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Written By Lakshmithulasi Yarragunta , Pharm-D (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

About Tysabri 300 mg Injection 15 ml

Tysabri 300 mg Injection 15 ml belongs to the class of monoclonal antibodies. It is used in the treatment of multiple sclerosis (a condition in which the immune system attacks the protective covering of the nerves called myelin, causing disrupted communication between the brain and body) and moderately to severe Crohn’s disease (a chronic bowel disease that affects any part of the gastrointestinal tract, mainly small and large intestine) in patients who are unable to tolerate conventional Crohn’s disease therapy and inhibitors of TNF-α.

Tysabri 300 mg Injection 15 ml consists of Natalizumab, which belongs to the class of integrin receptor antagonists. It works by binding to the chemical substance called α4β7 integrin (present on the surface of the WBC that enters the gut), which is responsible for inflammation.

Tysabri 300 mg Injection 15 ml may cause certain side effects, such as nausea, headache, fever, joint pain, upper respiratory tract infections, abdominal discomfort, diarrhoea, tiredness, back pain, itching, depression, and injection site reactions. Most of these side effects do not require medical attention. However, if these side effects persist, please consult your doctor. Tysabri 300 mg Injection 15 ml will be administered by a trained healthcare doctor. Hence, do not self-administer. 

Tysabri 300 mg Injection 15 ml should be avoided if you are allergic to any of its components.  Inform your doctor if you have any history of serious infections, tuberculosis, liver or kidney diseases, or a weak immune system, as it can worsen your health condition. Tysabri 300 mg Injection 15 ml is contraindicated in patients with Progressive Multifocal Leukoencephalopathy (PML), as it can cause serious adverse effects. Consult the doctor if you are pregnant or breastfeeding.

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Non returnable*
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Consume Type

PARENTERAL

Return Policy

Not Returnable

Expires on or after

Apr-24

for this medicine

Uses of Tysabri 300 mg Injection 15 ml

Multiple sclerosis, Crohn’s disease.

Medicinal Benefits

Tysabri 300 mg Injection 15 ml consists of Natalizumab, which belongs to the class of integrin receptor antagonists. It works by binding to the chemical substance called α4β7 integrin (present on the surface of the WBC that enters the gut), which is responsible for inflammation. This causes inhibition and alters the gene expression of blood monocytes and thus helps reduce inflammation of the bowel disease. It is used in the treatment of moderately to severe Crohn’s disease and multiple sclerosis.

Side Effects of Tysabri 300 mg Injection 15 ml

  • Injection site reactions
  • Headache
  • Nausea
  • Upper respiratory tract infections.
  • Joint pain
  • Tiredness
  • Cough
  • Back pain
  • Itching
  • Diarrhoea
  • Depression

Directions for Use

Tysabri 300 mg Injection 15 ml will be administered by a healthcare professional. Do not self-administer.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Inform your doctor if you have any history of serious infections, tuberculosis, liver, or kidney diseases, or a weak immune system, as it can worsen your health condition. This medicine is contraindicated in patients with leukemia or lymphoma, or an organ transplant as it can cause life-threatening conditions. Tysabri 300 mg Injection 15 ml may cause serious reactions including infusion-related or allergic reactions. This medicine may also increase the risk of serious infections and hypersensitivity reactions in some patients. Hence, patients should be carefully monitored for any changes during and after the treatment course. Tysabri 300 mg Injection 15 ml is not recommended for use in children below 18 years of age as safety and efficacy are not established. This medicine can cause Progressive Multifocal Leukoencephalopathy (PML) in most patients with compromised immune system. The chance of getting PML is more if the patient is exposed to John Cunningham Virus, if received Tysabri 300 mg Injection 15 ml for longer than 2 years or treated with other medicine that weakens your immune system. Hence it is important to inform your doctor about your complete medication history and previous medical history before receiving Tysabri 300 mg Injection 15 ml.

Therapeutic Class

MONOCLONAL ANTIBODIES

Drug-Drug Interactions

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NatalizumabAzathioprine
Severe
NatalizumabPomalidomide
Severe

Drug-Drug Interactions

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NatalizumabAzathioprine
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Taking Azathioprine with Tysabri 300 mg Injection 15 ml can raise the risk of severe infections.

How to manage the interaction:
Although taking Azathioprine and Tysabri 300 mg Injection 15 ml together can cause an interaction, it can be taken if a doctor has suggested it. However, if you have any of these symptoms- fever, chills, diarrhea, sore throat, muscle aches, difficulty breathing, blood in phlegm(a thick secretion in the airway during disease and inflammation), losing weight, or pain while peeing, progressive weakness on one side of the body, clumsiness of limbs, disturbance of vision, confusion, or changes in thinking, memory and personality, make sure to contact a doctor immediately. Do not stop using any medications without a doctor's advice.
NatalizumabPomalidomide
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Taking Pomalidomide with Tysabri 300 mg Injection 15 ml can increase the likelihood and seriousness of infections.

How to manage the interaction:
Taking Pomalidomide with Tysabri 300 mg Injection 15 ml together can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience fever, chills, diarrhea, sore throat, muscle aches, breathing difficulty, blood in your coughing fluid, weight loss, red or irritated skin, body sores, and discomfort or burning when you urinate, progressive weakness on one side of the body, clumsiness of limbs, disturbance of vision, confusion, or changes in thinking, memory, and personality, consult a doctor. Do not discontinue any medications without a doctor's advice.
NatalizumabMitoxantrone
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Using Tysabri 300 mg Injection 15 ml together with mitoxantrone may increase the risk of serious infections.

How to manage the interaction:
Taking Mitoxantrone with Tysabri 300 mg Injection 15 ml together can result in an interaction, but it can be taken if your doctor has advised it. However, consult a doctor immediately if you experience symptoms such as fever, chills, diarrhoea, sore throat, muscle aches, shortness of breath, blood in phlegm, weight loss, red or inflamed skin, body sores, and pain or burning during urination. Do not stop using any medications without consulting a doctor.
NatalizumabMelphalan
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Co-administration of Melphalan with Tysabri 300 mg Injection 15 ml can increase the risk and severity of infection.

How to manage the interaction:
Taking Melphalan with Tysabri 300 mg Injection 15 ml together can possibly result in an interaction, but it can be taken if your doctor has advised it. It is important to contact a doctor if you experience any symptoms like fever, chills, diarrhea, sore throat, muscle aches, shortness of breath, weight loss, pain, burning during urination, weakness on one side of the body, vision problems, or confusion. Do not stop using any medications without a doctor's advice.
NatalizumabNilotinib
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Combining Tysabri 300 mg Injection 15 ml and nilotinib can increase the risk of serious infections and progressive multifocal leukoencephalopathy (a disease of the white matter of the brain, caused by a virus infection (polyomavirus JC) that targets cells that make myelin—the material that insulates nerve cells (neurons)).

How to manage the interaction:
Taking Tysabri 300 mg Injection 15 ml and nilotinib together can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like fever, chills, diarrhea, sore throat, muscle aches, shortness of breath, blood in phlegm, weight loss, red or inflamed skin, body sores, and pain or burning during urination, progressive weakness on one side of the body, clumsiness of limbs, disturbance of vision, confusion, or changes in thinking, memory and personality, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NatalizumabBusulfan
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Taking these two medications may raise the risk of side effects.

How to manage the interaction:
Although there is a possible interaction between Busulfan and Tysabri 300 mg Injection 15 ml, you can take these medicines together if prescribed by your doctor. It is important to be aware of any symptoms such as infections, neurological problems, fever, diarrhea, sore throat, muscle aches, shortness of breath, weight loss, pain, weakness on one side of the body, clumsiness, vision problems, or confusion. If you experience any of these symptoms, contact your doctor right away. Do not stop using any medications without talking to your doctor.
NatalizumabBortezomib
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Coadministration of bortezomib and Tysabri 300 mg Injection 15 ml can increase the risk of infections.

How to manage the interaction:
Although using bortezomib and Tysabri 300 mg Injection 15 ml together can result in an interaction, they can be taken together if advised by your doctor. However, contact a doctor if you experience fever, chills, joint pain, or burning during urination. Do not stop taking any medications without consulting a doctor.
NatalizumabDasatinib
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Using Tysabri 300 mg Injection 15 ml together with Dasatinib may increase the risk of infections.

How to manage the interaction:
Although there is a possible interaction between Tysabri 300 mg Injection 15 ml and Dasatinib, you can take these medicines together if prescribed by a doctor. If you have any of these symptoms - fever, muscle aches, difficulty breathing, pain or burning while urinating - make sure to contact a doctor right away. Do not stop using any medications without a doctor's advice.
NatalizumabMercaptopurine
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Co-administration of Mercaptopurine with Tysabri 300 mg Injection 15 ml can increase the risk of infections.

How to manage the interaction:
Although there is a possible interaction between Mercaptopurine and Tysabri 300 mg Injection 15 ml, you can take these medicines together if prescribed by a doctor. If you experience symptoms like fever, muscle aches, or confusion, contact a doctor right away. Do not stop using any medications without talking to a doctor.
NatalizumabPrednisolone
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Co-administration of Prednisolone with Tysabri 300 mg Injection 15 ml can increase the risk of developing serious infections.

How to manage the interaction:
Co-administration of Prednisolone with Tysabri 300 mg Injection 15 ml can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience fever, chills, diarrhea, sore throat, muscle pains, breathing difficulty, blood in your coughing fluid, weight loss, red or irritated skin, body sores, discomfort or burning when you urinate, weakness on one side of the body, clumsiness of limbs, disturbance of vision, confusion, or changes in thinking, memory, and personality, consult a doctor. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug-Drug Interactions Checker List

  • INFLIXIMAB
  • ETANERCEPT
  • ADALIMUMAB
  • GOLIMUMAB
  • GLATIRAMER
  • INTERFERON BETA 1A
  • DOXORUBICIN
  • EPIRUBICIN
  • MERCAPTOPURINE
  • METHYLPREDNISOLONE
  • DEXAMETHASONE
  • PREDNISOLONE

Diet & Lifestyle Advise

  • Maintain a low-fat diet and eat foods rich in vitamin C, such as bell peppers, spinach, parsley and berries, which help heal faster.
  • Eat more fibre-rich foods such as fruits and vegetables.
  • Eat smaller meals all day and drink small amounts of water throughout the day.
  • If you are intolerant to lactose, lower your intake of milk.
  • Avoid foods high in sugar, fat, and processed foods, as these may cause inflammation.
  • Try to avoid alcohol as it can affect your stomach and intestine and also limits the absorption of the important nutrients required by your body.
  • Try to stay active. Choose moderate exercises.
  • Prevent stress by doing meditation or yoga.

Habit Forming

No

Special Advise

  • It is advised to closely monitor the patient for infections like active tuberculosis, and HIV infection during and after the treatment.
  • It is essential to inform your doctor if you have any active viral, bacterial, and fungal infections before starting Tysabri 300 mg Injection 15 ml.
  • Tysabri 300 mg Injection 15 ml is used to treat the condition but does not cure it.
  • This medicine is administered only once every four weeks by a trained oncologist.
  • Tysabri 300 mg Injection 15 ml will be only given to patients who have enrolled in to TOUCH program.

Disease/Condition Glossary

Multiple sclerosis: Multiple sclerosis is a condition that affects the brain and spinal cord. The immune system attacks the protective covering of the nerves (myelin) and causes disrupted communication between the brain and body due to nerve damage.  This causes symptoms such as problems with sensation, balance, vision, pain, impaired coordination, and fatigue.

Crohn’s disease: Crohn’s disease is a type of chronic inflammatory bowel disease that can affect any part of the gastrointestinal tract, from mouth to anus. But mostly occurs in the small intestine and large intestine. The symptoms include blood in stools, stomach cramps, tiredness, diarrhoea, fever, weight loss, or loss of appetite.

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