Health Guide
Drug Guide

Laronidase (Intravenous route)

Pronunciation:

lar-ON-i-dase

Brand Names:

Dosage Forms:

Warnings:

Intravenous route(Solution)

Life-threatening anaphylactic reactions have been reported in some patients during laronidase infusions. Therefore, when laronidase is administered, appropriate medical support should be readily available. Patients with compromised respiratory function or acute respiratory disease may be at risk of serious acute exacerbation of their respiratory condition due to infusion reactions and need additional monitoring .

Classifications:

Therapeutic

Endocrine-Metabolic Agent

Pharmacologic

Enzyme

Uses of This Medicine:

Laronidase is used to treat Hurler and Hurler-Schele syndrome forms of mucopolysaccharidosis (MPS I) disease caused by the lack of a certain enzyme called a-L-iduronidasein the body.

Laronidase is available only with your doctor's prescription.

Before Using This Medicine:

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Children

Appropriate studies have not been performed on the relationship of age to the effects of laronidase in children younger than 5 years of age. Safety and efficacy have not been established .

Older adults

Appropriate studies on the relationship of age to the effects of laronidase have not been performed in the geriatric population .

Pregnancy

Pregnancy CategoryExplanation
All TrimestersBAnimal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus.

Breast-feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Other medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Other interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other medical problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

Proper Use of This Medicine:

A nurse or other trained health professional will give you this medicine. This medicine is given through a needle placed in one of your veins .

You may also be given other medicines to keep you from having a fever or to prevent allergic reactions before you receive the injection .

Precautions While Using This Medicine:

It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it .

This medicine may cause a serious type of allergic reaction called anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash; itching; swelling of the face, tongue, and throat; lightheadedness; slow or irregular heartbeat; shortness of breath; trouble breathing; or chest pain or tightness after you get the injection .

Side Effects of This Medicine:

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common
Abdominal or stomach pain
accumulation of pus
back pain
black, tarry stools
bleeding gums
blood in urine or stools
blurred vision
chest pain
chest tightness
chills
clay-colored stools
confusion
dark urine
dizziness
drowsiness
facial swelling
faintness
fast, pounding, or irregular heartbeat or pulse
fever
flushing
headache
hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at injection site
itching
lightheadedness when getting up from a lying or sitting position suddenly
loss of appetite
nausea or vomiting
pale skin
pinpoint red spots on skin
shortness of breath
skin rash
sweating
swollen, red, or tender area of infection
trouble breathing
unpleasant breath odor
unusual bleeding or bruising
unusual tiredness or weakness
vomiting of blood
yellow eyes or skin
Less common
Cough
difficulty breathing
itching skin
large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
noisy breathing
redness of skin
tightness in chest
wheezing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common
Bleeding, blistering, burning, coldness, or discoloration of skin
blindness
body aches or pain
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
decreased vision
diarrhea
difficulty in moving
ear congestion
feeling of pressure
loss of voice
muscle pain or stiffness
nasal congestion
overactive reflexes
pain in joints
runny nose
sneezing
sore throat
swelling of legs and feet
swelling or puffiness of face
varicose or spider veins

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.


Last Updated: 10/12/2016

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