bula lucentis clean aprovado em 24.09.07 - · pdf filebpi 0 3 /1 1 /0 6 + ms 3 1 .0 8 .0 7 a g...

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BPI 03/11/06 + MS 31.08.07 ! Lucentis TM #$%&’(’)*+%(,- Forma farmacêutica, via de administração e apresentação ./0*12/ 3%$% ’&4,12/ % !5 +67+89 :+(%0%6,+ ;/+ ! <$%=;/>%+3/0% ;/&?,&@/ AB5 +6 @, $%&’(’)*+%(, ,+ 5BA +8 @, =/0*12/B *+% %6*0C% ;/+ <’0?$/ 3%$% $,?’$%@% @/ ;/&?,D@/ @/ <$%=;/B *+% %6*0C% 3%$% ’&4,12/ ’&?$%EF?$,% , *+% =,$’&6% 3%$% $,?’$%@% @/ ;/&?,D@/ @/ <$%=;/ , 3%$% ’&4,12/ ’&?$%EF?$,%9 USO ADULTO Composição G%@% <$%=;/>%+3/0% ;/&?H+ AB5 +6 @, $%&’(’)*+%(, ,+ 5BA +8 @, =/0*12/9 ExcipientesI %0<%B%0<%>?$,%0/=, @’’@$%?/B ;0/$’@$%?/ @, C’=?’@’&% +/&/’@$%?%@/B C’=?’@’&%B 3/0’==/$(%?/ J5B K6*% 3%$% ’&4,12/9 INFORMAÇÕES AO PACIENTE Como este medicamento funciona? 8*;,&?’= ;/&?H+ % =*(=?L&;’% %?’E% $%&’(’)*+%(,B M*, H *+% 3%$?, @, *+ %&?’;/$3/9 N&?’;/$3/= =2/ 3$/?,F&%= M*, $,;/&C,;,+ , =, 0’6%+ ,=3,;’<’;%+,&?, % /*?$%= 3$/?,F&%= D&’;%= @/ ;/$3/9 O $%&’(’)*+%(, =, 0’6% =,0,?’E%+,&?, % *+% 3$/?,F&% ;C%+%@% <%?/$ @, ;$,=;’+,&?/ ,&@/?,0’%0 E%=;*0%$ N #P:QR>N-B M*, ,=?K 3$,=,&?, &% $,?’&%9 O $%&’(’)*+%(, ’&’(, %+(/= ;$,=;’+,&?/ , E%)%+,&?/ @, &/E/= E%=/= &/ /0C/B 3$/;,==/= %&/$+%’= M*, ;/&?$’(*,+ 3%$% % 3$/6$,==2/ @% STUV9 Por que este medicamento foi indicado? 8*;,&?’= H %@+’&’=?$%@/ 3,0/ =,* /<?%0+/0/6’=?% ;/+/ *+% ’&4,12/ &/ /0C/ =/( %&,=?H=’;/ 0/;%09 8*;,&?’= H *=%@/ 3%$% ?$%?%$ % 0,=2/ @% $,?’&% #3%$?, @, ?$K= @/ /0C/ =,&=FE,0 W 0*)- ;%*=%@% 3,0% </$+%12/ , ;$,=;’+,&?/ %&/$+%0 @/= E%=/= =%&6XF&,/=9 V=?/ H /(=,$E%@/ ,+ @/,&1%= ;/+/ % @,6,&,$%12/ +%;*0%$ $,0%;’/&%@% W ’@%@, #STUV-9 Quando não devo usar este medicamento? Antes de usar Lucentis:

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BPI 03/11/06 + MS 31.08.07 !

LucentisTM"

#$%&'(')*+%(,-"

"

Forma farmacêutica, via de administração e apresentação

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USO ADULTO"

"

Composição"

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3/0'==/$(%?/"J5B"K6*%"3%$%"'&4,12/9"

"

INFORMAÇÕES AO PACIENTE

"

Como este medicamento funciona? "

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"

Por que este medicamento foi indicado?

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;/+/"%"@,6,&,$%12/"+%;*0%$"$,0%;'/&%@%"W"'@%@,"#STUV-9"

Quando não devo usar este medicamento?

Antes de usar Lucentis:

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NÃO USE MEDICAMENTO SEM O CONHECIMENTO DO SEU MÉDICO. PODE SER

PERIGOSO PARA A SUA SAÚDE9"

"

Como devo usar este medicamento?

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"

ATENÇÃO: ESTE É UM MEDICAMENTO NOVO E, EMBORA AS PESQUISAS TENHAM

INDICADO EFICÁCIA E SEGURANÇA ACEITÁVEIS PARA COMERCIALIZAÇÃO,

EFEITOS INDESEJÁVEIS E NÃO CONHECIDOS PODEM OCORRER. NESTE CASO,

INFORME SEU MÉDICO.

"

O que fazer se alguém usar uma grande quantidade deste medicamento de uma só

vez?"

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BPI 03/11/06 + MS 31.08.07 d

^2/"*=,"=,"%",+(%0%6,+",=?'E,$"@%&'<';%@%"/*"+/=?$%$"='&%'="@,"E'/0%12/9"

TODO MEDICAMENTO DEVE SER MANTIDO FORA DO ALCANCE DAS CRIANÇAS."

"

BPI 03/11/06 + MS 31.08.07 p

INFORMAÇÕES TÉCNICAS AOS PROFISSIONAIS DE SAÚDE

"

CARACTERÍSTICAS FARMACOLÓGICAS

Farmacodinâmica

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BPI 03/11/06 + MS 31.08.07 f

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Tabela 1

Resultados no mês 12 e mês 24 no estudo FVF2598g (MARINA)

Medida do resultado Mês Injeção simulada

(n = 238)

Lucentis 0,5 mg

(n = 240)

TY="!J" dJt" ret"],$@%"@,"w"!e"0,?$%="&%"%;*'@%@,"E'=*%0"#t-%"

#T%&*?,&12/"@%"E'=2/-" TY="Jl" eAt" r5t"

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TY="Jl" lt" AAt"

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#S]-%" TY="Jl" >"!lBr"#!fBp-" x"dBd"#!dBe-"%3"w"5B5!"

"

Tabela 2

Resultados no mês 12 no estudo FVF2587g (ANCHOR)

Medida do resultado TFD verteporfina

(n = 143)

Lucentis 0,5 mg

(n = 140)

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"

BPI 03/11/06 + MS 31.08.07 r

Figura 1

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FVF2598g (MARINA) e até o mês 12 no estudo FVF2587g (ANCHOR): população ITT

"

"

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BPI 03/11/06 + MS 31.08.07 !5

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"

Figura 2

Alteração média na acuidade visual a partir do início até o mês 12 no estudo

FVF3192g (PIER): população ITT

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* O procedimento controle de injeção simulada de Lucentis envolve a anestesia do olho de

forma idêntica à injeção intravítrea de Lucentis. A ponta de uma seringa sem agulha é então

pressionada contra a conjuntiva e o êmbolo da seringa sem agulha é empurrado.

"

BPI 03/11/06 + MS 31.08.07 !J

Farmacocinética

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"

Dados de Segurança Pré-Clínica

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BPI 03/11/06 + MS 31.08.07 !A

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Indicações

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"

Contra-indicações

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Modo de usar e cuidados de conservação depois de aberto

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BPI 03/11/06 + MS 31.08.07 !l

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"

Posologia

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BPI 03/11/06 + MS 31.08.07 !e

Insuficiência hepática"

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Insuficiência renal

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Pacientes idosos (com 65 anos ou mais)

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"

Precauções e Advertências

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8*;,&?'=9"

Efeitos na habilidade de dirigir veículos e/ou operar máquinas

BPI 03/11/06 + MS 31.08.07 !d

O"3$/;,@'+,&?/"@,"?$%?%+,&?/";/+"8*;,&?'="3/@,"'&@*)'$"@'=?D$('/="E'=*%'="?,+3/$K$'/=B"M*,"

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/3,$%$"+KM*'&%="%?H"M*,",==,="@'=?D$('/="E'=*%'="?,+3/$K$'/="@'+'&*%+9"

"

Gravidez e lactação

Gravidez

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6$KE'@%"/*" =,"3/@,"%<,?%$"%" ;%3%;'@%@,"@," $,3$/@*12/9"8*;,&?'="@,E,"=,$"%@+'&'=?$%@/"%"

*+%"+*0C,$"6$KE'@%"=/+,&?,"=,"</$";0%$%+,&?,"&,;,==K$'/9

Mulheres com potencial para engravidar

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Lactação

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"

Interações medicamentosas

^2/"</$%+"$,%0')%@/=",=?*@/="@,"'&?,$%12/"</$+%09"

Incompatibilidades

^%"%*=Y&;'%"@,",=?*@/="@," '&;/+3%?'('0'@%@,=B" ,=?,"3$/@*?/"&2/"@,E," =,$"+'=?*$%@/" ;/+"

/*?$/=9"

"

Reações adversas

\+" ?/?%0" @,"!9AJA"3%;',&?,=" </$%+" '&;0*F@/=",+" ?$Y=",=?*@/="@," <%=," VVV9"\+" ?/?%0" @,"fer"

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#TNUV^N-"</'"'&;0*F@/9"ll5"3%;',&?,="</$%+"?$%?%@/=";/+"%"@/=,"$,;/+,&@%@%"@,"5Be"+69"

BPI 03/11/06 + MS 31.08.07 !p

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BPI 03/11/06 + MS 31.08.07 !f

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BPI 03/11/06 + MS 31.08.07 !r

ATENÇÃO: ESTE É UM NOVO MEDICAMENTO E EMBORA AS PESQUISAS TENHAM

DEMONSTRADO EFICÁCIA E SEGURANÇA ACEITÁVEIS PARA A

COMERCIALIZAÇÃO, EFEITOS INDESEJÁVEIS E NÃO CONHECIDOS PODEM

OCORRER. NESTE CASO, INFORME SEU MÉDICO.

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BPI 03.11.06 + MS 31.08.07