Some patients, especially those 65 years and older, have had serious infections caused by viruses, fungi, or bacteria that have spread throughout the body, including tuberculosis (TB) and histoplasmosis. US-SBT-00725 03/20. RENFLEXIS is a prescription medication used to treat: RENFLEXIS is a medicine that affects your immune system. Tell your doctor if you develop red scaly patches or raised bumps on the skin that are filled with pus. The fatigue lasted about 36 hours. The side effects that happened more in children were: anemia (low red blood cells), leukopenia (low white blood cells), flushing (redness or blushing), viral infections, neutropenia (low neutrophils, the white blood cells that fight infection), bone fracture, bacterial infection and allergic reactions of the breathing tract. Tell your doctor about any side effect that bothers you or does not go away. The most common side effects include fever, headache and swollen glands. Tell your doctor if you have: Some patients have experienced a stroke within approximately 24 hours of their infusion with infliximab products. More serious complications, such as abscesses or bone inflammation, are rare. Unusual cancers have been reported in children and teenage patients taking TNF-blocker medicines. These are not all of the side effects with RENFLEXIS. Ask your doctor or pharmacist for more information.
Reactivation of HBV—feeling unwell, poor appetite, tiredness, fever, skin rash, and/or joint pain. You should let your doctor know if you have or ever had any of the following: What should I watch for and talk to my doctor about before or while taking RENFLEXIS? This site is intended only for residents of the United States, its territories, and Puerto Rico. Stroke within 24 hours of infusion—numbness or weakness of the face, arm, or leg, especially on one side of the body; sudden confusion, trouble speaking or understanding; sudden trouble seeing in one or both eyes; sudden trouble walking; dizziness; loss of balance or coordination; or a sudden, severe headache. Among patients who took infliximab for ulcerative colitis in clinical studies, more children had infections as compared with adults. Copyright © 2020 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. By clicking on this link, you will be leaving this site. These side effects may go away during treatment as your body adjusts to the medicine. Some patients have died from these infections. “The treatment of TB and MDR-TB requires the use of many medicines that have side effects on the human body. Nervous system disorders (like multiple sclerosis or Guillain-Barré syndrome). RENFLEXIS can make you more likely to get an infection or make any infection that you have worse. scar at the injection site. Many people with heart failure should not take RENFLEXIS.
If you have latent (inactive) TB, you will begin TB treatment before you start RENFLEXIS. Some patients die from these infections. After installing Selectra Pro S, laboratory specialists in all TB hospitals completed a full course of training on analysis and maintenance skills. What is the most important information I should know about RENFLEXIS? Adverse effects of TB medicines can be prevented to some degree. Some patients have experienced a heart attack (some of which led to death), low blood flow to the heart, or abnormal heart rhythm within 24 hours of beginning their infusion of an infliximab product. If your doctor feels that you are at risk for TB, you may be treated with medicine for TB before you begin treatment with, and during treatment with, RENFLEXIS. Nervous System Disorders—numbness, weakness, tingling, changes in your vision, or seizures. If you develop any of the following symptoms, your doctor may decide to stop your treatment with RENFLEXIS. This test does have side effects, clearly. Unusual cancers have been reported in children and teenage patients taking TNF-blocker medicines. Patients who had a negative TB skin test before receiving infliximab products have developed active TB. The delayed reactions occurred 3 to 12 days after receiving treatment with an infliximab product.
Some women with rheumatoid arthritis, particularly those over 60, have developed cervical cancer. Skin Cancer—any changes in or growths on your skin. Hepatitis B virus (HBV) infection or think you may be a carrier of HBV. endstream
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Allergic Reactions (some severe) during or after the infusion—hives, difficulty breathing, chest pain, high or low blood pressure, swelling of face and hands, and fever or chills. unusual tiredness or weakness. Symptoms may include chest discomfort or pain, arm pain, stomach pain, shortness of breath, anxiety, lightheadedness, dizziness, fainting, sweating, nausea, vomiting, fluttering or pounding in your chest, and/or a fast or a slow heartbeat. Tubersol ( tuberculin purified protein derivative) is a cell-free purified protein derived from Mycobacterium tuberculosis indicated as an aid in the detection of infection with M. tuberculosis. Heart Failure—new or worsening symptoms, such as shortness of breath, swelling of your ankles or feet, or sudden weight gain. These serious infections include TB and infections caused by viruses, fungi, or bacteria that have spread throughout the body. I've never had shoulder pain before, but developed it the next day after taking the test. Only your doctor can recommend a course of treatment after checking your health condition. According to the national MDR-TB treatment protocols, patients taking such treatment need to have a biochemical blood test every month.
The UNDP project funded by the Global Fund has purchased and installed Selectra Pro S biochemical analyzers in all regional TB hospitals of Turkmenistan. Adults and children taking RENFLEXIS should not receive live vaccines or treatment with a weakened bacteria (such as Bacille Calmette-Guérin [BCG] for bladder cancer) while taking RENFLEXIS. Tubersol may be available in generic form. Tuberculosis (TB) or have been near someone who has TB. What should I tell my doctor before I take RENFLEXIS? This link will take you to a site outside of Merck & Co., Inc. Merck does not review or control the content of any non-Merck site. Use of alcohol during TB … Infections (like TB, blood infections, pneumonia)—fever, tiredness, cough, flu, or warm, red, or painful skin or any open sores. Signs of an allergic reaction can include: Some patients treated with infliximab products have had delayed allergic reactions. 2020 Most children develop a sore at the injection site. Within one hour of operation, one device can examine up to 266 blood samples.
Some patients, especially those 65 years and older, have had serious infections caused by viruses, fungi, or bacteria that have spread throughout the body, including tuberculosis (TB) and histoplasmosis. This section contains information intended for health care professionals in the United States only and is not intended for the general public. Cervical Cancer—your doctor may recommend that you be regularly screened. !�aC �F�1f��bl�NExw�>瞧����8�H�9+d5Sň�:w>} .q >C ��K�ߊ+��#���4��;E�^)5���j8�4�����=��a�}�,e�bǙ�3Zܑ�uY��H
����ڼ.���ׅM/�����N6���na�bȒa��E�fƒ�ǁ��7�Q. According to the national MDR-TB treatment protocols, patients taking such treatment need to have a biochemical blood test … hT_HSQ����T�T�Ȧ�pN��,sHS�{�������8Gn�Ƚ%9a�>�[�f=d�ĠXA/+s�02�hѨ��2I�s�Ӳ��}�������s.� ���V�R�a|���!v�� Tell your doctor right away if you have any of these symptoms. Lymphoma, or any other cancers in adults and children. Your doctor may decide to stop your treatment with RENFLEXIS. RENFLEXIS can lower the ability of your immune system to fight infections. 4447 0 obj
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RENFLEXIS may cause serious side effects, including: Before starting RENFLEXIS, tell your doctor if you: What are the possible side effects of RENFLEXIS? Recently received or are scheduled to receive a vaccine. Upon completion of the training, laboratory specialists showed good results in instrument control, calibration procedures and interpretation of results. 4472 0 obj
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Even if your TB test is negative, your doctor should carefully monitor you for TB infections while you are taking RENFLEXIS. High-tech equipment conducts biochemical blood tests automatically, controlled by a computer. Usually, side effects in treating MDR-TB are mild, do not require special treatment, and disappear on their own. Heart failure or any heart condition. Your doctor should monitor you closely for signs and symptoms of TB during treatment with RENFLEXIS. You should discuss any concerns about your health and medical care with your doctor.
These adverse effects are prevented with vitamin B6. Cramps and diarrhea lasted 2 days. You should tell your doctor right away if you have any of the signs listed below: The more common side effects with infliximab products are respiratory infections (that may include sinus infections and sore throat), headache, rash, coughing, and stomach pain. Only your doctor can recommend a course of treatment after checking your health condition. Lupus-like Syndrome—chest discomfort or pain that does not go away, shortness of breath, joint pain, rash on the cheeks or arms that gets worse in the sun. As a result, it became possible to expand the range of biochemical analyzes, for example, to measure the electrolyte balance of the blood. h�bbd```b``M��K@$�J�bf�H�`v��˪��R`RL�I
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2 nursing guide for managing side effects to drug-resistant tb treatment nursing guide for managing side effects to drug-resistant tb treatment 3 Acknowledgements The authors of this guide wish to thank and acknowledge the contribu - Your doctor will check you for TB with a skin test. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Your doctor will test you for HBV. Tell your doctor right away if you have any of these signs of delayed allergic reaction to RENFLEXIS: Some patients have developed symptoms that are like the symptoms of Lupus. The physician Prescribing Information also is available. RENFLEXIS can cause serious side effects such as lowering your ability to fight infections. Hepatosplenic T-cell lymphoma, a rare form of fatal lymphoma, has occurred mostly in teenage or young adult males with Crohn’s disease or ulcerative colitis who were taking infliximab products and azathioprine or 6-mercaptopurine.
Tell your baby's doctor about your RENFLEXIS use. Your congestive heart failure may get worse while you are receiving RENFLEXIS. If your baby receives a live vaccine within 6 months after birth, your baby may develop infections with serious complications that can lead to death.
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Blood Problems—in some patients taking infliximab products, the body may not make enough of the blood cells that help fight infections or help stop bleeding. Liver Injury—jaundice (yellow skin and eyes), dark brown urine, right-sided abdominal pain, fever, or severe tiredness. Another side effect I have from the TB test is shoulder pain on that side. Infections that keep coming back, diabetes, or an immune system problem.
Delayed Allergic Reactions (3 to 12 days after infusion)—fever, rash, headache, sore throat, muscle or joint pain, swelling of the face and hands, or difficulty swallowing. United Nations Development Programme, Better Quality Treatment of Multi-drug-resistant Tuberculosis with Biochemistry Tests for Side Effects, Governance, economic diversification and inclusive growth, Programme of Assistance to the Palestinian People. Copyright © 2020 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved.
Serious infections have happened in patients receiving RENFLEXIS. Are pregnant, plan to become pregnant, are breast-feeding, or have a baby and were using RENFLEXIS during your pregnancy.
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