Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
Tofacitinib Citrate
PFIZER (MALAYSIA) SDN. BHD.
Tofacitinib Citrate
14tablet Tablets; 56tablet Tablets
Pfizer Manufacturing Deutschland GmbH.
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ XELJANZ ® FILM-COATED TABLETS Tofacitinib citrate (5 mg) 1 WHAT IS IN THIS LEAFLET 1. What XELJANZ is used for 2. How XELJANZ works 3. Before you use XELJANZ 4. How to use XELJANZ 5. While you are using XELJANZ 6. Side Effects 7. Storage and Disposal of XELJANZ 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision 11. Serial Number WHAT XELJANZ IS USED FOR XELJANZ is used for the treatment of adult patients with moderately to severely active rheumatoid arthritis in whom methotrexate did not work well or have had difficulty handling methotrexate due to its side effects. It may be used as a single agent or in combination with methotrexate or other nonbiologic disease-modifying antirheumatic drugs (DMARDs). XELJANZ is also used for the treatment of adult patients with active psoriatic arthritis (PsA) in whom methotrexate or other similar medicines called nonbiologic disease-modifying antirheumatic drugs (DMARDs) did not work well or cannot be tolerated. XELJANZ is also used for the treatment of adult patients with moderately to severely active ulcerative colitis (UC) in whom tumour necrosis factor (TNF) blockers did not work well or cannot be tolerated. HOW XELJANZ WORKS XELJANZ contains the active substance tofacitinib which block proteins called JAK. It preferentially inhibits JAK1 and JAK3 which prevents the activation and reduce the activity of several inflammatory signals called cytokines. These inflammatory signals are important in the activation, function and multiplication of our body's white blood cells. Hence, blocking these signals will help to control our body's immune responses involved in rheumatoid arthritis and psoriatic arthritis. By blocking excess inflammation, XELJANZ helps to reduce symptoms such as pain and swelling in your joints and can improve your performance of daily tasks. BEFORE YOU USE XELJANZ - _When you must not use it_ Do not take XELJANZ if: • You are allergic to tofacitinib citrate or any of Baca dokumen lengkap
FORMATTED: Hidden XELJANZ ® TOFACITINIB CITRATE WARNING: SERIOUS INFECTIONS, MORTALITY, MALIGNANCY AND THROMBOSIS SERIOUS INFECTIONS Patients treated with XELJANZ are at increased risk for developing serious infections that may lead to hospitalization or death _(see sections 4.4 and 4.7)_ . Most patients who developed these infections were taking concomitant immunosuppressants such as methotrexate or corticosteroids. If a serious infection develops, interrupt XELJANZ until the infection is controlled. Reported infections include: • Active tuberculosis, which may present with pulmonary or extrapulmonary disease. Patients should be tested for latent tuberculosis before XELJANZ use and during therapy. Treatment for latent infection should be initiated prior to XELJANZ use. • Invasive fungal infections, including cryptococcosis and pneumocystosis. Patients with invasive fungal infections may present with disseminated, rather than localized, disease. • Bacterial, viral, including herpes zoster, and other infections due to opportunistic pathogens. The risks and benefits of treatment with XELJANZ should be carefully considered prior to initiating therapy in patients with chronic or recurrent infection. Patients should be closely monitored for the development of signs and symptoms of infection during and after treatment with XELJANZ, including the possible development of tuberculosis in patients who tested negative for latent tuberculosis infection prior to initiating therapy _(see section 4.4)_ . MORTALITY Rheumatoid arthritis patients 50 years of age and older with at least one cardiovascular (CV) risk factor treated with XELJANZ 10 mg twice a day had a higher rate of all-cause mortality, including sudden CV death, compared to those treated with XELJANZ 5 mg given twice daily or TNF blockers in a large, ongoing, postmarketing safety study _(see section 4.4)_ . MALIGNANCIES Lymphoma and other malignancies have been observed in patients treated with XELJANZ. Epstein Barr Virus-associated post-transplant lymphoprol Baca dokumen lengkap