The guidelines outline a simple abridged procedure for evaluation of ‘similar biologics’ which have been approved and marketed in India, Europe or USA for more than four years. Finalized guidelines were implemented on 15 September 2012. Methotrexate should not be restarted until after you’ve finished breastfeeding.India announced the release of draft regulatory guidelines for ‘similar biologics’ at the BIO industry conference in Boston, USA, on 19 June 2012. Women who are taking methotrexate as well as etanercept should stop taking methotrexate at least three months before trying for a baby. If in doubt discuss this with your rheumatologist first. There’s only limited information about the use of etanercept while breastfeeding, but there’s no research to show that it’s harmful.Ĭurrent guidelines state that men trying to father a baby should be ok to continue taking etanercept or methotrexate. For more information talk to your rheumatology team and your child’s doctor, as some vaccines will still be safe for them to have. If this is the case, your baby shouldn’t have any live vaccines until they’re at least seven months old. However, if there’s concern that your arthritis may flare up, then your doctors might recommend you keep taking it throughout the whole pregnancy.
If you’re planning to try for a baby, if you become pregnant, or if you’re thinking of breastfeeding, we suggest you discuss your medications with your rheumatologist.Ĭurrent guidelines say that you can carry on taking etanercept during the first six months of pregnancy. This condition usually clears up if etanercept is stopped. If you have any of these symptoms, you should tell your rheumatology team. Symptoms include a rash, fever and increased joint pain. Very rarely, etanercept may cause a condition called drug-induced lupus.
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To be on the safe side, make sure to wear sunscreen and regularly check your skin for any new spots or changes to your freckles or moles. Skin cancers can often be treated successfully when diagnosed early. However, the link between the two is unclear.
You may need treatment for them and your etanercept may be stopped until you’re better.Īnti-TNF drugs have been associated with some types of skin cancer. These illnesses can be worse than usual if you’re on etanercept. You should contact your rheumatology team if you get chickenpox or shingles, or if you come into come into contact with someone who has them and you have never had chickenpox before. Your rheumatology team might advise you to pause or stop treatment. Tell your doctor or rheumatology nurse straight away if you develop any of the following symptoms:Īlso make them aware if you notice any unexplained bruising or bleeding. If you do develop these symptoms, or any other severe symptoms, during or soon after a dose of etanercept you should seek medical advice straight away.īecause etanercept affects the immune system, it can make you more likely to develop the symptoms of a cold or to pick up infections. This could be in the form of swelling, a rash or you may feel short of breath. In rare cases, people experience allergic reactions. Regularly changing the injection spot will help reduce the chances of this happening. These reactions should stop appearing after a month of treatment. Some people may have reactions at the spot of the injection, such as redness, swelling or pain.
Some of the most common side effects include: However, if you do have severe side effects, or are concerned about your symptoms, contact one of the healthcare professionals in charge of your care. Most people don’t have any side effects, and for those who do, they aren’t usually serious. You’ll also be checked for previous hepatitis B or C infections, as etanercept may increase the risk of these conditions starting up again. If you have, you may need treatment for TB before you can start taking it. This drug should be used with caution if you have infections that repeatedly come and go.īefore starting etanercept, you’ll have a chest x-ray and tests to check if you’ve ever been exposed to tuberculosis (TB). you, or a close family member, have multiple sclerosis (MS).Your doctor might not prescribe etanercept if: You’ll also need blood tests to work out how active your condition is and to check whether the drug is suitable for you. The system used depends on what condition you have, but you’ll probably be asked how well you feel on a scale of 1 to 10 and your doctor will make a note of how many of your joints feel tender and swollen. But it’s not suitable for everyone.īefore you’re prescribed etanercept, doctors sometimes use a scoring system to work out how active your arthritis is. Etanercept is a very effective drug for many people with arthritis.
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