Generic Name: NATALIZUMAB - INJECTION
Pronounced: (NA-ta-LIZ-ue-mab)

TYSABRI IV Precautions

Before using this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

This medication should not be used if you have ever had a certain medical condition. Before using this medicine, consult your doctor or pharmacist if you have ever had:

• a certain virus infection (progressive multifocal leukoencephalopathy-PML)

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

• weakened immune system (such as leukemia, lymphoma, HIV infection, organ transplant)
• current infections
• history of certain virus infections that keep coming back (such as herpes, shingles)
• mental/mood disorders (such as depression)

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is not known if this drug passes into breast milk. Because of the possible risk to the infant, breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

TYSABRI IV Side Effects

Headache, joint pain, redness/irritation at the injection site, swelling hands/feet/ankles, or changes in menstrual cycle may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if you have any side effects while this drug is being given or shortly after your treatment is finished. Examples of these side effects (infusion reaction) may include chills, fever, flushing, nausea, dizziness, tiredness, and chest pain.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

• severe headache
• fast/pounding heartbeat
• signs of infection (such as fever, persistent sore throat, breathing problems, unusual vaginal discharge, painful/frequent urination)
• mood changes (such as depression, suicidal thoughts)
• severe stomach/abdominal pain

This drug increases the risk of a possibly fatal brain infection (see Warning section for more details). In MS patients, the symptoms of PML can seem like an attack of worsening MS. Therefore, whether you are using this drug for MS or CD, tell your doctor immediately of any worsening symptoms that persist for several days such as:

• clumsiness
• sudden change in your thinking (such as confusion, difficulty concentrating)
• difficulty moving muscles
• seizure
• problems with speech
• vision changes

This drug may rarely cause serious liver problems. If you notice any of the following rare but very serious side effects, tell your doctor immediately:

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