Soliris Dosage/Direction for Use

SOLIRIS must be administered by a healthcare professional and under the supervision of a physician experienced in the management of patients with haematological and/or renal disorders.
Posology: Adult patients: In Paroxysmal Nocturnal Haemoglobinuria (PNH): The PNH dosing regimen for adult patients (≥18 years of age) consists of a 4-week initial phase followed by a maintenance phase: Initial phase: 600 mg of SOLIRIS administered via a 25 - 45-minute intravenous infusion every week for the first 4 weeks.
Maintenance phase: 900 mg of SOLIRIS administered via a 25 - 45-minute intravenous infusion for the fifth week, followed by 900 mg of SOLIRIS administered via a 25 - 45-minute intravenous infusion every 14 ± 2 days (see Pharmacology: Pharmacodynamics under Actions).
In Atypical Haemolytic Uremic Syndrome (aHUS): The aHUS dosing regimen for adult patients (≥ 18 years of age) consists of a 4-week initial phase followed by a maintenance phase: Initial phase: 900 mg of SOLIRIS administered via a 25 - 45-minute intravenous infusion every week for the first 4 weeks.
Maintenance phase: 1,200 mg of SOLIRIS administered via a 25 - 45-minute intravenous infusion for the fifth week, followed by 1,200 mg of SOLIRIS administered via a 25 - 45-minute intravenous infusion every 14 ± 2 days (see Pharmacology: Pharmacodynamics under Actions).
Paediatric patients in PNH and aHUS: Paediatric PNH and aHUS patients with body weight ≥ 40kg are treated with the adult dosing recommendations, respectively.
In paediatric PNH and aHUS patients with body weight below 40 kg, the SOLIRIS dosing regimen consists of: (See Table 13.)

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SOLIRIS has not been studied in patients with PNH who weigh less than 40kg. The posology of SOLIRIS for PNH patients less than 40kg weight is based on the posology used for patients with aHUS and who weigh less than 40kg.
For adults and paediatric aHUS patients supplemental dosing of SOLIRIS is required in the setting of concomitant PE/PI (plasmapheresis or plasma exchange, or fresh frozen plasma infusion): (See Table 14.)

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Treatment Monitoring: aHUS patients should be monitored for signs and symptoms of thrombotic microangiopathy (TMA) (refer to aHUS Laboratory Monitoring under Precautions).
SOLIRIS treatment is recommended to continue for the patient's lifetime, unless the discontinuation of SOLIRIS is clinically indicated (see Precautions).
Method of administration: Do not administer as an intravenous push or bolus injection. SOLIRIS should only be administered via intravenous infusion as described as follows.
For instructions on dilution of the medicinal product before administration, see Special precautions for disposal and other handling under Cautions for Usage.
The diluted solution of SOLIRIS should be administered by intravenous infusion over 25 - 45 minutes in adults and 1-4 hours in paediatric patients via gravity feed, a syringe-type pump, or an infusion pump. It is not necessary to protect the diluted solution of SOLIRIS from light during administration to the patient.
Patients should be monitored for one hour following infusion. If an adverse event occurs during the administration of SOLIRIS, the infusion may be slowed or stopped at the discretion of the physician. If the infusion is slowed, the total infusion time may not exceed two hours in adults and adolescents (aged 12 years to under 18 years) and four hours in children aged less than 12 years.
Elderly: SOLIRIS may be administered to patients aged 65 years and over. There is no evidence to suggest that any special precautions are needed when older people are treated - although experience with SOLIRIS in this patient population is still limited.
Renal impairment: No dose adjustment is required for patients with renal impairment (see Pharmacology: Pharmacodynamics under Actions).
Hepatic impairment: The safety and efficacy of SOLIRIS have not been studied in patients with hepatic impairment.