Enbrel

--If you miss a dose...

Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and return to your regular schedule. Do not take 2 doses at once.

--Storage instructions...

Store Enbrel powder in the refrigerator. Do not freeze. Discard after the expiration date stamped on the dose tray. After the powder has been mixed with sterile water, it can be stored under refrigeration for up to 14 days.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Enbrel.

• More common side effects may include:
  Abdominal pain, cough, dizziness, headache, indigestion, infections, injection site reaction, nausea, rash, respiratory problems, respiratory tract infection, serious infections such as cellulitis and pneumonia, sinus and nasal inflammation, sore throat, vomiting, weakness

Why should Enbrel not be prescribed?

If Enbrel gives you an allergic reaction, you will not be able to continue using it. Do not start taking it during any kind of infection.

Think carefully about using this drug if you are prone to repeated infections or have a condition that encourages infections, such as diabetes. Be cautious, too, if you have a disease of the nervous system such as multiple sclerosis or a seizure disorder; such problems have been known to develop or get worse during Enbrel therapy. Enbrel should also be used with caution if you are prone to blood disorders, since they have occasionally appeared during treatment with Enbrel.

Special warnings about Enbrel

If you develop an infection, stop taking Enbrel and call your doctor immediately. Children exposed to chickenpox during Enbrel therapy may have to temporarily discontinue the drug and get preventive treatments.

Enbrel may worsen congestive heart failure. If you have this condition, make sure the doctor knows about it; Enbrel should be used with caution.