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Nepexto® pack details

Nepexto® is supplied as pack of 4 single-dose pre-filled auto-injectors.
Each auto-injector contains 50 mg in 1 mL etanercept solution for injection for subcutaneous use.
Nepexto® auto-injectors are easy to use and can be self-administered.
Understanding the parts of your Nepexto® auto-injector

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Important Safety Precautions for Patients
DO NOT…
- shake the auto-injector containing Nepexto® solution. Shaking the solution will cause it to froth and the medicine may not work.
- take the needle cap off until you are ready to inject.
- put the needle cap back on the auto-injector once removed.
- twist or bend the needle cap while removing.
- use a heat source such as microwave or hot water to warm Nepexto® solution.
- use the auto-injector if it has been dropped onto a hard surface.
- use the auto-injector past the expiration date.
- forget to return any remaining auto-injectors in the carton to the refrigerator.
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Looking after Nepexto®

Keep Nepexto® in a refrigerator where the temperature stays between 2°C and 8°C.

Do not freeze.

Keep it away from moisture, heat or sunlight.
Do not store it in the bathroom, near a sink, in the car or on window sills.

Store Nepexto® auto-injectors in the carton to protect them from light.

Keep it where young children cannot reach it.
For more detailed information, please refer to the links below
Instructions for Use
Frequently Asked Questions
What if the patient is travelling and do not have access to a refrigerator?
Nepexto® can be stored out of the refrigerator (below 25°C) for up to 4 weeks.
If the patient has stored Nepexto® at room temperature for any period of time (even if returned to the refrigerator) they must use it within 4 weeks from the time they first took it out of the refrigerator, or else they must discard it.
What if Nepexto® was stored at a temperature that exceeds 25°C?
Advise the patient NOT to use Nepexto® if it has been exposed to temperatures above 25°C or has been out of the refrigerator for more than 4 weeks.
What if the patient forgets to use Nepexto®?
If your patient misses their dose at the usual time, they should inject the next dose as soon as they remember if it is within 48 hours since the scheduled dose time.
If it is almost time for their next dose, i.e. within 48 hours of their next dose, they can skip the missed dose and take the next dose when they are meant to. Advise them to NOT take a double dose to make up for the dose they missed.
If they are uncertain what to do, they must speak with their healthcare provider (doctor, pharmacist or nurse).
What if the patient uses too much Nepexto®?
If the patient thinks that they have used too much Nepexto®, they may need urgent medical attention. They should immediately phone the Poisons Information Centre (by calling 13 11 26) for advice, or contact their doctor, or go to the Emergency Department at the nearest hospital. They should do this even if there are no signs of discomfort or poisoning.
What if the auto-injector doesn’t work, or the solution doesn’t appear as it should?
If the auto-injector doesn’t work, the patient can return it to pharmacy or contact Lupin AU Customer Service on (03) 9809 7900 (option 1).














