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  • Prescribing Information
  • Patient Information
  • Visit NZ HCP site
  • NUCALA also treats
    • Chronic Rhinosinusitis
      with Nasal Polyps
    • Eosinophilic Granulomatosis
      with Polyangiitis
  • Prescribing Information
    • Prescribing Information
    • Patient Information
    • Visit NZ HCP site
    • NUCALA also treats:
    • Chronic Rhinosinusitis
      with Nasal Polyps
    • Eosinophilic Granulomatosis
      with Polyangiitis
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  • What is severe asthma?
  • About NUCALA
    • Why Nucala?
    • Nucala Pre-filled Pen
    • How does NUCALA Work?
    • Let's get the Conversation Started
    • Frequently Asked Questions
  • Taking NUCALA
    • Your First Treatment
    • How To Inject Nucala at Home
  • Risks & Side Effects
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Home | Nucala

NUCALA is an additional, prescription maintenance treatment for patients 12 and older with severe eosinophilic asthma. NUCALA is not used to treat sudden breathing problems.

Home | What NUCALA can offer

Helps prevent severe asthma flare ups, Helps reduce the need for oral steroids, Helps improve quality of life, Easy-to-use, at-home administration options

Home | Is your asthma severe?

If you're taking all your asthma medications and are still struggling, elevated eosinophils may be a cause.

Home | The NUCALA pre-filled pen

Curious about taking your medication at home? Learn about a 4-weekly, at-home option.

What is severe asthma

Doctors consider your asthma to be severe if you take daily high-dose asthma medicines and have a history of severe asthma attacks (which are also called exacerbations). These attacks may have required steroids like prednisone, and you may have gone to the ED or been hospitalised to treat them.

What is severe asthma | Let's start with one potential cause: eosinophils

To understand possible causes of severe asthma attacks, it's important to understand the role eosinophils (ee-uh-sin-uh-fils) can play.

What is severe asthma | Could you have severe asthma?

If you're taking all your asthma medications but still struggling, it could be severe asthma. These are some of the key signs doctors look for when diagnosing severe asthma.

What is severe asthma | Let's prep for next steps with your doctor

To get the right diagnosis, it's important to be open and honest with your doctor.

About NUCALA | Why NUCALA

NUCALA is used to treat asthma by reducing the frequency of asthma flare ups in patients aged 12 and over who are already receiving asthma medicines, but whose asthma flare ups are not well controlled by medicines such as high-dose corticosteroid inhalers or beta-agonist inhalers.

About NUCALA | Why NUCALA | What else should I know about NUCALA?

NUCALA is a different kind of treatment for your severe asthma. It's an injection you get every 4 weeks in addition to your current asthma medicines.

About NUCALA | Why NUCALA | How can NUCALA help severe asthma

NUCALA may decrease airway inflammation that can cause severe asthma attacks. It works by targeting eosinophils, one source of inflammation, so it treats more than just your symptoms of severe asthma.

About NUCALA | Why NUCALA | How do I know if NUCALA is an option for me

Your doctor can give you a blood test that measures your eosinophil count or refer you to a specialist who will review your asthma with you and request the relevant blood tests.

About NUCALA | Why NUCALA | Interested in NUCALA? Here's what to do next

If you're wondering whether NUCALA can help prevent your severe asthma attacks, start by talking to your doctor.

About NUCALA | NUCALA Pre-filled pen

NUCALA Pre-filled pen is a 4-weekly injection for severe eosinophilic asthma patients ages 12 and older. Together, you and your doctor can decide if at-home administration with NUCALA is right for you.

About NUCALA | How does NUCALA work

NUCALA targets eosinophils, but what exactly does that mean?

About NUCALA | How does NUCALA work | NUCALA targets eosinophils, but what exactly does that mean?

NUCALA targets eosinophils, but what exactly does that mean?

About NUCALA | How does NUCALA work | What are eosinophils?

Eosinophils [ee-uh-sin-uh-fils] are white blood cells that are a normal part of the body's immune system.

About NUCALA | How does NUCALA work | How do eosinophils play a role in severe asthma?

Having too many eosinophils in your blood can damage the airways and can cause your asthma to get worse or can increase the number of your asthma flare ups.

About NUCALA | How does NUCALA work | NUCALA reduces eosinophils

NUCALA is not a steroid like prednisone. It is designed to reduce the number of eosinophils in your blood.

About NUCALA | How does NUCALA work | A simple blood test can measure the number of eosinophils in your blood

Your doctor can give you a blood test that measures your eosinophil count or refer you to a specialist who will review your asthma with you and request the relevant blood tests.

About NUCALA | How does NUCALA work | how NUCALA targets eosinophils to help reduce airway inflammation

See how NUCALA targets eosinophils to help reduce airway inflammation

About NUCALA | Let's get the conversation started

Feel like you're doing everything you can for your severe asthma, and it still isn't enough? It's important to be open and honest with your doctor about your symptoms to make sure you're on a treatment plan that's right for you. Because, if you have severe asthma — especially the eosinophilic type — your GP may need to refer you to an asthma specialist, like a respiratory specialist or immunologist.

About NUCALA | Frequently asked questions

Find some answers to common questions about NUCALA

About NUCALA | General FAQs

Find some answers to general questions about NUCALA

About NUCALA | Frequently asked questions | At-home Administration FAQs

Find some answers to at home administration questions about NUCALA

About NUCALA | Frequently asked questions | Pre-filled Pen FAQs

Find some answers to pre-filled pen questions about NUCALA

Taking NUCALA | How to inject NUCALA at home

Your healthcare provider will give you information you need to inject properly and about monitoring for any allergic reactions. Sometimes, serious allergic reactions, including anaphylaxis, can occur hours or days later. Here you can find videos, instructions, and other useful information on how to use the NUCALA pre-filled pen for patients aged 12+.

Taking NUCALA | How to inject NUCALA at home | Instruction for injecting video

Instruction for injecting video

Taking NUCALA | How to inject NUCALA at home | NUCALA Storage information

Store in the refrigerator between 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 30° for up to 7 days. Safely throw away the pre-filled pen if it is left out of the refrigerator in the unopened carton for more than 7 days. The pre-filled pen must be used within 8 hours after you take it out of the carton. Safely throw it away if is not used within 8 hours. Safely throw away medicine that is out of date or no longer needed.

Taking NUCALA | How to inject NUCALA at home | NUCALA usage warnings

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

Taking NUCALA | How to inject NUCALA at home | Pre-filled Pen FAQs

Pre-filled Pen FAQs

Taking NUCALA | Your first treatment

Your first treatment

Taking NUCALA | Your first treatment | Your doctor has prescribed NUCALA for you

You took an important step by talking with your doctor about NUCALA. Through a review of your blood test results, symptoms, and medication, your doctor determined that eosinophils are a part of your severe asthma. You should know that filling your prescription will be a little different from what you may be used to.

Taking NUCALA | Your first treatment | What to expect during your first treatment at your doctors office

At your doctor's office, Your healthcare professional will prepare your injection. You will receive an injection just underneath your skin (subcutaneously). After your injection you may be asked to stay in the office so your doctor can monitor you for serious allergic reactions.

Taking NUCALA | Your first treatment | What to expect during your first treatment at home

At home, Your doctor will provide you or your caregiver with information on injecting, including how to properly inject and education about monitoring for any allergic reactions, including anaphylaxis. Sometimes serious allergic reactions can occur hours or days later.

Taking NUCALA | Your first treatment | A few things to keep in mind as you continue your treatment with NUCALA

NUCALA is designed to work with your current asthma medications to reduce your severe asthma attacks. Don't make any changes to your medications without first consulting your doctor

Risks and side effects

Risks and side effects

Risks and side effects | Safety information about NUCALA

NUCALA is used to treat asthma by reducing the frequency of asthma flare ups in patients aged 12 and over who are already receiving asthma medicines, but whose asthma flare ups are not well controlled by medicines such as high-dose corticosteroid inhalers or beta-agonist inhalers.

Risks and side effects | Who should not use NUCALA?

Do not use NUCALA to treat sudden breathing problems. It is not known if NUCALA is safe and effective in children under 12 years of age. Do not use NUCALA if you are allergic to mepolizumab or any of the ingredients in NUCALA.

Risks and side effects | What are the possible side effects of NUCALA?

Allergic (hypersensitivity) reactions, including anaphylaxis. Serious allergic reactions can happen after you get your NUCALA injection. Allergic reactions can sometimes happen hours or days after you get a dose of NUCALA.

Risks and side effects | NUCALA can cause serious side effects

Allergic (hypersensitivity) reactions, including anaphylaxis. Herpes zoster infections.

Risks and side effects | The most common side effects of NUCALA

headache, injection site reactions (pain, redness, swelling, itching, or a burning feeling at the injection site), back pain, and tiredness (fatigue).

Risks and side effects | What are the ingredients in NUCALA?

Active ingredient: mepolizumab.
Inactive ingredients: citric acid monohydrate, EDTA disodium dihydrate, polysorbate 80, sodium phosphate dibasic heptahydrate, and sucrose.

Resources

Resources

Resources | Doctor Discussion Guide

Doctor Discussion Guide

Resources | Nucala Patient Diary

Nucala Patient Diary

Resources | Instructions for Use Brochure

Instructions for Use Brochure

Resources | Disussion Guide

Frequently Asked Questions Brochure

Resources | Instructions for Use Video

Instructions for Use Video

Resources | How Nucala Works Video

How Nucala Works Video

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Ready to talk to your doctor?

Download the doctor discussion guide to keep the conversation on track.
Important Safety Information:

Do not use NUCALA if you are allergic (hypersensitive) to mepolizumab or any of the ingredients in NUCALA.

Do not use to treat sudden breathing problems.

The most common side effects of NUCALA are headache, injection site reactions (pain, redness, swelling, itching, or a burning feeling at the injection site), back pain, and fatigue.

Tell your doctor or get emergency help right away if you think you are having an allergic reaction to NUCALA.

Any information provided on this website should be discussed with a healthcare professional and does not replace a healthcare professional's advice.

References:
  1. Data Sheet GlaxoSmithKline New Zealand. Nucala Data Sheet. GSK NZ; 2022. Available at http://www.medsafe.govt.nz/profs/datasheet/dsform.asp
  2. Consumer Medicine Information GlaxoSmithKline New Zealand. Nucala Consumer Medicine Information. GSK NZ; 2023. Available at https://www.medsafe.govt.nz/Medicines/infoSearch.asp
  3. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention 2022. Available from: www.ginasthma.org
  4. Bernstein D, Pavord ID, Chapman KR et al. Usability of mepolizumab single-use prefilled autoinjector for patient self-administration. J Asthma 2019;28:1-12
Nucala (mepolizumab 100 mg) is a Prescription Medicine, available as a 100 mg powder for injection (100 mg/ mL after reconstitution) and as a 100 mg/mL pre-filled pen (auto-injector). Nucala is used as an add-on treatment for; severe eosinophilic asthma in patients 12 years and over, severe chronic rhinosinusitis with nasal polyps (CRSwNP) with an inadequate response to intranasal corticosteroids in adult patients 18 years and older, relapsing or refractory Eosinophilic Granulomatosis with Polyangiitis (EGPA) in adult patients aged 18 years and over, and in adult patients with inadequately controlled hypereosinophilic syndrome (HES) without an identifiable non-haematologic secondary cause. Nucala is given by injection under your skin (subcutaneous). Nucala is fully funded for severe eosinophilic asthma only; Special Authority criteria apply. Use strictly as directed. Nucala has risks and benefits. Do not stop taking your other asthma medications including inhaled and /or oral steroid asthma medications. Tell your doctor if: you have a parasitic (helminth) infection; you are taking prescription and over-the-counter medicines, vitamins, and herbal supplements; you are pregnant or plan to become pregnant; you are breastfeeding or plan to breastfeed. Nucala does not treat acute asthma symptoms, such as sudden asthma attack. Tell your healthcare professional or get emergency help immediately if you have any of the following symptoms of an allergic reaction: swelling of your face, mouth, and tongue, breathing problems, fainting, dizziness, feeling light-headed (low blood pressure), rash or hives. Side effects: headache, injection site reactions (pain, redness, swelling, itching, or a burning feeling at the injection site), back pain, and fatigue. Serious side effects may include allergic (hypersensitivity) reactions, including anaphylaxis. Serious allergic reactions can happen after you get your injection of Nucala. Allergic reactions can sometimes happen hours or days after you get a dose of Nucala. Herpes zoster infections that can cause shingles have happened in people who received Nucala. If symptoms continue or you have side effects, see your doctor, pharmacist or health care professional. For more information, see Nucala Consumer Medicine Information at www.medsafe.govt.nz. Ask your doctor if Nucala is right for you. Normal doctor's charges apply.

This website is intended for residents of New Zealand only.

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