Are pregnant, planning to become pregnant, or breastfeeding.Patients taking ENBREL should not receive live vaccines All vaccines should be brought up-to-date before starting ENBREL. Have recently received or are scheduled for any vaccines.Have, have had, or develop a serious nervous disorder, seizures, any numbness or tingling, or a disease that affects your nervous system such as multiple sclerosis or Guillain-Barré syndrome.Use the medicine Kineret (anakinra), Orencia (abatacept), or Cytoxan (cyclophosphamide).Develop symptoms such as persistent fever, bruising, bleeding, or paleness while taking ENBREL.If you don’t know if these infections are common in the areas you’ve been to, ask your healthcare provider These infections may develop or become more severe if you take ENBREL. Live, have lived in, or traveled to certain parts of the country (such as, the Ohio and Mississippi River valleys, or the Southwest) where there is a greater risk for certain kinds of fungal infections, such as histoplasmosis.Ask your healthcare provider if you are not sure Were born in, lived in, or traveled to countries where there is more risk for getting TB.Have TB or have been in close contact with someone who has had TB.Have diabetes, HIV, or a weak immune system.
You should not start taking ENBREL if you have any kind of infection, unless your healthcare provider says it is okay Think you have, are being treated for, have signs of, or are prone to infection.Are taking any medicines, including herbals.Patients with RA may be more likely to get lymphoma.īefore starting ENBREL, tell your healthcare provider if you: Also, for children, teenagers, and adults taking TNF blockers, including ENBREL, the chances of getting lymphoma or other cancers may increase. There have been some cases of unusual cancers, some resulting in death, reported in children and teenage patients who started using tumor necrosis factor (TNF) blockers before 18 years of age. Your healthcare provider should test you for TB before you take ENBREL and monitor you closely for TB before, during, and after ENBREL treatment, even if you have tested negative for TB. Some patients have died from these infections.
These infections include tuberculosis (TB) and infections caused by viruses, fungi, or bacteria that have spread throughout the body. Serious infections have happened in patients taking ENBREL. ENBREL can lower the ability of your immune system to fight infections. What is the most important information I should know about ENBREL?ĮNBREL is a medicine that affects your immune system.
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