How to use the NUCALA 100 mg/mL prefilled syringe

A detailed guide to show your patients how to use this single-use prefilled syringe at home for their NUCALA injections.

  • transcript

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    NUCALA (mepolizumab) Injection 100 mg/mL

    How to Use Your Prefilled Syringe

    Please see the full Instructions for Use at nucala.com/how-to-use

    ANNOUNCER:

    This is the How to Use video for the NUCALA (mepolizumab) Prefilled Syringe.

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    Important information

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    Important information.

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    Important information

    Prefilled syringe

    This how-to-use video offers you help and guidance for administering NUCALA with a single-use prefilled syringe.

    ANNOUNCER:

    This how-to-use video offers you help and guidance for administering NUCALA with a single-use prefilled syringe.

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    Please read the full Instructions for Use contained in your NUCALA carton. Carefully follow this information so that you complete each step successfully. Your healthcare provider should show you how to use the prefilled syringe before you try to do it yourself the first time. The NUCALA prefilled syringe is only for use under the skin (subcutaneous).

    ANNOUNCER:

    Please read the full Instructions for Use contained in your NUCALA carton. Carefully follow this information so that you complete each step successfully. Your healthcare provider should show you how to use the prefilled syringe before you try to do it yourself the first time. The NUCALA prefilled syringe is only for use under the skin (subcutaneous).

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    Know your prefilled syringe

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    Know your prefilled syringe.

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    Know your prefilled syringe

    Before use

    [labels naming NUCALA prefilled syringe parts]

    Gray needle cap (needle inside)

    Automatic needle guard

    Inspection window (medicine inside)

    Stopper

    White finger grip

    White plunger

    ANNOUNCER:

    Please take note of the NUCALA prefilled syringe parts so that you are familiar with them throughout this video and while you are giving yourself the injection. Please examine the  refilled syringe before injecting.

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    Know your prefilled syringe

    After use

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    After use, the automatic needle guard is activated and pulls up the needle.

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    After use, the automatic needle guard is activated and pulls up (retracts) the needle.

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    Know your prefilled syringe

    Supplies in carton

    • 1 Prefilled syringe

    Supplies not in carton

    • Alcohol swab

    • Cotton ball or gauze

    • Adhesive bandage

    • Sharps disposal container

     

    ANNOUNCER:

    To perform your injection, you will need your NUCALA prefilled syringe. You will also need an alcohol swab, a gauze pad or cotton ball, an adhesive bandage, and a sharps disposal container. These materials are not included with your NUCALA, so make sure you have them on hand before you inject.

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    Prepare

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    Prepare.

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    Prepare

    Take out the prefilled syringe

    Take the carton out of the refrigerator and make sure the security seals are not broken.

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    Take out prefilled syringe. Take the carton out of the refrigerator, check to make sure the security seals aren’t broken.

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    Prepare

    Take out the prefilled syringe

    Do not use the prefilled syringe if a security seal on the carton is broken.

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    If a seal is broken, do not use the prefilled syringe.

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    Prepare

    Take out the prefilled syringe

    Remove the tray from the carton.

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    Now, take the tray out of the carton.

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    Prepare

    Take out the prefilled syringe

    Peel off the clear plastic cover from the corner of the tray.

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    And peel off the clear plastic cover.

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    Prepare

    Take out the prefilled syringe

    Holding the middle of the prefilled syringe (near the inspection window), carefully take the prefilled syringe out of the tray.

    ANNOUNCER:

    Holding the middle of the prefilled syringe, carefully take the prefilled syringe out of the tray.

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    Prepare

    Take out the prefilled syringe

    Place the prefilled syringe on a clean, flat surface at room temperature away from direct sunlight and out of the reach of children.

    ANNOUNCER:

    Place the prefilled syringe down on a clean, flat surface at room temperature away from direct sunlight and out of the reach of children.

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    Prepare

    Take out the prefilled syringe

    Do not remove the gray needle cap at this step.

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    Do not remove the gray needle cap at this step.

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    Prepare

    Inspect and wait 30 minutes before use

    Check that the expiration date on the label of the prefilled syringe has not passed.

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    Inspect and wait 30 minutes. Check the expiration date on the prefilled syringe.

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    Prepare

    Inspect and wait 30 minutes before use

    Do not use if expiration date has passed.

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    Do not use if expiration has passed.

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    Prepare

    Inspect and wait 30 minutes before use

    Look at the medicine in the inspection window. It should be clear to pale yellow to pale brown in color and without cloudiness or particles.

    ANNOUNCER:

    Look in the inspection window to check that the NUCALA medicine is clear to pale yellow to pale brown in color and without cloudiness or particles.

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    Prepare

    Inspect and wait 30 minutes before use

    It is normal to see one or more air bubbles.

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    It is normal to see one or more air bubbles in the solution.

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    Prepare

    Inspect and wait 30 minutes before use

    Do not use if the medicine is cloudy or discolored, or has particles.

    ANNOUNCER:

    Do not use if it looks cloudy, discolored, or has particles.

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    Prepare

    Inspect and wait 30 minutes before use

    If the medicine looks cloudy, discolored, or has particles, contact GSK for more information 1-888-825-5249

    ANNOUNCER:

    If the medicine looks cloudy, discolored, or has particles, contact GSK for more information at 1-888-825-5249.

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    Prepare

    Inspect and wait 30 minutes before use

    Wait 30 minutes before use.

    ANNOUNCER:

    Wait 30 minutes.

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    Prepare

    Inspect and wait 30 minutes before use

    Do not warm your prefilled syringe in a microwave, hot water, or direct sunlight.

    ANNOUNCER:

    Do not warm the prefilled syringe in any other way. For example, do not warm in a microwave oven, hot water, or direct sunlight.

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    Prepare

    Inspect and wait 30 minutes before use

    Do not use the prefilled syringe if it has been left out of the carton for more than 8 hours.

    ANNOUNCER:

    Do not use the prefilled syringe if it has been left out of the carton for more than 8 hours.

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    Prepare

    Choose your injection site

    You can inject in your thighs or abdomen.

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    Prepare and choose your injection site. Choose where to inject on your abdomen or thigh, in the highlighted areas shown here.

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    Prepare

    Choose your injection site

    If you are giving the injection to someone else as a caregiver or healthcare provider, you can also inject in their upper arm.

    ANNOUNCER:

    If you are giving the injection to someone else as a caregiver or healthcare provider, you can inject in their upper arm.

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    Prepare

    Choose your injection site

    If you need more than one injection to complete your dose, leave at least 2 inches between each injection site.

    ANNOUNCER:

    If you need more than one injection to complete your dose, leave at least 2 inches between each injection site.

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    Prepare

    Choose your injection site

    Do not inject where your skin is bruised, tender, red, or hard.

    ANNOUNCER:

    Do not inject where your skin is bruised, tender, red, or hard.

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    Prepare

    Choose your injection site

    Do not inject within 2 inches of your belly button.

    ANNOUNCER:

    Do not inject within 2 inches of your belly button.

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    Prepare

    Clean your injection site

    Wash your hands with soap and water.

    ANNOUNCER:

    Prepare and clean your injection site. Wash your hands with soap and water.

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    Prepare

    Clean your injection site

    Clean your injection site by wiping your skin with an alcohol swab and allowing your skin to air dry.

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    Next, clean the injection site by wiping it with an alcohol swab. Allow the skin to air dry.

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    Prepare

    Clean your injection site

    Do not touch your cleaned injection site again until you have finished your injection.

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    Do not touch this area again before giving the injection.

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    Inject

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    Inject.

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    Inject

    Remove the gray needle cap

    Remove the gray needle cap from the prefilled syringe by pulling it straight off, away from the needle (as shown). It may take some force to remove the gray needle cap.

    ANNOUNCER:

    Remove the gray needle cap. Now, remove the gray needle cap by pulling it straight off, away from the needle – this could take a little force.

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    Inject

    Remove the gray needle cap

    You may see a drop of medicine at the end of the needle. This is normal.

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    It’s normal to see a drop of medicine at the end of the needle.

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    Inject

    Remove the gray needle cap

    Make sure you inject within 5 minutes after you remove the gray needle cap.

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    Make sure you inject within 5 minutes after removing the gray needle cap.

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    Inject

    Remove the gray needle cap

    Do not let the needle touch any surface.

    ANNOUNCER:

    Do not let the needle touch any surface.

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    Inject

    Remove the gray needle cap

    Do not touch the needle.

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    Do not touch the needle.

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    Inject

    Remove the gray needle cap

    Do not touch the white plunger at this step. This could accidentally push the medicine out, and you will not get your full dose.

    ANNOUNCER:

    Do not touch the white plunger at this step. This could accidentally push the medicine out, and you will not get your full dose.

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    Inject

    Remove the gray needle cap

    Do not try to remove any air bubbles from the prefilled syringe.

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    Do not try to remove any air bubbles from the prefilled syringe.

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    Inject

    Remove the gray needle cap

    Do not put the gray needle cap back on the syringe. This could cause a needle injury.

    ANNOUNCER:

    Do not put the gray needle cap back on the prefilled syringe. This could cause a needle injury.

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    Inject

    Start your injection

    Use your free hand to pinch the skin around your injection site. Keep pinching the skin throughout your injection.

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    Inject.

    Start injection.

    Use your free hand to pinch the skin around your injection site. Keep pinching throughout your injection.

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    Inject

    Start your injection

    Insert the entire needle into the pinched skin at a 45° angle, as shown.

    ANNOUNCER:

    Insert the entire needle into the pinched skin at a 45° angle, as shown.

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    Inject

    Start your injection

    Move your thumb to the white plunger and use your other fingers to hold onto the white finger grip.

    ANNOUNCER:

    Move your thumb to the white plunger and use your other fingers to hold onto the white finger grip.

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    Inject

    Start your injection

    Slowly push down on the white plunger to inject your full dose.

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    Slowly push down on the white plunger to inject your full dose.

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    Inject

    Complete your injection

    Make sure the white plunger is pushed all the way down until the stopper reaches the bottom of your prefilled syringe and all the medicine is injected.

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    Make sure the white plunger is pushed all the way down until the stopper reaches the bottom of your syringe and all the medicine is injected.

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    Inject

    Complete your injection

    Slowly lift your thumb up. This will allow the white plunger to come up and the needle to automatically retract (pull up) into the body of your syringe.

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    Slowly lift your thumb up. This will allow the white plunger to come up and the needle to automatically pull up into the body of your syringe.

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    Inject

    Complete your injection

    After your injection is complete, release the pinched skin.

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    After your injection is complete, release the pinched skin.

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    Inject

    Complete your injection

    There may be a small drop of blood at the injection site. This is normal. Press a cotton ball or gauze on the area and apply an adhesive bandage if you need it.

    ANNOUNCER:

    You may see a small drop of blood, which is normal. Gently press a cotton ball or gauze on the area and apply an adhesive bandage if you need it.

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    Inject

    Complete your injection

    Do not rub your injection site.

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    Do not rub your injection site.

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    Inject

    Complete your injection

    Do not put the gray needle cap back onto the syringe.

    ANNOUNCER:

    Do not put the gray needle cap back onto the syringe.

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    Dispose

    ANNOUNCER:

    Dispose.

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    Dispose

    Throw away your used syringe

    Put your used syringe and gray needle cap in an FDA-cleared sharps disposal container right away after use.

    ANNOUNCER:

    To clean up, put your used syringe and gray needle cap in a sharps disposal container right away.

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    Dispose

    Throw away your used syringe

    If you do not have an FDA-cleared sharps disposal container, you may use a household container that is:

    • made of heavy-duty plastic;

    • able to close with a tight-fitting, puncture-resistant lid, without sharps being able to come out;

    • upright and stable during use;

    • leak-resistant;

    • properly labeled to warn of hazardous waste inside the container.

     

    ANNOUNCER:

    If you don’t have an FDA-cleared sharps disposal container, you can use any household container that is made of heavy-duty plastic; is able to close with a tight-fitting, puncture-resistant lid; is upright and stable; leak resistant; and properly labeled to warn that hazardous waste is inside.

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    Dispose

    Throw away your used syringe

    When your sharps disposal container is almost full, you will need to follow your community guidelines for the right way to dispose of it. There may be state or local laws about how you should throw away used syringes.

    Do not throw away your used sharps disposal container in your household trash unless your community guidelines permit this.

    Do not recycle your used sharps disposal container.

    Keep your sharps disposal container out of the reach of children.

    For more information about safe sharps disposal, visit www.fda.gov/safesharpsdisposal.

    ANNOUNCER:

    Do not throw the sharps container in household trash unless your community guidelines permit this. Do not recycle your used sharps container. Always keep the sharps container out of the reach of children.

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    For More Information

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    For More Information

    If you have any questions or need more information, talk to your doctor.

    For additional resources and support visit NUCALA.com.

    ANNOUNCER:

    For more information or questions, talk to your doctor. Go to NUCALA.com

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    Trademarks are owned by or licensed to the GSK group of companies.

    ©2019 GSK or licensor.

    MPLVID220024 August 2022

    Produced in USA.

Intended for use under HCP guidance. Provide proper training on injection technique and administration using the full Instructions for Use after determining at-home use is appropriate.

STORAGE INFORMATION

  • Store in the refrigerator between 36˚F and 46˚F (2˚C and 8˚C).
  • Keep in the original carton until time of use to protect from light.
  • Do not freeze. Do not shake. Keep away from heat.
  • If necessary, an unopened carton can be stored outside the refrigerator at up to 86˚F (30˚C) for up to 7 days.
  • Safely throw away the prefilled syringe if it is left out of the refrigerator for more than 7 days.
  • The prefilled syringe must be used within 8 hours after you take it out of the carton. Safely throw it away if it is not used within 8 hours.
  • Safely throw away medicine that is out of date or no longer needed.

Keep NUCALA and all medicines out of the reach of children.

Warnings

Do not use the prefilled syringe more than 1 time. Throw away the prefilled syringe in an FDA-cleared sharps disposal container after your injection.
Do not share the prefilled syringe with other people. You may give other people a serious infection, or you may get a serious infection from them.
Do not use the prefilled syringe if it was dropped or looks damaged.