Things you should do
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Remind any doctor, dentist or pharmacist you visit that you are using Ilaris
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Things you should not do
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Do not stop using or giving this medicine unless your doctor tells you.
Do not take Ilaris to treat any other complaints unless your doctor tells you to.
Do not give your medicine to anyone else, even if they have the same condition as
you
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Looking after your medicine
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Keep it in a refrigerator (2°C to 8°C). Do not freeze it. Keep the vial in the outer
carton in order to protect it from light.
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Do not use Ilaris if you are allergic to:
Check with your doctor if you have or have had any of the following medical conditions:
Pregnancy and breastfeeding
How much is given
Injecting Ilaris yourself
1. Find a clean, comfortable area.
2. Wash your hands with soap and water.
3. Always use new, unopened needles and syringes. Avoid touching the needles and the tops of the vials.
4. Gather together the necessary items included in the pack:
5. Gather together the necessary items not included in the pack:
1. Remove the protective caps from the Ilaris vial and water vial. Do not touch the vial stoppers. Clean the stoppers with the alcohol swab.
2. Open the wrappers containing the syringe and the transfer needle (bigger one) and attach the needle to the syringe.
3. Carefully remove the cap from the transfer needle and set the cap aside. Pull the plunger all the way down to the 1.0 mL mark, filling the syringe with air. Insert the needle into the water vial through the centre of the rubber stopper.
4. Gently push the plunger all the way down until air is injected into the vial.
5. Invert the vial and syringe assembly and bring to eye level.
6. Make sure the tip of the transfer needle is covered by the water and slowly pull the syringe plunger down to slightly past the 1.0 mL mark. If you see bubbles in the syringe, remove bubbles as instructed by your healthcare provider or pharmacist.
7. Make sure 1.0 mL of water is in the syringe, then withdraw the needle from the vial (there will be water remaining in the vial).
8. Insert the transfer needle through the centre of the stopper of the vial of Ilaris powder, taking care not to touch the needle or the stopper. Slowly inject 1.0 mL of water in to the vial containing the Ilaris powder.
9. Carefully remove the syringe with the transfer needle from the vial and recap the needle as instructed by your healthcare provider or pharmacist.
10. Without touching the rubber stopper, swirl (do not shake) the vial slowly at an angle of about 45 degrees for approximately 1 minute. Allow to stand for 5 minutes.
11. Gently turn the vial head over tail ten times, again taking care not to touch the rubber stopper.
12. Allow to stand for about 5 minutes at room temperature to obtain a clear solution. Do not shake. Do not use if particles are present in the solution.
13. Make sure all of the solution is in the bottom of the vial. If drops remain on the stopper, tap the side of the vial to remove them. The solution should be clear, colourless or slightly brownish-yellow and free of visible particles.
14. If not used within 1 hour of mixing, the solution should be stored in the refrigerator (2 to 8°C) and used within 24 hours.
1. Clean the rubber stopper of the vial containing the Ilaris solution with a new alcohol swab.
2. Uncap the transfer needle again. Pull the plunger of the syringe all the way down to the 1.0 mL mark, filling the syringe with air. Insert the syringe needle into the vial of Ilaris solution through the centre of the rubber stopper. Gently push the plunger all the way down until air is injected into the vial. Do not inject air into the medication.
3. Do not invert the vial and syringe assembly. Insert the needle all the way into the vial until it reaches the bottom edge.
4. Tip the vial to ensure that the required amount of solution can be drawn into the syringe.The required amount depends on the dose to be administered (0.2 mL to 1.0 mL). Your healthcare provider will instruct you on the right amount for you.
5. Slowly pull the syringe plunger up to the correct mark (0.2 to 1.0 mL), filling the syringe with Ilaris solution. If there are air bubbles in the syringe, remove bubbles as instructed by your healthcare provider. Ensure that the correct amount of solution is in the syringe.
6. Remove the syringe and needle from the vial. (There may be solution remaining in the vial.) Recap the transfer needle as instructed by your healthcare provider or pharmacist.
7. Remove the transfer needle from the syringe. Place the transfer needle in the sharps container.
1. Open the wrapper containing the injection needle and attach the needle to the syringe. Set the syringe aside.
2. Choose an injection site on the upper arm, upper thigh, abdomen or buttocks. Do not use an area that has a rash or broken skin, or is bruised or lumpy. Avoid injecting into scar-tissue as this may lead to insufficient exposure to canakinumab. Avoid injecting into a vein.
3. Clean the injection site with a new alcohol swab. Allow the area to dry. Uncap the injection needle.
4. Gently pinch the skin up at the injection site. Hold the syringe at a 90-degree angle and in a single, smooth motion, push the needle straight down completely into the skin.
5. Keep the needle all the way in the skin while slowly pushing the syringe plunger down until the barrel is empty. Release the pinched skin and pull the needle straight out. Dispose of the needle and syringe in the sharps container without recapping or removing the needle.
6. Do not rub the injection area. If bleeding occurs, apply a clean, dry cotton swab over the area, and press gently for 1 to 2 minutes, or until bleeding stops. Then apply an adhesive bandage.
1. Find a clean, comfortable area.
2. Wash your hands with soap and water.
3. Always use new, unopened needles and syringes. Avoid touching the needles and the tops of the vials.
4. Gather together the necessary items included in the pack:
5. Gather together the necessary items not included in the pack:
1. Remove the protective cap from the vial. Do not touch the vial stopper. Clean the stopper with the alcohol swab.
2. Open the wrappers containing the syringe and the withdrawal needle (bigger one) and attach the needle to the syringe.
3. Carefully remove the cap from the withdrawal needle and set the cap aside. Insert the syringe needle into the vial of Ilaris solution through the centre of the rubber stopper.
4. Tip the vial to ensure that the required amount of solution can be drawn into the syringe. Slowly pull the syringe plunger up to the correct mark, filling the syringe with Ilaris solution. If there are air bubbles in the syringe, remove bubbles as instructed by your healthcare provider. Ensure that the correct amount of solution is in the syringe.
5. Remove the needle and syringe from the vial and recap the withdrawal needle. Remove the withdrawal needle from the syringe and place in sharps container. Open the wrapper containing the injection needle and attach the needle to the syringe. Immediately proceed to administering the injection.
6. Choose an injection site on the upper arm, upper thigh, abdomen or buttocks. Do not use an area that has a rash or broken skin, or is bruised or lumpy. Avoid injecting into scar-tissue as this may lead to insufficient exposure to canakinumab. Avoid injecting into a vein.
7. Clean the injection site with a new alcohol swab. Allow the area to dry. Uncap the injection needle.
8. Gently pinch the skin up at the injection site. Hold the syringe at a 90-degree angle and in a single, smooth motion, push the needle straight down completely into the skin.
9. Keep the needle all the way in the skin while slowly pushing the syringe plunger down until the barrel is empty. Release the pinched skin and pull the needle straight out. Dispose of the needle and syringe in the sharps container without recapping or removing the needle.
If you forget to have Ilaris
If you use too much Ilaris
(by calling 13 11 26), or
Things you should do
Things you should not do
Looking after your medicine
Getting rid of any unwanted medicine
Less serious side effects
Less serious side effects
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What to do
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symptoms of a viral infection or bronchitis such as shivering, chills, malaise, loss
of appetite, body aches, cough, phlegm.
redness, pain or itching at the site of injection
combination of sore throat, runny nose, blocked nose, sneezing, feeling of pressure
or pain in the cheeks or forehead, with or without fever
dizziness or spinning sensation.
vaginal yeast infection
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Speak to your doctor if you have any of these less serious side effects and they worry
you.
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Serious side effects
Serious side effects
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What to do
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spontaneous bleeding or bruising, which may be linked to low levels of blood platelets
(thrombocytopenia)
fever, sore throat or mouth ulcers due to infections (may be symptoms of low levels
of white blood cells)
fever, cough, difficulty or painful breathing, wheezing, pain in chest when breathing
(pneumonia)
persistent cough, weight loss and low grade fever (tuberculosis infection)
constant "flu-like" symptoms such as fever, chills, sore throat, aching joints, swollen
glands, cough, difficulty swallowing, headache or any other signs of infection such
as infection of a cut or scratch
signs of an allergy such as rash, itching or hives on the skin; swelling of the face,
lips, tongue or other part of the body; shortness of breath, wheezing or difficulty
breathing or swallowing, nausea, dizziness, palpitations or low blood pressure
burning sensation on urination or increased urgency to urinate.
fever lasting longer than three days or any other symptoms possibly related to an
infection, such as prolonged cough, phlegm, chest pain, blood in sputum, difficulty
breathing, ear pain, prolonged headache or localized redness, warmth or swelling of
your skin. These may be symptoms of a typical infection or one that may be more serious
(opportunistic infections)
Stomach pain
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Call your doctor straight away, or go straight to the Emergency Department at your
nearest hospital if you notice any of these serious side effects.
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Reporting side effects
What Ilaris contains
Active ingredient
(main ingredient)
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canakinumab
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Other ingredients
(inactive ingredients)
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sucrose
histidine
histidine hydrochloride monohydrate
polysorbate 80
dilute hydrochloric acid.
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Potential allergens
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None
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Active ingredient
(main ingredient)
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canakinumab
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Other ingredients
(inactive ingredients)
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mannitol
L-histidine
L-histidine hydrochloride monohydrate
polysorbate 80
water for injection.
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Potential allergens
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None
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