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Anakinra: package leaflet

For patients

Package leaflet, verbatim

Package leaflet: Kineret 100 mg/0.67 ml solution for injection in pre-filled syringe

1. Hold the syringe barrel and gently remove the cover from the

needle without twisting. Pull straight as shown in Figure A.
Do not touch the needle or push the plunger. Immediately discard the needle cover.

2. You should position the syringe in one hand with the needle

pointing straight upwards as shown in Figure B. Put your thumb on the plunger rod and push slowly until you see a tiny liquid drop at the tip of the needle.

3. Turn the syringe so that the needle is now pointing

downwards. Place a sterile gauze or tissue on a flat surface and hold the syringe above it with the needle pointing towards the gauze or tissue, as shown in Figure C. Make sure the needle does not touch the gauze or tissue.

4. Put your thumb on the plunger rod and push slowly until the

plunger front has reached the scale mark of your Kineret dose. (Your doctor will have told you what dose you need to use.) The ejected liquid will be absorbed by the gauze or tissue as shown in Figure C.

5. If you are not able to set the correct dose, dispose of the

syringe and use a new one.

6. You can now use the pre-filled syringe as described in the

“Where should you give your injection?” section and the
“How do you give your injection?” section.

Figure A

Where should you give your injection?

The most suitable places to inject yourself or your child are (See Figure D):

  • the abdomen (except for the area around the navel)
  • the top of the thighs
  • the upper outer areas of the buttocks; and
  • the outer area of the upper arms

Adult

Child

Change the place that you inject each time so you don’t become sore in one area. If someone else is injecting for you, they can also use the back of your arms.

How do you give your injection?

1.
Disinfect the skin by using the alcohol wipe and pinch the skin between your thumb and forefinger, without squeezing it.

2.
Put the needle fully into the skin as shown by your nurse or doctor.

3.
Inject the liquid slowly and evenly, always keeping the skin pinched as in Figure E.

4.
After injecting the liquid, remove the needle and let go of the skin.

5.
Any unused medicine must be discarded. Only use each syringe for one injection. Do not reuse a syringe as this can cause infection.

Remember

If you have any problems, please do not be afraid to ask your doctor or nurse for help and advice.

Figure D
Figure E

Disposing of used syringes and supplies

  • Do not put the cover back on used needles.
  • Keep used syringes out of reach and sight of children.
  • Never put the pre-filled syringes that you have used into your normal household rubbish bin.
  • If you had a dose lower than 100 mg you will have been told to eject liquid from the syringe onto a gauze or tissue. After your injection discard the wet gauze or tissue with your syringe and clean the surface with a fresh tissue.
  • The used pre-filled syringe and any gauze or tissue with Kineret solution should be disposed of in accordance with local requirements. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

Source: European Medicines Agency (EMA), product information. Not advertising, not a treatment recommendation. For questions about your own treatment, ask your doctor or pharmacist.