SIGNIFOR LAR POWDER AND SOLVENT FOR SUSPENSION FOR INJECTION 60MG

PHARM-D SINGAPORE PRIVATE LIMITED

PHARM-D SINGAPORE PRIVATE LIMITED

Therapeutic

Prescription Only

INJECTION, POWDER, FOR SUSPENSION

**DOSAGE REGIMEN AND ADMINISTRATION** **Dosage regimen** **General target population** The recommended initial dose of Signifor LAR is 40 mg administered by deep intramuscular injection every 4 weeks (q28d). The dose may be increased to a maximum of 60 mg for patients whose GH and/or IGF-1 levels are not fully controlled after 3 months of treatment with Signifor LAR at 40 mg. Management of suspected adverse reactions or over response to treatment (IGF-1 < lower limit of normal) may require dose reduction of Signifor LAR. The dose may be decreased, either temporarily or permanently, by 20 mg decrements. If a dose of Signifor LAR is missed, the injection should be administered as soon as possible and the next injection dose should be planned 4 weeks thereafter to resume normal schedule every 4 weeks. **Special populations** **Renal impairment** No dose adjustment is required in patients with impaired renal function (see section CLINICAL PHARMACOLOGY – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). **Hepatic impairment** Dose adjustment is not required in patients with mildly impaired hepatic function (Child-Pugh A). For patients with moderately impaired hepatic function (Child-Pugh B) the recommended initial dose is 20 mg every 4 weeks and the maximum recommended dose is 40 mg every 4 weeks (see section CLINICAL PHARMACOLOGY – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). Signifor LAR should not be used in patients with severe hepatic impairment (Child-Pugh C) (see section CONTRAINDICATIONS). **Pediatric patients** Signifor LAR is not recommended for use in pediatric patients with acromegaly as there are no clinical data available in patients under 18 years of age. **Geriatric patients (65 years of age or older)** There are limited data on the use of Signifor LAR in patients older than 65 years but there is no evidence suggesting that a dose adjustment is required in elderly patients (see section CLINICAL PHARMACOLOGY – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). **Method of administration** Signifor LAR should only be administered by deep intramuscular injection by a trained health care professional. Signifor LAR suspension must only be prepared immediately before administration. The site of repeat intramuscular injections should be alternated between the left and right gluteal muscle (see section INSTRUCTIONS FOR USE – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_).