WARNING

Eticovo is a biosimilar version of the drug etanercept, which is used to treat autoimmune diseases such as rheumatoid arthritis, psoriasis, and ankylosing spondylitis. Like any medication, Eticovo carries certain risks and side effects. Here are some of the potential risks associated with taking Eticovo:

• Infections: Eticovo can suppress the immune system, making patients more susceptible to infections. Serious infections, including tuberculosis and bacterial or fungal infections, may occur.
• Allergic reactions: Some individuals may experience allergic reactions to Eticovo, which can range from mild to severe. Symptoms may include rash, itching, swelling, dizziness, or difficulty breathing.
• Autoimmune reactions: Eticovo can sometimes trigger autoimmune reactions or exacerbate existing autoimmune conditions.
• Injection site reactions: Common side effects of Eticovo include redness, itching, swelling, or pain at the injection site.
• Neurological problems: Rarely, Eticovo may cause neurological problems such as seizures or multiple sclerosis-like symptoms.
• Blood disorders: Eticovo may lead to blood disorders such as leukopenia (low white blood cell count), thrombocytopenia (low platelet count), or anemia.
• Heart failure: In some cases, Eticovo may exacerbate heart failure or lead to new-onset heart failure.
• Cancer: There have been reports of certain types of cancer occurring in patients treated with etanercept, although the link is not definitively established.

It’s important for patients considering Eticovo to discuss these risks with their healthcare provider and weigh them against the potential benefits of the medication. Close monitoring by a healthcare professional is typically recommended while taking Eticovo to detect any adverse reactions early and adjust treatment as needed.

Why is this medication prescribed?

Eticovo is prescribed primarily for the treatment of autoimmune diseases, particularly inflammatory conditions such as:

• Rheumatoid arthritis: Eticovo can help reduce inflammation and alleviate symptoms such as joint pain, swelling, and stiffness in individuals with rheumatoid arthritis.
• Psoriasis: It is used to manage moderate to severe plaque psoriasis, a chronic skin condition characterized by red, scaly patches on the skin.
• Ankylosing spondylitis: Eticovo is also indicated for the treatment of ankylosing spondylitis, a type of arthritis that affects the spine and can cause pain and stiffness.
• Psoriatic arthritis: It is prescribed for psoriatic arthritis, a form of arthritis that affects some people with psoriasis, causing joint pain, stiffness, and swelling.

How should this medicine be used?

Eticovo (etanercept) is typically administered as a subcutaneous injection. Here are general guidelines on how Eticovo should be used:

• Preparation: Before administering Eticovo, wash your hands thoroughly with soap and water. Remove the Eticovo prefilled syringe or autoinjector from the refrigerator and allow it to reach room temperature for about 30 minutes before use. Do not shake the syringe or autoinjector.
• Injection site selection: The recommended injection sites for Eticovo are the thigh or abdomen. Avoid injecting into areas where the skin is tender, bruised, red, or hard.
• Injection technique:
  • Clean the chosen injection site with an alcohol wipe and allow it to air dry.
  • Remove the cap from the syringe or autoinjector. Do not touch the needle or allow it to touch any surface.
  • Hold the syringe or autoinjector at a 90-degree angle to the skin.
  • Pinch the skin around the injection site gently to create a fold.
  • Insert the needle into the skin fold at the chosen injection site.
  • Inject the medication slowly and steadily.
  • After injecting the full dose, remove the needle and apply gentle pressure to the injection site with a cotton ball or gauze pad.
  • Do not rub the injection site.
  • Dispose of the syringe or autoinjector properly in a puncture-resistant container.
• Storage:
  • Store Eticovo in the refrigerator at a temperature between 36°F to 46°F (2°C to 8°C).
  • Protect Eticovo from light by keeping it in its original carton.
  • Do not freeze Eticovo.
• Dosage: The dosage of Eticovo prescribed by your healthcare provider will depend on your medical condition and response to treatment. Follow your healthcare provider’s instructions carefully regarding the dosage and frequency of administration.
• Administration frequency: Eticovo is usually administered once weekly for most indications. However, your healthcare provider may adjust the dosing schedule based on your individual needs.
• Monitoring: Your healthcare provider will likely monitor your response to Eticovo treatment regularly. Be sure to attend all scheduled follow-up appointments.

It’s important to receive proper training from your healthcare provider on how to administer Eticovo correctly. If you have any questions or concerns about using Eticovo, don’t hesitate to consult your healthcare provider or pharmacist for guidance.

Other uses for this medicine

Some off-label uses of Eticovo may include:

• Juvenile idiopathic arthritis (JIA): Eticovo may be used in children with JIA who have not responded adequately to other treatments.
• Uveitis: In some cases, Eticovo may be used to manage inflammation in the eye (uveitis) when other therapies have failed.
• Dermatologic conditions: Eticovo might be considered for certain dermatologic conditions characterized by inflammation, although its use in these cases would be determined on a case-by-case basis.

What special precautions should I follow?

Regarding special precautions for using Eticovo, patients should be aware of the following:

• Infections: Eticovo can increase the risk of serious infections due to its effect on the immune system. Patients should be monitored for signs of infection, and healthcare providers may recommend screening for tuberculosis before starting treatment.
• Allergic reactions: Some individuals may experience allergic reactions to Eticovo, which can be serious. Patients should inform their healthcare provider of any known allergies or reactions to similar medications.
• Immunizations: Live vaccines should generally be avoided while taking Eticovo due to the potential for diminished vaccine efficacy or increased risk of infection.
• Malignancies: There is a potential risk of developing certain types of cancer while taking Eticovo. Patients with a history of cancer or those at increased risk should be closely monitored.
• Neurological disorders: Rare neurological disorders, such as seizures or multiple sclerosis-like symptoms, have been reported in patients taking Eticovo.
• Heart failure: Eticovo may worsen preexisting heart failure or increase the risk of developing heart failure in susceptible individuals.

Patients should discuss these precautions and any other concerns with their healthcare provider before starting treatment with Eticovo. It’s essential to adhere to the prescribed dosage and follow-up appointments for monitoring and adjustment of treatment as needed.

What special dietary instructions should I follow?

Regarding special dietary instructions for Eticovo, there are no specific dietary restrictions associated with its use. However, maintaining a healthy and balanced diet is important for overall well-being, especially when managing chronic conditions like rheumatoid arthritis or psoriasis. Some individuals may find that certain dietary modifications, such as reducing inflammatory foods, can complement their treatment plan, but these should be discussed with a healthcare provider or a registered dietitian.

What should I do if I forget a dose?

If you forget to take a dose of Eticovo, take it as soon as you remember. However, if it’s almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one. If you’re unsure about what to do, consult your healthcare provider or pharmacist for guidance. It’s essential to maintain consistency in your dosing schedule to ensure the effectiveness of the medication.

What side effects can this medication cause?

Eticovo, like other medications, can cause side effects in some individuals. Common side effects may include:

• Injection site reactions: Redness, swelling, itching, or pain at the injection site are common side effects of Eticovo. These reactions are usually mild and temporary.
• Upper respiratory tract infections: Some patients may experience symptoms of upper respiratory tract infections, such as the common cold or sinusitis.
• Headache: Headaches are a relatively common side effect of Eticovo treatment.
• Nausea: Some individuals may experience nausea or gastrointestinal discomfort while taking Eticovo.
• Diarrhea: Diarrhea can occur as a side effect of Eticovo in some patients.
• Fatigue: Feeling tired or fatigued is another potential side effect of Eticovo.
• Musculoskeletal pain: Joint pain or muscle pain may occur in some individuals as a side effect of Eticovo treatment.
• Dizziness: Eticovo can occasionally cause dizziness or lightheadedness.
• Increased risk of infections: Since Eticovo suppresses the immune system, there is an increased risk of infections, including serious infections such as tuberculosis or bacterial/fungal infections.
• Allergic reactions: In rare cases, allergic reactions to Eticovo may occur, which can manifest as rash, itching, swelling, difficulty breathing, or anaphylaxis.
• Neurological effects: Rare neurological side effects, such as seizures or symptoms resembling multiple sclerosis, have been reported with Eticovo use.
• Blood disorders: Eticovo may lead to changes in blood cell counts, including leukopenia (low white blood cell count), thrombocytopenia (low platelet count), or anemia.

It’s important to note that not all individuals will experience these side effects, and some may experience none at all. Additionally, some side effects may require medical attention, while others may resolve on their own as the body adjusts to the medication. Patients should report any new or worsening symptoms to their healthcare provider promptly.

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

Storage and disposal of Eticovo:

• Storage:
  • Store Eticovo in the refrigerator at a temperature between 36°F to 46°F (2°C to 8°C).
  • Do not freeze Eticovo.
  • Keep Eticovo in its original carton to protect it from light.
• Disposal:
  • Dispose of used syringes and needles properly in a puncture-resistant container. Your healthcare provider or pharmacist can provide guidance on safe disposal methods.
  • Do not throw Eticovo or its containers in the household trash.

In case of emergency/overdose

Seek medical attention immediately.

• Contact emergency services or go to the nearest emergency room.
• Be prepared to provide information about the medication, dosage, and any symptoms experienced.

What other information should I know?

• Pregnancy and breastfeeding: Inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding. The use of Eticovo during pregnancy or breastfeeding should be carefully considered, weighing the potential benefits against the risks.
• Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as they may interact with Eticovo.
• Regular monitoring: Your healthcare provider will likely monitor your condition regularly while you are taking Eticovo to assess its effectiveness and monitor for any side effects.
• Travel considerations: If you need to travel with Eticovo, follow appropriate storage guidelines to ensure it remains within the recommended temperature range.
• Medication adjustments: Do not adjust your Eticovo dosage or stop taking it without consulting your healthcare provider.
• Medical alert: Consider wearing a medical alert bracelet or carrying a card indicating that you are taking Eticovo in case of emergencies.
• Follow-up appointments: Attend all scheduled follow-up appointments with your healthcare provider to assess your response to treatment and make any necessary adjustments to your medication regimen.

By following these guidelines and staying informed about Eticovo, you can help ensure safe and effective treatment for your condition. Always consult your healthcare provider if you have any questions or concerns about your medication.