corticotropin

What is the most important information I should know about corticotropin?

What is corticotropin?

Corticotropin is a hormone that is used to treat many different conditions such as multiple sclerosis, psoriatic or rheumatoid arthritis, ankylosing spondylitis, lupus, severe allergic reactions, breathing disorders, and inflammatory conditions of the eyes.

Corticotropin is also used to treat infantile spasms in children younger than 2 years old.

Corticotropin can reduce the symptoms of many disorders, but it is not a cure for these conditions. Corticotropin is also not expected to slow the progress of any disease.

Corticotropin may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before using corticotropin?

• a fungal infection anywhere in your body;
• herpes infection of the eyes;
• untreated or uncontrolled high blood pressure;
• scleroderma;
• osteoporosis;
• adrenal insufficiency (Addison's disease);
• a past or present stomach ulcer;
• congestive heart failure;
• if you are allergic to pork proteins;
• if you have recently had surgery; or
• if you are scheduled to receive a vaccine.

Corticotropin can worsen an infection you already have, or reactivate an infection you recently had. Before using this medicine, tell your doctor about any illness or infection you have had within the past several weeks.

Tell your doctor if you have ever had:

• high blood pressure, heart problems;
• liver disease (such as cirrhosis);
• kidney disease;
• a thyroid disorder;
• diabetes;
• tuberculosis;
• a muscle disorder such as myasthenia gravis;
• glaucoma or cataracts;
• depression or mental illness;
• a stomach or intestinal disorder; or
• a condition for which you take a diuretic or "water pill."

Do not give this medicine to a child without medical advice.

How is corticotropin given?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Corticotropin is injected into a muscle or under the skin. A healthcare provider may teach you how to properly use the medication by yourself.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you don't understand all instructions. Prepare an injection only when you are ready to give it.

Corticotropin doses are based on body surface area (height and weight). Your dose needs may change if you gain or lose weight or if you are still growing.

If you use this medicine long-term, you may need frequent medical tests, including bone scans to check for osteoporosis.

You should not stop using corticotropin suddenly. Follow your doctor's instructions about tapering your dose.

Use a needle and syringe only once and then place them in a puncture-proof "sharps" container. Follow state or local laws about how to dispose of this container. Keep it out of the reach of children and pets.

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while using corticotropin?

Do not receive a "live" vaccine while using corticotropin. The vaccine may not work as well and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), polio, rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.

What are the possible side effects of corticotropin?

• fever, chills, sore throat, skin warmth or redness, or other signs of an infection;
• unusual changes in mood or behavior;
• blurred vision, tunnel vision, eye pain, or seeing halos around lights;
• a seizure;
• decreased or increased adrenal gland hormones --changes in weight or appetite, tiredness, muscle weakness, skin discoloration, thinning skin, increased body hair, menstrual changes, loss of appetite, stomach pain;
• high blood pressure --severe headache, blurred vision, pounding in your neck or ears;
• high blood sugar --increased thirst, increased urination, dry mouth, fruity breath odor;
• low potassium level --leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling;
• signs of eye infection --swelling, redness, severe discomfort, crusting or drainage; or
• signs of stomach bleeding --bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.

Corticotropin can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Common side effects may include:

• increased blood pressure;
• thinning skin, increased sweating;
• fluid retention (swelling in your hands or feet, puffiness in your face);
• mood changes, irritability;
• increased appetite; or
• weight gain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect corticotropin?

Other drugs may affect corticotropin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Where can I get more information?

Your doctor or pharmacist can provide more information about corticotropin.