Medication Guide

SILIQ ®(SIL-EEK)
(brodalumab)
Injection, for subcutaneous use

What is the most important information I should know about SILIQ?
SILIQ may cause serious side effects, including:

• Suicidal thoughts or behavior have happened insome people treated with SILIQ. Some people have ended their own lives. Your risk of suicidal thoughts and behavior may be increased if you have a history of suicidal thoughts or depression. It is not known if SILIQ causes suicidal thoughts or behavior. Get medical help right away if you or your caregiver notice any of the following symptoms:
  • new or worsening depression or anxiety
  • thoughts of suicide, dying, or hurting yourself
  • changes in behavior or mood
  • acting on dangerous impulses
  • attempt to commit suicide

Your healthcare provider will give you a SILIQ Patient Wallet Card about symptoms you should get medical help for right away. Carry the card with you at all times during treatment with SILIQ and show it to all of your healthcare providers.

• Serious infections.SILIQ may lower the ability of your immune system to fight infections and may increase your risk of infections. Your healthcare provider will check you for tuberculosis (TB) before starting treatment with SILIQ and may treat you for TB before you begin treatment with SILIQ if you have a history of TB or have active TB. Your healthcare provider should watch you closely for signs and symptoms of infection and TB during and after treatment with SILIQ.
  Tell your healthcare provider right away if you have an infection or have symptoms of an infection, including:
  • fever, sweats, or chills
  • muscle aches
  • cough
  • shortness of breath
  • sore throat or difficulty swallowing
  • warm, red, or painful skin or sores on your body
  • diarrhea or stomach pain
  • burning when you urinate or urinate more often than normal

See “What are the possible side effects of SILIQ?”for more information about side effects.

What is SILIQ?

SILIQ is a prescription medicine used to treat adults with moderate to severe plaque psoriasis:

• who may benefit from taking injections or pills (systemic therapy) or phototherapy (ultraviolet light treatment), and
• who have not responded or lost response to other systemic therapy.

It is not known if SILIQ is safe and effective in children.

Do not use SILIQif you have Crohn’s disease.

Before you use SILIQ, tell your healthcare provider about all of your medical conditions, including if you:

• have a history of mental problems, including suicidal thoughts, depression, anxiety, or mood problems.
• have an infection that does not go away or that keeps coming back.
• have TB or have been in close contact with someone with TB.
• have recently received or are scheduled to receive an immunization (vaccine). You should avoid receiving live vaccines during treatment with SILIQ.
• are pregnant or plan to become pregnant. It is not known if SILIQ can harm your unborn baby. If you are pregnant or plan on becoming pregnant, consult with your healthcare provider.
• are breastfeeding or plan to breastfeed. It is not known if SILIQ passes into your breast milk.

Tell your healthcare provider about all the medicines you take,including prescription and over-the-counter medicines, vitamins, and herbal supplements.

How should I use SILIQ?

• See the detailed “Instructions for Use” that comes with SILIQ for information on how to inject a dose of SILIQ and how to properly store and throw away (dispose of) used SILIQ prefilled syringes.
• Use SILIQ exactly as your healthcare provider tells you to use it.
• Your healthcare provider may stop SILIQ if your plaque psoriasis does not improve within 12 to 16 weeks of treatment.

What are the possible side effects of SILIQ?

SILIQ may cause serious side effects. See “What is the most important information I should know about SILIQ?”

• Crohn’s disease.Tell your healthcare provider if you develop diarrhea, painful diarrhea, bloody stools, stomach pain or cramping, sudden or uncontrollable bowel movements, loss of appetite, constipation, weight loss, fever, or tiredness.

The most common side effects of SILIQ include:joint pain, headache, tiredness, diarrhea, mouth or throat pain, nausea, muscle pain, injection site reactions, flu (influenza), low white blood count (neutropenia), and fungal infections of the skin.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

General information about safe and effective use of SILIQ

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use SILIQ for a condition for which it was not prescribed. Do not give SILIQ to other people even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about SILIQ that is written for health professionals.

Distributed by:Bausch Health US, LLC
Bridgewater, NJ 08807 USA

Manufactured by:Bausch Health Ireland, Limited
Dublin, Leinster, Ireland 24

U.S. License Number: 2053

For more information, go to www.SILIQ.com or call Bausch Health US, LLC at 1-800-321-4576.

U.S. Patent Numbers: 7,767,206; 7,833,527; 7,786,284; 7,939,070; 8,435,518; 8,545,842; 8,883,151; 9,073,999; 10,072,085 and 10,208,122

SILIQ is a trademark of Bausch Health Companies Inc. or its affiliates.
© 2020 Bausch Health Companies Inc. or its affiliates

9643801

This Medication Guide has been approved by the U.S. Food and Drug Administration.            Revised: 04/2020


Instructions for Use

SILIQ is supplied as a single-dose prefilled syringe. Each prefilled syringe contains one 210 mg dose of SILIQ. Each SILIQ prefilled syringe can only be used one time.

Your healthcare provider has prescribed SILIQ and will tell you how often it should be injected. If your healthcare provider decides that you or a caregiver may be able to give your injections of SILIQ at home, you should receive training on the right way to prepare and inject SILIQ. Do not try to inject yourself until you have been shown the right way to give the injections by your healthcare provider.

Read all of the instructions before using the SILIQ prefilled syringe. Call your healthcare provider if you or your caregiver have any questions about the right way to inject SILIQ.

Instructions for Use
SILIQ ®(SIL-EEK)
(brodalumab)
Injection, for subcutaneous use

Single-Dose Prefilled Syringe

Guide to parts

Important:Needle is inside the gray needle cap.


Important

Storing your SILIQ prefilled syringe

• Store SILIQ prefilled syringe in the refrigerator at 36° to 46°F (2° to 8°C).
• If needed, SILIQ prefilled syringe may be stored at room temperature up to 77°F (25°C) for up to 14 days. Do notplace SILIQ prefilled syringe stored at room temperature back into the refrigerator.
• Throw away SILIQ prefilled syringe that has been stored at room temperature after 14 days.
• Protect SILIQ prefilled syringe from heat.
• Do notfreeze.
• Keep SILIQ prefilled syringe in the original carton to protect from light and physical damage.
• Keep SILIQ prefilled syringe and all medicines out of reach of children.

Using your SILIQ prefilled syringe

• It is important that you do not try to give the injection unless you or your caregiver has received training from your healthcare provider.
• Do notuse a SILIQ prefilled syringe after the expiration date on the label.
• Do notshake the SILIQ prefilled syringe.
• Do notremove the gray needle cap from the SILIQ prefilled syringe until you are ready to inject.
• Do notuse a SILIQ prefilled syringe if it has been dropped on a hard surface. Part of the SILIQ prefilled syringe may be broken even if you cannot see the break. Use a new SILIQ prefilled syringe, and call 1-800-321-4576.

Step 1: Prepare

A  Remove one SILIQ prefilled syringe from the package.

Grab the syringe by the barrel to remove the prefilled syringe from the tray.

           

Place your finger or thumb
on the edge of the tray to
hold it while you remove
the prefilled syringe.

Put the original package with any unused prefilled syringes back in the refrigerator.

For safety reasons:

• Do notgrab the plunger rod.
• Do notgrab the gray needle cap.
• Do notremove the gray needle cap until you are ready to inject.

Wait about 30 minutes to let the prefilled syringe warm to room temperature before you use it.

• Do notput the prefilled syringe back in the refrigerator after it has reached room temperature.
• Do nottry to warm the prefilled syringe by using a heat source such as hot water or microwave.
• Do notleave the prefilled syringe in direct sunlight.
• Do notshake the prefilled syringe.

Important: Always hold the prefilled syringe by the syringe barrel.


B  Inspect the SILIQ prefilled syringe.

Make sure the medicine in the prefilled syringe is clear and colorless to slightly yellow.

• Do notuse the syringe if:
  • The medicine is cloudy or discolored or contains flakes or particles.
  • Any part appears cracked or broken.
  • The gray needle cap is missing or not securely attached.
  • The expiration date printed on the label has passed.

In all cases, use a new prefilled syringe, and call 1-800-321-4576.


C  Gather all materials needed for your injection.

Wash your hands thoroughly with soap and water.

On a clean, well-lit work surface, place the:

• Prefilled syringe
• Alcohol wipes
• Cotton ball or gauze pad
• Adhesive bandage
• Sharps disposal container

D  Prepare and clean your injection site.

You can use:

• Your thigh
• Stomach area (abdomen), except for a 2-inch area right around your navel (belly button)
• Outer area of upper arm (only if someone else is giving you the injection)

Clean your injection site with an alcohol wipe. Let your skin dry.

• Do nottouch this area again before injecting.
• Choose a different site each time you give yourself an injection. If you want to use the same injection site, make sure it is not the same spot on the injection site that you used for a previous injection.
• Do notinject into areas where the skin is tender, bruised, red, or hard. Avoid injecting into areas with scars or stretch marks.
• Avoid injecting directly into raised, thick, red, or scaly skin patch or lesion.

Step 2: Get ready

E  Pull the gray needle cap straight off and away from your body when you are ready to inject.

It is normal to see a drop of liquid at the end of the needle.

• Do nottwist or bend the gray needle cap.
• Do notput the gray needle cap back onto the prefilled syringe.
• Do notremove the gray needle cap from the prefilled syringe until you are ready to inject.

Important:Throw the needle cap into the sharps disposal container provided.


F  Pinch your injection site to create a firm surface.

Pinch skin firmly between your thumb and fingers, creating an area about 2inches wide.

Important:Keep skin pinched while injecting.


Step 3: Inject

G  Hold the pinch. Insert the needle into your skin at 45 to 90 degrees.

Do notplace your finger on the plunger rod while inserting the needle.


H  Using slow and constant pressure, push the plunger rod all the way down until it reaches the bottom.

I  When done, release your thumb, and gently lift the syringe and pull the needle out of your skin.

J  Inspect the syringe. If there is still medicine in the syringe barrel, this means you have not received a full dose. Call your healthcare provider right away.


Step 4: Finish

K  Discard (throw away) the used syringe.

• Put the used SILIQ syringe in an FDA-cleared sharps disposal container right away after use. Do notthrow away (dispose of) the syringe in your household trash.
• If you do not have an FDA-cleared sharps disposal container, you may use a household container that is:
  • made of a heavy-duty plastic,
  • can be closed with a tight-fitting, puncture-resistant lid, without sharps being able to come out,
  • upright and stable during use,
  • leak-resistant, and
  • properly labeled to warn of hazardous waste inside the container.
• When your sharps disposal container is almost full, you will need to follow your community guidelines for the right way to dispose of your sharps disposal container. There may be state or local laws about how you should throw away used needles and syringes. For more information about safe sharps disposal, and for specific information about sharps disposal in the state that you live in, go to the FDA’s website at: http://www.fda.gov/safesharpsdisposal.
• Do notreuse the syringe.
• Do notrecycle the syringe or sharps disposal container or throw them into household trash.

Important:Always keep the sharps disposal container out of the reach of children.

L  Examine the injection site.

If there is blood, press a cotton ball or gauze pad on your injection site. Do notrub the injection site. Apply an adhesive bandage if needed.

Distributed by:
Bausch Health US, LLC
Bridgewater, NJ 08807 USA

Manufactured by:
Bausch Health Ireland, Limited
Dublin, Leinster, Ireland 24

U.S. License Number: 2053

For more information, go to www.SILIQ.com or call Bausch Health US, LLC at 1-800-321-4576.

U.S. Patent Numbers: 7,767,206; 7,833,527; 7,786,284; 7,939,070; 8,435,518; 8,545,842; 8,883,151; 9,073,999; 10,072,085 and 10,208,122

SILIQ is a trademark of Bausch Health Companies Inc. or its affiliates.
© 2020 Bausch Health Companies Inc. or its affiliates

This Instructions for Use has been approved by the U.S. Food and Drug Administration.

9643801

Revised: 04/2020