Why is this medication prescribed?

Auranofin is prescribed primarily for the treatment of rheumatoid arthritis. It is a disease-modifying antirheumatic drug (DMARD) that helps to reduce inflammation, pain, and damage in the joints.

How should this medicine be used?

Here’s how Auranofin is typically used:

• Dosage: Auranofin is usually taken orally in the form of tablets. The typical dosage is 3 mg taken twice daily. Your doctor will determine the appropriate dose for you based on your condition and response to the medication.
• Administration: Take the tablets with food to reduce the risk of gastrointestinal upset. Swallow the tablets whole with a glass of water.
• Monitoring: Regular blood tests may be required to monitor for side effects, such as changes in blood cell counts or liver function.
• Adherence: It’s important to take Auranofin exactly as prescribed by your healthcare provider. Do not stop taking it or change the dose without consulting your doctor, even if you feel better.
• Side Effects: Be aware of potential side effects such as gastrointestinal issues, skin rashes, and more severe effects like liver problems or blood disorders. Report any unusual symptoms to your doctor.

If you have specific concerns or questions about how to use Auranofin, it’s always best to consult your healthcare provider for personalized advice.

Other uses for this medicine

Auranofin is mainly used for rheumatoid arthritis. However, research is ongoing into its potential use in treating other conditions, such as:

• Certain types of cancer: Auranofin has shown some promise in early studies for its potential anti-cancer properties.
• Parasitic infections: There is some research exploring its effectiveness against certain parasitic diseases.

What special precautions should I follow?

Special Precautions for Auranofin:

• Blood Monitoring: Regular blood tests are crucial to monitor for potential side effects like changes in blood cell counts or liver function.
• Liver Health: Auranofin can affect liver function, so if you have pre-existing liver conditions, you should inform your doctor.
• Kidney Health: It can also affect kidney function. Report any signs of kidney issues, such as changes in urine output or swelling.
• Allergies: Inform your healthcare provider if you have any known allergies or sensitivities to gold compounds or other medications.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor. The effects of Auranofin during pregnancy and breastfeeding are not well-studied.
• Drug Interactions: Inform your healthcare provider of all other medications you are taking, including over-the-counter drugs and supplements, to avoid potential interactions.
• Infections: Auranofin may affect your immune system. Notify your doctor if you develop any signs of infection, such as fever or sore throat.

Always follow your healthcare provider’s guidance and report any unusual symptoms or side effects.

What special dietary instructions should I follow?

• Take with Food: To minimize gastrointestinal side effects, take Auranofin with food. This can help reduce nausea or stomach upset.

What should I do if I forget a dose?

• Missed Dose: If you forget to take a dose, take it as soon as you remember. However, if it’s almost time for your next dose, skip the missed dose and return to your regular schedule.
• Do Not Double Up: Do not take two doses at once to make up for a missed dose, as this can increase the risk of side effects.

What side effects can this medication cause?

Auranofin can cause a range of side effects. While not everyone experiences them, it’s important to be aware of potential reactions. Common side effects include:

• Gastrointestinal Issues: Nausea, vomiting, diarrhea, or abdominal pain. Taking the medication with food can help reduce these effects.
• Skin Reactions: Rashes, itching, or other skin changes.
• Liver Effects: Elevated liver enzymes, jaundice (yellowing of the skin or eyes), or other signs of liver problems.
• Kidney Effects: Changes in kidney function, which may be detected through blood tests.
• Blood Disorders: Low blood cell counts (such as anemia, leukopenia, or thrombocytopenia), which can increase the risk of infection, bleeding, or bruising.
• Allergic Reactions: Rare but serious allergic reactions can include swelling, severe rash, or difficulty breathing.
• Mouth Sores: Some people may develop sores in the mouth or throat.
• Headache: Headaches can occur as a side effect.
• Dizziness: Some individuals may experience dizziness or lightheadedness.

If you experience any severe or unusual symptoms, such as severe rash, swelling, persistent abdominal pain, or signs of liver or kidney problems, contact your healthcare provider immediately. Regular monitoring and communication with your doctor can help manage and mitigate potential side effects.

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

Storage and Disposal of Auranofin:

• Storage:
  • Store Auranofin at room temperature, typically between 68°F to 77°F (20°C to 25°C).
  • Keep it in a dry place away from excessive heat and moisture.
  • Keep the medication in its original container, tightly closed, and out of reach of children.
• Disposal:
  • The best way to dispose of unused or expired Auranofin is to use a medication take-back program or a disposal facility. Many pharmacies offer these services.
  • If no take-back programs are available, follow local guidelines for disposal. Typically, you can mix the medication with an undesirable substance (like used coffee grounds) and place it in a sealed bag or container before throwing it in the trash. Avoid flushing medications down the toilet unless the label specifically instructs you to do so.

In case of emergency/overdose

• Contact Emergency Services: If you suspect an overdose or experience severe symptoms, seek emergency medical help immediately. Symptoms of overdose might include severe nausea, vomiting, abdominal pain, or signs of liver or kidney damage.
• Poison Control: You can also call the Poison Control Center for guidance. In the U.S., the Poison Control number is 1-800-222-1222.

What other information should I know?

• Follow-Up Appointments: Regular follow-ups with your healthcare provider are important to monitor for side effects and assess the effectiveness of the treatment.
• Communication: Inform your healthcare provider of any other health conditions or medications you are taking to avoid potential interactions.
• Medication Adherence: Take Auranofin exactly as prescribed, and do not stop taking it without consulting your healthcare provider, even if you feel better.
• Emergency Plan: Be aware of what to do in case of missed doses, emergencies, or side effects, and have an emergency contact number handy.

If you have any additional questions or concerns about Auranofin, always follow your healthcare provider’s guidance and instructions for the safe use, storage, and disposal of Auranofin.