AVEED TESTOSTERONE INJECTION. Not an actual patient. - sweating - tightening of your throat

Transcription

1 Ask your healthcare provider about LONG-ACTING AVEED AVEED TESTOSTERONE INJECTION 5 SHOTS A YEAR AFTER THE FIRST MONTH OF THERAPY Not an actual patient. CONSUMERS What is the most important information I should know about AVEED (testosterone undecanoate) injection, for intramuscular use CIII? AVEED may cause serious side effects, including: A serious lung problem. AVEED can cause a serious lung problem called a pulmonary oil microembolism (POME) reaction. POME is caused by tiny droplets of oil that have traveled to the lungs. Symptoms of a POME reaction may include: - cough or urge to cough - difficulty breathing - sweating - tightening of your throat - chest pain - dizziness - fainting Serious allergic reactions (anaphylaxis). AVEED can cause a serious allergic reaction right after receiving the injection. Some of these allergic reactions may be life threatening. These reactions can happen after you receive your first dose of AVEED or may happen after receiving more than 1 dose. You may need emergency treatment in a hospital, especially if these symptoms get worse over the 24 hours after your AVEED injection. These side effects may happen during or right after each injection. To be sure that you are not having one of these reactions: - You need to stay in the doctor s office, clinic, or hospital for 30 minutes after having your AVEED injection so that your doctor can watch you for symptoms of POME or a serious allergic reaction. - You can only get AVEED at your doctor s office, clinic, or hospital.

2 Ask your healthcare provider about LONG-ACTING AVEED What is AVEED? AVEED (testosterone undecanoate) injection is a long-acting prescription medicine that contains testosterone. AVEED is used to treat adult males who have a condition called hypogonadism. What is hypogonadism? Hypogonadism is a term used to describe low testosterone in men, and occurs when the male testes are unable to produce sufficient testosterone (the male sex hormone). This results in low levels of testosterone. Not an actual patient. 5 SHOTS A YEAR AFTER THE FIRST MONTH OF THERAPY What is AVEED? AVEED is a prescription medicine that contains testosterone. AVEED is used to treat adult males who have low or no testosterone and conditions associated with low or no testosterone. AVEED is only for adult males who need testosterone replacement therapy and when the benefit of receiving AVEED outweighs the risk of POME and anaphylaxis. It is not known if AVEED is safe and effective for use in children younger than 18 years old. Improper use of AVEED may affect bone growth in children. Who should not receive AVEED? Do not receive AVEED if you have breast cancer, have or might have prostate cancer, are allergic to AVEED or to any of the ingredients in AVEED (testosterone undecanoate, castor oil, benzyl benzoate), are pregnant, may become pregnant, or are breastfeeding. AVEED may harm your unborn or breastfeeding baby. AVEED is a controlled substance (CIII) because it contains testosterone that can be a target for people who abuse prescription medicines. AVEED is not meant for use in women. 2 3

3 Ask your healthcare provider about LONG-ACTING AVEED Why AVEED? If you have hypogonadism, you may be talking with your doctor about controlling your testosterone levels. TESTOSTERONE LEVELS WITHIN THE NORMAL RANGE FOR In a clinical trial, 94% of men who received AVEED injections maintained average testosterone levels within the normal range for 10 full weeks after the third injection. 5.1% of patients had testosterone levels below normal range, and 0.9% of patients had testosterone levels above normal range. Not an actual patient. FULL WEEKS What should I tell my doctor before receiving AVEED? Before receiving AVEED, tell your doctor if you have breast cancer, have or might have prostate cancer, have urinary problems due to an enlarged prostate, have heart problems, have liver or kidney problems, have problems breathing while you sleep (sleep apnea), or have any other medical conditions. Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Avoid the risk of transference Since AVEED is an injection that you receive at your doctor s office, you avoid the risk of transferring the medicine from your body to others. How your prescription gets filled Your physician may either buy AVEED and bill your health plan or order through a Specialty Pharmacy. The Specialty Pharmacy will contact you to collect your copay, bill your health plan, and deliver the medication to your doctor s office prior to your appointment. If your physician orders through a Specialty Pharmacy, you should expect to receive a phone call from your Specialty Pharmacy prior to each injection. Receiving AVEED with certain other medicines can affect each other. Especially tell your doctor if you take insulin, medicines that decrease blood clotting, or corticosteroids. Ask your doctor or pharmacist for a list of these medicines, if you are not sure. How will I receive AVEED? Your doctor will inject AVEED deep into the muscle of your buttock. You will get 1 injection when you start, 1 injection 4 weeks later and then 1 injection every 10 weeks. Your doctor will test your blood before you receive and while you are receiving AVEED. 4 5

4 What to expect when you receive AVEED AVEED is an injection that is always given at the doctor s office. AVEED is only available through your doctor s office, clinic, or hospital, and it is not a medicine you will give yourself at home. Be sure to keep up with your AVEED treatments as prescribed Injection Schedule When you receive AVEED, here s what you should expect: Your doctor will inject AVEED into the muscle of your buttock. Receiving the injection itself takes approximately 60 to 90 seconds. Remain at the doctor s office for 30 minutes to be sure that you are not experiencing any serious injection-related side effects. Return to the doctor s office for regular injections. You will get an injection when you start, another injection 4 weeks later, and then an injection every 10 weeks. What are the possible side effects of AVEED? AVEED can cause serious side effects including: see What is the most important information I should know about AVEED? if you already have enlargement of your prostate gland, your signs and symptoms can get worse while receiving AVEED. possible increased risk of prostate cancer. Your doctor should check you for prostate cancer or any other prostate problems before you receive and while you are receiving AVEED. To keep your testosterone levels in the normal range, it s important to stay with the recommended dosing schedule and get your treatments every 10 weeks after the first month of therapy. liver problems. Symptoms of liver problems may include nausea or vomiting, yellowing of your skin or whites of your eyes, dark urine, or pain on the right side of your stomach area (abdominal pain). swelling of your ankles, feet, or body, with or without heart failure. This may cause serious problems for people who have heart, kidney, or liver disease. enlarged or painful breasts. have problems breathing while you sleep (sleep apnea). blood clots in the legs or lungs. This can include pain, swelling or redness of your legs, difficulty breathing, or chest pain. Call your doctor right away if you have any of the serious side effects listed above. in large doses AVEED may lower your sperm count st YEAR 3-mL 1st dose 4 weeks later Every 10 weeks thereafter

5 Why a 30-minute wait? Patients must remain at the doctor s office for 30 minutes following each injection with AVEED, because AVEED may cause serious side effects. These side effects may occur during or right after an injection. AVEED can cause a temporary but potentially serious condition called a pulmonary oil microembolism (POME). POME is NOT a blood clot. AVEED contains castor oil, and POME is believed to be caused by tiny droplets of castor oil that have traveled to the lungs. Castor oil is one of the ingredients that enables AVEED to be injected every 10 weeks after the first month of therapy. AVEED may also cause a severe allergic reaction called anaphylaxis. Other side effects include more erections than are normal for you or erections that last for a long time. Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects with AVEED. For more information, ask your doctor or pharmacist. Because of these serious potential risks, it s important that you talk to your doctor about whether the benefits of receiving AVEED outweigh these potential risks. Ask your doctor or nurse if you are unsure about the risks of AVEED. Among 3,556 patients in worldwide clinical trials: 9 POME events occurred in 8 patients 2 events of anaphylaxis occurred The most common side effects of AVEED include acne, pain at the injection site, increased prostate specific antigen (a test used to screen for prostate cancer), increased estradiol level, low testosterone level, feeling tired, irritability, increased red blood cell count, difficulty sleeping, or mood swings. Not an actual patient. 8 9

6 AVEED Patient Savings Program $0 Copay on Your First 2 Injections and No More Than $30 Copay for Each Injection After That * AveedUSA.com Ask your doctor about saving with the AVEED Patient Savings Program.* Eligible patients can save up to a maximum reimbursement of $165 for each of your first 2 AVEED injections PLUS, up to a maximum reimbursement of $135 for each injection thereafter. Some restrictions apply. SIGN UP TO STAY IN TOUCH To receive s with news, updates, and helpful information, sign up at AveedUSA.com/SignUp. Speak to your doctor about how the Patient Savings Program will work for you, or visit AveedUSA.com/PatientSavings * On the first 2 AVEED injections, maximum savings is $165 per use. On subsequent injections, maximum savings is $135 per use (after patient pays the first $30). Patient is responsible for any additional balance remaining, and for reporting receipt of this coupon benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the coupon, as may be required. Patient and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through this offer. Terms and Conditions: Offer good only in the USA and void where prohibited or otherwise restricted by law. Offer is valid for patients with private insurance or paying cash. Offer is not valid for prescriptions that may be reimbursed under a federal or state healthcare program, including Medicare, Medicaid, or any other federal or state healthcare programs, including any state medical pharmaceutical assistance programs. Limitations apply, Endo Pharmaceuticals Inc. reserves the right to rescind, revoke, or amend this program without notice. Call your doctor for medical advice about side effects. You may report side effects to FDA at FDA Geriatric Patients: There have not been sufficient numbers of geriatric patients in controlled clinical studies with AVEED to determine whether efficacy or safety in those over 65 years of age differs from younger subjects. There are insufficient long-term safety data in geriatric patients to assess the potential risks of cardiovascular disease and prostate cancer. Patient is responsible for reporting receipt of program rewards to any private insurer that pays for or reimburses any part of the prescriptions filled with this program. Offer expires on 3/1/

7 CONSUMERS What is the most important information I should know about AVEED (testosterone undecanoate) injection, for intramuscular use CIII? AVEED may cause serious side effects, including: A serious lung problem. AVEED can cause a serious lung problem called a pulmonary oil microembolism (POME) reaction. POME is caused by tiny droplets of oil that have traveled to the lungs. Symptoms of a POME reaction may include: - cough or urge to cough - difficulty breathing - sweating - tightening of your throat - chest pain - dizziness - fainting Serious allergic reactions (anaphylaxis). AVEED can cause a serious allergic reaction right after receiving the injection. Some of these allergic reactions may be life threatening. These reactions can happen after you receive your first dose of AVEED or may happen after receiving more than 1 dose. You may need emergency treatment in a hospital, especially if these symptoms get worse over the 24 hours after your AVEED injection. These side effects may happen during or right after each injection. To be sure that you are not having one of these reactions: - You need to stay in the doctor s office, clinic, or hospital for 30 minutes after having your AVEED injection so that your doctor can watch you for symptoms of POME or a serious allergic reaction. - You can only get AVEED at your doctor s office, clinic, or hospital. What is AVEED? AVEED is a prescription medicine that contains testosterone. AVEED is used to treat adult males who have low or no testosterone and conditions associated with low or no testosterone. AVEED is only for adult males who need testosterone replacement therapy and when the benefit of receiving AVEED outweighs the risk of POME and anaphylaxis. It is not known if AVEED is safe and effective for use in children younger than 18 years old. Improper use of AVEED may affect bone growth in children. AVEED is a controlled substance (CIII) because it contains testosterone that can be a target for people who abuse prescription medicines. AVEED is not meant for use in women. Who should not receive AVEED? Do not receive AVEED if you have breast cancer, have or might have prostate cancer, are allergic to AVEED or to any of the ingredients in AVEED (testosterone undecanoate, castor oil, benzyl benzoate), are pregnant, may become pregnant, or are breastfeeding. AVEED may harm your unborn or breastfeeding baby. What should I tell my doctor before receiving AVEED? Before receiving AVEED, tell your doctor if you have breast cancer, have or might have prostate cancer, have urinary problems due to an enlarged prostate, have heart problems, have liver or kidney problems, have problems breathing while you sleep (sleep apnea), or have any other medical conditions. Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Receiving AVEED with certain other medicines can affect each other. Especially tell your doctor if you take insulin, medicines that decrease blood clotting, or corticosteroids. Ask your doctor or pharmacist for a list of these medicines, if you are not sure. Please see full Important Safety Information on next page

8 How will I receive AVEED? Your doctor will inject AVEED deep into the muscle of your buttock. You will get 1 injection when you start, 1 injection 4 weeks later and then 1 injection every 10 weeks. Your doctor will test your blood before you receive and while you are receiving AVEED. What are the possible side effects of AVEED? AVEED can cause serious side effects including: see What is the most important information I should know about AVEED? if you already have enlargement of your prostate gland, your signs and symptoms can get worse while receiving AVEED. possible increased risk of prostate cancer. Your doctor should check you for prostate cancer or any other prostate problems before you receive and while you are receiving AVEED. in large doses AVEED may lower your sperm count. liver problems. Symptoms of liver problems may include nausea or vomiting, yellowing of your skin or whites of your eyes, dark urine, or pain on the right side of your stomach area (abdominal pain). swelling of your ankles, feet, or body, with or without heart failure. This may cause serious problems for people who have heart, kidney, or liver disease. enlarged or painful breasts. have problems breathing while you sleep (sleep apnea). blood clots in the legs or lungs. This can include pain, swelling or redness of your legs, difficulty breathing, or chest pain. Call your doctor right away if you have any of the serious side effects listed above. The most common side effects of AVEED include acne, pain at the injection site, increased prostate specific antigen (a test used to screen for prostate cancer), increased estradiol level, low testosterone level, feeling tired, irritability, increased red blood cell count, difficulty sleeping, or mood swings. Other side effects include more erections than are normal for you or erections that last for a long time. Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects with AVEED. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at FDA Geriatric Patients: There have not been sufficient numbers of geriatric patients in controlled clinical studies with AVEED to determine whether efficacy or safety in those over 65 years of age differs from younger subjects. There are insufficient long-term safety data in geriatric patients to assess the potential risks of cardiovascular disease and prostate cancer