{"id":5057,"date":"2020-12-08T10:50:48","date_gmt":"2020-12-08T10:50:48","guid":{"rendered":"https:\/\/zeepedia.com\/?p=5057"},"modified":"2021-08-10T07:39:35","modified_gmt":"2021-08-10T07:39:35","slug":"ajovy","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ajovy\/","title":{"rendered":"AJOVY &#8211; Fremanezumab uses, dose and side effects"},"content":{"rendered":"\n<p> 225 mg&nbsp;injection, solution in prefilled&nbsp;pen&nbsp;<br>fremanezumab<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What AJOVY is and what it is used for<\/h2>\n\n\n\n<p><strong>What AJOVY is<\/strong><\/p>\n\n\n\n<p>AJOVY is a medicine that contains the active substance fremanezumab;&nbsp;a monoclonal&nbsp;antibody, ie a type of&nbsp;protein&nbsp;that recognizes and binds to a specific target in the body.<\/p>\n\n\n\n<p><strong>How AJOVY works<\/strong><\/p>\n\n\n\n<p>In&nbsp;migraines, a substance in the body, a so-called calcitonin-related&nbsp;peptide&nbsp;(CGRP), plays an important role.&nbsp;Fremanezumab binds to CGRP and prevents it from working.&nbsp;The reduced CGRP activity in turn leads to fewer migraine attacks.<br><\/p>\n\n\n\n<p><strong>What AJOVY is used for<\/strong><\/p>\n\n\n\n<p>AJOVY is used to prevent&nbsp;migraines&nbsp;in adults who have at least 4 days of&nbsp;migraines per month.<br><\/p>\n\n\n\n<p><strong>What are the benefits of using AJOVY?<\/strong><\/p>\n\n\n\n<p>AJOVY provides fewer migraine attacks and fewer days with headaches.&nbsp;This drug also alleviates the disability associated with&nbsp;migraines&nbsp;and reduces the need for drugs used to treat migraine attacks.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using AJOVY<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use AJOVY<\/h2>\n\n\n\n<p>Do not use this medicine if you are allergic to fremanezumab or any of the other ingredients of this medicine (listed in section 6).<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to a doctor, pharmacist, or nurse if you experience symptoms of an&nbsp;allergic reaction, e.g.&nbsp;difficulty breathing, swelling of the lips, and heavy or severe skin rash after injecting AJOVY.<br><\/p>\n\n\n\n<p>Tell your doctor if you have or have had cardiovascular disease (problems affecting your heart and blood vessels) before using this medicine as AJOVY has not been studied in patients with certain cardiovascular diseases.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>AJOVY is not recommended for children and adolescents under 18 years of age as it has not been studied in this age group.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and AJOVY<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.&nbsp;You should not use AJOVY during pregnancy as the effect of this medicine on pregnant women is unknown.<br><\/p>\n\n\n\n<p>If you are breast-feeding or planning to breast-feed, talk to your doctor or pharmacist before taking this medicine.&nbsp;You and your doctor should decide if you should use AJOVY while breast-feeding.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>This medicine is not expected to affect your ability to drive or use machines.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">AJOVY contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;sodium&nbsp;per&nbsp;dose, ie essentially &#8216;sodium-free&#8217;.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use AJOVY<\/h2>\n\n\n\n<p>Always use this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<p>AJOVY is injected under the skin (&nbsp;subcutaneous&nbsp;injection&nbsp;).&nbsp;The doctor or nurse will explain to you or your healthcare provider how&nbsp;to give an&nbsp;injection.&nbsp;Do not inject AJOVY until you or your healthcare provider have been instructed by your doctor or nurse.<br><\/p>\n\n\n\n<p>Read the &#8220;Instructions for use&#8221; for the pre-filled pen carefully before using AJOVY.<br><\/p>\n\n\n\n<p><strong>How much and when to inject<\/strong><\/p>\n\n\n\n<p>Your doctor will discuss with you and decide on the most appropriate dosing schedule.&nbsp;There are two recommended dosing options:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>one&nbsp;injection&nbsp;(225 mg) once a month or<\/li><li>three&nbsp;injections&nbsp;(675 mg) every 3 months.<\/li><\/ul>\n\n\n\n<p>If your&nbsp;dose&nbsp;is 675 mg, you should inject the three&nbsp;225 mg&nbsp;injections one&nbsp;after the other but at different injection sites.<br><\/p>\n\n\n\n<p>Use some form of reminder such as taking a note in a calendar or diary to remember when to take the next&nbsp;dose, so that you do not miss a&nbsp;dose&nbsp;or take a&nbsp;dose&nbsp;too soon after the last&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more AJOVY than you should&nbsp;<\/h2>\n\n\n\n<p>If you have used more AJOVY than you should, tell your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use AJOVY<\/h2>\n\n\n\n<p>If you miss a&nbsp;dose&nbsp;of AJOVY, inject the missed&nbsp;dose&nbsp;as soon as you can.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose.&nbsp;If you are not sure when to inject AJOVY, talk to a doctor, pharmacist, or nurse.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<\/p>\n\n\n\n<p>The following mild to moderate, short-term local skin reactions may occur around the injection site:<br><\/p>\n\n\n\n<p><em>Very common (may affect more than 1 user in 10)<\/em><\/p>\n\n\n\n<p>Pain, hardening, or&nbsp;redness&nbsp;at the injection site<\/p>\n\n\n\n<p><em>Common (may affect up to 1 in 10 people)<\/em><\/p>\n\n\n\n<p>Itching&nbsp;at the injection site<br><\/p>\n\n\n\n<p><em>Uncommon (may affect up to 1 in 100 people)<\/em><\/p>\n\n\n\n<p>Skin rash at the injection site<\/p>\n\n\n\n<p>Hypersensitivity reactions, such as skin rash, swelling, or&nbsp;hives&nbsp;(see section 2)<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store AJOVY<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the pen label and carton after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Store in a refrigerator (2 \u00b0 C \u2011 8 \u00b0 C).&nbsp;Do not freeze.<\/p>\n\n\n\n<p>Keep the pre-filled pen in the outer carton.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p>This medicine can be taken out of the refrigerator and stored at a maximum of 25 \u00b0 C for a maximum period of 24 hours.&nbsp;The medicine must be discarded if it has been stored outside the refrigerator for more than 24 hours.<br><\/p>\n\n\n\n<p>Do not use this medicine if you notice that the outer carton has been tampered with, the pen has been damaged, or if the medicine is cloudy, discolored, or contains particles.<br><\/p>\n\n\n\n<p>The pen is for single use only.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is fremanezumab. Each pre-filled&nbsp;pen&nbsp;contains 225 mg of fremanezumab.<\/li><li>The other ingredients are histidine, histidine hydrochloride monohydrate, sucrose, disodium edetate (\u2011dihydrate), polysorbate 80, water for injections.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>AJOVY is an&nbsp;injection&nbsp;solution (&nbsp;for injection&nbsp;) in a pre-filled&nbsp;pen&nbsp;disposable.&nbsp;AJOVY is clear and colorless to a slightly yellowish solution.&nbsp;Each pre-filled&nbsp;pen&nbsp;contains 1.5 ml of solution.<br><\/p>\n\n\n\n<p>AJOVY is available in packs of 1 or 3 pre-filled pens.&nbsp;Not all pack sizes may be available in your country.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>TEVA GmbH<\/p>\n\n\n\n<p>Graf-Arco-Str.&nbsp;3<\/p>\n\n\n\n<p>89079 Ulm<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Merckle GmbH<\/p>\n\n\n\n<p>Graf-Arco-Str.&nbsp;3<\/p>\n\n\n\n<p>89079 Ulm<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p>Teva Pharmaceuticals Europe BV<\/p>\n\n\n\n<p>Swensweg 5<\/p>\n\n\n\n<p>2031 GA Haarlem<\/p>\n\n\n\n<p>Netherlands<br><\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgium \/ Belgique \/ Belgien<\/strong>Teva Pharma Belgium NV \/ SA \/ AGTel: +32 3 820 73 73<\/td><td><strong>Lithuania<\/strong>UAB Teva BalticsTel: +370 5 266 02 03<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>Octavis FAD&nbsp;Tel .: + 359 2 489 95 85<\/td><td><strong>Luxembourg \/ Luxemburg<\/strong>TEVA GmbHGermany \/ GermanyTel: +49 731 402 08<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>Teva Pharmaceuticals CR, sroTel: +420 251 007 111<\/td><td><strong>Hungary<\/strong>Teva Gy\u00f3gyszergy\u00e1r Zrt.Tel .: +36 1 288 6400<\/td><\/tr><tr><td><strong>Denmark<\/strong>Teva Denmark A \/ STel: +45 44 98 55 11<\/td><td><strong>Malta<\/strong>Teva Pharmaceuticals IrelandL-IrelandTel: +353 51 321740<\/td><\/tr><tr><td><strong>Germany<\/strong>TEVA GmbHTel .: +49 731 402 08<\/td><td><strong>The Netherlands<\/strong>Teva Nederland BVTel: +31 800 022 8400<\/td><\/tr><tr><td><strong>Eesti<\/strong>UAB Teva Baltics Eesti subsidiaryTel: +372 661 0801<\/td><td><strong>Norway<\/strong>Teva Norway ASTel: +47 66 77 55 90<\/td><\/tr><tr><td><strong>Greece<\/strong>Specify ABEE:\u0397\u03bb: +30 211 880 5000<br><\/td><td><strong>Austria<\/strong>ratiopharm Arzneimittel Vertriebs-GmbHTel: +43 1 97 007 0<\/td><\/tr><tr><td><strong>Spain<\/strong>Teva Pharma, SLUTel: +34 91 387 32 80<\/td><td><strong>Poland<\/strong>Teva Pharmaceuticals Polska Sp.&nbsp;z ooTel .: +48 22 345 93 00<\/td><\/tr><tr><td><strong>France<\/strong>Teva HealthTel: +33 1 55 91 78 00<\/td><td><strong>Portugal<\/strong>Teva Pharma &#8211; Pharmaceutical Products, LdaTel: +351 21 476 75 50<\/td><\/tr><tr><td><strong>Croatia<\/strong>Pliva Hrvatska dooTel: +385 1 37 20 000<br><strong>Ireland<\/strong>Teva Pharmaceuticals IrelandTel: +353 (0) 1912 7700<\/td><td><strong>Romania<\/strong>Teva Pharmaceuticals SRLTel: +40 21 230 65 24<br><strong>Slovenia<\/strong>Pliva Ljubljana dooTel: +386 1 58 90 390<\/td><\/tr><tr><td><strong>Iceland<\/strong>Actavis Pharmaceuticals Iceland ehf.Phone: +354 550 3300<\/td><td><strong>Slovak Republic<\/strong>TEVA Pharmaceuticals Slovakia sroTel: +421 2 57 26 79 11<\/td><\/tr><tr><td><strong>Italy<\/strong>Teva Italia SrlTel: +39 02 89 17 98 1<\/td><td><strong>Finland \/ Finland<\/strong>Teva Finland OyPuh \/ Tel: +358 20 180 5900&nbsp;<\/td><\/tr><tr><td><strong>\u039a\u03cd\u03c0\u03c1\u03bf\u03c2<\/strong>Specify ABEEGreece:\u0397\u03bb: +30 211 880 5000<\/td><td><\/td><\/tr><tr><td><strong>Latvia<\/strong>UAB Teva Baltics subsidiary Latvij\u0101Tel: +371 673 23 666<\/td><td><strong>United Kingdom<\/strong>Teva UK LimitedTel: +44 1977 628500<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>This leaflet was last modified 09\/2020<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other sources of information<\/h2>\n\n\n\n<p>Further information on this medicine is available on the European Medicines Agency web site: http:\/\/www.ema.europa.eu.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Instructions for use<\/h2>\n\n\n\n<p><strong>AJOVY 225 mg&nbsp;solution for injection&nbsp;in a pre-filled&nbsp;pen<\/strong><\/p>\n\n\n\n<p>fremanezumab<br><\/p>\n\n\n\n<p><strong>Before using AJOVY pre-filled&nbsp;pen, carefully read through the step-by-step instructions below.<\/strong><br><\/p>\n\n\n\n<p><strong>Important information:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>AJOVY prefilled&nbsp;pen&nbsp;is for single use only.<\/li><li>Each AJOVY prefilled&nbsp;pen&nbsp;contains 225 mg fremanezumab.&nbsp;Depending on your prescribed&nbsp;dose, you will need to use 1 pre-filled&nbsp;pen&nbsp;or 3 pre-filled pens.<\/li><li>AJOVY is injected under the skin (&nbsp;subcutaneous&nbsp;injection&nbsp;).&nbsp;You should not inject yourself until you have been trained by a doctor or nurse.<\/li><li>Carefully read the leaflet for AJOVY to learn more about this medicine.<\/li><li>Shake&nbsp;<strong>not<\/strong>&nbsp;the pre-filled pen.<\/li><li><strong>Immediately put the carton back in the refrigerator<\/strong>&nbsp;if there are unused pre-filled pens in the carton.<br><\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>AJOVY prefilled&nbsp;pen&nbsp;(before use)<\/strong><br><\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product;jsessionid=Hu1B1Z2dWqIs2hrcQ1pqKc2zuZpNhk86U---o3X_fOnKvQuV4V6M!1291279176?userType=2&amp;nplId=20200114000086#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/imaging\/resources\/a3618f6e-6059-4131-ad45-da0e630934ba\" alt=\"Ajovy pre-filled pen before use\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>AJOVY&nbsp;<\/strong><strong>prefilled&nbsp;pen&nbsp;(after use)<\/strong><br><\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product;jsessionid=Hu1B1Z2dWqIs2hrcQ1pqKc2zuZpNhk86U---o3X_fOnKvQuV4V6M!1291279176?userType=2&amp;nplId=20200114000086#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/imaging\/resources\/d1540535-74aa-4f52-aa58-26067c88e47f\" alt=\"AJOVY pre-filled pen (after use)\"\/><\/a><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li>The blue plunger moves down the window during&nbsp;the injection.&nbsp;The blue plunger fills the window when&nbsp;the injection&nbsp;is complete.&nbsp;(Note: Once the blue plunger has filled the window, you will still be able to see the gray stopper.)<\/li><li>When injecting AJOVY, hold the pre-filled pen so that your hand does not cover the window.<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Step 1: Prepare for an&nbsp;injection<\/strong><br><\/p>\n\n\n\n<p><strong>a)&nbsp;<\/strong><strong>Develop the following accessories for the injection:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>1 or 3 AJOVY pre-filled pens for 1 or 3&nbsp;injections, depending on your prescribed&nbsp;dose.<\/li><li>1 alcohol dryer per&nbsp;injection.<\/li><li>1 gauze or cotton ball per&nbsp;injection.<\/li><li>1 container for stinging and cutting waste.<\/li><\/ul>\n\n\n\n<p><strong>b)&nbsp;<\/strong><strong>Place the accessories you have developed on a clean and flat surface.<\/strong><br><\/p>\n\n\n\n<p><strong>c)&nbsp;Wait 30 minutes for AJOVY to reach room temperature (&lt;30&nbsp;\u00b0&nbsp;C) to reduce discomfort during&nbsp;injection.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Do&nbsp;<strong>not<\/strong>&nbsp;leave&nbsp;the pre-filled pen in direct sunlight.<\/li><li>Heat&nbsp;<strong>is not<\/strong>&nbsp;the pre-filled pen in the microwave or by another heat source.<\/li><\/ul>\n\n\n\n<p><strong>d)&nbsp;<\/strong><strong>Wash your hands<\/strong>&nbsp;with soap and water and dry them thoroughly with a clean towel.<br><\/p>\n\n\n\n<p><strong>e)&nbsp;Inspect AJOVY prefilled&nbsp;pen.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Check the pen label.&nbsp;Make sure it says AJOVY on the label.<\/li><li>Check that the medicine in the pencil window is clear and colorless to slightly yellowish.<\/li><li>You can see small air bubbles in the pre-filled pen.&nbsp;This is normal.<\/li><li>Do&nbsp;<strong>not use<\/strong>&nbsp;the pre-filled pen if you notice any of the following:<ul><li>The pen appears damaged.<\/li><li>The expiration date has passed or if the pre-filled pen has been removed from the refrigerator for more than 24 hours.<\/li><li>The medicine is cloudy, discolored, or contains particles.<\/li><\/ul><\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product;jsessionid=Hu1B1Z2dWqIs2hrcQ1pqKc2zuZpNhk86U---o3X_fOnKvQuV4V6M!1291279176?userType=2&amp;nplId=20200114000086#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/imaging\/resources\/7469b2df-6350-49b9-9304-e6568a5b209a\" alt=\"Inspect the pen\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>f)&nbsp;<\/strong><strong>Select injection site.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Choose an injection site from the following areas:<ul><li><strong>Abdominal area<\/strong>&nbsp;(abdomen) but avoid the area about 5 cm around the navel.<\/li><li><strong>The front of the thighs<\/strong>, about 5 cm above the knee and 5 cm below the groin.<\/li><li><strong>The back of the upper arm<\/strong>, the area with a lot of adipose tissue on the upper part of the back of the arm.<\/li><\/ul><\/li><li>If several&nbsp;injections&nbsp;are&nbsp;required, they can be given in the same area or in another area (abdomen, thighs, upper arm), but you should avoid injecting in exactly the same place.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product;jsessionid=Hu1B1Z2dWqIs2hrcQ1pqKc2zuZpNhk86U---o3X_fOnKvQuV4V6M!1291279176?userType=2&amp;nplId=20200114000086#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/imaging\/resources\/e58f6240-c834-497c-bee5-f77a9ceaf661\" alt=\"Injection sites\"\/><\/a><\/figure>\n\n\n\n<p><strong>g)&nbsp;<\/strong><strong>Clean the injection site.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Clean the selected injection site with a new alcohol swab.<\/li><li>Allow the skin to dry for 10 seconds before injecting.<\/li><li>Inject&nbsp;<strong>not<\/strong>&nbsp;AJOVY in an area that is tender, red, bruised, hard skin, tattoos, scars, or stretch marks.<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Step 2: How to inject<\/strong><br><\/p>\n\n\n\n<p><strong>a)&nbsp;<\/strong><strong>Remove the safety guard and do not replace it.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Pull the<\/strong>&nbsp;safety guard straight out.&nbsp;Do&nbsp;<strong>not<\/strong>&nbsp;screw.<\/li><li>To prevent injury and&nbsp;infection,&nbsp;<strong>do not<\/strong>&nbsp;put the&nbsp;safety&nbsp;cap&nbsp;back on the pre-filled pen.<\/li><li>Do&nbsp;<strong>not<\/strong>&nbsp;touch the needle guard or the area around it.<br><\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product;jsessionid=Hu1B1Z2dWqIs2hrcQ1pqKc2zuZpNhk86U---o3X_fOnKvQuV4V6M!1291279176?userType=2&amp;nplId=20200114000086#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/imaging\/resources\/c89f3d52-2d8b-41ca-9fc1-80563c0b3740\" alt=\"Remove the safety guard\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>b)&nbsp;<\/strong><strong>Inject by following the steps below.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Place the pre-filled pen at a 90 \u00b0 angle to the skin at the injection site.<br><a href=\"https:\/\/www.fass.se\/LIF\/product;jsessionid=Hu1B1Z2dWqIs2hrcQ1pqKc2zuZpNhk86U---o3X_fOnKvQuV4V6M!1291279176?userType=2&amp;nplId=20200114000086#\" rel=\"noopener\"><\/a><\/li><li>Press the pre-filled pen down and hold it against the skin for approximately 30 seconds.&nbsp;Do&nbsp;<strong>not<\/strong>&nbsp;remove the pressure until the 3 steps below are complete.<br><\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>1. You hear the first &#8220;click&#8221; (this signals the beginning of the injection and the blue plunger begins to move).<br><\/td><td>2. You hear a second &#8220;click&#8221; (about 15 seconds after the first &#8220;click&#8221;; when the medicine is injected, the plunger moves towards the bottom of the window).<br><\/td><td>Wait another 10 seconds (to make sure all medicines have been injected).<br><\/td><\/tr><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product;jsessionid=Hu1B1Z2dWqIs2hrcQ1pqKc2zuZpNhk86U---o3X_fOnKvQuV4V6M!1291279176?userType=2&amp;nplId=20200114000086#\" rel=\"noopener\"><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>c)&nbsp;<\/strong><strong>Check that the blue plunger has filled the window and remove the pre-filled pen from the skin.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>After you have injected all the medicine &#8211; ie.&nbsp;when the blue plunger has filled the window and you can see the gray stopper &#8211; remove the pre-filled pen from the skin by lifting the pre-filled pen straight up and immediately place it in a container for stinging and cutting residual waste (see step 3).<\/li><li>When the pre-filled pen has been lifted from the skin, the needle cover returns to its original position and locks in place so that it covers the needle.<\/li><li>To prevent injury and&nbsp;infection,&nbsp;<strong>never<\/strong>&nbsp;put the&nbsp;safety&nbsp;cap&nbsp;back on the pre-filled pen.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product;jsessionid=Hu1B1Z2dWqIs2hrcQ1pqKc2zuZpNhk86U---o3X_fOnKvQuV4V6M!1291279176?userType=2&amp;nplId=20200114000086#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/imaging\/resources\/f1bedca9-ab56-4e82-ae1e-afa3a6060bd4\" alt=\"c) Check that the blue plunger has filled the window and remove the pre-filled pen from the skin.\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>d)&nbsp;<\/strong><strong>Press the injection site.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Use a clean, dry cotton swab or gauze cloth to&nbsp;<em><strong>gently<\/strong><\/em>&nbsp;press on the injection site for a few seconds.<\/li><li>Do&nbsp;<strong>not<\/strong>&nbsp;rub&nbsp;on the injection site or reuse the pre-filled pen.<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Step 3: Discard the pre-filled pen<\/strong><br><\/p>\n\n\n\n<p><strong>a)&nbsp;<\/strong><strong>Dispose of the pre-filled pen immediately.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Place the pre-filled pens used in a stinging and cutting waste container immediately after use.<\/li><li>Do&nbsp;<strong>not<\/strong>&nbsp;throw away&nbsp;pencils with household waste.<\/li><li>Recycle&nbsp;<strong>not<\/strong>&nbsp;a container for stabbing and cutting waste.<\/li><\/ul>\n\n\n\n<p><strong>b)&nbsp;Ask your doctor, pharmacist, or nurse how to dispose of the container.<\/strong><br><\/p>\n\n\n\n<p><strong>If your&nbsp;dose&nbsp;is 675 mg, repeat steps 1 (e) to 3 (a) with the second and third pre-filled&nbsp;pens<\/strong>&nbsp;<strong>to inject the full prescribed&nbsp;dose.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>AJOVY is a medicine that contains the active substance fremanezumab; a monoclonal antibody, ie a type of protein that recognizes and binds to a specific target in the body.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2201,2200],"tags":[11302,11306,11301,11297,11300,11305,11304,11299,11303,11298],"class_list":["post-5057","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-ajovy","tag-benefits-of-ajovy","tag-benefits-of-fremanezumab","tag-fremanezumab","tag-fremanezumab-side-effects","tag-side-effects-of-ajovy","tag-what-ajovy-is-used-for","tag-what-fremanezumab-is-used-for","tag-what-is-ajovy","tag-what-is-fremanezumab"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5057","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=5057"}],"version-history":[{"count":6,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5057\/revisions"}],"predecessor-version":[{"id":13007,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5057\/revisions\/13007"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=5057"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=5057"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=5057"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}