of Supplies
The syringe should NEVER be reused. NEVER recap a needle.
Dispose of the used syringe as instructed by your healthcare provider, or by following these steps:
Do not throw the used syringe in the household trash or recycle.
Place the used syringe in a hard plastic disposal container with a screw-on cap or a metal container with a plastic lid, such as a coffee can, labeled “used syringes.” If a metal container is used, cut a small hole in the plastic lid and tape the lid to the metal container. If a hard plastic container is used, always screw the cap on tightly after each use. Do not use glass or clear plastic containers. Puncture-resistant containers may also be purchased at your local pharmacy.
When the container is full, tape around the cap or lid to make sure the cap or lid does not come off.
You should always check first with your healthcare provider for instructions on how to properly dispose of a filled disposal container. There may be special state and local laws for disposing of used needles and syringes. Do not throw the disposal container in household trash. Do not recycle.
Always keep the container out of the reach of children.
A healthcare provider familiar with ENBREL® should answer all questions. A toll-free information service is also available: 1-888-4ENBREL (1-888-436-2735).
[Amgen]
[Wyeth]
Manufactured by:
Immunex Corporation,
Thousand Oaks, CA 91320-1799
Marketed by Amgen Inc. and Wyeth Pharmaceuticals
© 1998 – 2008 Immunex Corporation. All rights reserved.
1XXXXXX - v1
Issue Date: 06/2008
Patient Instructions for Use
ENBREL® (en-brel)
(etanercept)
Multiple-use Vial
How do I prepare and give an injection with ENBREL® Multiple-use Vial?
A multiple-use vial contains 25 mg of ENBREL®.
STEP 1: Setting up for an Injection
Select a clean, well-lit, flat work surface, such as a table.
Take the ENBREL® dose tray out of the refrigerator and place it on your flat work surface.
Check the expiration date on the dose tray. If the expiration date has passed, do not use the dose tray. Also check to make sure the dose tray has seven items as pictured below:
One prefilled diluent syringe containing 1 mL of diluent (liquid) with attached adapter and twist-off cap
One plunger
One ENBREL® vial
One 27-gauge ½ inch needle in hard plastic cover
One vial adapter
Two alcohol swabs
If the expiration date has passed, the seven items are not included in the dose tray or if any item looks damaged, contact your pharmacist or call 1-888-4ENBREL (1-888-436-2735) for assistance.
Wash your hands with soap and warm water.
Peel the paper seal off the dose tray and remove all items.
Inspect the volume of diluent in the syringe with the twist-off cap pointing down. Use the unit markings on the side of the syringe to make sure there is at least 1 mL of liquid in the syringe. If the level of liquid is below the 1 mL mark, do not use. Call 1-888-4ENBREL (1-888-436-2735) for assistance.
STEP 2: Preparing the ENBREL® Solution
There are two methods for preparing the ENBREL® solution. For some children, one vial of ENBREL® solution can be used for more than one dose. The free-hand method should be used for children on ENBREL® who are using one vial of ENBREL® solution for more than one dose. You should not use the vial adapter method if you will be using the vial more than once. Ask your healthcare provider if you have questions about which method to use.
The Vial Adapter Method
Adul |
