Enbrel SureClick

Enbrel SureClick is a tumor necrosis factor (TNF) blocker. It works by decreasing TNF, a protein produced by the immune system to helps the body fight infections. In people with autoimmune disorders, the immune system produces too much TNF and mistakenly attacks healthy cells.

Enbrel SureClick is used to treat rheumatoid arthritis, psoriatic arthritis, or ankylosing spondylitis, and to prevent joint damage caused by these conditions. This medicine is also used to treat polyarticular juvenile idiopathic arthritis in children who are at least 2 years old.

Enbrel SureClick is also used to treat plaque psoriasis in adults and children who are at least 4 years old.

Enbrel SureClick may also be used for purposes not listed in this medication guide.

You should not use Enbrel SureClick if you are allergic to it, or if you have a severe infection such as sepsis (infection of the blood).

To make sure Enbrel SureClick is safe for you, tell your doctor if you have:

• a weak immune system, HIV or AIDS, tuberculosis, or any type of recurring infection;

• symptoms of an active infection such as fever, flu symptoms, diarrhea, or painful urination;

• an open cut or skin sores;

• diabetes;

• congestive heart failure;

• a history of nerve disorders such as multiple sclerosis, Guillain-Barré syndrome, myelitis, or optic neuritis;

• epilepsy or other seizure disorder;

• asthma or other breathing disorder;

• if you have ever had hepatitis B;

• if you are allergic to latex rubber; or

• if you are scheduled to receive any vaccines, or if you have recently been vaccinated with BCG (Bacille Calmette-Guerin).

Tell your doctor if you have ever had tuberculosis, if anyone in your household has tuberculosis, or if you have recently traveled to an area where certain infections are common (Ohio River Valley, Mississippi River Valley, and the Southwest).

Children using this medication should be current on all childhood immunizations before starting treatment with Enbrel SureClick.

Using Enbrel SureClick may increase your risk of developing certain types of cancer, including a fast-growing lymphoma that can be fatal. This rare lymphoma has occurred in male teenagers and young men using a combination of immunosuppressant medicines to treat Crohn's disease or ulcerative colitis. However, people with autoimmune disorders (including rheumatoid arthritis, Crohn's disease, ankylosing spondylitis, and psoriasis) may have a higher risk of lymphoma. Talk to your doctor about your individual risk.

Tell your doctor if you are pregnant or plan to become pregnant while using this medicine. If you are pregnant, your name may be listed on a pregnancy registry. This is to track the outcome of the pregnancy and to evaluate any effects of Enbrel SureClick on the baby.

Etanercept can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.

Before you start treatment with Enbrel SureClick, your doctor may perform tests to make sure you do not have an infection.

Enbrel SureClick is injected under the skin. You may be shown how to use injections at home. Do not give yourself this medicine if you do not understand how to use the injection and properly dispose of used needles and syringes.

You may need to mix Enbrel SureClick with a liquid (diluent) before using it. If you are using the injections at home, be sure you understand how to properly mix and store the medication.

A child who weighs less than 138 pounds may not be able to use certain forms of Enbrel SureClick. If a child is using this medicine, tell your doctor if the child has any changes in weight.

Your care provider will show you the best places on your body to inject Enbrel SureClick. Do not inject into the same place two times in a row. Avoid injecting into skin that is bruised, tender, red, or hard.

You may have pain, redness, swelling, or warmth where the medicine was injected. Call your doctor if these symptoms continue for longer than 5 days.

Use a disposable needle and syringe only once. Follow any state or local laws about throwing away used needles and syringes. Use a puncture-proof "sharps" disposal container (ask your pharmacist where to get one and how to throw it away). Keep this container out of the reach of children and pets.

A single-use prefilled syringe or injection pen is for one use only. Throw away after one use, even if there is still some medicine left in it after injecting your dose.

Do not shake this medicine. Prepare your dose only when you are ready to give an injection. Do not use the medicine if it looks cloudy or has changed colors. Call your pharmacist for new medicine.

Enbrel SureClick can weaken your immune system. Your blood may need to be tested often.

If you have ever had hepatitis B, Enbrel SureClick can cause this condition to come back or get worse. You will need frequent blood tests to check your liver function during treatment and for several months after you stop using this medicine.

If you need surgery, tell the surgeon ahead of time that you are using Enbrel SureClick.

Store Enbrel SureClick in its original carton in the refrigerator. Do not freeze. Do not use after the expiration date on the label has passed. After mixing this medicine with a diluent, store in the refrigerator and use within 14 days.

If you need to store Enbrel SureClick at room temperature, protect the medicine from light and from extreme hot or cold temperatures. Once the medicine has reached room temperature, you should not put it back into the refrigerator.

Throw away any Enbrel not used within 14 days. Throw away any Erelzi not used within 28 days.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

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.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Copyright 1996-2018 Cerner Multum, Inc. Version: 13.04.

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