Prescribing Information

ILUVIEN UK Prescribing Information

ILUVIEN® 190 micrograms intravitreal implant in applicator. Refer to the Summary of Product Characteristics (SmPC) before prescribing. Presentation: intravitreal implant in applicator. Each implant contains 190 micrograms of fluocinolone acetonide. Light brown coloured cylinder, approximately 3.5mm x 0.37mm in size. Implant applicator with 25 gauge needle. Indication: ILUVIEN is indicated for the treatment of vision impairment associated with chronic diabetic macular oedema (DMO), considered insufficiently responsive to available therapies; and for prevention of relapse in recurrent non-infectious uveitis affecting the posterior segment of the eye. Dosage and method of administration: The recommended dose is one ILUVIEN implant in the affected eye. Administration in both eyes concurrently is not recommended. Each ILUVIEN implant releases fluocinolone acetonide for up to 36 months. In DMO, an additional implant may be administered after 12 months if the patient experiences decreased vision or an increase in retinal thickness secondary to recurrent or worsening diabetic macular oedema. Retreatments should not be administered unless the potential benefits outweigh the risks. Only patients who have been insufficiently responsive to prior treatment with laser photocoagulation or other available therapies for diabetic macular oedema should be treated with ILUVIEN. Children under 18: No relevant use. Special populations: No dosage adjustments are necessary in elderly patients, or those with renal or hepatic impairment. Method of Administration: ILUVIEN should be administered by an ophthalmologist experienced in intravitreal injections. Educational Guidance: Prior to administering ILUVIEN, physicians should familiarise themselves with the ILUVIEN Administration Guide. Contraindications: Presence of pre-existing glaucoma or active or suspected ocular or periocular infection including most viral diseases of the cornea and conjunctiva, including active epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, varicella, mycobacterial infections, and fungal diseases. Infectious uveitis or hypersensitivity to the active substance or to any of the excipients. Special warnings and precautions: Intravitreal injections have been associated with endophthalmitis, increase or decrease in intraocular pressure, retinal detachment and vitreous haemorrhage or detachment. Patients should be instructed to report without delay any symptoms suggestive of endophthalmitis. Patient monitoring within two to eight days following the injection may permit early identification and treatment of ocular infection, decrease or increase in intraocular pressure or other complication. It is recommended that intraocular pressure be monitored at least quarterly thereafter. Use of intravitreal corticosteroids may cause cataracts, increased intraocular pressure, glaucoma and may increase the risk of secondary infections. The safety and efficacy of ILUVIEN administered to both eyes concurrently have not been studied. It is recommended that an implant is not administered to both eyes at the same visit. Concurrent treatment of both eyes is not recommended until the patient’s systemic and ocular response to the first implant is known. There is a potential for implants to migrate into the anterior chamber, especially in patients with posterior capsular abnormalities, such as tears. This should be taken into consideration when examining patients complaining of visual disturbance after treatment. Interactions: No interaction studies with other medicinal products have been performed. Pregnancy and lactation: There are limited data from the use of intravitreally administered fluocinolone acetonide in pregnant women. As a precautionary measure it is preferable to avoid the use of ILUVIEN during pregnancy. Although systemic exposure of fluocinolone is very low, a risk benefit decision should be made prior to use of ILUVIEN during breast-feeding. Driving and using machines: ILUVIEN has minor influence on the ability to drive and use machines. Patients may experience temporarily reduced vision after administration of ILUVIEN and should refrain from driving or using machines until this has resolved. Undesirable effects: Very common (≥1/10): cataract operation, cataract, increased intraocular pressure. Common (≥1/100 to <1/10): glaucoma, retinal detachment, optic disc haemorrhage*, vitreous haemorrhage, reduced visual acuity, visual field defect*, macula fibrosis*, conjunctival haemorrhage, blurred vision*, hypotony of eye*, vitreous floaters, anterior chamber cells*, vitreous opacities*, foreign body sensation in eyes*, dry eye*, photopsia*, eye pain , trabeculectomy, glaucoma surgery, vitrectomy, trabeculoplasty. Uncommon (≥1/1,000 to <1/100): endophthalmitis, headache, retinal vascular occlusion, optic nerve disorder, maculopathy, optic atrophy, conjunctival ulcer, iris neovascularisation, retinal exudates, vitreous degeneration, vitreous detachment, choroidal detachment*, corneal erosion*, corneal deposits, posterior capsule opacification, iris adhesions, blepharospasm*, eye oedema*, ocular hyperaemia, sclera thinning, eye discharge, eye pruritus, extrusion of implant, implant in line of sight, procedural complication, procedural pain, removal of extruded implant from sclera, device dislocation (implant migration). Consult the SmPC for full details of undesirable effects. Overdose: No case of overdose has been reported. Legal classification: POM. Pack size and NHS list price: £5,500.00 (ex VAT) for each ILUVIEN 190 micrograms intravitreal implant in applicator. Marketing Authorisation number PL 41472/0001. Marketing Authorisation Holder: Alimera Sciences Limited, Royal Pavilion, Wellesley Road, Aldershot, Hampshire, GU11 1PZ, United Kingdom. Date of preparation of PI: July 2019

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse events should also be reported to Alimera Sciences Limited (telephone: 0800 148 8274) pvalimerasciences@alimerasciences.com

*Observed only in patients with Uveitis

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