Medicine guide

Ranluspec

·

  • Prescription status not stated
  • Eyes and ears
Active substance
Ranibizumab
Made by
Lupin Europe GmbH

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

What it is for

These diseases result from damage to the retina (light-sensitive layer at the back of the eye) caused by:

  • What Ranluspec is Ranluspec is a solution which is injected into the eye. Ranluspec belongs to a group of medicines called antineovascularisation agents. It contains the active substance called ranibizumab.
  • What Ranluspec is used for Ranluspec is used in adults to treat several eye diseases causing vision impairment.
  • - Growth of leaky, abnormal blood vessels. This is observed in diseases such as age-related macular degeneration (AMD) and proliferative diabetic retinopathy (PDR, a disease caused by diabetes). It may also be associated with choroidal neovascularisation (CNV) due to pathologic myopia (PM), angioid streaks, central serous chorioretinopathy or inflammatory CNV.
  • - Macular oedema (swelling of the centre of the retina). This swelling can be caused by diabetes (a disease called diabetic macular oedema (DME)) or by the blockage of retinal veins of the retina (a disease called retinal vein occlusion (RVO)).
  • How Ranluspec works Ranluspec specifically recognises and binds to a protein called human vascular endothelial growth factor A (VEGF-A) present in the eye. In excess, VEGF-A causes abnormal blood vessel growth and swelling in the eye which can lead to impairment of vision in diseases like AMD, DME, PDR, RVO, PM and CNV. By binding to VEGF-A, Ranluspec can block its actions and prevent this abnormal growth and swelling.
  • In these diseases, Ranluspec can help to stabilise and in many cases improve your vision

From the package leaflet in EMA’s product information, p. 61 · 2026-05-29

How to take it

These directions are for this exact strength and form. Another one is different.

  • Ranluspec is administered as a single injection into your eye by your eye doctor under a local anaesthetic. The usual dose of an injection is 0.05 mL (which contains 0.5 mg of ranibizumab). The interval between two doses injected into the same eye should be at least four weeks. All injections will be administered by your eye doctor.
  • Before the injection, your doctor will wash your eye carefully to prevent infection. Your doctor will also give you a local anaesthetic to reduce or prevent any pain you might have with the injection.
  • The treatment is started with one injection of Ranluspec per month. Your doctor will monitor the condition of your eye and, depending on how you respond to the treatment, will decide if and when you need to receive further treatment.
  • Detailed instructions for use are given at the end of the leaflet under “How to prepare and administer Ranluspec to adults”.
  • Elderly (age 65 years and over)
  • Ranluspec can be used for people of 65 years of age and over without dose adjustment.
  • Before stopping Ranluspec treatment If you are considering stopping Ranluspec treatment, please go to your next appointment and discuss this with your doctor. Your doctor will advise you and decide how long you should be treated with Ranluspec.
  • If you have any further questions on the use of this medicine, ask your doctor.

From the package leaflet in EMA’s product information, p. 62–63.

Warnings and precautions

  • Talk to your doctor before you are given Ranluspec.
  • Ranluspec is given as an injection into the eye. Occasionally, an infection in the internal portion of the eye, pain or redness (inflammation), detachment or tear of one of the layers in the back of the eye (retinal detachment or tear and retinal pigment epithelial detachment or tear), or clouding of the lens (cataract) may occur after Ranluspec treatment. It is important to identify and treat such an infection or retinal detachment as soon as possible. Please tell your doctor immediately if you develop signs such as eye pain or increased discomfort, worsening eye redness, blurred or decreased vision, an increased number of small particles in your vision or increased sensitivity to light.
  • In some patients the eye pressure may increase for a short period directly after the injection.
  • This is something you may not notice, therefore your doctor may monitor this after each injection.
  • Inform your doctor if you have a prior history of eye conditions or eye treatments, or if you have had a stroke or experienced transient signs of stroke (weakness or paralysis of limbs or face, difficulty speaking or understanding). This information will be taken into account to evaluate if Ranluspec is the appropriate treatment for you.
  • Please see section 4 (“Possible side effects”) for more detailed information on side effects that could occur during Ranluspec therapy.
  • Children and adolescents (below 18 years of age)
  • The use of Ranluspec in children and adolescents has not been established and is therefore not recommended.

From the package leaflet in EMA’s product information, p. 62.

Pregnancy and breastfeeding

  • Women who could become pregnant must use effective contraception during treatment and for at least three further months after the last injection of Ranluspec.
  • There is no experience of using Ranluspec in pregnant women. Ranluspec should not be used during pregnancy unless the potential benefit outweighs the potential risk to the unborn child. If you are pregnant, think you may be pregnant or planning to become pregnant, discuss this with your doctor before treatment with Ranluspec.
  • Small amounts of Ranluspec may pass into breast milk, therefore Ranluspec is not recommended during breast-feeding. Ask your doctor or pharmacist for advice before Ranluspec treatment.

From the package leaflet in EMA’s product information, p. 62.

Other medicines

Tell your doctor if you are using, have recently used or might use any other medicines.

From the package leaflet in EMA’s product information, p. 62.

Driving and using machines

  • After Ranluspec treatment you may experience some temporary vision blurring. If this happens, do not drive or use machines until this resolves.
  • This medicine contains polysorbate 20 This medicine contains 0.005 mg of polysorbate 20 in each dose of 0.05 mL which is equivalent to 0.1 mg/mL. Polysorbates may cause allergic reactions. Tell your doctor if you have any known allergies.

From the package leaflet in EMA’s product information, p. 62.

Side effects

  • Like all medicines, this medicine can cause side effects, although not everybody gets them.
  • The side effects associated with the administration of Ranluspec are either due to the medicine itself or the injection procedure and mostly affect the eye.
  • The most serious side effects are described below:
  • Common serious side effects (may affect up to 1 in 10 people): Detachment or tear of the layer in the back of the eye (retinal detachment or tear), resulting in flashes of light with floaters progressing to a temporary loss of sight, or a clouding of the lens (cataract).
  • Uncommon serious side effects (may affect up to 1 in 100 people): Blindness, infection of the eyeball (endophthalmitis) with inflammation of the inside of the eye.
  • The symptoms you might experience are pain or increased discomfort in your eye, worsening eye redness, blurred or decreased vision, an increased number of small particles in your vision or increased sensitivity to light. Please tell your doctor immediately if you develop any of these side effects.
  • The most frequently reported side effects are described below:
  • Very common side effects (may affect more than 1 in 10 people)
  • Visual side effects include: Inflammation of the eye, bleeding in the back of the eye (retinal bleeding), visual disturbances, eye pain, small particles or spots in your vision (floaters), bloodshot eye, eye irritation, a feeling of having something in the eye, increased tear production, inflammation or infection of the eyelid margins, dry eye, redness or itching of the eye and increased eye pressure.
  • Non-visual side effects include: Sore throat, nasal congestion, runny nose, headache and joint pain.
  • Other side effects which may occur following Ranluspec treatment are described below:
  • Common side effects Visual side effects include: Decreased sharpness of vision, swelling of a section of the eye (uvea, cornea), inflammation of the cornea (front part of eye), small marks on the surface of the eye, blurred vision, bleeding at the site of injection, bleeding in the eye, discharge from the eye with itching, redness and swelling (conjunctivitis), light sensitivity, eye discomfort, swelling of the eyelid, eyelid pain.
  • Non-visual side effects include: Urinary tract infection, low red blood cells count (with symptoms such as tiredness, breathlessness, dizziness, pale skin), anxiety, cough, nausea, allergic reactions like rash, hives, itching and skin reddening.
  • Uncommon side effects Visual side effects include: Inflammation and bleeding in the front part of the eye, sac of pus on the eye, changes of the central part of the eye surface, pain or irritation at the site of injection, abnormal sensation in the eye, irritation of the eyelid.
  • Reporting of side effects If you get any side effects, talk to your doctor. This includes any possible side effects not listed in this leaflet. You can also report side effects directly the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

From the package leaflet in EMA’s product information, p. 63–64.

How to store it

  • 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 carton and vial label after EXP. The expiry date refers to the last day of that month.
  • Store in a refrigerator (2 °C – 8 °C). Do not freeze.
  • Prior to use, the unopened vial may be kept at room temperature (25 °C) for up to 24 hours.
  • Keep the vial in the outer carton in order to protect from light.
  • Do not use any pack that is damaged.

From the package leaflet in EMA’s product information, p. 64.

Same active substance, strength and form in other countries

Matched on active substance, strength and kind of form only. This is not a statement that the products are equivalent or interchangeable: other ingredients, release and approved uses can differ — ask a pharmacist before swapping.

Medicine passport: one printable page to show a pharmacist abroad

United StatesNo exact match for this strength and form

SpainNo exact match for this strength and form

FranceNo exact match for this strength and form

CanadaNo exact match for this strength and form

NetherlandsNo exact match for this strength and form

SwitzerlandNo exact match for this strength and form

Details

Made byLupin Europe GmbH
Active substanceRanibizumab
Used inEyes and ears
ClassificationS01LA04 · Eyes and ears
BiosimilarYes — a biosimilar medicine, according to the register
Additional monitoring ▼Yes — under additional monitoring (black triangle). Report suspected side effects.
Authorised on2026-02-10
Last updated by the regulator2026-05-29
EMA product numberEMEA/H/C/006502

Source: European Medicines Agency — medicine data · 2026-09-30 · not reviewed by a clinician

Source: European Medicines Agency (EMA). Product information as published by EMA. Reuse terms: EMA legal notice (reproduction authorised).

Same active substance

These contain the same substance. That does not mean one can replace another — ask a pharmacist.