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Enbrel

Generic Name: 

Etamercept

Brand Names: 

Enbrel

Enbrel Description: 

Enbrel is an injectable protein used to treat patients with immune diseases. The protein, called tumor necrosis factor (TNF), is naturally produced by the body’s immune system. Patients who are treated with Enbrel often overproduce TNF, leading to conditions such as rheumatoid arthritis, juvenile idiopathic arthritis, ankylosing spondylitis, psoriatic arthritis, or plaque psoriasis.

Enbrel Side Effects: 

The following side effects have been associated with Enbrel:

  • Infection
  • Headaches
  • Abdominal pain
  • Vomiting/Nausea
  • Cancer
  • Tuberculosis

Other, more serious side effects may be associated with Enbrel.

For more information, see our Enbrel side effects page.

Enbrel Uses: 
  • Rheumatoid Arthritis (RA) – Enbrel may be used alone or in combination with methotrexate to relieve moderate to severe symptoms associated with RA’s attack on the body’s joints, causing pain, swelling, and loss of function. Enbrel is effective in approximately two out of three adults treated, with most patients noticing its effect in about two weeks.
  • Juvenile Idiopathic Arthritis (JIA) – Patients between the ages of 2 and 16 may be prescribed Enbrel to treat symptoms associated with the swelling of joint lining in children with JIA. Enbrel is effective in three out of four children treated, with most patients noticing an effect within two to four weeks.
  • Psoriatic Arthritis – Enbrel may be used alone or in combination with methotrexate as a treatment option to reduce moderate to severe joint pain, swelling, and scales on the skin caused by psoriatic arthritis. About half of the patients using Enbrel received its effects, with most of those patients maintaining their treatment through six months of therapy.
  • Ankylosing Spondylitis (AS) – Enbrel may be prescribed to treat moderate to severe symptoms of pain caused by the body’s attack on joints of the spine, a result of AS. Roughly three out of five AS patients treated with Enbrel saw results after four to eight weeks.
  • Plaque Psoriasis – Enbrel may be prescribed to treat chronic, moderate to severe symptoms of red, scaly patches on the body from the skin disease, plaque psoriasis. Patients prescribed Enbrel for this treatment must be 18 years or older and candidates for systemic therapy or phototherapy. Out of patients treated for a 12 month period, about half received its effectiveness, with most noticing a change in symptoms within three months of use.

In all of the above conditions, Enbrel blocks the activity of TNF in the body. Overproduction of TNF causes these autoimmune disorders and the resulting inflammation associated with these conditions.

Enbrel Interactions: 

Patients should speak with their doctor about the use of any medications, vitamins or supplements before taking Enbrel.

Before taking Enbrel, patients should consult their doctor if they are taking any of the following medications:

  • Abatacept
  • Anakinra
  • Azathioprine
  • Cancer chemotherapy medications
  • Cyclophosphamide
  • Cyclosporine
  • Oral corticosteroids
  • Methotrexate
  • Sirolimus
  • Rilonacept
  • Tacrolimus
  • Sulfasalazine

Be sure to inform your doctor if you have had any of the following vaccines:

  • Bacillus of Calmette and Guerin
  • Measles
  • Mumps
  • Poliovirus
  • Rotavirus
  • Rubella
  • Smallpox
  • Typhoid
  • Varicella
  • Yellow fever

Patients with a history or current diagnosis of any of following conditions should consult their doctor before treatment with Enbrel:

  • Blood or bone marrow problems
  • Heart problems
  • Nervous system problems
  • Eye inflammation
  • Skin disease
  • Seizures
  • Cancer
  • Diabetes
  • Immune system problems
  • Infection
  • Wegener’s granulomatosis (inflammation of blood vessels)

This is not a complete list of possible Enbrel interactions. Consult your doctor about any possible interactions with this medicine.

Enbrel Dosage Information: 

Typical Dosage Recommendations

Enbrel dosages may vary among patients and conditions. Patients should take Enbrel exactly as prescribed by their doctor.

Enbrel is administered as an injection patients can place in the front of their thighs, outer part of the upper arms, and stomach, with the exception of a two inch diameter around the navel. Patients should rotate the areas of injection to reduce soreness or redness.

Do not inject Enbrel into areas that are tender, bruised, red, hard, or skin that is scarred or has stretch marks. Patients should not inject Enbrel into skin exhibiting symptoms of psoriasis.

Enbrel will be administered by a doctor for a patient’s first dose. After the initial dose, patients being treated with Enbrel may administer their injection themselves or with assistance from another person.

Doses are determined on the basis of patient’s body weight and are usually administered once or twice a week. Doses range from 25 mg to 50 mg.

Vials of Enbrel may contain more than one dose. Enbrel can be stored if there is a remaining dose for up to 14 days before it should be discarded.

Missing a Dose of Enbrel

If you miss a dose of Enbrel, contact your doctor for instructions on your next dose. Do not double a dose to make up for your missed dose.

Enbrel Overdose

Patients who overdose on Enbrel may collapse or stop breathing. Contact your doctor immediately if you believe you have overdosed on Enbrel.

Enbrel FDA Approval: 

November 2, 1998

Enbrel Recall/Black Box Warning Information: 

Risk of Infections

There is a Black Box warning on Enbrel concerning the increased risk of infections, such as tuberculosis (TB) and invasive fungal infections, that have been reported during treatment with Enbrel. Enbrel may compromise a patient’s immune system and leave them susceptible to infection. Some reported infections have been fatal. Patients should be tested for TB prior to treatment and during treatment, and all causes of tuberculosis infection should be treated prior to the use of Enbrel.

Cancer risk

Some patients younger than 18 years old using TNF blockers like Enbrel have reported cases of unusual cancers and other malignancies. Children and teenagers taking Enbrel have an increased risk of lymphoma, melanoma, and cancers of the breast, colon, prostate, and lung. The development of some autoimmune disorders such as a lupus-like syndrome have also been reported.

A recall for Enbrel was issued in March 2006 due to a “lack of assurance in sterility” from possible missing, detached or loose caps for the diluents syringe that comes with Enbrel. (Recall # D-202-6) Another recall for was issued in January 2010 for Enbrel Sure Click, Vials, and Prefilled Syringes. (Recall # D-279-2010, D-280-2010, D-281-2010, D-282-2010)

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