefilled, single-use syringe (30 mg)

• Your doctor can prescribe FIRAZYR 1 of 2 ways:

— A carton with 3 single-use syringes

— A carton with 1 single-use syringe

• A healthcare provider will teach you or your caregiver how to inject FIRAZYR

• FIRAZYR can also be administered by a healthcare professional

4Please see complete Important Safety Information on page 11 and the Full Prescribing Information available at www.firazyr.com.

Page 5: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

Important Safety InformationTell your healthcare provider if you have any other medical conditions, if you are breastfeeding or plan to breastfeed, or if you are pregnant or planning to become pregnant. FIRAZYR has not been evaluated in pregnant or nursing women. You and your healthcare provider will decide if FIRAZYR is right for you.

FIRAZYR is injected directly under the skin

• FIRAZYR is given by injection right under the skin in the abdomen or stomach area

— If your symptoms are not resolved or if symptoms occur again after your first dose of FIRAZYR, additional injections can be administered at least 6 hours apart (no more than 3 injections in a 24-hour period)

FIRAZYR does not need refrigeration or special handling

• Store between 36°F to 77°F (2°C to 25°C)

• Do not freeze

• Keep FIRAZYR in the original carton until you are ready to use it

• No mixing needed

“ “My nurses provided comprehensive training on how to use FIRAZYR, following the step-by-step instructions that come with each FIRAZYR package.

—Katie, a real HAE patient

Page 6: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

Step-by-step instructions for injecting FIRAZYR® (icatibant injection)Getting started

You will need the following supplies:

Important Safety InformationTiredness, drowsiness, and dizziness have been reported following the use of FIRAZYR. If this occurs, do not drive a car, use machinery, or do anything that needs you to be alert.

IMPORTANT: The medicine inside your FIRAZYR prefilled syringe should be clear and colorless. Do not use your FIRAZYR prefilled syringe if the solution contains particles, is cloudy, or has an unusual color.

REMEMBER: Wash your hands with soap and water before handling any of the items needed for your injection, and always handle supplies carefully to avoid contamination.

An alcohol wipe not included in carton

Your FIRAZYR carton includes 1 single-use, prefilled syringe and 1 needle

Prefilled Syringe

plunger syringe barrel

protective cap over tip

Capped Needle

needle cap seal

needle needle cap

+

6Please see complete Important Safety Information on page 11 and the Full Prescribing Information available at www.firazyr.com.

Page 7: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

Preparing your dose

Remove the needle and prefilled syringe from the carton.

Remove the seal from the needle cap.

• Make sure you do not take the needle out of the protective needle cap until you are ready to use FIRAZYR

Remove the protective cap from the end of the prefilled syringe by unscrewing the cap, then firmly screw the needle on the prefilled syringe.

• Be careful not to remove the needle from the needle cap

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Preparing the injection site

The injection site should be a skin fold on your stomach, about 2 to 4 inches (5 to 10 cm) below your belly button on either side and should first be cleaned with an alcohol wipe and then allowed to dry.

• The area you choose for injection should be at least 2 inches (5 cm) away from any scars. Do not choose an area that is bruised, swollen, or painful

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Page 8: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

Remove the needle from the needle cap by holding the needle cap and carefully pulling the syringe. Hold the FIRAZYR® (icatibant injection) prefilled syringe in 1 hand, between your fingers and thumb.

• Do not pull up on the plunger

Use your other hand to gently pinch the skin fold you cleaned between your thumb and fingers for your injection.

Hold the syringe between a 45- to 90-degree angle to your skin with the needle facing the skin fold you are holding.

While you are still holding the skin fold, bring the syringe to the skin and quickly insert the needle into the skin fold.

Push the plunger, at the top of the syringe, over at least 30 seconds until no FIRAZYR is in the syringe.

Once the syringe is empty, release the skin fold and gently pull the needle out.

Injecting FIRAZYR

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8Please see complete Important Safety Information on page 11 and the Full Prescribing Information available at www.firazyr.com.

Page 9: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

Place the used syringe, with the needle attached, in a sharps container (such as a red biohazard container), a hard plastic container (such as a detergent bottle), or a metal container (such as an empty coffee can). Seal the container and throw it away the right way.

REMEMBER: There may be state and local laws about the right way to throw away used syringes and needles. Ask your healthcare provider or pharmacist how to dispose of used syringes and needles.

Disposing of your used FIRAZYR prefilled syringe

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—Marie, a real HAE patient

““ I was a little apprehensive about self-injecting at first, but my doctor trained me how to do it step by step. He also went over the instructions that come in the package. He then explained that, in clinical trials, the majority of patients experienced injection-site reactions, and he emphasized the importance of going to the nearest emergency room right away if I have an attack of the throat.

Page 10: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

OnePath® Product Support ServicesAnxious about your first injection of FIRAZYR?

After training by a healthcare professional, you can self-administer FIRAZYR® (icatibant injection) upon recognition of symptoms of an HAE attack. At your physician’s request, OnePath can arrange for a registered nurse to take you step by step through the FIRAZYR injection process.

Not sure how to start?

OnePath is a product support service that can help eligible patients with many aspects of their FIRAZYR therapy. OnePath Patient Support Managers can help you access your prescribed therapy, navigate insurance coverage, and provide educational resources.

For questions about OnePath, call

1-866-888-0660Patient Support Managers are

available Monday through Friday from 8:30 AM to 8:00 PM Eastern Time.

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Sarah, a real HAE patient

Please see complete Important Safety Information on page 11 and the Full Prescribing Information available at www.firazyr.com.

Page 11: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

IndicationFIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of hereditary angioedema (HAE) in adults 18 years of age and older.

Important Safety InformationLaryngeal attacks can become life threatening. If you have an HAE attack of the throat (laryngeal attack), inject FIRAZYR and then go to the nearest hospital emergency room right away.

The most common side effects of FIRAZYR include:

• redness, bruising, swelling, warmth, burning, itching, irritation, hives, numbness, pressure, or pain at the injection site

• fever

• too much of an enzyme called transaminase in your blood

• dizziness

• nausea

• headache

• rash

These are not all of the possible side effects of FIRAZYR. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Tell your healthcare provider if you have any other medical conditions, if you are breastfeeding or plan to breastfeed, or if you are pregnant or planning to become pregnant. FIRAZYR has not been evaluated in pregnant or nursing women. You and your healthcare provider will decide if FIRAZYR is right for you.

If your symptoms continue or come back, you may repeat your FIRAZYR injection at least 6 hours apart. Do not use more than 3 doses of FIRAZYR in a 24-hour period.

Tiredness, drowsiness, and dizziness have been reported following the use of FIRAZYR. If this occurs, do not drive a car, use machinery, or do anything that needs you to be alert.

Page 12: Your FIRAZYR self-administration guide · PDF fileIndication FIRAZYR® (icatibant injection) is a medicine used to treat acute attacks of HAE in adults 18 years of age and older. Important

FIRAZYR, OnePath, and the associated logos are registered trademarks of Shire or its affiliates.© 2017 Shire. All rights reserved. S32944 06/17