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Actemra Patient Information including If I Miss a Dose
In this Article
- What is tocilizumab (Actemra)?
- What are the possible side effects of tocilizumab (Actemra)?
- What is the most important information I should know about tocilizumab (Actemra)?
- What should I discuss with my healthcare provider before I receive tocilizumab (Actemra)?
- How is tocilizumab given (Actemra)?
- What happens if I miss a dose (Actemra)?
- What happens if I overdose (Actemra)?
- What should I avoid while receiving tocilizumab (Actemra)?
- What other drugs will affect tocilizumab (Actemra)?
- Where can I get more information?
What happens if I miss a dose (Actemra)?
Call your doctor for instructions if you miss an appointment for your tocilizumab injection.
What happens if I overdose (Actemra)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while receiving tocilizumab (Actemra)?
Do not receive a "live" vaccine while using tocilizumab, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you. Live vaccines include measles, mumps, rubella (MMR), oral polio, chickenpox (varicella), BCG (Bacillus Calmette and Guérin), and nasal flu vaccine.
Avoid being near people who are sick or have infections.
What other drugs will affect tocilizumab (Actemra)?
Tell your doctor about all other medications you use, especially:
- birth control pills;
- a blood thinner such as warfarin (Coumadin);
- cyclosporine (Gengraf, Neoral, Sandimmune);
- digoxin (digitalis, Lanoxin, Lanoxicaps);
- omeprazole (Prilosec);
- sirolimus (Rapamune) or tacrolimus (Prograf);
- theophylline (Elixophyllin, Theo-24, Uniphyl);
- abatacept (Orencia), adalimumab (Humira), anakinra (Kineret) certolizumab (Cimzia), etanercept (Enbrel), golimumab (Simponi), infliximab (Remicade), or rituximab (Rituxan);
- atorvastatin (Lipitor), lovastatin (Mevacor) and other cholesterol-lowering medications;
- seizure medication such as carbamazepine (Carbatrol, Tegretol), divalproex (Depakote), phenytoin (Dilantin), or valproic acid (Depakene);
- a heart rhythm medication such as disopyramide (Norpace), procainamide (Pronestyl), or quinidine (Quin-G);
- other drugs that weaken your immune system (such as cancer medicine or steroids); or
- any other pain or arthritis medications (both prescription and over-the-counter) including methotrexate (Rheumatrex), aspirin, or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Arthrotec, Cambia, Cataflam, Voltaren, Flector Patch, Pennsaid, Solareze), etodolac (Lodine), indomethacin (Indocin), meloxicam (Mobic), nabumetone (Relafen), piroxicam (Feldene), and others.
This list is not complete and many other drugs may interact with tocilizumab. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.
Where can I get more information?
Your doctor or pharmacist can provide more information about tocilizumab.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2013 Cerner Multum, Inc. Version: 3.01. Revision date: 7/14/2011.
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Additional Actemra Information
- Actemra Drug Interactions Center: tocilizumab iv
- Actemra Side Effects Center
- Actemra FDA Approved Prescribing Information including Dosage
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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