الأدوية والمكملات الغذائية

Proper Use

Drug information provided by: Merative, Micromedex®

A nurse or other trained health professional will give you or your child this medicine in a medical facility. It is given as a shot under your skin (usually in the upper thigh, stomach, or back of the arm) or into one of your muscles.

Repository corticotropin injection may sometimes be given at home to patients who do not need to be in the hospital. If you are using this medicine at home, your or your child's doctor will teach you how to prepare and inject the medicine. Be sure that you understand exactly how the medicine is prepared and injected.

If your child is receiving repository corticotropin injection to treat infantile spasms, this medicine usually comes with a Medication Guide and patient instructions. It is very important that you read and follow the instructions carefully. Be sure to ask your child's doctor about anything you do not understand.

You will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas. This will help prevent skin problems from the injections. Do not inject into red, swollen, or painful skin areas, areas with tattoos, warts, scars, birthmarks, stretch marks, or within one inch of the knee or groin area.

To use the prefilled SelfJect™ injector:

• Wash your hands with soap and water before and after using this medicine.
• Allow the prefilled SelfJect™ injector to warm to room temperature for 45 minutes and no more than 24 hours before using it. Do not warm using heat sources.
• Do not use the injector if it is damaged or the bottom cap has come off.
• Check the liquid in the injector. It should be clear light yellow or orange. Do not use this medicine if it is cloudy or if you see particles in it.
• Pull the bottom cap off. Do not touch the gray needle guard. Do not recap.
• Place the injector on clean skin at the injection site at a 90 degree angle. Do not pinch the skin. Slowly push the handle down to inject. Do not lift during the injection. You may hear a "click" sound. This means your injection has started.
• The injection is complete when the colored body disappears. You may also hear a click. If you see the green or purple colored body and yellow band, this means you did not give the full dose. Call your doctor if this happens. Do not try to inject with this injector again or use another injector.
• Remove the injector by lifting it straight up. If you see the yellow band, the needle guard is locked.

To use the vial:

• Take the vial from the refrigerator and let it warm to room temperature before using it. Do not over-pressurize the vial before withdrawing the medicine.
• Wash your hands before and after using this medicine.
• Wipe the injection site with a new sterile alcohol wipe and let it dry before giving an injection.
• Clean the top of the rubber stopper vial with a new sterile alcohol wipe.
• Use a new needle or syringe to get the prescribed amount of medicine to be injected.
• Give the medicine the way your doctor has instructed you.
• Return the vial to the refrigerator after using it.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For injection dosage form (gel):
  • For infantile spasms:
    • Children 2 years of age and older—Use and dose must be determined by your doctor.
    • Infants and children younger than 2 years of age—Dose is based on body size and must be determined by your child's doctor. The dose is usually 150 units per square meter (U/m2) of body size divided into two equal doses injected into a muscle per day for 2 weeks. Your child's doctor will adjust the dose as needed.
  • For multiple sclerosis:
    • Adults—The dose is usually 80 to 120 units injected under your skin or into a muscle per day for 2 to 3 weeks. Your doctor will adjust your dose as needed.
    • Children—Use and dose must be determined by your doctor.
  • For other indications (joint disorders, autoimmune diseases, allergies, swelling, and certain conditions of the skin, eyes, and lungs):
    • Adults—The dose is usually 40 to 80 units injected under your skin or into a muscle every 24 to 72 hours. Your doctor will adjust your dose as needed.
    • Children—Use and dose must be determined by your doctor.

Missed Dose

This medicine needs to be given on a fixed schedule. If you miss a dose or forget to use your medicine, call your doctor or pharmacist for instructions.

Storage

Store in the refrigerator. Do not freeze.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

You may store the prefilled SelfJect™ injector at room temperature for up to 24 hours.

Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.