Ranibizumab

What is ranibizumab?

Ranibizumab is made from a human antibody fragment. It works by keeping new blood vessels from forming under the retina (a sensory membrane that lines the inside of the eye). In people with a certain type of eye disease, new blood vessels grow under the retina where they leak blood and fluid. This is known as the "wet form" of macular degeneration.

Ranibizumab is used to treat the wet form of age-related macular degeneration.

Ranibizumab may also be used for purposes other than those listed in this medication guide.

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

Do not receive this medication if you are allergic to ranibizumab, or if you have an infection in or around your eye. Before you receive this medication, tell your doctor if you have glaucoma.

Ranibizumab is given as an injection into your eye. Your doctor will use a medicine to numb your eye before giving you the injection. You will receive this injection in your doctor's office or other clinic setting.

Ranibizumab is usually given once a month. After you have received the first 4 injections, your doctor may change your injection schedule to once every 3 months. Follow your doctor's instructions.

Call your doctor for instructions if you miss an appointment to receive your ranibizumab injection.

What should I discuss with my health care provider before receiving ranibizumab?

Do not receive this medication if you are allergic to ranibizumab, or if you have an infection in or around your eye.

Before you receive this medication, tell your doctor if you have glaucoma, or a history of blood clots or stroke.

How is ranibizumab used?

Ranibizumab is given as an injection into your eye. Your doctor will use a medicine to numb your eye before giving you the injection. You will receive this injection in your doctor's office or other clinic setting.

Ranibizumab is usually given once a month. After you have received the first 4 injections, your doctor may change your injection schedule to once every 3 months. Follow your doctor's instructions.

For at least 30 minutes after your injection, your eyes will be checked periodically to make sure the injection has not caused any side effects.

To be sure this medication is helping your condition and not causing harmful effects, your eyes will also need to be checked on a regular basis. Do not miss any scheduled visits to your doctor.

What happens if I miss a dose?

Call your doctor for instructions if you miss an appointment to receive your ranibizumab injection.

What happens if I overdose?

Seek emergency medical attention if you think you have received too much of this medicine. Symptoms of a ranizumab overdose may include eye pain or vision changes.

What should I avoid while receiving ranibizumab?

There are no restrictions on food, beverages, or activity while receiving ranibizumab unless your doctor has told you otherwise.

Ranibizumab side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

• vision changes;

• eye pain, redness, or irritation;

• discharge or bleeding from the eye;

• increased eye sensitivity to light;

• swelling around your eye;

• seeing "stars" or flashes of light, especially in your peripheral (side) vision;

• pain or burning when you urinate.

• sudden numbness or weakness, especially on one side of the body; or

• sudden headache, confusion, problems with vision, speech, or balance.

Other less serious side effects are more likely to occur, such as:

• itchy or watery eyes;

• dry eyes;

• blurred vision;

• runny or stuffy nose, cough, sore throat; or

• joint or muscle pain.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

Ranibizumab Dosing Information

Usual Adult Dose for Macular Degeneration:

Dose: 0.5 mg (0.05 mL) is administered by intravitreal injection once a month

What other drugs will affect ranibizumab?

There may be other drugs that can affect ranibizumab. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist has information about ranibizumab written for health professionals that you may read.

• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.