WARNING

Mavenclad (cladribine) is a medication used to treat relapsing forms of multiple sclerosis (MS). While it can be effective in managing the disease, it also comes with certain risks and potential side effects. Here’s a brief overview of the risks associated with taking Mavenclad:

• Immune Suppression: Mavenclad can suppress the immune system, which makes individuals more susceptible to infections. It’s important to monitor for signs of infections and discuss any symptoms with your healthcare provider.
• Bone Marrow Suppression: Cladribine can affect the bone marrow, potentially leading to a decrease in the number of blood cells, including red blood cells, white blood cells, and platelets. Regular blood tests are needed to monitor for this.
• Cancer Risk: There have been reports of an increased risk of malignancies, including skin cancer and lymphomas, in patients taking Mavenclad. Regular skin examinations and cancer screenings may be recommended.
• Liver Function: Mavenclad can affect liver function, so liver enzyme levels should be monitored regularly during treatment.
• Gastrointestinal Symptoms: Some people may experience nausea, vomiting, diarrhea, and abdominal pain as side effects of Mavenclad.
• Headache: Headaches are a common side effect of the medication.
• Allergic Reactions: Although rare, allergic reactions to Mavenclad can occur. Seek medical attention if you experience symptoms such as difficulty breathing, hives, or swelling of the face, lips, tongue, or throat.
• Pregnancy and Breastfeeding: Mavenclad should not be used during pregnancy, as it may harm the developing fetus. Women of childbearing age should use effective contraception during and for several months after treatment. It is not recommended for use while breastfeeding.
• Other Medication Interactions: Mavenclad may interact with other medications you are taking, so it’s essential to inform your healthcare provider about all the drugs and supplements you are using.
• Rare Neurological Side Effects: In very rare cases, Mavenclad has been associated with serious central nervous system disorders. Report any unusual neurological symptoms to your healthcare provider.

It’s crucial to discuss the potential risks and benefits of Mavenclad with your healthcare provider. They will consider your individual circumstances and medical history when determining if this medication is appropriate for you and closely monitor your health throughout treatment. Additionally, regular follow-up appointments and adherence to recommended monitoring are essential to mitigate the risks associated with this medication.

Why is this medication prescribed?

Mavenclad (cladribine) is a medication prescribed for the treatment of certain autoimmune diseases, particularly relapsing forms of multiple sclerosis (MS). It is used to reduce the frequency of relapses and delay the progression of disability in individuals with active forms of the disease. Mavenclad is typically prescribed when other treatments have not been effective or are not suitable for a patient.

How should this medicine be used?

Here’s how Mavenclad is usually used:

• Prescription: Mavenclad is available only by prescription, and it should be prescribed by a healthcare professional experienced in treating multiple sclerosis or the specific autoimmune condition being targeted.
• Treatment Schedule: Mavenclad is administered as an oral tablet. It is typically given in two treatment courses, one at the beginning of the first year and another at the beginning of the second year of treatment. Each treatment course consists of two treatment weeks, which are usually one month apart.
• Dosage: The specific dosage and treatment schedule will be determined by your healthcare provider based on your individual medical condition and response to treatment. It is important to follow your healthcare provider’s instructions precisely.
• Monitoring: While taking Mavenclad, regular monitoring is essential. This includes blood tests to check your blood cell counts and liver function, as Mavenclad can affect these parameters. Your healthcare provider will schedule these tests to ensure your safety during treatment.
• Adherence: It’s crucial to take Mavenclad exactly as prescribed, even if you feel well. Skipping doses or altering the schedule can affect the effectiveness of the medication.
• Side Effects: Like all medications, Mavenclad can cause side effects. Common side effects may include headaches, fatigue, nausea, upper respiratory tract infections, and changes in blood cell counts. It’s important to report any unusual or severe side effects to your healthcare provider.
• Pregnancy and Contraception: Mavenclad should not be used during pregnancy, and it is important to use effective contraception during and for several months after treatment, as the medication may have harmful effects on a developing fetus.
• Special Precautions: Mavenclad should be used with caution in patients with certain medical conditions, such as kidney or liver problems. Your healthcare provider will assess whether Mavenclad is a suitable treatment option for you.
• Lifestyle Considerations: During treatment with Mavenclad, it’s important to follow a healthy lifestyle, including maintaining a balanced diet, getting regular exercise, and managing stress to support overall well-being.

Please note that Mavenclad is a powerful medication, and its use should be carefully considered by a healthcare professional based on your specific medical condition, treatment history, and other factors. Always consult with your healthcare provider for personalized guidance and information regarding the use of Mavenclad or any other medication.

Other uses for this medicine

Mavenclad (cladribine) is primarily approved for the treatment of relapsing forms of multiple sclerosis (MS). However, it is not typically used for other medical conditions, as its approval and effectiveness are primarily established for MS treatment. The drug’s mechanism of action is designed to target the immune system and modulate its response, which makes it suitable for autoimmune diseases like MS but not for other unrelated conditions.

What special precautions should I follow?

Special precautions to follow when using Mavenclad include:

• Consultation with a Specialist: Mavenclad should only be prescribed and administered by healthcare professionals with expertise in treating multiple sclerosis or the specific autoimmune condition for which it is being used.
• Pregnancy and Contraception: Mavenclad can be harmful to a developing fetus. If you are of childbearing age, it is essential to use effective contraception during the treatment period and for several months after the last dose. If you become pregnant while taking Mavenclad or shortly after discontinuing it, you should inform your healthcare provider immediately.
• Monitoring: Regular monitoring is crucial during Mavenclad treatment. Your healthcare provider will perform blood tests to assess your blood cell counts and liver function. These tests help ensure your safety and detect any potential adverse effects early.
• Infections: Mavenclad can increase the risk of infections due to its impact on the immune system. It’s important to avoid close contact with individuals who have contagious illnesses, and you should promptly report any signs of infection, such as fever, chills, cough, or sore throat, to your healthcare provider.
• Liver and Kidney Function: If you have pre-existing liver or kidney conditions, your healthcare provider will carefully assess whether Mavenclad is a suitable treatment option for you. Special precautions may be necessary in these cases.
• Medication Interactions: Inform your healthcare provider about all the medications, supplements, and herbal products you are taking, as Mavenclad may interact with certain drugs. Your healthcare provider will evaluate potential interactions and adjust your treatment plan as needed.
• Vaccinations: Discuss vaccinations with your healthcare provider before starting Mavenclad, as live vaccines are generally not recommended during treatment due to the risk of infection.
• Lifestyle and Diet: Maintaining a healthy lifestyle is essential during treatment. This includes eating a balanced diet, getting regular exercise, and managing stress to support overall well-being.
• Breastfeeding: It is not known whether Mavenclad is excreted in breast milk. Women should consult with their healthcare provider to determine the best course of action regarding breastfeeding while taking Mavenclad.
• Adherence: Be sure to follow your healthcare provider’s instructions carefully regarding the dosing schedule and duration of treatment. Skipping doses or altering the schedule can impact the medication’s effectiveness.

Always consult with your healthcare provider for personalized guidance on the use of Mavenclad, including any specific precautions or considerations based on your individual medical history and condition. Your healthcare provider will assess the benefits and risks of treatment and provide you with the most appropriate guidance for your situation.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Mavenclad that are widely documented. However, it’s generally a good idea to maintain a balanced and healthy diet to support your overall well-being during treatment. Discuss any specific dietary concerns or questions with your healthcare provider, as they can provide personalized guidance based on your individual health needs.

What should I do if I forget a dose?

If you forget to take a dose of Mavenclad, follow these general guidelines:

• Timing: Take the missed dose as soon as you remember, unless it’s close to the time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule.
• Do Not Double Up: Do not take a double dose to make up for the missed one. Taking more than the prescribed amount can increase the risk of side effects.
• Notify Your Healthcare Provider: Inform your healthcare provider about the missed dose during your next scheduled visit. They can provide further guidance based on your specific situation.

What side effects can this medication cause?

Mavenclad (cladribine) can cause a range of side effects, as is the case with most medications. It’s important to note that not everyone will experience these side effects, and some people may experience them to a greater or lesser degree than others. If you are prescribed Mavenclad, your healthcare provider will closely monitor you for side effects and can provide guidance on managing them. Common side effects of Mavenclad may include:

• Headache: Headaches are a relatively common side effect of Mavenclad. They are often mild to moderate in intensity and can usually be managed with over-the-counter pain relievers if needed.
• Fatigue: Feeling tired or fatigued is another common side effect. It can range from mild to severe, and it may improve over time as your body adjusts to the medication.
• Nausea: Some individuals may experience nausea or an upset stomach while taking Mavenclad. Taking the medication with food or as directed by your healthcare provider may help alleviate this side effect.
• Upper Respiratory Tract Infections: Infections of the upper respiratory tract, such as the common cold, may occur more frequently during treatment with Mavenclad due to its effects on the immune system. Practice good hygiene and consider avoiding close contact with individuals who have contagious illnesses.
• Changes in Blood Cell Counts: Mavenclad can affect your blood cell counts, particularly lymphocytes and white blood cells. Your healthcare provider will monitor your blood regularly to check for any abnormalities. In some cases, your provider may recommend temporary treatment interruptions or dose adjustments.
• Skin Rash: Skin rashes or itching have been reported as side effects of Mavenclad. If you develop a rash, notify your healthcare provider for further evaluation.
• Liver Function Abnormalities: Mavenclad can impact liver function. Regular monitoring of liver enzymes is essential during treatment. If you experience symptoms such as yellowing of the skin or eyes (jaundice), dark urine, or persistent abdominal pain, contact your healthcare provider immediately.
• Other Potential Side Effects: Less commonly, Mavenclad may lead to other side effects, such as respiratory tract infections, urinary tract infections, and gastrointestinal disturbances.

It’s crucial to communicate any unusual or severe side effects to your healthcare provider promptly. Additionally, your healthcare provider will carefully weigh the benefits of treatment with Mavenclad against the potential risks and monitor your response to the medication closely.

This list is not exhaustive, and individual experiences with Mavenclad may vary. Always follow your healthcare provider’s guidance and discuss any concerns or questions you have about the medication and its side effects. They can provide you with the most up-to-date information and address your specific needs and circumstances.

What should I know about storage and disposal of this medication?

Storage and disposal of Mavenclad:

Storage:

• Store as Directed: Follow the storage instructions provided on the medication packaging or as prescribed by your healthcare provider.
• Room Temperature: Typically, Mavenclad tablets should be stored at room temperature, away from excessive heat or cold. Avoid storing them in the bathroom, as moisture can affect the medication.
• Keep Out of Reach of Children: Always keep Mavenclad and other medications out of reach of children and pets to prevent accidental ingestion.
• Keep in Original Packaging: Store Mavenclad in its original container, with the lid tightly closed, to protect it from light, moisture, and air.
• Do Not Use Expired Medication: Check the expiration date on the packaging, and do not use Mavenclad if it has expired. Dispose of expired medication properly.

Disposal:

• Safe Disposal: Do not throw Mavenclad tablets in the trash or flush them down the toilet unless specifically instructed to do so by your healthcare provider or a local authority.
• Medication Take-Back Programs: Many pharmacies and healthcare facilities offer medication take-back programs or disposal options. Check with your local pharmacy or healthcare provider to find out if they have a medication disposal program.
• FDA Guidelines: You can also refer to the U.S. Food and Drug Administration (FDA) guidelines on how to safely dispose of medication in your area.

In case of emergency/overdose

In the event of a suspected overdose or if you experience severe symptoms while taking Mavenclad, seek immediate medical attention or contact your local poison control center at 1-800-222-1222 (if available in your region).

What other information should I know?

• Regular Monitoring: Be sure to attend all scheduled appointments with your healthcare provider for blood tests and check-ups while taking Mavenclad. Regular monitoring is essential to ensure the medication’s safety and effectiveness.
• Follow Healthcare Provider’s Guidance: Always follow your healthcare provider’s instructions regarding dosing, timing, and any other specific recommendations related to your Mavenclad treatment.
• Inform Healthcare Provider: Keep your healthcare provider informed about any other medications, supplements, or herbal products you are taking, as they can interact with Mavenclad.
• Pregnancy and Breastfeeding: If you become pregnant while taking Mavenclad or are planning to become pregnant, consult your healthcare provider immediately. You should also discuss breastfeeding considerations with your healthcare provider.
• Inform Healthcare Providers: Inform any healthcare provider or dentist that you are taking Mavenclad before any medical procedures, including surgery or dental work.
• Patient Information: Always read and keep the patient information leaflet that comes with your Mavenclad prescription. It contains important information about the medication, potential side effects, and safety considerations.

Remember that this information is general in nature, and it’s essential to follow your healthcare provider’s specific guidance and instructions for your Mavenclad treatment. If you have any questions or concerns about Mavenclad, consult with your healthcare provider for personalized advice and information tailored to your individual needs.