Indication and clinical use:

Atopic Dermatitis

DUPIXENT® (dupilumab injection) is indicated for the treatment of patients aged 6 years and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. 

DUPIXENT® can be used with or without topical corticosteroids.

• No dose adjustment is recommended for elderly patients
• Efficacy and safety of DUPIXENT® in pediatric patients with atopic dermatitis below the age of 6 years have not been established

 

Asthma

DUPIXENT® (dupilumab injection) is indicated as an add-on maintenance treatment in patients aged 6 years and older with severe asthma with a type 2/eosinophilic phenotype or oral corticosteroid-dependent asthma.

DUPIXENT® is not indicated for relief of acute bronchospasm or status asthmaticus.

• Efficacy and safety in pediatric patients with asthma below the age of 6 years have not been established

 

Chronic Rhinosinusitis with Nasal Polyposis

DUPIXENT® (dupilumab injection) is indicated as an add-on maintenance treatment with intranasal corticosteroids in adult patients with severe chronic rhinosinusitis with nasal polyposis (CRSwNP) inadequately controlled by systemic corticosteroids and/or surgery

• No dose adjustment is recommended for elderly patients.
• Efficacy and safety of DUPIXENT® in pediatric patients with CRSwNP have not been established

Contraindications:

Hypersensitivity to DUPIXENT® or to any ingredient in the formulation or component of the container.

Warnings and precautions:

• Reduction of corticosteroid dosage
• Systemic hypersensitivity reactions

• Elevation of blood eosinophils
• Eosinophilic pneumonia
• Not studied with live vaccines
• Conjunctivitis and keratitis
• Patients with helminth infection
• Patients with concomitant atopic conditions
• Acute asthma symptoms or deteriorating disease
• Pregnant and nursing women

For more information:

Consult the Product Monograph at http://products.sanofi.ca/en/dupixent-en.pdf for important information relating to adverse drug reactions, drug interactions and dosing information which have not been discussed in this piece. The Product Monograph is also available by calling 1-800-589-6215.

References:
1. DUPIXENT® Product Monograph, sanofi-aventis Canada Inc., March 25, 2022.
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15. University of Nottingham – Centre of Evidence Based Dermatology. POEM – Patient Oriented Eczema Measure. Available at: https://www.nottingham.ac.uk/research/groups/cebd/resources/poem.aspx. Accessed May 25, 2018.
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21. Ontario Ministry of Health. Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs. Accessed on April 26, 2023. Available at: https://www.health.gov.on.ca/en/pro/programs/drugs/docs/frequently_requested_drugs.pdf
22. RAMQ List of Medications. Updated April 13, 2023. Accessed on April 26, 2023. Available at: www.ramq.gouv.qc.ca/en/publications/citizens/legal-publications/Pages/list-medications.aspx.
23. New Brunswick Drug Plans Formulary Update. Published May 13, 2021. Accessed on April 26, 2023. Available at: https://www2.gnb.ca/content/dam/gnb/Departments/h-s/pdf/en/NBDrugPlan/FormularyUpdates/NBDrugPlansBulletin-1053.pdf
24. Non-Insured Health Benefits First Nations and Inuit Health Branch. Drug Benefit List. Accessed on April 26, 2023. Available at: https://nihb.express-scripts.ca/NIHBProvider/benefits/pharmacy?page=drugbenefit-grid&benefit=pharmacy
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26. PEI Pharmacare Formulary. Accessed on April 26, 2023. Available at: https://www.princeedwardisland.ca/sites/default/files/publications/pei_pharmacare_formulary.pdf.
27. Government of Northwest Territories. Extended Health Benefits for Specific Disease Conditions Programs. Accessed on December 3, 2021. Available at: https://www.hss.gov.nt.ca/en/services/supplementary-health-benefits/extended-health-benefits-specified-disease-conditions.
28. Newfoundland and Labrador Prescription Drug Program. Special Authorization Drug Products. Updated on April 19, 2023. Accessed on April 26, 2023. Available at: https://www.gov.nl.ca/hcs/prescription/covered-specialauthdrugs/.
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MAT-CA-2300298
Last updated: 06/2023

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