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Leqvio - patient leaflet, side effects, dosage

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Patient leaflet - Leqvio

B. PACKAGE LEAFLET

Package leaflet: Information for the patient

Leqvio 284 mg solution for injection in pre-filled syringe inclisiran

This medicine is subject to additional monitoring. This will allow quick identification of new safety information. You can help by reporting any side effects you may get. See the end of section 4 for how to report side effects.

Read all of this leaflet carefully before you are given this medicine because it contains important information for you.

  • – Keep this leaflet. You may need to read it again.

  • – If you have any further questions, ask your doctor, pharmacist or nurse.

  • – If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible

side effects not listed in this leaflet. See section 4.

What is in this leaflet

  • 1. What Leqvio is and what it is used for

  • 2. What you need to know before you are given Leqvio

  • 3. How Leqvio is given

  • 4. Possible side effects

  • 5. How to store Leqvio

  • 6. Contents of the pack and other information

1. What Leqvio is and what it is used for

What Leqvio is and how it works

Leqvio contains the active substance inclisiran. Inclisiran lowers levels of LDL-cholesterol (“bad” cholesterol), which can cause heart and blood circulation problems when levels are raised.

Inclisiran works by interfering with RNA (genetic material in body cells) to limit the production of a protein called PCSK9. This protein can increase LDL-cholesterol levels and preventing its production helps to lower your LDL-cholesterol levels.

What Leqvio is used for

Leqvio is used in addition to your cholesterol-lowering diet if you are an adult with a high cholesterol level in your blood (primary hypercholeste­rolaemia, including heterozygous familial and non-familial, or mixed dyslipidaemia).

Leqvio is given:

  • – together with a statin (a type of medicine that treats high cholesterol), sometimes combined with

another cholesterol-lowering treatment if the maximum dose of the statin does not work well enough, or

  • – alone or together with other cholesterol-lowering medicines when statins do not work well or

cannot be used.

2. What you need to know before you are given Leqvio

You must not be given Leqvio

  • – if you are allergic to inclisiran or any of the other ingredients of this medicine (listed in

section 6).

Warnings and precautions

Talk to your doctor, pharmacist or nurse before you are given Leqvio:

  • – if you are receiving dialysis

  • – if you have severe liver disease

  • – if you have severe kidney disease

Children and adolescents

Do not give this medicine to children and adolescents under 18 years of age, because there is no experience of using the medicine in this age group.

Other medicines and Leqvio

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 pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor, pharmacist or nurse for advice before you are given this medicine.

The use of Leqvio should be avoided during pregnancy.

It is not yet known whether Leqvio passes into human breast milk. Your doctor will help you to decide whether to continue breast-feeding or to start treatment with Leqvio. Your doctor will consider the potential benefits of treatment for you, compared with the health benefits and risks of breast-feeding for your baby.

Driving and using machines

Leqvio is not expected to affect your ability to drive or use machines.

Leqvio contains sodium

This medicine contains less than 1 mmol sodium (23 mg) per dose, that is to say essentially “sodium-free”.

  • 3. How Leqvio is given

The recommended dose of Leqvio is 284 mg given by injection under the skin (subcutaneous injection). The next dose is given after 3 months, followed by further doses every 6 months.

Before starting Leqvio you should be on a diet to lower your cholesterol and it is likely that you will be taking a statin. You should stay on this cholesterol-lowering diet and keep taking the statin all the time you receive Leqvio.

Leqvio is for injection under the skin of the abdomen; alternative injection sites include the upper arm or thigh. Leqvio will be given to you by a doctor, pharmacist or nurse (healthcare professional).

If you receive more Leqvio than you should

This medicine will be given to you by your doctor, pharmacist or nurse (healthcare professional). In the highly unlikely event that you are given too much (an overdose) the doctor or other healthcare professional will check you for side effects.

If you miss your dose of Leqvio

If you miss your appointment for your Leqvio injection, contact your doctor, pharmacist or nurse as soon as you can to arrange your next injection.

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.

Common (may affect up to 1 in 10 people)

  • Injection site reactions, such as pain, redness or rash.

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 By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Leqvio

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 carton after EXP. The expiry date refers to the last day of that month.

This medicine does not require any special storage conditions. Do not freeze.

The doctor, pharmacist or nurse will check this medicine and will discard it if it contains particles.

Medicines should not be disposed of via wastewater or household waste. Your doctor, pharmacist or nurse will throw away medicines no longer being used. These measures will help protect the environment.

6. Contents of the pack and other information

What Leqvio contains

  • The active substance is inclisiran. Each pre-filled syringe contains inclisiran sodium equivalent

to 284 mg inclisiran in 1.5 ml solution. Each ml contains inclisiran sodium equivalent to 189 mg inclisiran.

  • The other ingredients are water for injections, sodium hydroxide (see section 2 “Leqvio contains

sodium”) and concentrated phosphoric acid.

What Leqvio looks like and contents of the pack

Leqvio is a clear, colourless to pale yellow solution, essentially free of particulates.

Each pack contains one single-use pre-filled syringe.

Marketing Authorisation Holder

Novartis Europharm Limited

Vista Building

Elm Park, Merrion Road

Dublin 4

Ireland

Manufacturer

Sandoz GmbH

Biochemiestrasse 10 6336 Langkampfen Austria

Novartis Pharma GmbH

Roonstrasse 25 90429 Nuremberg Germany

For any information about this medicine, please Authorisation Holder:

België/Belgiqu­e/Belgien

Novartis Pharma N.V.

Tél/Tel: +32 2 246 16 11

Efc^rapufl

Novartis Bulgaria EOOD

Ten.: +359 2 489 98 28

Česká republika

Novartis s.r.o.

Tel: +420 225 775 111

Danmark

Novartis Healthcare A/S

Tlf: +45 39 16 84 00

Deutschland

Novartis Pharma GmbH

Tel: +49 911 273 0

Eesti

SIA Novartis Baltics Eesti filiaal

Tel: +372 66 30 810

EÀÀàôa

Novartis (Hellas) A.E.B.E.

Tql: +30 210 281 17 12

España

Novartis Farmacéutica, S.A.

Tel: +34 93 306 42 00

contact the local representative of the Marketing

Lietuva

SIA Novartis Baltics Lietuvos filialas

Tel: +370 5 269 16 50

Luxembourg/Lu­xemburg

Novartis Pharma N.V.

Tél/Tel: +32 2 246 16 11

Magyarorszag

Novartis Hungaria Kft.

Tel.: +36 1 457 65 00

Malta

Novartis Pharma Services Inc.

Tel: +356 2122 2872

Nederland

Novartis Pharma B.V.

Tel: +31 88 04 52 111

Norge

Novartis Norge AS

Tlf: +47 23 05 20 00

Österreich

Novartis Pharma GmbH

Tel: +43 1 86 6570

Polska

Novartis Poland Sp. z o.o.

Tel.: +48 22 375 4888

France

Novartis Pharma S.A.S.

Tél: +33 1 55 47 66 00

Portugal

Novartis Farma – Produtos Farmacêuticos, S.A Tel: +351 21 000 8600

Hrvatska

Novartis Hrvatska d.o.o.

Tel. +385 1 6274 220

România

Novartis Pharma Services Romania SRL

Tel: +40 21 31299 01

Ireland

Novartis Ireland Limited

Tel: +353 1 260 12 55

Slovenija

Novartis Pharma Services Inc.

Tel: +386 1 300 75 50

Island

Vistor hf.

Simi: +354 535 7000

Slovenská republika

Novartis Slovakia s.r.o. Tel: +421 2 5542 5439

Italia

Novartis Farma S.p.A.

Tel: +39 02 96 54 1

Suomi/Finland

Novartis Finland Oy

Puh/Tel: +358 (0)10 6133 200

Knnpoç

Novartis Pharma Services Inc.

Tql: +357 22 690 690

Sverige

Novartis Sverige AB

Tel: +46 8 732 32 00

Latvija

SIA Novartis Baltics

Tel: +371 67 887 070

United Kingdom (Northern Ireland)

Novartis Ireland Limited

Tel: +44 1276 698370

This leaflet was last revised in

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency web site:

The following information is intended for healthcare professionals only:

Leqvio 284 mg solution for injection in pre-filled syringe inclisiran

Healthcare professionals should refer to the Summary of Product Characteristics for full prescribing information.

Indication (see section 4.1 of the SmPC)

Leqvio is indicated in adults with primary hypercholeste­rolaemia (heterozygous familial and non-familial) or mixed dyslipidaemia, as an adjunct to diet:

  • in combination with a statin or statin with other lipid-lowering therapies in patients unable to

reach LDL-C goals with the maximum tolerated dose of a statin, or

  • alone or in combination with other lipid-lowering therapies in patients who are statin-intolerant,