ATECTURA BREEZHALER Inhalation powder, hard capsule Ref.[51244] Active ingredients: Indacaterol Indacaterol and Mometasone Mometasone

Source: European Medicines Agency (EU)  Revision Year: 2023  Publisher: Novartis Europharm Limited, Vista Building, Elm Park, Merrion Road, Dublin 4, Ireland

4.1. Therapeutic indications

Atectura Breezhaler is indicated as a maintenance treatment of asthma in adults and adolescents 12 years of age and older not adequately controlled with inhaled corticosteroids and inhaled short-acting beta2-agonists.

4.2. Posology and method of administration

Posology

Adults and adolescents aged 12 years and over

The recommended dose is one capsule to be inhaled once daily.

Patients should be given the strength containing the appropriate mometasone furoate dosage for the severity of their disease and should be regularly reassessed by a healthcare professional.

The maximum recommended dose is 125 mcg/260 mcg once daily.

Treatment should be administered at the same time of the day each day. It can be administered irrespective of the time of the day. If a dose is missed, it should be taken as soon as possible. Patients should be instructed not to take more than one dose in a day.

Special populations

Elderly population

No dose adjustment is required in elderly patients (65 years of age or older) (see section 5.2).

Renal impairment

No dose adjustment is required in patients with renal impairment (see section 5.2).

Hepatic impairment

No dose adjustment is required in patients with mild or moderate hepatic impairment. No data are available for the use of the medicinal product in patients with severe hepatic impairment, therefore it should be used in these patients only if the expected benefit outweighs the potential risk (see section 5.2).

Paediatric population

The posology in patients 12 years of age and older is the same posology as in adults. The safety and efficacy in paediatric patients below 12 years of age have not been established. No data are available.

Method of administration

For inhalation use only. The capsules must not be swallowed.

The capsules must be administered only using the inhaler provided (see section 6.6) with each new prescription.

Patients should be instructed on how to administer the medicinal product correctly. Patients who do not experience improvement in breathing should be asked if they are swallowing the medicinal product rather than inhaling it.

The capsules must only be removed from the blister immediately before use.

After inhalation, patients should rinse their mouth with water without swallowing (see sections 4.4 and 6.6).

For instructions on use of the medicinal product before administration, see section 6.6.

Information for patients using a sensor for Atectura Breezhaler

The pack may contain an electronic sensor to be attached to the base of the inhaler.

The sensor for Atectura Breezhaler is for adult use only.

The sensor for Atectura Breezhaler should not be used for adolescent patients as the App does not have patient consent verification or caregiver account functionality.

The sensor and App are not required for administration of the medicinal product to the patient. The sensor and App do not control or interfere with delivery of the medicinal product using the inhaler.

The prescribing physician may discuss with the patient whether the use of the sensor and App is appropriate.

For detailed instructions on how to use the sensor and the App, see the Instructions for Use provided in the sensor pack and the App.

4.9. Overdose

General supportive measures and symptomatic treatment should be initiated in cases of suspected overdose.

An overdose will likely produce signs, symptoms or adverse effects associated with the pharmacological actions of the individual components (e.g. tachycardia, tremor, palpitations, headache, nausea, vomiting, drowsiness, ventricular arrhythmias, metabolic acidosis, hypokalaemia, hyperglycaemia, suppression of hypothalamic pituitary adrenal axis function).

Use of cardioselective beta blockers may be considered for treating beta2-adrenergic effects, but only under the supervision of a physician and with extreme caution, since the use of beta2-adrenergic blockers may provoke bronchospasm. In serious cases, patients should be hospitalised.

6.3. Shelf life

3 years.

6.4. Special precautions for storage

Do not store above 30°C.

Store in the original package in order to protect from light and moisture.

6.5. Nature and contents of container

Inhaler body and cap are made from acrylonitrile butadiene styrene, push buttons are made from methyl metacrylate acrylonitrile butadiene styrene. Needles and springs are made from stainless steel.

PA/Alu/PVC – Alu perforated unit-dose blister. Each blister contains 10 hard capsules.

Atectura Breezhaler 125 micrograms/62.5 micrograms inhalation powder, hard capsules:

Single pack containing 10 × 1 or 30 × 1 hard capsules, together with 1 inhaler.

Pack containing 30 × 1 hard capsules, together with 1 inhaler and 1 sensor.

Multipacks containing 90 (3 packs of 30 × 1) hard capsules and 3 inhalers.

Multipacks containing 150 (15 packs of 10 × 1) hard capsules and 15 inhalers.

Atectura Breezhaler 125 micrograms/127.5 micrograms inhalation powder, hard capsules:

Single pack containing 10 × 1 or 30 × 1 hard capsules, together with 1 inhaler.

Pack containing 30 × 1 hard capsules, together with 1 inhaler and 1 sensor.

Multipacks containing 90 (3 packs of 30 × 1) hard capsules and 3 inhalers.

Multipacks containing 150 (15 packs of 10 × 1) hard capsules and 15 inhalers.

Atectura Breezhaler 125 micrograms/260 micrograms inhalation powder, hard capsules:

Single pack containing 10 × 1 or 30 × 1 hard capsules, together with 1 inhaler.

Pack containing 30 × 1 hard capsules, together with 1 inhaler and 1 sensor.

Multipacks containing 90 (3 packs of 30 × 1) hard capsules and 3 inhalers.

Multipacks containing 150 (15 packs of 10 × 1) hard capsules and 15 inhalers.

Not all pack sizes may be marketed.

6.6. Special precautions for disposal and other handling

The inhaler provided with each new prescription should be used. The inhaler in each pack should be disposed of after all capsules in that pack have been used.

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

Instructions for handling and use

Please read the full Instructions for Use before using the Atectura Breezhaler.

For detailed instructions on use of the sensor and the App, see the Instructions for Use provided in the sensor pack and the App.

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