Frequently asked questions
About ARIKAYCE
ARIKAYCE is used in combination with multidrug therapy for adults who still test positive for MAC lung disease after at least 6 months on multidrug treatment alone.
ARIKAYCE was approved by FDA using the Limited Population pathway. This means FDA has approved this drug for a limited and specific patient population, and studies on the drug may have only answered focused questions about its safety and effectiveness.
ARIKAYCE was studied in adult patients. It is not known if ARIKAYCE is safe and effective in children younger than 18 years of age.
Amikacin is an antibiotic that’s used to treat certain serious infections such as MAC lung disease. It’s the main active ingredient in ARIKAYCE. See how ARIKAYCE works.
ARIKAYCE is associated with a risk of increased respiratory side effects including allergic inflammation of the lungs, coughing up blood, severe breathing problems, and worsening of COPD.
In the clinical study, serious side effects included hearing loss or ringing in the ears (ototoxicity), worsening kidney problems (nephrotoxicity), and worsening muscle weakness (neuromuscular blockade).
Cough was reported most often during the first month of treatment.
The most common side effects of ARIKAYCE include: changes in voice and hoarseness (dysphonia), cough during or after a dose of ARIKAYCE, especially in the first month after starting treatment, muscle pain, sore throat, tiredness (fatigue), diarrhea, nausea, headache, fever, decreased weight, vomiting, rash, increased sputum, or chest discomfort.
Call your doctor or pharmacist for medical advice about possible side effects.
Cost and insurance coverage
Insurance covers ARIKAYCE for most people. There are also savings and financial support resources available for eligible patients. Eligibility can be determined by calling the Arikares® Support Program at 1-833-ARIKARE (1-833-274-5273) or 1-973-437-2376.
If you have Medicare Part D, you may be able to get “Extra Help” with prescription medicine costs through the Extra Help program (also known as the Low-Income Subsidy (LIS) program). To learn more, call 1-800-MEDICARE (1-800-633-4227); TTY users call 1-877-486-2048 or visitmedicare.gov .
Medicare approves most prescriptions for ARIKAYCE.
About NTM and MAC (Mycobacterium avium complex) lung disease
NTM stands for nontuberculous mycobacterium, a common bacterium that we breathe in every day. While NTM is not a problem for most people, those with underlying lung conditions like COPD, asthma, and bronchiectasis may develop NTM lung disease, a serious infection.
MAC lung disease is the most common form of NTM lung disease.
Mycobacterium is a type of bacteria that can cause a variety of infections, including tuberculosis and MAC lung disease. Studies show that having a MAC infection can cause damage to the lungs, which can worsen over time.
MAC lung disease is a serious lung infection caused by Mycobacterium avium complex, the most common form of NTM bacteria.
People with MAC lung disease can experience chronic cough, shortness of breath, and fatigue—or no symptoms at all. The only way to know if you are positive for MAC is to get a sputum test.
Sputum is collected by coughing up mucus. The mucus is then sent to a lab to be analyzed for MAC bacteria. Ask your doctor about the collection process and how often your sputum will be tested.
Treating MAC lung disease involves taking more than 1 medication. These medications work together to fight the MAC bacteria.
The NTM Treatment Guidelines recommend:
- When MAC is diagnosed, consider starting a multidrug treatment
- If you’re still testing positive for MAC after at least 6 months on multidrug treatment, adding ARIKAYCE is strongly recommended
- Stay on treatment for at least 1 year after testing MAC-negative. This is to help make sure the MAC bacteria are cleared from your lungs
Ask your doctor about a treatment plan that’s right for you.
Using the Lamira® Nebulizer System
For step-by-step instructions, watch the following video or download the instructions for use.
For step-by-step instructions, watch the following video or download the instructions for use.