I do prescribe pills as well but the best results I get are when I motivate people to overcome their problems with little changes in their lifestyles. Hepatic impairment:In patients with moderate hepatic impairment, a reduction in total evolocumab exposure was observed that may lead to a reduced effect on LDLC reduction. All rights reserved. Do not warm it in any other way. An initial high dose of 420 mg subQ every two weeks is recommended in patients who are on lipid apheresis. Important U.S. If switching dosage regimens, administer the first dose of the new regimen on the next scheduled date of the prior regimen. July 23, 2022, 9:09 pm, by The 420 mg dose may be administered over 9 minutes by using the single-use-on-body-infusor. For other suggestions on how to pay for your prescription, ask your doctor or pharmacist. We or others could identify safety, side effects or manufacturing problems with our products after they are on the market. Repatha comes as a solution that you inject under your skin. is either 140 mg every 2 weeks OR 420 mg once monthly, based on patient preference for dosing frequency and injection volume. This approach begins by using tools like advanced human genetics to unravel the complexities of disease and understand the fundamentals of human biology. Does a Vegan Diet Promote High or Low Cholesterol? If you dont have insurance or your insurance doesnt cover Repatha, you may be able to get the medication at no cost. In addition, our business may be impacted by the adoption of new tax legislation or exposure to additional tax liabilities. Norway,IcelandandLiechtenstein, as members of the European Economic Area (EEA), will take corresponding decisions on the basis of the decision of the EC. Maximally tolerated statin therapy for treatment of adults with heterozygous familial hypercholesterolemia (HeFH) or clinical atherosclerotic cardiovascular disease (ASCVD), who require additional lowering of low-density lipoprotein cholesterol (LDL-C), Other LDL-lowering therapies (e.g., statins, ezetimibe, LDL apheresis) in patients with homozygous familial hypercholesterolemia (HoFH) who require additional lowering of LDL-C. There are two types of cholesterol: LDL and HDL. In adults with established cardiovascular disease or with primary hyperlipidemia: The recommended dosage of REPATHA is either 140 mg every 2 weeks OR 420 mg once monthly administered subcutaneously [see Dosage and Administration (2.3)]. We are increasingly dependent on information technology systems, infrastructure and data security. We develop product candidates internally and through licensing collaborations, partnerships and joint ventures. In adults and children who are 10 years of age or older with homozygous familial hypercholesterolemia (HoFH). The U.S. Food and Drug Administration approved the single 420 mg monthly injection option on. This results in an increased expression of LDL receptors on the liver cells. Repatha 140 mg: The package contains 2 pre-filled syringes, ready for subcutaneous injection. Repatha is a human IgG2 monoclonal antibody produced in Chinese hamster ovary (CHO) cells by recombinant DNA technology. The price of 2 syringes is 7800 Egyptian pounds. Injection: 420 mg/3.5 mL solution single-dose Pushtronex . evident ASCVD at more than 1,300 study locations around the world were randomized to receive Repatha subcutaneous 140 mg every two weeks or 420 mg monthly plus effective statin dose; or placebo subcutaneous every two weeks or monthly plus . Eligible patients with high cholesterol (LDL-C 70 mg/dL or non-high-density lipoprotein cholesterol [non-HDL-C] 100 mg/dL) and clinically evident ASCVD at more than 1,300 study locations around the world were randomized to receive Repatha subcutaneous 140 mg every two weeks or 420 mg monthly plus effective statin dose; or placebo . The adverse reactions that occurred in at least 2 (6.1%) Repatha-treated patients and more frequently than in placebo-treated patients, included upper respiratory tract infection (9.1% versus 6.3%), influenza (9.1% versus 0%), gastroenteritis (6.1% versus 0%), and nasopharyngitis (6.1% versus 0%). Repatha is approved in more than 40 countries, including the U.S., Japan,Canadaand in all 28 countries that are members of the EU. Important Safety InformationThis medicinal product is subject to additional monitoring. How Can You Boost Your Levels to Lose Weight? PCSK9 protein deficiency was found to be associated with low levels of plasma LDL levels. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Data Reinforces Long-Term Efficacy and Consistent Safety Profile of Repatha Observed in FOURIER-OLE . 2022 total revenues guidance revised to $26.0 - $26.3 billion ; EPS . Note: For more details on Repatha, see this in-depth article. The Repatha cardiovascular outcomes trial (FOURIER) is designed to evaluate whether treatment with Repatha in combination with statin therapy, compared to placebo plus statin therapy, reduces the risk of cardiovascular events in patients with high cholesterol and clinically evident cardiovascular disease, and completed patient enrollment in June 2015. Repatha is a human monoclonal antibody that blocks a protein called PCSK9, which inhibits the body's natural system for eliminating "bad" cholesterol (low-density lipoprotein cholesterol or LDL-C) from the blood.1, "Amgen is committed to advancing care and improving the lives of patients with cardiovascular disease," said Sean E. Harper, M.D., executive vice president of Research and Development atAmgen. After that, other drug manufacturers can create generic versions. Keep the pre-filled syringe or the pre-filled pen in the original carton in order to protect from light. October 9, 2022, 6:28 am, by If you are using the on-body infusor, the medication is injected over 5 minutes. Repatha is also approved in combination with other lipid-lowering agents in patients with homozygous familial hypercholesterolemia (age 12 and over). Repatha is the first proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor in Europe with the option of a single monthly injection. See our Privacy Policy, 2022 biopharma-asia.com. No forward-looking statement can be guaranteed and actual results may differ materially from those we project. Take the syringe out of the cooler (refrigerator), and leave the syringe to heat up at room temperature for 30 to 40 minutes before injecting. . Allergic reactions occurred in 5.1% and 4.7% of Repatha-treated and placebo-treated patients, respectively. The new automated mini-doser (AMD) with a pre-filled cartridge is a hands-free device that provides 420 mg of Repatha in a single injection per administration. What is Metabolic Syndrome, Insulin Resistance Syndrome or Syndrome X? Repatha is indicated to lower LDL cholesterol as an adjunct to diet and maximally tolerated statin therapy for people with either heterozygous or homozygous familial hypercholesterolemia or with established atherosclerotic cardiovascular disease. March 31, 2022, 11:42 am, by The most common side effects of Repatha include: runny or stuffy nose, upper respiratory tract infection, influenza, back pain, injection site reactions (redness, pain and bruising), allergic reactions (rash and hives), cough, urinary tract infection, sinus infection, headache, muscle pain, dizziness, high blood pressure, diarrhea, and If you still have questions about the cost of Repatha, talk with your doctor or pharmacist. Common side effects of Repatha include: runny or stuffy nose, upper respiratory tract infection, influenza, back pain, injection site reactions (redness, pain, and bruising), allergic reactions (rash and hives), cough, urinary tract infection, sinus infection, headache, muscle pain, dizziness, high blood pressure, diarrhea, and stomach upset. Sometimes the dose can be increased to 420 mg once every two weeks or once every four weeks. Its not currently available as a biosimilar. Increasing the LDL receptors causes the internalization of LDL proteins that are circulating in the plasma. Repatha should be used with caution in patients with severe hepatic impairment. This is not a complete list of side effects and others may occur. Repatha is also approved in combination with other lipid-lowering agents in patients with homozygous familial hypercholesterolemia (age 12 and over). Repatha 420 mg solution for injection in cartridge Each cartridge contains 420 mg of evolocumab in 3.5 mL of solution (120 mg/mL). Our business performance could affect or limit the ability of our Board of Directors to declare a dividend or our ability to pay a dividend or repurchase our common stock. The discovery of significant problems with a product similar to one of our products that implicate an entire class of products could have a material adverse effect on sales of the affected products and on our business and results of operations. Apart from diet, exercise, and medications, supplements such as Vitamin D have been proven to revert prediabetes to normal. The effect of Repatha on cardiovascular morbidity and mortality has not yet been determined. Repatha comes as a single-use (1 time) pre-filled autoinjector or as a single-use pre-filled syringe. The recommended dose for adults with high cholesterol and heart disease to reduce the risk of heart attack, stroke and certain heart procedures is either 140 mg every two weeks or 420 mg once monthly. With some insurance plans, the cost of Repatha may vary depending on the delivery system prescribed. Contraindication:Repathais contraindicated in patients with a history of a serious hypersensitivity reaction to Repatha. Repatha injection (active ingredient name: evolocumab) is used along with diet, alone or in combination with other cholesterol-lowering medications to treat adults with familial hypercholesterolemia (an inherited disorder in which cholesterol cannot be removed from the body properly). About AmgenAmgenis committed to unlocking the potential of biology for patients suffering from serious illnesses by discovering, developing, manufacturing and delivering innovative human therapeutics. Furthermore, these data substantiate the use of a PCSK9 inhibitor to reduce LDL-C below the threshold of 55 mg/dL for very high-risk ASCVD patients, as recommended in the recently published ACC . Repatha 140 mg Solution injectable en stylo prrempli (evolocumab from www.creapharma.ch Repatha syringe 140 mg/ml subcutaneous syringe. Data Reinforces Long-Term Efficacy and Consistent Safety Profile of Repatha Observed in FOURIER-OLE . In addition, we compete with other companies with respect to many of our marketed products as well as for the discovery and development of new products. The dose is synchronized with the apheresis schedule and is administered after the apheresis session is over. Privacy Policy, Repatha Receives European Commission Approval For New 420 mg Single-Dose Delivery Option. Homozygous familial hypercholesterolemia in adults and adolescents aged 12 years and overThe initial recommended dose is 420 mg once monthly. Detailed results from the Repatha cardiovascular outcomes study will be presented at the American College of Cardiology 66th Annual Scientific Session (ACC.17) in Washington, D.C., March 17-19, 2017. For more information, visitwww.amgen.comand follow us on www.twitter.com/amgen. Atherosclerosis and arteriosclerosis are often confused with each other, but theyre different conditions. SC Hyperlipidaemia & prevention of CV events 140 mg every 2 wk or 420 mg once mthly. The manufacturer recommends an initial Repatha dose of 420 mg subQ once a month. Evolocumab, the powerful cholesterol-fighting injection sold as Repatha, offers a 25% reduction in cardiovascular (CV) death, heart attack, or stroke after the first year, giving the PCSK9. July 9, 2022, 8:12 am, by The 420 mg dose of REPATHA can be administered: over 5 minutes by using the single-dose on-body infusor with prefilled cartridge, or by giving 3 injections consecutively within 30 minutes using the single-dose prefilled autoinjector or single-dose prefilled syringe. Most patients have mild upper respiratory tract symptoms such as rhinitis and nasopharyngitis. Enter your account data and we will send you a link to reset your password. Repatha injections work by blocking the production of harmful cholesterol in the body and thus reducing the amount of cholesterol that may build up on the artery walls. Diabetes Doctor PCSK9 modulates the LDL receptors in the liver cells. A similar relationship was observed between achieved LDL-C levels and the risk of the key secondary efficacy endpoint from FOURIER of CV death, MI or stroke (P for trend<0.0001) (see Figure 2). For information, see the Amgen Safety Net Foundation website. Our website services, content, and products are for informational purposes only. The new automated mini-doser (AMD) with a pre-filled cartridge is a hands-free device that provides 420 mg of Repatha in a single injection per administration. Through its own research and development efforts, as well as partnerships, Amgen is building a robust cardiovascular portfolio consisting of several approved and investigational molecules in an effort to address a number of today's important unmet patient needs, such as high cholesterol and heart failure. Repatha 140 mg: The package contains 1 pre-filled syringe ready for subcutaneous injection the package price for 1 syringe is 936 Saudi riyals. Further, some raw materials, medical devices and component parts for our products are supplied by sole third-party suppliers. Frequently asked questions Are there any dangers of taking Repatha? The most common adverse reaction that led to Repathatreatment discontinuation and occurred at a rate greater than placebo was myalgia (0.3% versus 0% for Repathaand placebo, respectively). Before injecting the medication, allow it to sit at room temperature for 45 minutes if using the 420 mg cartridge or 30 minutes if using the 120 mg autoinjector. Whats the Best Treatment for Cholesterol Embolization Syndrome? Since most of my patients are obese, have diabetes, hypertension, high cholesterol levels, I am writing at dibesity.com when free. The liver produces and clears cholesterol in the body. 420 mg dose: Give three 140-mg SC injections consecutively within 30 minutes OR over 5 minutes using the single-use on-body infusor with refilled cartridge Clean injection site with alcohol. The copay card cannot be used with government-issued insurance, such as Medicaid or Medicare. Please contact Amgen Medinfo at 800-77-AMGEN (800-772-6436) or 844-REPATHA (844-737-2842) regarding Repatha availability or find more information, including full Prescribing Information, at www . Forward-looking statements involve significant risks and uncertainties, including those discussed below and more fully described in theSecurities and Exchange Commissionreports filed byAmgen, including our most recent annual report on Form 10-K and any subsequent periodic reports on Form 10-Q and Form 8-K. Having too much LDL cholesterol can put you at greater risk of heart attack or stroke. These crystals are called emboli. 1996-2022 Amgen Inc. All Rights Reserved. Here are 15 of the best. To find out how much youll pay for Repatha, talk with your doctor, pharmacist, or insurance provider. It is unknown whether evolocumab is excreted in human milk. The common side effects from Statins are joint and muscle pain, nausea, stomach pain, constipation, and headaches. Repatha strengths are based on the drugs delivery system. Diabetes Doctor Repatha Injection 140 mg/mL solution in a single-use prefilled auto injector; Repatha Dosage for Adults. To use social login you have to agree with the storage and handling of your data by this website. About Repatha (evolocumab) Repatha (evolocumab) is a human monoclonal antibody that inhibits proprotein convertase subtilisin/kexin type 9 . The recommended subcutaneous dosage of REPATHA in patients with HoFH is 420 mg once monthly. (2021). o The initial recommended dosage of REPATHA is 420 mg once monthly administered subcutaneously [see Dosage and Administration (2.3)]. A risk to breastfed newborns/infants cannot be excluded. Keep syringes that are not in use in the refrigerator at a temperature of 2 to 8 degrees Celsius. November 23, 2021, 7:09 am, by For more information, see the Does Repatha have a copay card? section above. Also, we or others could identify safety, side effects or manufacturing problems with our products after they are on the market. Patients are able to perform moderate physical activities (such as walking, reaching or bending) as the 420 mg of Repatha is delivered subcutaneously. This is a program that Repathas manufacturer offers to help eligible people pay for Repatha and other medications. rash, urticaria) have been reported in patients treated with Repatha, including some that led to discontinuation of therapy. N.B. Changes to background lipid-altering therapy were not made in response to low LDL-C values, and Repathadosing was not modified or interrupted on this basis. Single-use prefilled syringe administration Carefully remove the syringe from the tray. 2.1 Recommended Dosage. It is important that you do not try to inject Repatha until you have received training with a healthcare professional on how to properly . Can be up-titrated to 420 mg once every 2 wk after 12 wk of treatment if a clinically meaningful response is not achieved. Evolocumab 140 mg/ml single-dose prefilled syringe (autoinjector). Features. June 29, 2022, 9:29 pm, by Make sure to rotate the injection site. Subcutaneous injections are administered in the abdomen, upper arm, or thigh area. Diabetes Doctor The safety and effectiveness of Repathahave not been established in pediatric patients with HoFH who are younger than 13 years old. No, the Repatha manufacturer does not currently offer a Repatha coupon for people without insurance. Congestive Heart Failure in Diabetes Patients. Adverse Reactions in Primary Hyperlipidemia: The most common adverse reactions (>5% of patients treated with Repatha and more frequently than placebo) were: nasopharyngitis, upper respiratory tract infection, influenza, back pain, and injection site reactions. The safety and effectiveness of Repathahave not been established in pediatric patients with primary hyperlipidemia or HeFH. This testing can make the drugs expensive. Repatha is the first proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor inEuropewith the option of a single monthly injection. Ask your healthcare provider or pharmacist for more information. What is Leptin Hormone? Repatha binds to PCSK9 and inhibits circulating PCSK9 from binding to the low-density lipoprotein (LDL) receptor (LDLR), preventing PCSK9-mediated LDLR degradation and permitting LDLR to recycle back to the liver cell surface. Redness, itching, swelling, pain/sensitivity reactions at the injection site (a local reaction at the injection site). Product InformationRepathais indicated as an adjunct to diet and: The effect of Repathaon cardiovascular morbidity and mortality has not been determined. If you miss the 140 mg dose that had to be administered after an interval of two weeks and 7 days have passed, you can wait for the next scheduled dose. What are my options if I cant afford my medication. True medical practice is helping people. fda.gov/files/drugs/published/Biological-Product-Definitions.pdf, accessdata.fda.gov/drugsatfda_docs/label/2021/125522s029s031lbl.pdf, How to Lower Your Cholesterol: Rx, Lifestyle Changes, and More. Here you'll find all collections you've created before. Repatha is given as an injection under the skin (subcutaneous). (on-body infusor with prefilled cartridge) delivers a 3.5 mL solution containing 420 mg evolocumab, acetate (4.2 mg), polysorbate 80 (0.35 mg), proline (89 mg) in Water for Injection, USP. The latest company information, including net asset values, performance, holding & sectors weighting, changes in voting rights, and directors and dealings. Your cost may depend on your treatment plan, your insurance coverage (if you have it), and the pharmacy you use. Our efforts to acquire other companies or products and to integrate the operations of companies we have acquired may not be successful. Furthermore, our research, testing, pricing, marketing and other operations are subject to extensive regulation by domestic and foreign government regulatory authorities. Repathas manufacturer offers copay assistance through its Repatha copay card. Evolocumab 420 mg/3.5 ml single-dose single-push Pushtronex system with a prefilled cartridge. Our results may be affected by our ability to successfully market both new and existing products domestically and internationally, clinical and regulatory developments involving current and future products, sales growth of recently launched products, competition from other products including biosimilars, difficulties or delays in manufacturing our products and global economic conditions. Injection site urticaria (rash of round, red welts on the skin at injection site): 420 reports; Injection site vesicles (fluid- or air-filled cavity or sac at injection site): 211 reports; Injection . Contact Us: If you have any notes or feedback you need to reach us with, feel free contacting us any time via e-mail( Listen2article@gmail.com). Therefore, close monitoring may be warranted in these patients. The syringe should not be exposed to direct sunlight. But you may be able to receive help paying for Repatha through the Amgen Safety Net Foundation. November 8, 2022, 6:31 am. October 4, 2022, 6:54 am, by All statements, other than statements of historical fact, are statements that could be deemed forward-looking statements, including estimates of revenues, operating margins, capital expenditures, cash, other financial metrics, expected legal, arbitration, political, regulatory or clinical results or practices, customer and prescriber patterns or practices, reimbursement activities and outcomes and other such estimates and results. The U.S. Food and Drug Administrationapproved the single 420 mg monthly injection option onJuly 11, 2016, as the Pushtronex system for use with Repatha (on-body infusor with prefilled cartridge). If there is an inadequate response to treatment, the dose may be increased to 420 mg subQ twice a month (or every two weeks). The products are not approved for the investigational use(s) discussed in this news release, and no conclusions can or should be drawn regarding the safety or effectiveness of the products for these uses. The 420-mg injection comes as a prefilled cartridge for a Pushtronex device. We are proud to bring this dosing alternative to patients inEurope, providing another option for them to incorporate Repatha into their cardiovascular care, with less frequent and hands-free administration.. The effect of Repatha on cardiovascular morbidity and mortality has not yet been determined. Cholesterol embolisms are when cholesterol crystals and other debris break off the plaque inside your large arteries. Below are answers to some frequently asked questions about Repatha and cost. A healthcare provider who knows how to use the Repatha SureClick autoinjector should be Normally, the renal threshold of glucosuria starts when the blood sugars are [] More, by The dose may also be administered as three injections of 140 mg over thirty minutes. Single-dose Pushtronex systems also come in one strength: 420 mg/3.5 mL.. Presently,. Each cartridge contains 420 mg of evolocumab in 3.5 mL of solution (120 mg/mL). Please contact us via email (listen2article), contact us form, if the information on this page is incorrect, or if you have other information to update this page. Here's how. decrease the need for certain types of heart surgery in adults with heart disease, single-dose prefilled autoinjector called SureClick, single-dose prefilled cartridge in a device, called Pushtronex, that you wear on your body. Diabetes Doctor Ignore this!