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Written By Lakshmithulasi Yarragunta , Pharm-D (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Non returnable*
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Consume Type

PARENTERAL

Return Policy

Not Returnable

Expires on or after

Apr-24

for this medicine

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.

Uses of Tysabri 300 mg Injection 15 ml

Multiple sclerosis, Crohn’s disease.

Directions for Use

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

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.

Storage

Store in a cool and dry place away from sunlight

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

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.

Drug-Drug Interactions

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NatalizumabAzathioprine
Severe
NatalizumabMitoxantrone
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.
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.
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.
NatalizumabRuxolitinib
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Taking Ruxolitinib together with Tysabri 300 mg Injection 15 ml may increase the risk of infections.

How to manage the interaction:
Although taking Ruxolitinib and Tysabri 300 mg Injection 15 ml together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience symptoms such as fever, chills, loose stools, sore throat, muscle aches, shortness of breath, blood in phlegm, red or inflamed skin, body sores, and pain or burning during urination. Do not stop using any medications without consulting doctor.
NatalizumabEverolimus
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Using Tysabri 300 mg Injection 15 ml together with everolimus, or using them sequentially with little to no time in between, may increase the risk of serious infections.

How to manage the interaction:
There may be a possibility of interaction between Everolimus and Tysabri 300 mg Injection 15 ml, but it can be taken if prescribed by a doctor. Inform a doctor if you have a fever, chills, diarrhea, sore throat, muscular pains, shortness of breath, blood in phlegm, weight loss, red or irritated skin, body sores, or discomfort or burning during urination. consult a doctor immediately, if you experience progressive weakening on one side of your body, clumsiness of limbs, visual disturbance, disorientation, or changes in your thinking, memory, or personality. Do not stop using any medications without talking to a 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.
NatalizumabDimethyl fumarate
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Co-administration of Dimethyl fumarate with Tysabri 300 mg Injection 15 ml can increase the risk of adverse effects.

How to manage the interaction:
Co-administration of Dimethyl fumarate with Tysabri 300 mg Injection 15 ml can possibly result in an interaction, but it can be taken if a doctor has advised it. 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, burning during urination, weakness, vision problems, or confusion. If you experience any of these symptoms, contact a doctor right away. Do not discontinue any medications without consulting a doctor.
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.
NatalizumabCarboplatin
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Taking Carboplatin with Tysabri 300 mg Injection 15 ml can increase the risk of developing serious infections. Particularly, progressive multifocal leukoencephalopathy(a rare but serious viral infection of the brain).

How to manage the interaction:
Taking Carboplatin 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. However, if you experience fever, chills, diarrhea, sore throat, muscle pains, breathing difficulty, blood in your coughing fluid, red or irritated skin, body sores, and discomfort or burning sensation when you urinate, weakness on one side of the body, clumsiness of legs and hands, eye problems, confusion, or changes in thinking, memory and personality, consult a doctor. Do not stop using any medications without a doctor's advice.
NatalizumabLenalidomide
Severe
How does the drug interact with Tysabri 300 mg Injection 15 ml:
Combining Lenalidomide with Tysabri 300 mg Injection 15 ml can increase the chances of experiencing harmful side effects.

How to manage the interaction:
Although there is a possible interaction between Lenalidomide and Tysabri 300 mg Injection 15 ml, you can take these medicines together if prescribed by your doctor. If you experience symptoms like infection, neurological problems, fever, diarrhea, or confusion, contact your doctor immediately. 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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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

Therapeutic Class

MONOCLONAL ANTIBODIES

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

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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