ENBREL is a medicine that affects your immune system. ENBREL can lower the ability of your immune system to fight infections. Serious infections have happened in patients taking ENBREL. These infections include tuberculosis (TB) and infections caused by viruses, fungi, or bacteria that have spread throughout the body. Some patients have died from these infections. Your healthcare provider should test you for TB before you take ENBREL and monitor you closely for TB before, during, and after ENBREL treatment, even if you have tested negative for TB.
There have been some cases of unusual cancers, some resulting in death, reported in children and teenage patients who started using tumor necrosis factor (TNF) blockers before 18 years of age. Also, for children, teenagers, and adults taking TNF blockers, including ENBREL, the chances of getting lymphoma or other cancers may increase. Patients with RA may be more likely to get lymphoma.
- Have any existing medical conditions
- Are taking any medicines, including herbals
- Think you have, are being treated for, have signs of, or are prone to infection. You should not start taking ENBREL if you have any kind of infection, unless your healthcare provider says it is okay
- Have any open cuts or sores
- Have diabetes, HIV, or a weak immune system
- Have TB or have been in close contact with someone who has had TB
- Were born in, lived in, or traveled to countries where there is more risk for getting TB. Ask your healthcare provider if you are not sure
- Live, have lived in, or traveled to certain parts of the country (such as, the Ohio and Mississippi River valleys, or the Southwest) where there is a greater risk for certain kinds of fungal infections, such as histoplasmosis. These infections may develop or become more severe if you take ENBREL. If you don’t know if these infections are common in the areas you’ve been to, ask your healthcare provider
- Have or have had hepatitis B
- Have or have had heart failure
- Develop symptoms such as persistent fever, bruising, bleeding, or paleness while taking ENBREL
- Use the medicine Kineret (anakinra), Orencia (abatacept), or Cytoxan (cyclophosphamide)
- Are taking anti-diabetic medicines
- Have, have had, or develop a serious nervous disorder, seizures, any numbness or tingling, or a disease that affects your nervous system such as multiple sclerosis or Guillain-Barré syndrome
- Are scheduled to have surgery
- Have recently received or are scheduled for any vaccines. All vaccines should be brought up-to-date before starting ENBREL. Patients taking ENBREL should not receive live vaccines.
- Are allergic to rubber or latex
- Are pregnant, planning to become pregnant, or breastfeeding
- Have been around someone with chicken pox
ENBREL can cause serious side effects including: New infections or worsening of infections you already have; hepatitis B can become active if you already have had it; nervous system problems, such as multiple sclerosis, seizures, or inflammation of the nerves of the eyes; blood problems (some fatal); new or worsening heart failure; new or worsening psoriasis; allergic reactions; autoimmune reactions, including a lupus-like syndrome and autoimmune hepatitis.
Common side effects include: Injection site reactions and upper respiratory infections (sinus infections).
In general, side effects in children were similar in frequency and type as those seen in adult patients. The types of infections reported were generally mild and similar to those usually seen in children.
These are not all the side effects with ENBREL. Tell your healthcare provider about any side effect that bothers you or does not go away.
If you have any questions about this information, be sure to discuss them with your healthcare provider. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
ENBREL is indicated for reducing signs and symptoms, keeping joint damage from getting worse, and improving physical function in patients with moderately to severely active rheumatoid arthritis. ENBREL can be taken with methotrexate or used alone.
ENBREL is indicated for chronic moderate to severe plaque psoriasis (PsO) in children 4 years and older and adults who may benefit from taking injections or pills (systemic therapy) or phototherapy (ultraviolet light).
ENBREL is indicated for reducing signs and symptoms, keeping joint damage from getting worse, and improving physical function in patients with psoriatic arthritis. ENBREL can be used with or without methotrexate.
ENBREL is indicated for reducing signs and symptoms in patients with active ankylosing spondylitis.
ENBREL is indicated for reducing signs and symptoms of moderately to severely active polyarticular juvenile idiopathic arthritis (JIA) in children ages 2 years and older.
Help your child in his or her own skin.
Although every child who takes ENBREL responds differently, a medical study has shown:
A chance for relief starts here. With Enbrel®.
ENBREL is a type of medicine called a "biologic" (a treatment made from living things, like cells) that has been approved to treat children 4 years and older with chronic moderate to severe plaque psoriasis.
How Enbrel® works
ENBREL treats moderate to severe plaque psoriasis from inside the body, rather than at the surface where you see skin symptoms.
ENBREL interferes with the activity of the TNF-alpha, which contributes to skin cells growing too quickly and causing build up.
This interference can help reduce the overproduction of skin cells.
Because ENBREL works on your immune system, it can make it harder to fight infections like the flu. If your child develops an infection while taking ENBREL, you should consult with your child's doctor right away.
Check out The ENBREL Chronicles to see how ENBREL works on your immune system to help
stop skin cells from growing to quickly.
Because ENBREL works on your immune system, it can make it harder to fight infections.
How Enbrel® is given
ENBREL is what's known as a "subcutaneous" (pronounced SUHB-kyoo-TEY-nee-us) injection. That means it's an injection that's given just under the skin in the fatty layer of tissue.
Your child's doctor will let you know how much ENBREL is right for your son or daughter and provide you with injection training so you can help your child with his or her injections.
You can also watch our demonstration videos.WATCH NOW
Here are answers to some common questions:
Is it really necessary to treat moderate to severe plaque psoriasis with medicine?
Moderate to severe plaque psoriasis is a chronic condition, which may mean your child can have it into and through adulthood, enduring visible plaques on his or her skin. While there is no cure, treatment may help your child see clearer skin. It is important to speak to your child's doctor to learn more about this condition and treatment options.
What does moderate to severe plaque psoriasis look like on my child?
Common signs and symptoms are thick, red patches with silvery scales on top that can appear anywhere on your child's skin. Those plaques can be very visible and flare up if your child has an infection, reacts to a medicine, has a wound on his or her skin, or if your child is stressed.
Is my child too young to use a biologic?
ENBREL is the only FDA-approved biologic for chronic moderate to severe plaque psoriasis in children 4 years and older and adults who may benefit from taking injections or pills (systemic therapy) or phototherapy (ultraviolet light). Talk with your child's doctor to see if ENBREL is right for your child.
Can my child use other medications along with ENBREL since it's a biologic?
Consult with your child's doctor about any other medicatons, vitamins, or supplements your child is taking.