SOMATULINE LA Powder for suspension for injection Ref.[8586] Active ingredients: Lanreotide

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2019  Publisher: Ipsen Limited, 190 Bath Road, Slough, Berkshire, SL1 3XE, UK

Therapeutic indications

Acromegaly

Somatuline LA is indicated for the treatment of acromegaly when the circulating levels of growth hormone (GH) and/or Insulin-like Growth Factor-1 (IGF-1) remain abnormal after surgery and/or radiotherapy.

Thyrotropic Adenomas

Somatuline LA is indicated for the treatment of thyrotropic adenomas when the circulating level of thyroid stimulating hormone remains inappropriately high after surgery and/or radiotherapy.

Neuroendocrine Tumours

Somatuline LA is indicated for the relief of symptoms associated with neuroendocrine (particularly carcinoid) tumours.

Posology and method of administration

Acromegaly and Neuroendocrine Tumours

Initially, one intramuscular injection should be given every 14 days. The frequency of subsequent injections may be varied in accordance with the individual patient’s response (as judged by a reduction in symptoms and/or a reduction in GH and/or IGF-1 levels) such that injections can be given every 7 to 10 days as necessary.

Thyrotropic Adenomas

Treatment should only be initiated and maintained by physicians experienced in the management of this condition.

Initially, one intramuscular injection should be given every 14 days. In the case of an insufficient response, as judged by the levels of thyroid hormone and TSH, the frequency of injection may be increased to one every 10 days. Continued treatment should be guided by periodic measurement of thyroid hormone and TSH.

Elderly patients

In elderly patients, no dosage adjustment is necessary due to the wide therapeutic window of Somatuline LA (see section 5.2).

Paediatric population

Somatuline LA 30 mg is not recommended for use in children and adolescents due to a lack of data on safety and efficacy.

Renal and/or hepatic impairment

In patients with impaired renal or hepatic function, no dosage adjustment is necessary due to the wide therapeutic window of lanreotide (see section 5.2).

Overdose

If overdose occurs, symptomatic management is indicated.

Shelf life

Shelf life: 2 years.

After reconstitution, the suspension should be used immediately.

Special precautions for storage

Store in a refrigerator (2°C to 8°C) in the original package.

For storage conditions of reconstituted medicinal product, see section 6.3.

Nature and contents of container

Powder in a vial (type I glass), with a rubber stopper (halogenobutyl) and cap (aluminium) and 2 mL solvent in an ampoule (type I glass).

Box of 1 vial, 1 ampoule, 1 syringe and 2 needles.

Box of 2 vials, 2 ampoules, 2 syringes and 4 needles.

Box of 6 vials, 6 ampoules, 6 syringes and 12 needles.

Not all pack sizes may be marketed.

Special precautions for disposal and other handling

The powder should be reconstituted with the solvent immediately before injection. Keeping the vial upright, shake from side to side until a homogenous suspension is formed.

It is important that injection of this product is performed according to the instructions in the package leaflet.

For single use only.

Do not use if the kit is damaged or opened.

Any unused product or waste material should be disposed of in a sharps bin.

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