Two medical professionals posing for a thumb-up.

A product’s FDA-approved prescribing information is an essential resource for doctors and healthcare providers, offering critical details on how to use prescription medicines safely and effectively. For patients and clinicians, it’s the go-to guide for understanding everything from dosing instructions to potential side effects.

Take Eylea (aflibercept), for example. It’s approved for treating several serious eye conditions, including wet age-related macular degeneration and diabetic macular edema. The prescribing information for Eylea is incredibly thorough, outlining how to administer the injection, the recommended dosing schedule, potential contraindications, and important safety precautions. This detailed guidance ensures that clinicians can make the best decisions for their patients, following evidence-based practices.

In this article, we’ll break down the key points from Eylea’s prescribing information, including dosage recommendations, safety warnings, and contraindications. Our goal is to help healthcare providers and patients make well-informed treatment choices for optimal outcomes.

Key Takeaways

  • Eylea (aflibercept) is FDA-approved for several retinal conditions, including wet AMD, diabetic macular edema (DME), retinal vein occlusion (RVO), and retinopathy of prematurity (ROP).
  • The prescribing information for Eylea provides essential guidance on dosing, injection intervals, contraindications, and safety monitoring, ensuring safe and effective use.
  • The recommended dosage of Eylea is typically 2 mg (0.05 mL) for most indications, with different dosing intervals depending on the condition being treated, such as monthly injections for the first few doses, followed by maintenance doses every 8 weeks.
  • Contraindications include active eye infections and hypersensitivity to aflibercept. It’s crucial to assess these before administering the drug to ensure patient safety.
  • Common ocular side effects include conjunctival hemorrhage, eye pain, and blurred vision, while systemic side effects like increased intraocular pressure and arterial thromboembolic events may also occur.
  • Monitoring and follow-up are essential to adjust dosing intervals, assess patient response, and address any potential side effects early, ensuring long-term treatment success.

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FDA-Approved Indications and Label Use of Eylea

An older male individual dealing with macular degeneration.

Eylea (aflibercept) is a recombinant fusion protein that effectively binds to and neutralizes VEGF-A, VEGF-B, and PIGF, making it a critical treatment for a variety of retinal diseases. First approved by the FDA in 2011, and subsequently by the EMA for use in Europe, Eylea has become a staple in ophthalmic treatments.

For medical professionals, adhering to the prescribing information is essential to ensure both patient safety and treatment efficacy. Eylea is FDA-approved for several conditions, including:

  • Neovascular (Wet) Age-Related Macular Degeneration (AMD)
  • Macular Edema Following Retinal Vein Occlusion (RVO)
  • Diabetic Macular Edema (DME)
  • Diabetic Retinopathy (DR)
  • Retinopathy of Prematurity (ROP)

When comparing Vabysmo vs Eylea, both medications are approved to treat similar conditions, but their mechanisms of action differ. Vabysmo employs a dual-pathway approach, targeting VEGF-A and Ang-2, while Eylea focuses solely on VEGF inhibition. Understanding these distinctions helps practitioners choose the best treatment based on the patient’s condition and response.

Eylea Safety Information: Dosing Guidelines and Injection Intervals for Eylea

A medical professional preparing an injection dose.

Eylea’s dosage may vary depending on the specific condition being treated, but the standard dose is 2 mg (0.05 mL of 40 mg/mL solution) delivered via intravitreal injection. Below are the FDA-recommended dosing schedules for the various approved conditions:

Wet AMD

  • Start with three consecutive monthly injections of 2 mg (0.05 mL).
  • After the initial phase, the maintenance dose is one injection every eight weeks.

RVO

  • 2 mg (0.05 mL) is administered once every 4 weeks (approximately every 25 days).

DME and DR

  • Initial dosing: 2 mg (0.05 mL) every four weeks for the first five injections.
  • After the initial phase, the interval changes to one injection every 8 weeks.

ROP

  • 0.4 mg (0.01 mL or 10 microliters) is administered, with injections bilaterally on the same day. The interval between doses for the same eye should be at least 10 days.

Safety Data: Contraindications, Warnings, and Precautions

Eylea comes with a set of contraindications and warnings that healthcare providers must be aware of to ensure patient safety during treatment.

Contraindications

  • Active intraocular or periocular infection
  • Known hypersensitivity to aflibercept or any formulation component

Before administering Eylea, healthcare providers must confirm that no active infections are present and verify the patient’s allergy history.

Warnings and Precautions

  • Endophthalmitis (a severe eye infection) or intraocular inflammation may occur.
  • Retinal tears or detachment are rare but serious side effects that require immediate attention.
  • Transient intraocular pressure (IOP) spikes may occur, requiring close monitoring of IOP levels.

To ensure safety:

  • Adjust dosing intervals based on anatomical response and patient tolerance.
  • Educate patients on recognizing adverse effects and encourage them to report any changes in their condition immediately.
  • Always use a strict aseptic technique and only single-use vials to avoid contamination.

Storage, Preparation, and Administration Best Practices

A patient undergoing an eye treatment.

Eylea’s effectiveness relies heavily on proper storage, preparation, and administration techniques. Following best practices helps maintain the drug’s molecular stability and ensures precise dosing.

Storage

  • Store Eylea vials at 2°C–8°C (36°F–46°F) in the original packaging, protected from light.
  • Avoid freezing or shaking the vials.
  • Dispose of unused solution after puncture and do not reuse vials or syringes.

Preparation

  • Always check the expiration date and verify the concentration before use.
  • Disinfect the vial stopper with isopropyl alcohol before withdrawing the solution.
  • Inspect the vial for particulates and air bubbles, and remove them by gently tapping the vial.

Administration

  • Use a single-use 30-gauge x ½-inch injection needle when preparing and administering Eylea.
  • Apply appropriate anesthesia and topical microbicide before the injection.
  • Inject with constant pressure to ensure consistent delivery of the medication.

After the injection, schedule a follow-up visit within four to eight weeks to monitor the treatment’s progress and make any necessary adjustments.

Conclusion

Eylea (aflibercept) is a vital treatment for a range of retinal conditions, offering clinicians a powerful tool for managing conditions like wet AMD, diabetic macular edema, and retinal vein occlusion. By adhering to the FDA-prescribed guidelines, healthcare providers can ensure that patients receive the most effective treatment with minimal risks.

Understanding the prescribing information, including the dosing schedules, contraindications, and safety precautions, allows for informed treatment decisions and optimal patient outcomes. By consistently monitoring for potential side effects and adhering to best practices for administration, clinicians can provide the highest standard of care with Eylea.

FAQs

1. What conditions does Eylea (aflibercept) treat?

The US FDA approved Eylea to treat neovascular wet age-related macular degeneration, macular edema following retinal vein occlusion, diabetic macular edema, diabetic retinopathy, and retinopathy of prematurity.

2. How is Eylea administered?

Eylea is administered through intravitreal injections. The typical dosage is 2 mg, with specific injection schedules depending on the condition being treated.

3. What precautions should healthcare providers take when prescribing Eylea?

Providers should check for Eylea safety information, such as contraindications to active infections or hypersensitivity to aflibercept. They should also monitor patients for potential complications like endophthalmitis and educate them about possible side effects.

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References

Center for Drug Evaluation and Research. Frequently Asked Questions about Labeling for Prescription Medicines. FDA. Published online June 22, 2022. https://www.fda.gov/drugs/fdas-labeling-resources-human-prescription-drugs/frequently-asked-questions-about-labeling-prescription-medicines

Regeneron Pharmaceuticals, Inc. HIGHLIGHTS of PRESCRIBING INFORMATION | EYLEA® (Aflibercept). 2024. Accessed August 4, 2025. https://www.regeneron.com/downloads/eylea_fpi.pdf