Proper Use

Drug information provided by: Merative, Micromedex®

This medicine is given as a shot under the skin of your thighs, stomach, or upper arms. Etanercept-ykro may sometimes be given at home to patients who do not need to be in the hospital. If you or your child are using this medicine at home, your doctor or nurse will teach you how to prepare and inject the medicine. Be sure that you understand exactly how to use the medicine.

This medicine comes with a Medication Guide and patient instructions. Read and follow these instructions carefully. Ask your doctor if you have any questions.

If you use this medicine at home, you will be shown the body areas where this shot can be given. Use a different body area each time you give yourself or your child a shot. Keep track of where you give each shot to make sure you rotate body areas. This will help prevent skin problems. Do not inject into skin areas that are red, hard, bruised, tender, thick, or scaly, in areas with scars or stretch marks, or in areas affected by psoriasis.

Allow the medicine to come to room temperature for at least 30 minutes before you use it. Do not warm it in any other way.

Check the liquid in the prefilled syringe. It should be colorless or slightly yellow and may contain small, white or almost clear particles. Do not use the medicine if the liquid is cloudy, discolored, or has particles in it that are not small, white or almost clear. Do not shake.

Do not remove the needle cap from the prefilled syringe until you are ready to use it.

Use a new needle and syringe each time you inject your medicine.

You might not use all of the medicine in each prefilled syringe. Use each prefilled syringe only one time. Do not save an open syringe.

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 forms (solution):
    • For juvenile idiopathic arthritis:
      • Children 2 years of age and older weighing 63 kilograms (kg) or more—50 milligrams (mg) injected under the skin once a week.
      • Children 2 years of age and older weighing less than 63 kg—Dose is based on body weight and must be determined by your doctor.
      • Children younger than 2 years of age—Use and dose must be determined by your doctor.
    • For plaque psoriasis:
      • Adults—At first, 50 milligrams (mg) injected under the skin 2 times per week, given 3 or 4 days apart, for 3 months. Then, your dose will be reduced to 50 mg once a week.
      • Children 4 years of age and older weighing 63 kilograms (kg) or more—50 milligrams (mg) injected under the skin once a week.
      • Children 4 years of age and older weighing less than 63 kg—Dose is based on body weight and must be determined by your doctor.
      • Children younger than 4 years of age—Use and dose must be determined by your doctor.
    • For rheumatoid arthritis, psoriatic arthritis, or ankylosing spondylitis:
      • Adults—50 milligrams (mg) injected under the skin once a week.
      • Children—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 in the refrigerator. Do not freeze.

You may also store the medicine at room temperature, away from heat and light for 14 days. Do not return it back to the refrigerator once kept at room temperature. Throw away any unused medicine after 14 days. Do not store the prefilled syringe in extreme heat or cold, including keeping it in your vehicle's glove box or trunk.

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