increased blood pressure.Your doctor may check your child’s blood pressure during treatment. If your child’s blood pressure increases, your doctor may talk with you about possible treatment choices.

too much water in the body (water retention), increased amount of body salts, and low potassium in the blood. H.P. Acthar Gel may cause your child to have an increased amount of body salts and water that stays in the body, and may lower the amount of potassium in your child’s blood. Follow your doctor’s instructions about if you need to decrease your child’s salt intake or if you need to feed your child foods high in potassium.

4. Your child should not receive certain vaccines during treatment with H.P. Acthar Gel.Your child may receive killed or inactivated vaccines while receiving H.P. Acthar Gel. Before your child receives any vaccines, talk to your doctor about which vaccines are safe for your child. Certain vaccines could cause your child to have serious side effects, or the vaccine may not be effective.

5. Hiding (masking) symptoms of other conditions or diseases.It may be more difficult for your doctor to diagnose other conditions or diseases in your child during treatment with H.P. Acthar Gel. During treatment and after treatment ends, tell your doctor if your child has:

6. Stomach and intestinal problems. H.P. Acthar Gel may cause bleeding of the stomach or intestine. Your child has an increased risk for bleeding from the stomach or having a stomach ulcer. Tell your doctor if your child has any pain in the stomach area (abdominal pain), vomits blood, or has bloody or black stools.

7. Changes in mood and behavior.During treatment with H.P. Acthar Gel your child may be irritable, have rapid changes in his or her mood, be depressed, have other changes in his or her behavior, or have trouble sleeping.

Tell your doctor if your child has any of the side effects or symptoms listed above.

What is H.P. ACTHAR GEL? H.P. Acthar Gel is a prescription medicine that is used to treat infantile spasms in infants and children under 2 years of age.

What should I tell my doctor before my child takes H.P. ACTHAR GEL?

Before your child takes H.P. Acthar Gel, read the section above “What is the most important information I should know about H.P. Acthar Gel?” and tell your doctor if your child has:

Tell your doctor about all the medicines your child takes, including prescription and non-prescription medicines, vitamins and herbal supplements. Do not start giving a new medicine to your child without first speaking to your doctor.

How should I give H.P. Acthar Gel to my child? H.P. Acthar Gel is given as an injection into the muscle. Do not inject it under the skin, into a vein, or give it to your child by mouth.

Infantile Spasms sometimes hides (masks) other seizures your child or infant may have. Once treated with H.P. Acthar Gel, the Infantile Spasms symptoms may disappear. This may allow the other seizures to become visible for the first time. Tell your child’s doctor right away if you see a change in your child’s seizures/spasms.

What are the possible side effects of H.P. Acthar Gel?

These are not all the possible side effects of H.P. Acthar Gel. T