ALEFACEPT - INTRAMUSCULAR
Common Brand Name(s): Amevive
Phonetic Pronunciation: (a-LEF-a-sept)
Information last revised May 2010
What does ALEFACEPT - INTRAMUSCULAR look like?

Amevive 15 mg IM
Uses:
This medication is used to treat a certain skin condition (psoriasis). In psoriasis, certain cells involved in the body's natural defense (immune system) are too active, resulting in the buildup of plaques/dead skin cells. This buildup can cause unsightly patches of skin, discomfort, and pain. Alefacept is a protein that works by affecting the body's immune system to decrease plaques/dead skin cells. This medication is not recommended for use in people with a certain virus infection (HIV). Consult your doctor for details.
Missed Dose
If you miss a dose, contact your doctor or pharmacist immediately to establish a new dosing schedule.
How To Use
Read the Patient Information Leaflet if available from your pharmacist before you start using alefacept and before each treatment period. If you have any questions, ask your doctor or pharmacist. This medication is given by injection into a muscle as directed by your doctor, usually once weekly for 12 weeks. While you are using this medication, your doctor will order regular blood tests (usually every 2 weeks) to check for serious side effects (such as low blood counts). If serious side effects occur, your doctor may choose to delay or stop your treatment. If your doctor directs you to have more than 1 treatment period (12 weekly injections), the manufacturer recommends that you should wait at least 12 weeks between treatment periods. If you are giving the injections at home, learn all preparation and usage instructions in the product package and from your health care professional. If any of the information is unclear, consult your doctor or pharmacist. Before using, check the product visually for particles or discoloration. If either is present, do not use the liquid. Before injecting each dose, clean the injection site with rubbing alcohol. It is important to change the location of the injection site with each dose. New injections should be given at least 1 inch (2.5 centimeters) away from an old site. Do not inject into areas that are sore, bruised, red, or hard. Learn how to store and discard needles and medical supplies safely. Consult your pharmacist for details. Use this medication regularly to get the most benefit from it. If you are using this medication at home, use it on the same day each week. Tell your doctor if your condition does not improve or if it worsens.
Drug Interactions
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: other drugs that may affect your immune system (e.g., cancer chemotherapy, prednisone, cyclosporine). This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
Notes
Do not share this medication with others. Laboratory and/or medical tests (e.g., blood counts, liver function) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center.
Precautions
Before receiving alefacept, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: cancer, current infection, immune system problems, liver disease, other treatments for psoriasis (including UV light). Do not have immunizations/vaccinations without the consent of your doctor, and avoid contact with people who have recently received oral polio vaccine or flu vaccine inhaled through the nose. Tell your doctor if you are pregnant before using this medication. It is not known whether this drug passes into breast milk. However, breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.
Storage
Store the unmixed product in the refrigerator between 36-46 degrees F (2-8 degrees C) away from light. After mixing, use immediately or store in the refrigerator. Use or discard the mixed product within 4 hours. For other storage details, check the package storage information or ask your pharmacist. Keep all medicines away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Side Effects
Mild pain/swelling/bleeding at the injection site and chills may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor immediately if any of these unlikely but serious side effects occur: symptoms of liver damage (e.g., severe nausea/vomiting, stomach/abdominal pain, dark urine, yellowing eyes/skin). Rarely, this medication may increase the risk of developing cancer. Tell your doctor immediately if you develop symptoms such as: unusual lumps, swollen glands, skin sores/spots that are new or change appearance. This medication can lower the body's ability to fight an infection. Tell your doctor promptly if you develop any signs of an infection such as fever, muscle aches, or persistent sore throat. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.
The information contained in the First DataBank databases is intended to supplement the knowledge of physicians, pharmacists, and other healthcare professionals regarding drug therapy problems and patient counselling information. This information is advisory only and is not intended to replace sound clinical judgment in the delivery of healthcare services. First DataBank disclaims all warranties, whether expressed or implied, including any warranty as to the quality, accuracy, and suitability of this information for any purpose.
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