Consumer Medicine Information (CMI) summary
The
full CMI on the next page has more details. If you are worried about using this medicine,
speak to your doctor or pharmacist.
This medicine is new or being used differently. Please report side effects. See the
full CMI for further details.
1. Why am I using ZEJULA?
ZEJULA contains the active ingredient niraparib. ZEJULA is used as a treatment for
ovarian, fallopian tube or peritoneal cancer that has completely or partially responded
to treatment with platinum-based chemotherapy.
2. What should I know before I use ZEJULA?
Do not use ZEJULA if you have ever had an allergic reaction to any medicine containing
niraparib, lactose or any of the ingredients listed at the end of the CMI.
Talk to your doctor if you have any other medical conditions, take any other medicines,
or are pregnant or plan to become pregnant or are breastfeeding.
3. What if I am taking other medicines?
4. How do I use ZEJULA?
Follow dosage directions given to you by your doctor or pharmacist and continue taking
it for as long as your doctor tells you. More instructions can be found in Section
4. How do I use Zejula? in the full CMI.
5. What should I know while using ZEJULA?
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Things you should do
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Remind any doctor, dentist or pharmacist you visit that you are using ZEJULA.
Tell your doctor if you have low blood counts, high blood pressure, myelodysplastic
syndrome (MDS)/acute myeloid leukaemia (AML), or posterior reversible encephalopathy
syndrome (PRES).
If you become pregnant while taking ZEJULA, tell your doctor immediately.
If you could become pregnant you must use reliable contraception while you are taking
ZEJULA, and 6 month after taking your last dose.
Keep all your doctor’s appointments so that your progress can be checked.
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Things you should not do
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Do not stop using this medicine suddenly or change the dosage without checking with
your doctor.
Do not take this medicine if you are pregnant, intend to become pregnant or are breastfeeding.
Do not begin breast-feeding until 1 month after taking your last dose.
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Driving or using machines
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ZEJULA may cause dizziness, tiredness or weakness. If you have any of these symptoms,
do not drive or operate machinery.
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Looking after your medicine
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Keep ZEJULA tablets in the pack, in a cool, dry place where the temperature stays
below 30°C.
Keep ZEJULA where children cannot reach it.
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6. Are there any side effects?
The following common side effects may occur when taking ZEJULA: tiredness, weakness,
nausea, stomach pain, vomiting, constipation, diarrhoea, indigestion, decreased appetite,
inability to sleep, headache, dizziness, runny or stuffy nose, shortness of breath,
cough, high blood pressure, urinary tract infection, heart palpitations, back pain
and joint pain. If you experience bruising and bleeding for longer than usual, fever
or infection, or shortness of breath alongside tiredness, pale skin and a fast heartbeat
or a life-threatening allergic reaction then contact your doctor immediately. For
more information, including what to do if you have any side effects, see Section
6. Are there any side effects? in the full CMI.
This medicine is subject to additional monitoring. This will allow quick identification
of new safety information. You can help by reporting any side effects you may get.
You can report side effects to your doctor, or directly at www.tga.gov.au/reporting-problems .
Active ingredient(s):
Niraparib
Consumer Medicine Information (CMI)
This leaflet provides important information about using ZEJULA. You should also speak to your doctor or pharmacist if you would like further information
or if you have any concerns or questions about using ZEJULA.
Where to find information in this leaflet:
1. Why am I using ZEJULA?
ZEJULA contains the active ingredient niraparib.
Niraparib is a type of anti-cancer medicine called a PARP inhibitor. PARP inhibitors
block an enzyme called poly [adenosine diphosphate-ribose] polymerase (PARP).
PARP helps cells repair damaged DNA, so blocking it means that the DNA of cancer cells
cannot be repaired. This results in tumour cell death, helping to control the cancer.
ZEJULA is used in adults for the treatment of cancer of the ovary, the fallopian tubes
(part of the female reproductive system that connects the ovaries to the uterus),
or the peritoneum (the membrane lining the abdomen).
It is used for the treatment of cancer that has:
responded to the first treatment with platinum-based chemotherapy, or
come back (recurred) after the cancer has responded to previous treatment with standard
platinum-based chemotherapy.
Ask your doctor if you have any questions about why it has been prescribed for you.
Your doctor may have prescribed it for another purpose.
This medicine is available only with a doctor’s prescription.
There is not enough information to recommend the use of this medicine for children
under the age of 18 years.
2. What should I know before I use ZEJULA?
Warnings
Always check the ingredients to make sure you can use this medicine.
Do not use ZEJULA if:
you are allergic to niraparib, or any of the ingredients listed at the end of this
leaflet. Some symptoms of an allergic reaction include: skin rash, itching, shortness
of breath or swelling of the face, lips or tongue, which may cause difficulty in swallowing
or breathing.
you are pregnant, intend to become pregnant or are breastfeeding.
Check with your doctor if you:
have any other medical conditions including low blood counts, high blood pressure,
myelodysplatic syndrome (MDS)/acute myeloid leukaemia (AML) or posterior reversible
encephalopathy syndrome (PRES).
take any medicines for any other condition
During treatment, you may be at risk of developing certain side effects. It is important
you understand these risks and how to monitor for them. See additional information
under Section
6. Are there any side effects?
Pregnancy and breastfeeding
Do not take ZEJULA if you are breastfeeding.
It is not known if ZEJULA passes into breast milk. If you are breastfeeding, you must
stop before you start taking ZEJULA and you must not begin breast-feeding until 1
month after taking your last dose.
Do not take this medicine if you are pregnant or intend to become pregnant.
ZEJULA can harm your unborn baby and may cause loss of pregnancy (miscarriage).
If you are a woman who could become pregnant you must use highly effective contraception
while you are taking ZEJULA, and you must continue to use reliable contraception for
6 months after taking your last dose.
If you are able to become pregnant, your doctor may perform a pregnancy test before
you start treatment with ZEJULA.
Contact your doctor straightaway if you become pregnant while you are taking ZEJULA.
Medical Conditions
Tell your doctor or pharmacist if you have or have had any of the following medical
conditions:
Low blood counts
ZEJULA lowers your blood-cell counts, such as your red blood-cell count (anaemia),
white blood-cell count (neutropaenia), or blood-platelet count (thrombocytopaenia).
Signs and symptoms you need to look out for include fever or infection, and abnormal
bruising or bleeding. Your doctor will test your blood regularly throughout your treatment.
Myelodysplastic syndrome (MDS)/acute myeloid leukaemia (AML)
Rarely, low blood-cell counts may be a sign of more serious problems with the bone
marrow such as ‘myelodysplastic syndrome’ (MDS) or ‘acute myeloid leukaemia’ (AML).
Your doctor may want to test your bone marrow to check for these problems.
High blood pressure
ZEJULA can cause high blood pressure, which in some cases, could be severe. Your doctor
will measure your blood pressure regularly throughout your treatment. He or she may
also give you medicine to treat high blood pressure and adjust your ZEJULA dose, if
necessary.
Posterior Reversible Encephalopathy Syndrome (PRES)
A rare neurological side effect named Posterior Reversible Encephalopathy Syndrome
(PRES) has been associated with ZEJULA treatment. If you have headache, vision changes,
confusion or seizure with or without high blood pressure, please contact your doctor.
3. What if I am taking other medicines?
Tell your doctor or pharmacist if you are taking any other medicines, including any
medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
supermarket or health food shop.
Some medicines and ZEJULA may interfere with each other. These include:
medicines used to prevent rejection after an organ transplant, such as cyclosporin
and tacrolimus
alfentanil, a medicine used to manage pain
ergotamine, a medicine to treat migraine
medicines used to treat mental disorders such as pimozide, quetiapine and clozapine
halofantrine, a medicine to treat malaria
theophylline, a medicine to treat asthma
ropinirole, a medicine to treat Parkinson's disease
irinotecan, a medicine to treat cancer
medicines to treat high cholesterol such as rosuvastatin, simvastatin and atorvastatin
methotrexate, a medicine used to treat cancer, rheumatoid arthritis or psoriasis
metformin, a medicine used to treat diabetes
These medicines may be affected by ZEJULA or may affect how well it works. You may
need to use different amounts of your medicine or take different medicines.
Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
or supplements you are taking and if these affect ZEJULA
4. How do I use ZEJULA?
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the pack, ask your doctor or pharmacist
for help.
Do not change the ZEJULA dose without talking to your doctor.
How much to take
The recommended starting dose is 2 tablets taken together once a day (total daily
dose of 200 mg). For some patients, a starting dose of 300 mg (3 tablets) may be appropriate
and recommended by your doctor based on clinical assessment.
Your doctor may recommend a lower dose if you experience side effects (such as nausea,
tiredness, abnormal bleeding/bruising, anaemia) or if you have problems with your
liver.
Follow the instructions provided and use ZEJULA until your doctor tells you to stop.
When to take ZEJULA
Take ZEJULA at approximately the same time each day.
Taking ZEJULA at bedtime may help you to manage nausea.
How to take ZEJULA
Swallow ZEJULA whole with a glass of water. Do not open, chew or crush the tablets.
It does not matter if you take this medicine with or without food.
Continue taking your medicine for as long as your doctor tells you. Your doctor will
check you on a regular basis, and you will normally continue to take Zejula until
disease progression, and as long as you do not suffer unacceptable side effects.
If you forget to take ZEJULA
ZEJULA should be used regularly at the same time each day. If you miss your dose at the usual time, take your next dose at its scheduled time.
Do not take an additional dose if you a miss a dose or vomit after taking ZEJULA.
Do not take a double dose to make up for the dose you missed. This may increase the chance of getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you are having trouble remembering when to take your medicine, ask your doctor
or pharmacist for hints.
If you use too much ZEJULA
If you think that you have used too much ZEJULA, you may need urgent medical attention.
You should immediately:
phone the Poisons Information Centre
(by calling
13 11 26), or
contact your doctor, or
go to the Emergency Department at your nearest hospital.
You should do this even if there are no signs of discomfort or poisoning.
5. What should I know while using ZEJULA?
Things you should do
If you are about to be started on any new medicine, remind your doctor and pharmacist
that you are taking ZEJULA.
If you are a woman who could become pregnant you must use highly effective contraception
while you are taking ZEJULA, and you must continue to use reliable contraception for
6 months after taking your last dose.
Keep all of your doctor’s appointments so that your progress can be checked.
Your doctor may do some tests from time to time to make sure the medicine is working
and to prevent unwanted side effects. Your doctor will test your blood weekly for
the first month, then monthly for 10 months and afterwards periodically
Call your doctor straight away if you:
Become pregnant while taking this medicine.
Remind any doctor, dentist or pharmacist you visit that you are using ZEJULA.
Things you should not do
Do not use this medicine to treat any other complaints unless your doctor tells you
to.
Do not give this medicine to anyone else, even if they have the same condition as
you.
Do not stop taking ZEJULA or lower the dosage without checking with your doctor.
If you stop taking it suddenly, your condition may worsen. Your doctor may interrupt
your treatment or reduce your dose if you are having unwanted side effects.
Driving or using machines
Be careful before you drive or use any machines or tools until you know how ZEJULA
affects you.
ZEJULA may cause dizziness, tiredness, difficulty concentrating or weakness in some
people. If you have any of these symptoms, do not drive, operate machinery or do anything
else that could be dangerous.
Looking after your medicine
Keep your tablets in the pack until it is time to take them. If you take the tablets
out of the pack they may not keep well.
Keep ZEJULA in a cool, dry place where the temperature stays below 30°C.
Follow the instructions in the carton on how to take care of your medicine properly.
Store it in a cool dry place away from moisture, heat or sunlight; for example, do
not store it:
in the bathroom or near a sink, or
in the car or on windowsills.
Keep it where young children cannot reach it.
A locked cupboard at least one-and-half metres above the ground is a good place to
store medicines.
Getting rid of any unwanted medicine
If you no longer need to use this medicine or it is out of date, take it to any pharmacy
for safe disposal.
Do not use this medicine after the expiry date.
6. Are there any side effects?
All medicines can have side effects. If you do experience any side effects, most of
them are minor and temporary. However, some side effects may need medical attention.
See the information below and, if you need to, ask your doctor or pharmacist if you
have any further questions about side effects.
Less serious side effects
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Less serious side effects
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What to do
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General disorders:
Feeling tired
Feeling of weakness
Gastrointestinal disorders:
Feeling sick
Stomach pain
Indigestion
Constipation
Vomiting
Diarrhoea
Respiratory disorders:
Runny or stuffy nose
Shortness of breath
Cough
Metabolism and nutrition:
Decreased appetite
Nervous system and psychiatric disorders
Headache
Dizziness
Inability to sleep
Cardiac and vascular disorders:
Palpitations (feeling like your heart is skipping beats or beating harder than usual)
High blood pressure
Musculoskeletal and connective tissues disorders:
Back pain
Pain in joints
Infections:
Urinary tract infection
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Speak to your doctor if you have any of these less serious side effects and they worry
you.
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Serious side effects
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Serious side effects
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What to do
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Blood Related:
Bruising or bleeding for longer than usual if you hurt yourself - these may be signs
of a low blood platelet count (thrombocytopenia).
Being short of breath, feeling very tired, having pale skin, or fast heartbeat - these
may be signs of a low red blood cell count (anaemia).
Fever or infection – these may be signs of a low white blood cell count (neutropenia).
Low blood cell counts due to a problem in the bone marrow or blood cancer starting
from the bone marrow (MDS or AML)
Kidney problems:
Lack of energy (fatigue), lack of strength (weakness)
Feeling sick (nausea), being sick (vomiting)
Loss of appetite
Changes in urination frequency and amount
Swelling in the legs, ankles or feet
Allergy Related
Allergic reaction (hypersensitivity, including anaphylaxis).
Life-threatening allergic reaction (such as difficulty breathing, low blood pressure,
and/or organ failure) (anaphylaxis)
Some other serious side effects may only become known through tests
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Call your doctor straight away, or go straight to the Emergency Department at your
nearest hospital if you notice any of these serious side effects.
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Tell your doctor or pharmacist if you notice anything else that may be making you
feel unwell.
Other side effects not listed here may occur in some people.
Reporting side effects
After you have received medical advice for any side effects you experience, you can
report side effects to the Therapeutic Goods Administration online at
www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
this medicine.
Always make sure you speak to your doctor or pharmacist before you decide to stop
taking any of your medicines.
7. Product details
This medicine is only available with a doctor's prescription.
What ZEJULA contains
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Active ingredient
(main ingredient)
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Niraparib (as niraparib tosilate monohydrate)
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Other ingredients
(inactive ingredients)
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Microcrystalline cellulose
Lactose monohydrate
Povidone
Crospovidone
Silicon dioxide
Magnesium stearate
Polyvinyl alcohol
Titanium dioxide
Macrogol 4000
Purified talc
Ferrosoferric oxide
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Do not take this medicine if you are allergic to any of these ingredients.
What ZEJULA looks like
Zejula 100 mg tablets are immediate release, grey, oval-shaped, film coated tablets,
debossed with “100” on one side and "Zejula" on the other side.
Zejula is available in packs of 56 and 84 tablets (AUST R 395406).
Who distributes ZEJULA
GlaxoSmithKline Australia Pty Ltd
Level 4, 436 Johnston Street,
Abbotsford, Victoria, 3067
Phone: 1800 033 109
©2023 GSK group of companies or its licensor.
This leaflet was prepared in September 2023.
Version 2.0