InfoCons Consumer Protection informs you – Brimica Genuair – Package Leaflet

Before anything else

ℹ️ 1. What Brimica Genuair is and what it is used for

What Brimica Genuair is This medicine contains two active ingredients called aclidinium and f ormoterol fumarate dihydrate .

Both belong to a group of medicines called bronchodilators. Bronchodilators relax the muscles in your airways , which allows the airways to open more widely and helps you to breathe more easily. The Genuair inhaler delivers the active ingredients directly into your lungs as you breathe in.

What Brimica Genuair is used for

Brimica Genuair is used for adult patients who have breathing difficulties due to a lung disease called chronic obstructive pulmonary disease (COPD) , in which the airways and air sacs in the lungs become damaged or blocked. By opening the airways, the medicine helps reliev e symptoms such as shortness of breath. Taking Brimica Genuair regularly will reduce the effects of COPD on your everyday life.

⚠️ 2. What you need to know before you use Brimica Genuair

Do not use Brimica Genuair

• if you are allergic to aclidinium, formoterol fumarate dihydrate or to the other ingredient of this medicine (listed in Section 6) .

Warnings and precautions

Talk to your doctor, pharmacist or nurse b efore using Brimica Genuair, if you have any of the following conditions/symptoms:

• If you have asthma . This medicine should not be used for the treatment of asthma.
• If you have heart problems .
• If you have epilepsy .
• If you have thyroid gland problems (thyrotoxicosis) .
• If you have a tumour in one of your adrenal glands (phaeochromocytoma ).
• If you have difficulty passing urine or problems due to an enlarged prostate .
• If you have an eye condition called narrow angle glaucoma , which results in high pressure in the eye.

Stop taking Brimica Genuair and seek medical help immediately if you experience any of the following :

• If you get sudden tightness of the chest, coughing, wheezing or breathlessness immediately after using the medicine. See section 4.

Brimica Genuair is used as a maintenance (long -term) treatment for COPD. You should not use this medicine to treat a sudden attack of breathlessness or wheezing.

If your usual COPD symptoms (breathlessness, wheezing, cough) do not improve or get worse while you are using Brimica Genuair you should continue to use it, but go to see your doctor as soon as possible because you may need another medicine.

If you see halos around lights or coloured images, have eye pain or discomfort or suffer temporary blurring of vision, go to see your doctor for advice as soon as possible.

Dry mouth has been observed with medicines like Brimica Genuair . In the long- term, dry mouth can be associated with tooth decay, so it is important to pay attention to oral hygiene.

Children and adolescents

Brimica Genuair is not for use in children or adolescents below 18 years of age.

Other medicines and Brimica Genuair

Tell your doctor or pharmacist if you are taking , have recently taken or might take any other medicines. If you use Brimica Genuair with some other medicines , the effect of Brimica Genuair or the other medicines may be altered.

Tell your doctor or pharmacist if you are taking:

• Any medicines that may be similar to Brimica Genuair to treat breath ing difficulties .
• Medicines that lower the amount of potassium in your blood. These include: o cortico steroid s that you take by mouth ( such as prednisolone) , o diuretics ( such as furosemide or hydrochlor othiazide ), o certain medicines used to treat breathing conditions (such as theophylline) .
• Medicines called beta blockers that may be used to treat high blood pressure or other heart problems (such as atenolol or propranolol) or to treat glaucoma (such as timolol).
• Medicines which can cause a type of change in the electrical activity of the heart known as QT interval prolongation (observed in an electrocardiogram) . These include medicines for the treatment of: o depression ( such as monoamine oxidase inhibitors or tricyclic antidepressants ), o bacterial infections (such as erythromycin, clarithromycin, telithromycin ), o allergic reactions (anti -histamines ).

Pregnancy and breast -feeding If you are pregnant or breast -feeding , think you may be pregnant or are planning to have a baby, ask your doctor , nurse or pharmacist for advice before using this medicine . You should not use Brimica Genuair if you are pregnant or are breast -feeding unless your doctor tells you to do so.

Driving and using machines

Brimica Genuair is unlikely to affect your abi lity to drive or use machines. In some patients, t his medicine may cause blurred vision or dizziness . If you are affected by either of these side effects, do not drive or use machine s until the dizzines s has cleared or your vision has returned to normal.

Brimica Genuair contains lactose

This medicine contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine .

💊 3. How to use Brimica Genuair

Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

• The recommended dose is one inhalation in the morning and one inhalation in the evening.
• You can use Brimica Genuair anytime before or after food or drink.
• The effects of Brimica Genuair last for 12 hours; therefore, you should try to use Brimica Genuair at the same time each morning and evening as this will ensure that there is always enough medicine in your body to help you breathe more easily throughout the day and night . Taking your medicine at regular times will also help you to remember to use it.
• The recommended dose can be used for elderly patients and for patients with kidney or liver problems. No dose adjustments are necessary in these patients.
• Brimica Genuair is for inhalation use.
• Instructions for use: Refer to the Instructions for Use at the end of this leaflet for instructions on how to use the Genuair inhaler. If you are not sure of how to use Brimica Genuair, contact your doctor or pharmacist.

COPD is a long -term disease; therefore, Brimica Genuair is for long- term use. The medicine must be used every day, twice a day and not only when breathing problems or other symptoms of COPD are experienced.

If you use more Brimica Genuair than you should

If you think you may have used more Brimica Genuair than you should, you are more likely to experience some of its side effects, such as blurred vision, dry mouth, feeling sick, shaking/tremor, headache, palpitations or an increase in blood pressure , therefore you mus t immediately contact your doctor or go to the nearest emergency unit . Show the packaging of Brimica Genuair. Medical attention may be needed.

If you forget to use Brimica Genuair

If you forget a dose of Brimica Genuair, j ust take it as soon as possible and take your next dose at the usual time . Do not take a double dose to make up for a forgotten dose.

If you stop using Brimica Genuair

This medicine is for long -term use. If you want to stop treatment, first talk to your doctor, as your symptoms may worsen.

If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

❗ 4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Stop using the medicine and contact your doctor immediately if you:

• develop swelling of the face, throat, lips or tongue (with or without difficulty breathing or swallowing), severe itchy bumps on the skin (hives) as these may be symptoms of an allergic reaction. Frequency of this reactin cannot be estimated from the available data.
• develop tightness of the chest, coughing, whee zing or breathlessness immediately after using the medicine. These may be signs of a condition called “paradoxical bronchospasm”, which is an excessive and prolonged contraction of the airway muscles immediately following treatment with a bronchodilator. This reaction may rarely occur (may affect up to 1 in 1,000 people).

Some side effects may be serious: if you get any of these side effects, tell your doctor immediately.

32 Uncommon (may affect up to 1 in 100 people )

• Muscle weakness, twitching and/or abnormal heart rhythm, as these may be signs of a decrease in the amount of potassium in your blood
• Tiredness, increased thirst and/or a need to pass urine more frequently than usual , as these may be signs of an increase in th e amount of sugar in your blood
• Palpi tations, as these may be a sign of an unusually fast heart beat or an abnormal heart rhythm

Rare (may affect up to 1 in 1,000 people )

• Sudden difficulty in breathing or swallowing, swelling of the tongue, throat, lips or face, skin rash and/or itching – these may b e signs of an allergic reaction

Other side effects which may occur whil e using Brimica Genuair

Common (may affect up to 1 in 10 people )

• Combination of sore throat and runny nose – these may be signs of nasopharyngitis
• Headache
• Painful and/or frequent urination – these may be signs of a urinary tract infection
• Cough
• Diarrhoea
• A blocked, runny or stuffy nose and/or pain or a feeling of pressure in the cheeks or forehead – these may be symptoms of sinusitis
• Dizziness
• Muscle cramps
• Nausea (feeling sick)
• Difficulty sleeping
• Dry mouth
• Muscle pain
• Abscess (i nfection ) in the tissues at the base of a tooth
• Increased blood levels of a protein found in muscle called creatine phosphokinase
• Shaking/tremor
• Anxiety

Uncommon

• Fast heart beat (tachycardia)
• Abnormal or irregular heart beat (cardiac arrhythmias )
• Chest pain or tightness in the chest ( angina pectoris)
• Blurred vision
• Changes in the sound of the voice (dysphonia)
• Difficulty passing urine or a feeling that your bladder has not completely emptied (urinary retention)
• An abnormal heart trace (QT interval prolongation) potentially leading to an abnormal heart rhythm
• Distorted sense of taste (dysgeusia)
• Throat irritation
• Inflammation of the mouth (stomatitis)
• Increased blood pressure
• Agitation
• Rash
• Itching of the skin

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse . This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V . By reporting side effects you can help provide more information on the safety of this medicine.

🌡️ 5. How to store Brimica Genuair

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the inhaler label, carton and inhaler bag after “EXP”. The expiry date refers to the last day of that month.

This medicine does not require any special temperature storage conditions.

Keep the Genuair inhaler protected inside the sealed bag until the administration period starts.

To be used within 60 days of opening the bag.

Do not use Brimica Genuair if you notice that the pack is damaged or shows signs of tampering.

After you have taken the last dose, the inhaler has to be disposed of. Do not throw away any medicines via household waste . Ask your pharmacist how to throw away medicines you no longer use.

These measures will help protect the environment.

📦 6. Contents of the pack and other information

What Brimica Genuair contains

• The active substances are aclidinium and formoterol fumarate dihydrate. Each delivered dose (the dose leaving the mouthpiece) contains 396 micrograms aclidinium bromide equivalent to 340 micrograms of aclidinium and 11.8 micrograms of formoterol fumarate dihydrate.
• The other ingredient is lactose monohydrate (see end of section 2 under ‘Brimica Genuair contains lactose’ for more information ).

What Brimica Genuair looks like and contents of the pack

Brimica Genuair is a white or almost white inhalation powder.

The Genuair inhaler is a white device fitted with an integral dose indicator and a n orange dosage button. The mouthpiece is covered with a removable orange protective cap. It is supplied in a sealed protective alumin ium bag containing a desiccant sachet. After removing the inhaler from the bag, the bag and desiccant sachet should be thrown away.

Pack sizes supplied:

Carton containing 1 inhaler with 30 doses.

Carton containing 1 inhaler with 60 doses.

Carton containing 3 inhalers each with 60 doses.

Not all pack sizes may be marketed.

Marketing Authorisation Holder

Covis Pharma Europe B.V.

Gustav Mahlerplein 2 1082MA Amsterdam The Netherlands

Manufacturer

Industrias Farmacéuticas Almirall, S. A.

Ctra. de Martorell 41 -61 08740 Sant Andreu de la Barca, Barcelona Spain 34 For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:

België/Belgique/Belgien Covis Pharma Europe B.V.

Tél/Tel: 80013067 Lietuva UAB “BERLIN CHEMIE MENARINI BALTIC” Tel: +370 52 691 947 България “Берлин -Хеми/А. Менарини България ” EООД тел.: +359 2 454 09 50 Luxembourg/Luxemb urg Covis Pharma Europe B.V.

Tél/Tel: 80024119 Česká republika Berlin -Chemie/A.Menarini Ceska republika s.r.o.

Tel: +420 267 199 333 Magyarország Berlin -Chemie/A. Menarini Kft.

Tel.: +36 1799 7320 Danmark Covis Pharma Europe B.V.Tlf: 80711260 Malta Covis Pharma Europe B.V.Tel: 80065149 Deutschland Berlin -Chemie AG Tel: +49 (0) 30 67070 Covis Pharma Europe B.V.

Tel: +49 (0) 3031196978 Nederland Covis Pharma Europe B.V.

Tel: 08000270008 Eesti OÜ Berlin -Chemie Menarini Eesti Tel: +372 667 5001 Norge Covis Pharma Europe B.V.

Tlf: 80031492 Ελλάδα MENARINI HELLAS AE Τηλ: +30 210 8316111- 13 Österreich A. Menarini Pharma GmbH Tel: +43 1 879 95 85- 0 España Laboratorios Menarini S.A. Tel: +34 -93 462 88 00 Polska Covis Pharma Europe B.V .

Tel.: 0800919353 France MENARINI France Tél: +33 (0)1 45 60 77 20 Portugal A. Menarini Portugal – Farmacêutica, S.A.

Tel: +351 210 935 500 Hrvatska Berlin -Chemie Menarini Hrvatska d.o. o.

Tel: + 385 1 4821 361 România Berlin -Chemie A.Menarini S.R.L.

Tel: +40 21 232 34 32 Ireland A. Menarini Pharmaceuticals Ireland Ltd Tel: +353 1 284 6744 Slovenija Berlin -Chemie / A. Menarini Distribution Ljubljana d.o.o.

Tel: +386 01 300 2160 Ísland Covis Pharma Europe B.V.

Sími: 8007279 Slovenská republika Berlin -Chemie / A. Menarini Distribution Slovakia s.r.o.

Tel: +421 2 544 30 730 35 Italia Laboratori Guidotti S.p.A.

Tel: +39 – 050 971011 Suomi/Finland Covis Pharma Europe B.V.

Puh/Tel: 0800413687 Κύπρος Covis Pharma Europe B.V.

Τηλ: 80091079 Sverige Covis Pharma Europe B.V. Tel: 0200898678 Latvija SIA Berlin -Chemie/Menarini Baltic Tel: +371 67103210 United Kingdom (Northern Ireland) Covis Pharma Europe B.V.

Tel: 08004334029

This leaflet was last revised in

Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu/ .

Instructions for Use This section contains information on how to use your Genuair inhaler. It is important that you read this information as the Genuair may work differently from inhalers you have used previously. If you have any questions about how to use your inhaler, please ask your doctor, pharmacist or nurse for assistance.

The Instructions for Use is divided into the following sections:

• Getting started
• Step 1: Prepare your dose
• Step 2: Inhale your medicine
• Additional information Getting Started Read th ese Instructions for Use before you start using the medicine.

Become familiar with the parts of your Genuair inhaler.

Protective Cap Figure A Before use: a. Before first use, tear open the sealed bag and remove the inhaler. Throw away the bag and the desiccant. b. Do not press the orange button until you are ready to take a dose. c. Pull off the cap by lightly squeezing the arrows marked on each side (Figure B).

Figure B STEP 1: Prepare your dose 1.1 Look in the opening of the mouthpiece and make sure nothing is blocking it (Figure C).

1.2 Look at the control window (should be red, Figure C).

Squeeze here and pull Control window Red = confirms correct inhalation Control window Green = inhaler ready to use Mouthpiece Orange button Dose indicator Figure C 1.3 Hold the inhaler horizontally with the mouthpiece facing you and the orange button on top (Figure D).

Figure D 1.4 Press the orange button all the way down to load your dose (Figure E).

When you press the button all the way down, the control window changes from red to green.

Make sure the orange button is on top. Do not tilt.

1.5 Release the orange button (Figure F).

Make sure you release the button so the inhaler can work correctly.

Figure E Figure F RED Check mouthpiece opening 38 Stop and Check:

1.6 Make sure the control window is now green (F igure G).

Your medicine is ready to be inhaled.

Go to ‘STEP 2: Inhale your medicine’.

Figure G What to do if the control window is still red after pressing the button (Figure H).

Figure H The dose is not prepared. Go back to ‘STEP 1 Prepare your dose’ and repeat steps 1.1 to 1.6.

STEP 2: Inhale your medicine Read steps 2.1 to 2.7 fully before use. Do not tilt.

2.1 Hold the inhaler away from your mouth, and breathe out completely . Never breathe out into the inhaler (Figure I).

Figure I GREEN 39 2.2 Hold your head upright, put the mouthpiece between your lips, and close your lips tightly around it (Figure J).

Do not hold the orange button down while inhaling.

Figure J 2.3 Take a strong, deep breath through your mouth. Keep breathing in for as long as possible.

A ‘click’ will let you know that you are inhaling correctly. Keep breathing in as long as pos sible after you hear the ‘click’ . Some patients may not hear the ‘ click ’. Use the control window to ensure you have inhaled correctly.

2.4 Take the inhaler out of your mouth.

2.5 Hold your breath for as long as possible.

2.6 Slowly breathe out away from the inhaler .

Some patients may experience a grainy sensation in their mouth, or a slightly sweet or bitter taste. Do not take an extra dose even if you do not taste or feel anything after inhaling.

Stop and Check:

2.7 Make sure the control window is now red (Figure K). This means you have inhaled your medicine correctly.

Figure K RED What to do if the control window is still green after inhalation (Figure L).

Figure L This means you have not inhaled your medicine correctly. Go back to ‘STEP 2 Inhale your medicine’ and repeat steps 2.1 to 2.7.

If the control window still does not change to red, you may have forgotten to release the orange button before inhaling, or you may not have inhaled strongly enough . If this happens, try again. Make sure you have released the orange button, and you have breathed out completely. Then take a strong, deep breath through the mouthpiece.

Please contact your doctor if the control window is still green after repeated attempts.

Push the protective cap back onto the mouthpiece after each use (Figure M) , to prevent contamination of the inhaler with dust or other materials . You should discard your inhaler if you lose the cap.

Figure M Additional information What should you do if you accidently prepare a dose?

Store your inhaler with the protective cap in place until it is time to inhale your medicine, then remove the cap and start at Step 1.6.

How does the dose indicator work?

• The dose indicator shows the total number of doses left in the inhaler (Figure N).
• On first use, every inhaler contains at least 60 doses, or at least 30 doses, depending on the pack size.
• Each time you load a dose by pressing the orange button, the dose indicator moves by a small amount towards the next number (50, 40, 30, 20, 10, or 0).

When should you get a new inhaler?

You should get a new inhaler:

41 • If your inhaler appears to be damaged or if you lose the cap, or

• When a red band appears in the dose indicator, this means you are nearing your last dose (Figure N), or
• If your inhaler is empty (Figure O).

Figure N Dose indicator moves slowly from 60 to 0: 60, 50, 40, 30, 20, 10, 0.

Red band Dose indicator 42 How do you know that your inhaler is empty?

When the orange button will not return to its full upper position and is locked in a middle position, you have reached the last dose (Figure O). Even though the orange button is locked, your last dose may still be inhaled. After that, the inhaler cannot be used again and you should start using a new inhaler.

Figure O How should you clean the inhaler?

NEVER use water to clean the inhaler, as this may damage your medicine.

If you wish to clean your inhaler, just wipe the outside of the mouthpiece with a dry tissue or paper towel.

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📄 Package Leaflet – official source

This article reproduces the information in the official package leaflet, as authorised in the European Union. You can consult the original document here: Product information Brimica Genuair (PDF, ec.europa.eu).

You can check this medicine at any time in the Union Register of medicinal products (EU number EU/1/14/963).

⚠️ Important: This article is for information purposes only and does not replace medical advice or the package leaflet inside the medicine box. Read the leaflet carefully before use. For any questions about your treatment, talk to your doctor or pharmacist. If you experience side effects, tell your doctor or pharmacist and report them through your national reporting system.