What MIRCERA contains
- The active substance is methoxy polyethylene glycol-epoetin beta. One pre-filled syringe with 0.3 ml or 0.6 ml contains 30, 40, 50, 60, 75, 100, 120, 150, 200, 250 micrograms or 360 micrograms.
- The other ingredients are sodium dihydrogen phosphate monohydrate, sodium sulphate, mannitol (E421), methionine, poloxamer 188 and water for injections.
What MIRCERA looks like and contents of the pack
MIRCERA 0.3 ml or 0.6 ml is a solution for injection in pre-filled syringe.
The solution is clear, colourless to slightly yellowish and free of visible particles.
MIRCERA comes in pre-filled syringes with laminated plunger stopper and tip cap with one needle 27G1/2. Each pre-filled syringe contains 0.3 ml or 0.6 ml. MIRCERA is available, for all strengths, in pack sizes of 1 and also multipacks of 3 x 1pre-filled syringes for the strengths 30, 50, 75 micrograms/0.3ml. Not all pack sizes may be marketed.
Marketing Authorisation Holder
Roche Registration Limited
6 Falcon Way
Shire Park
Welwyn Garden City
AL7 1TW
United Kingdom
Manufacturer
Roche Pharma AG
Emil-Barell-Strasse 1
D-79639 Grenzach-Wyhlen
Germany
For any information about this medicinal product, please contact the local representative of the Marketing Authorisation Holder:
LuxembourgLuxemburg Voirsiehe BelgiqueBelgien BelgiëBelgiqueBelgien N.V. Roche S.A. TélTel 32 0 2 525 82 11
359 2 818 44 44 Magyarország Roche Magyarország Kft. Tel 36 - 23 446 800
Malta See United Kingdom eská republika Roche s. r. o. Tel 420 - 2 20382111
Danmark Roche as Tlf 45 - 36 39 99 99 Nederland Roche Nederland B.V. Tel 31 0 348 438050
Deutschland Roche Pharma AG Tel 49 0 7624 140 Norge Roche Norge AS Tlf 47 - 22 78 90 00
Eesti Roche Eesti OÜ Tel 372 - 6 177 380 Österreich Roche Austria GmbH Tel 43 0 1 27739
Roche Hellas A.E. 30 210 61 66 100 Polska Roche Polska Sp.z o.o. Tel 48 - 22 345 18 88
España Roche Farma S.A. Tel 34 - 91 324 81 00 Portugal Roche Farmacêutica Química, Lda Tel 351 - 21 425 70 00
France Roche Tél 33 0 1 46 40 50 00 România Roche România S.R.L. Tel 40 21 206 47 01
Ireland Roche Products Ireland Ltd. Tel 353 0 1 469 0700 Slovenija Roche farmacevtska druba d.o.o. Tel 386 - 1 360 26 00
Slovenská republika Roche Slovensko, s.r.o. Tel 421 - 2 52638201 Ísland Roche as co Icepharma hf Sími 354 540 8000
Italia Roche S.p.A. Tel 39 - 039 2471 SuomiFinland Roche Oy PuhTel 358 0 10 554 500
K .. . 357 - 22 76 62 76 Sverige Roche AB Tel 46 0 8 726 1200
Latvija Roche Latvija SIA Tel 371 6 7039831 United Kingdom Roche Products Ltd. Tel 44 0 1707 366000
Lietuva
UAB ?Roche Lietuva?
Tel: +370 5 2546799
This leaflet was last approved in {MM/YYYY}.
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HOW TO SELF INJECT MIRCERA
Always use MIRCERA exactly as your doctor has told you. Check with your doctor or nurse if you are unsure.
The MIRCERA pre-filled syringe is ready for use and can be self-injected by yourself either under the skin or if you are on haemodialysis, through the haemodialysis line according to your doctor?s advice. The pre-filled syringe does not contain any preservative and is to be used for one single injection only. More than one dose must not be administered per pre-filled syringe.
Do not mix the solution with other injectable medicines. Store the pre-filled syringe in the outer carton box.
Safety tips
- Make sure that the pre-filled syringe has not been removed from the fridge for more than a single period not extending 1 month.
- Do not use a pre-filled syringe that has been frozen and do not expose it to temperatures above 30°C.
- Do not use a pre-filled syringe after the expiry date stated on the label.
- Only use the pre-filled syringe if the solution is clear, colourless (slightly yellow in colour is acceptable) and is free of visible particles.
- Do not shake the pre-filled syringe, if the solution has been shaken and appears foamy, do not use it (shaking MIRCERA or exposing it to light may damage the medicine). - When handling the syringe, do not touch the needle.
- Do not use a syringe more than once
Setting up for an injection
Assemble all of the supplies you will need for an injection on a clean surface:
Included in the pack:
- A pre-filled syringe of MIRCERA and a separate injection needle
Not included in the pack:
- Cleansing alcohol swabs
- Sterile gauze
- A container for the waste material
The following instructions explain how to use MIRCERA pre-filled syringes to inject yourself. Please read the instructions carefully and follow them step by step.
Remove the box containing MIRCERA from the refrigerator. Keep the medicine in the box to protect it from light and allow it to reach room temperature for at least 30 minutes
Remove the plastic tray of MIRCERA from the box without peeling back the protective film.
Wash your hands well with soap and warm water.
Peel back plastic foil from plastic tray and remove syringe and needle
Preparing the MIRCERA pre-filled syringe and the needle for injection
Picture 1. Grasp the needle firmly in both hands. Break seal of the needle, using a twisting motion and remove the cap. Do not remove the needle shield.
Picture 2. Remove the rubber tip cap from the syringe bend and pull
Picture 3. Attach the needle to the syringe by pushing firmly together.
Picture 4. Choose one of the recommended injection sites, arm abdomen or thigh exept the navel or waistline. Do not inject MIRCERA into an area that is tender or healing
Picture 5. Clean the site with a new alcohol swab and wait for the area to dry. Grab syringe and needle shield and pull firmly to remove shield. To remove air bubbles from the syringe, hold the syringe with the needle pointing up. Tap the syringe gently to bring any bubbles to the top. Push the plunger up slowly to the correct dose, as shown to you by a health care professional.
Injecting the solution
If your doctor has advised you to inject MIRCERA through the haemodialysis line or into a vein, please administer your dose as shown by your health care professional.
If you are advised to inject MIRCERA under your skin please administer your dose as described below.
Picture 6. Pinch a fold of skin at the site and insert the needle. Insert the needle in a quick, dart-like motion.
Picture 7. Slowly push the plunger all the way down until all the medicine is injected. Do not release plunger.
Removing the needle
Picture 8 Take the needle out of the skin without releasing the plunger.
Picture 9. Release the plunger allowing the needle guard to protect the needle.
Place a cotton ball over the injection site.
Do not massage the injection site.
Any bleeding may be covered with an adhesive bandage.
Disposal
The syringe is intended for single use and must be thrown away after the injection. Dispose of the syringe in a puncture-proof disposal container..
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines that are no longer required. These measures will help to protect the environment.