Why is this medication prescribed?

Teprotumumab-trbw injection is prescribed for the treatment of thyroid eye disease (TED), also known as Graves’ orbitopathy. TED is an autoimmune condition where the muscles and tissues around the eyes become inflamed, leading to symptoms such as bulging eyes (proptosis), double vision, eye pain, and swelling of the eyelids. Teprotumumab-trbw is a monoclonal antibody that works by reducing inflammation and decreasing the volume of the tissues around the eyes, thereby improving symptoms and preventing further damage.

How should this medicine be used?

Teprotumumab-trbw injection is typically administered by a healthcare professional as an intravenous infusion. The dosage and administration schedule may vary depending on factors such as the patient’s weight, response to treatment, and the severity of thyroid eye disease (TED). Here is a general overview of how teprotumumab-trbw injection is typically used:

• Preparation: Before administering the injection, the healthcare provider will prepare the medication according to the manufacturer’s instructions. This may involve diluting the medication with a compatible IV solution.
• Administration: The infusion is usually administered intravenously over a period of time, typically over the course of one hour. During this time, the patient will need to remain seated or lying down.
• Monitoring: While receiving the infusion, the patient will be closely monitored by healthcare professionals to watch for any adverse reactions or side effects. Vital signs such as blood pressure, heart rate, and oxygen saturation may be monitored periodically.
• Dosing: The dosing regimen for teprotumumab-trbw injection typically involves a loading dose followed by maintenance doses. The exact dosage and frequency of administration will be determined by the healthcare provider based on factors such as the patient’s weight and response to treatment.
• Follow-up: After each infusion, the patient may be scheduled for follow-up appointments to monitor their progress and response to treatment. Additional infusions may be administered as needed based on the healthcare provider’s assessment.

It’s important for patients to follow their healthcare provider’s instructions regarding the dosage and administration schedule of teprotumumab-trbw injection. Do not adjust the dosage or frequency of administration without consulting your healthcare provider first. If you have any questions or concerns about the use of teprotumumab-trbw injection, be sure to discuss them with your healthcare provider.

Other uses for this medicine

Teprotumumab-trbw injection is primarily used for the treatment of thyroid eye disease (TED). As of last update, it is not approved for other uses. However, it’s essential to note that healthcare providers may sometimes prescribe medications “off-label,” meaning for uses not approved by regulatory agencies, based on their clinical judgment and experience. If you have questions about the potential off-label uses of teprotumumab-trbw injection, you should discuss them with your healthcare provider.

What special precautions should I follow?

Regarding special precautions for teprotumumab-trbw injection, here are some key points to consider:

• Medical History: Before starting treatment with teprotumumab-trbw injection, inform your healthcare provider about your medical history, including any allergies, previous reactions to medications, current medications (prescription, over-the-counter, herbal supplements), and any pre-existing medical conditions.
• Pregnancy and Breastfeeding: It’s important to discuss the risks and benefits of teprotumumab-trbw injection if you are pregnant, planning to become pregnant, or breastfeeding. The safety of this medication during pregnancy and lactation has not been established, so your healthcare provider will weigh the potential risks to the fetus or infant against the potential benefits of treatment.
• Infections: Teprotumumab-trbw injection may increase the risk of infections. Inform your healthcare provider if you have a history of infections or if you develop signs or symptoms of an infection during treatment, such as fever, chills, sore throat, cough, or difficulty breathing.
• Infusion Reactions: Like with any intravenous medication, there is a risk of infusion reactions with teprotumumab-trbw injection. These reactions may include fever, chills, nausea, vomiting, headache, rash, itching, or difficulty breathing. Your healthcare provider will monitor you closely during infusion and may take steps to manage or prevent these reactions.
• Other Medications: Inform your healthcare provider about all the medications you are taking, including prescription medications, over-the-counter drugs, vitamins, and supplements. Some medications may interact with teprotumumab-trbw injection, affecting its effectiveness or increasing the risk of side effects.
• Allergic Reactions: If you have a known allergy to teprotumumab-trbw injection or any of its components, inform your healthcare provider before starting treatment.
• Liver and Kidney Function: Teprotumumab-trbw injection may affect liver and kidney function. Your healthcare provider may perform blood tests to monitor your liver and kidney function during treatment.

Always follow your healthcare provider’s instructions and guidance regarding the use of teprotumumab-trbw injection and any special precautions you should take. If you have any questions or concerns, don’t hesitate to discuss them with your healthcare provider.

What special dietary instructions should I follow?

As for special dietary instructions, there are no specific dietary restrictions associated with teprotumumab-trbw injection. However, it’s always advisable to maintain a balanced and healthy diet to support overall health and well-being during treatment.

What should I do if I forget a dose?

If you forget a dose of teprotumumab-trbw injection, contact your healthcare provider as soon as possible for guidance. They will advise you on the appropriate course of action, which may involve rescheduling the missed dose or adjusting the treatment plan as necessary. Do not attempt to administer extra doses to make up for a missed one without consulting your healthcare provider first.

What side effects can this medication cause?

Teprotumumab-trbw Injection, like any medication, may cause side effects. Some common side effects reported with Teprotumumab-trbw Injection include:

• Muscle spasms: This can include spasms in various muscles of the body.
• Nausea and vomiting: Some individuals may experience nausea or vomiting after receiving Teprotumumab-trbw Injection.
• Diarrhea: Digestive issues such as diarrhea may occur in some individuals.
• Fatigue: Feeling tired or fatigued is a commonly reported side effect.
• Headache: Some individuals may experience headaches after receiving Teprotumumab-trbw Injection.
• Insomnia: Difficulty falling asleep or staying asleep may occur in some individuals.
• Eyelid swelling: Swelling of the eyelids is a common side effect, given that Teprotumumab-trbw Injection is used to treat thyroid eye disease, which often involves swelling and inflammation around the eyes.
• Musculoskeletal pain: Some individuals may experience pain in their muscles or joints.
• Nausea and vomiting: Digestive issues such as nausea or vomiting may occur in some individuals.
• Hair loss: Hair loss or changes in hair texture may occur in some individuals.
• High blood sugar levels: Teprotumumab-trbw Injection may cause an increase in blood sugar levels in some individuals.

It’s important to note that not all individuals will experience these side effects, and some may experience side effects not listed here. Additionally, serious side effects are possible but less common. If you experience any severe or persistent side effects after receiving Teprotumumab-trbw Injection, it’s important to contact your healthcare provider for further evaluation and guidance. Your healthcare provider can provide more information about the potential side effects of Teprotumumab-trbw Injection and how to manage them.

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

Storage and disposal of Teprotumumab-trbw Injection:

• Storage: Store Teprotumumab-trbw Injection in the refrigerator at a temperature of 2°C to 8°C (36°F to 46°F). Do not freeze. Protect the medication from light. Do not shake the vial. Keep it in its original carton until ready to use to protect it from light.
• Disposal: Dispose of unused or expired Teprotumumab-trbw Injection according to local regulations. Do not dispose of it in household trash or flush it down the toilet unless instructed to do so. Consult with your healthcare provider or pharmacist for proper disposal methods.

In case of emergency/overdose

In case of emergency/overdose of Teprotumumab-trbw Injection:

• Seek Medical Attention: If you suspect an overdose or experience severe adverse effects after receiving Teprotumumab-trbw Injection, seek immediate medical attention. Contact your healthcare provider, local emergency services, or go to the nearest emergency room.
• Symptom Management: While waiting for medical assistance, follow any specific instructions provided by your healthcare provider. If possible, provide information about the medication, dosage, and timing of administration.

What other information should I know?

• Monitoring: Your healthcare provider will closely monitor your condition and response to treatment while receiving Teprotumumab-trbw Injection. This may involve regular check-ups, physical examinations, and laboratory tests.
• Adverse Effects: Be aware of potential side effects of Teprotumumab-trbw Injection, including infusion reactions, infections, allergic reactions, and changes in liver or kidney function. Report any adverse effects to your healthcare provider promptly.
• Follow-up: Attend all scheduled appointments with your healthcare provider to ensure proper monitoring and management of your condition. Inform your healthcare provider of any changes in your health status or medication regimen.
• Medication Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as they may interact with Teprotumumab-trbw Injection. Your healthcare provider will assess potential interactions and adjust your treatment plan accordingly.
• Patient Education: Understand the purpose of Teprotumumab-trbw Injection, how it is administered, potential side effects, and the importance of adherence to the prescribed treatment plan. Ask your healthcare provider any questions or concerns you may have about the medication.