Patient leaflet - E Mgality 120 mg - solution for injection Pre-filled pen
1. What Emgality is and what it is used for
Emgality contains galcanezumab, a medicine that stops the activity of a naturally occurring substance in the body called calcitonin gene-related peptide (CGRP). People with migraine may have increased levels of CGRP.
Emgality is used to prevent migraine in adult patients who have at least 4 migraines days per month.
Emgality can reduce the frequency of migraine headache and improve your quality of life. It starts working in about a week.
2. What you need to know before you use Emgality
Do not use Emgality:
if you are allergic to galcanezumab or any of the other
ingredients of this medicine (listed in section 6).
Warnings and precautions
Talk to your doctor, pharmacist or nurse before or during treatment with Emgality if:
you have a serious cardiovascular disease. Emgality has
not been studied in patients with serious cardiovascular diseases.
Look out for allergic reactions
Emgality can potentially cause serious allergic reactions. Serious allergic reactions happen mainly within 1 day after having taken Emgality, but some reactions can be delayed (happen more than 1 day to 4 weeks after having taken Emgality). Some allergic reactions can be prolonged in duration. You must look out for signs of these reactions while you are using Emgality. Stop using Emgality and tell your doctor or seek medical help immediately if you notice any signs of a serious allergic reaction. Such signs are listed under “Serious side effects” in section 4.
Children and adolescents
This medicine should not be given to children and adolescents under 18 years of age because it has not been studied in this age group.
Other medicines and Emgality
Tell your doctor, pharmacist or nurse if you are using, have recently used or might use any other medicines.
Pregnancy and breast-feeding
If you are a woman able to have children, you are advised to avoid becoming pregnant while using Emgality.
If you are pregnant, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine. It is preferable to avoid the use of Emgality in pregnancy as the effects of this medicine in pregnant women are not known.
If you are breast-feeding or are planning to breast-feed, talk to your doctor before using this medicine. You and your doctor should decide if you should breast feed and use Emgality.
Driving and using machines
Galcanezumab could have a minor effect on your ability to drive and use machines. Some patients have had vertigo whilst using Emgality.
Emgality contains sodium
This medicine contains less than 1 mmol sodium (23 mg) per 120 mg dose, that is to say essentially “sodium-free”.
3. How to use Emgality
Always use this medicine exactly as your doctor, pharmacist or nurse has told you. Check with your doctor, pharmacist or nurse if you are not sure.
Emgality pre-filled pen is for single use only and contains one dose of Emgality (120 mg).
The first time you receive Emgality your doctor or nurse
will inject two pens (total 240 mg).
After the first dose, you will use one pen (120 mg) every
month.
Your doctor will decide for how long you should use Emgality.
Emgality is given by injection under your skin (subcutaneous injection). You and your doctor or nurse should decide if you can inject Emgality yourself.
It is important not to try to inject yourself until you have been trained by your doctor or nurse. A caregiver may also give you your Emgality injection after proper training.
The pen must not be shaken.
Read the “Instructions for Use” for the pen carefully before using Emgality.
If you use more Emgality than you should
If you have injected more Emgality than you should, e.g. if after the first dose of 240 mg, you have injected it twice in a single month, or if anyone else has accidentally used Emgality, contact your doctor immediately.
If you forget to use Emgality
Do not take a double dose to make up for forgotten injection
If you have forgotten to inject a dose of Emgality, inject the missed dose as soon as possible and then inject the next dose after a month from that date.
If you stop using Emgality
You should not stop using Emgality without speaking to your doctor first.
If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Serious side effects
Allergic reactions with Emgality are usually mild to moderate (such as rash or itching). Serious allergic reactions may occur rarely (may affect up to 1 in 1 000 people) and the signs may include:
- difficulty breathing or swallowing,
low blood pressure, which can cause dizziness or
light-headedness,
swelling of the neck, face, mouth, lips, tongue or throat
which may develop rapidly,
severe itching of the skin, with a red rash or raised
bumps.
Tell your doctor or get emergency medical help straight away if you notice any of those signs.
Other side effects that have been reported.
Very common side effects (may affect more than 1 in 10 people):
- Injection site pain
Injection site reactions (e.g. red skin, itching, bruising,
swelling)
Common side effects (may affect up to 1 in 10 people):
- Vertigo (a feeling of dizziness or “spinning”) - Constipation
- Itching
Rash
Uncommon side effects (may affect up to 1 in 100 people):
- Hives (raised itchy areas of skin)
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 Yellow Card Scheme, Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Emgality
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 label and on the carton after “EXP.” The expiry date refers to the last day of that month.
Store in a refrigerator (2 °C to 8 °C). Do not freeze.
Store in the original package in order to protect from light.
Emgality may be stored unrefrigerated for a single period up to 7 days when stored at temperatures up to 30 °C. If the pen is stored at a higher temperature or for a longer period it must be discarded.
Do not use this medicine if you notice that the pen is damaged, or the medicine is cloudy or has particles in it.
Do not throw away any medicines via wastewater or household waste. Ask your doctor, nurse or pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
6. Contents of the pack and other information
What Emgality contains
The active substance is galcanezumab. Each pre-filled pen contains 120 mg of galcanezumab in 1 mL solution.
The other ingredients are: L-histidine, L-histidine hydrochloride monohydrate, polysorbate 80, sodium chloride and water for injections.
What Emgality looks like and contents of the pack
Emgality is a solution for injection in a clear glass syringe. Its colour may vary from colourless to slightly yellow.
The syringe is encased in a disposable, single-dose pen. Pack sizes of 1, 2 or 3 pre-filled pens.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
Eli Lilly Nederland B.V., Orteliuslaan 1000, 3528 BD Utrecht, The Netherlands.
Manufacturer:
Lilly, S.A., Avda. de la Industria, 30, 28108 Alcobendas, Madrid Spain.
For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:
United Kingdom
Eli Lilly and Company Limited
Tel: + 44-(0) 1256 315000