Proper Use

Drug information provided by: Merative, Micromedex®

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.

This medicine comes with patient instructions. Read and follow the instructions carefully. Ask your doctor if you have any questions.

Take this medicine with food. Do not mix it with any type of liquid before taking or giving this medicine.

To use the oral liquid:

  • Shake the bottle well for at least 30 seconds.
  • Place the open bottle on a flat surface. Insert the bottle adapter into the bottle by pushing it tightly into the top of the bottle. Do not remove the bottle adapter after it is inserted into the bottle.
  • Measure the oral liquid medicine with the provided oral dosing syringe.
  • Push the plunger completely down toward the tip of the syringe. Use one hand to hold the bottle upright. Insert the oral syringe tip firmly into the opening of the bottle adapter.
  • Hold the syringe in place and carefully turn the bottle upside down. Pull the plunger down slowly until you reach the prescribed dose. Do not pull the plunger out of the oral dispenser.
  • If there are large bubbles in the syringe or if you draw up the wrong dose, push the plunger all the way down so that the medicine flows back into the bottle. Pull the plunger down slowly until you reach the prescribed dose.
  • Leave the tip of the syringe in the bottle and turn the bottle to an upright position. Slowly remove the syringe tip from the bottle by pulling the syringe straight up. Do not hold the plunger because it may come out.
  • Place the tip of the oral syringe tip in the mouth towards the cheek and slowly push the plunger down. Do not forcefully push on the plunger. Do not give the medicine too fast into the back of the mouth or throat.

If you are receiving steroid treatment (eg, prednisone, deflazacort), your doctor may switch you to this medicine anytime. Ask your doctor if you have questions.

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 oral dosage form (suspension):
    • For Duchenne muscular dystrophy (DMD):
      • Adults and children 2 years of age and older—Dose is based on body weight and must be determined by your doctor. The dose is usually 6 milligrams (mg) per kilogram (kg) of body weight once a day. Your doctor may adjust your dose as needed and tolerated. However, the dose is usually not more than 300 mg per day for patients weighing more than 50 kg.
      • Children younger than 2 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

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.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

You may store the opened medicine in the refrigerator. Do not freezer.

Throw away any unused liquid after 3 months of opening the bottle.