Monday, October 3, 2016

Etanercept

Generic Name : Etanercept

Pronunciation : ee-TAN-er-sept

Trade Name(s): 
India- Enbrel Inj , Enbrol Vial.
International- Enbrel Prefilled Syringes.


Why it is prescribed (Indications) : 
This medication is a tumor-necrosis factor (TNF) blocker, prescribed for ankylosing spondylitis (type of joint pain that affects your back), juvenile arthritis (arthritis-related condition that develops in children), psoriasis, and rheumatoid (inflammation of the joints) and psoriatic arthritis.





When it is not to be taken (Contraindications): 


Contraindicated in patients with hypersensitivity or widespread infection.





Pregnancy Category :













A B C D X
Category B : Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women OR Animal studies have shown an adverse effect, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.


When it is to be taken : 
Adult- SC- The recommended dose is 50 mg weekly; twice weekly in plaque psoriasis. 0.8 mg/kg/week in children.

How it should be taken : 
It is administered as an injection just under the skin by a healthcare provider.




Special Instruction : 
* Avoid using contaminated solution of this drug or if the appearance of the solution is changed.

* Do not have any vaccinations while taking this medication.

* It may increase the risk of cancer and serious infections including tuberculosis.

* Caution needed in patients with history of decreased bone marrow function, history of cancer (e.g., lymphoma), seizures, active or reoccurring infections, diabetes, certain brain/spinal cord disorders (demyelinating disorders such as multiple sclerosis), blood disorders, heart disease (e.g., heart failure), allergies during pregnancy, in elderly, and children between 2 to 18 yrs.

* It should not be used in children less than 2 years.

* Do not share this medication with others.

Side Effects : 
Serious adverse effects-
Increase in serious infections including fungal infections and tuberculosis and cancers like lymphomas.
Heart-
Congestive Heart failure, heart attack.
Central Nervous System-

Seizures, headache, dizziness, stroke, demyelinating diseases, inflammation of nerves, aseptic meningitis (inflammation of the covering of the brain in the absence of infection), hydrocephalus (abnormal accumulation of cerebrospinal fluid (CSF) within brain).
Skin-

Rash, hair loss, worsening psoriasis, inflammation of blood vessels in skin, skin cancer, severe allergic reactions.
Eye and ENT-
Inflammation of eyes, nose and throat.
Gastrointestinal-
Abdominal pain, nausea, vomiting, stomach upset, altered sense of taste, loss of appetite, diarrhea, dry mouth, inflammation of the digestive system, perforation of the intestine.
Genitourinary-
Kidney stone, kidney damage, urinary tract infection.
Blood-
Decrease in red blood cells, white blood cells and /or platelets, lymph node swelling.
Liver-
Liver inflammation.
Local-
Injection-site reactions (erythema and/or itching, pain, or swelling).
Metabolic-
Increase in blood sugar, weight gain.
Musculoskeletal-
Inflammation of bursa, muscles, joint pain, lupus-like syndrome.
Respiratory-
Upper respiratory tract infections, cough, difficulty in breathing, lung disease.
Miscellaneous-
Autoimmune reaction, inflammation of veins, flu like syndrome.


Other Precautions : 
*If you miss a dose, contact your doctor or pharmacist.

Storage Conditions : 
Store at 25°C. Store it in airtight container and keep away from children.

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