Read this Medication Guide before you start using KYNAMRO and
each time you get a refill. There may be new information. This
information does not take the place of talking to your doctor about your
medical condition or your treatment.
What is the most important information
I should know about KYNAMRO?
- KYNAMRO is available only through certified pharmacies that are
enrolled in the KYNAMRO REMS Program. Your doctor must be
enrolled in the program in order for you to be prescribed
KYNAMRO may cause serious side
effects, including liver problems such as increased liver
enzymes or increased fat in the liver.
- Your doctor should do blood tests to check your liver before you
- Tell your doctor if you have had liver problems, including liver
problems while taking other medicines.
- Tell your doctor right away if you have any of these symptoms of
liver problems while taking KYNAMRO:
- loss of appetite
- you are more tired than usual
- yellowing of your eyes or skin
- dark urine
- stomach pain
- Drinking alcohol may increase your chance of having liver problems
or make your liver problems worse. You should not have
more than 1 alcoholic drink each day while using
What is KYNAMRO?
KYNAMRO is a prescription medicine used along with diet
and other lipid-lowering treatments in people with homozygous familial
hypercholesterolemia (HoFH) to reduce:
- LDL (“bad”) cholesterol
- total cholesterol
- a protein that carries “bad” cholesterol in
the blood (apolipoprotein B)
- non-high-density lipoprotein cholesterol (non-HDL-C)
It is not known if KYNAMRO can decrease problems from high
cholesterol, such as heart attack, stroke, death or other health
It is not known if KYNAMRO is safe in people with high
cholesterol but who do not have HoFH.
It is not known if KYNAMRO is safe and effective as an additional
treatment to LDL-apheresis.
It is not known if KYNAMRO is safe and effective in people with
kidney and liver problems, including people who are on kidney
It is not known if KYNAMRO is safe and effective when used in
children under the age of 18.
Who should not take KYNAMRO?
Do not take KYNAMRO if
- have moderate or severe liver problems or active liver disease,
including people who have unexplained abnormal liver tests.
- are allergic to mipomersen or any of the ingredients in
KYNAMRO. See the end of this leaflet for a complete list
of ingredients in KYNAMRO.
What should I tell my doctor before
Before you take KYNAMRO, tell your doctor if you:
- have liver problems
- have kidney problems
- drink alcohol
- are pregnant or plan to become pregnant. KYNAMRO may
cause harm to your unborn baby. If you are a female who
can get pregnant, you should use effective birth control while using
KYNAMRO. Talk with your doctor to find the best method of
birth control for you. If you become pregnant while taking
KYNAMRO, stop taking KYNAMRO and call your doctor right away.
- are breastfeeding or plan to breastfeed. It is not known
if KYNAMRO passes into your breast milk. You and your
doctor should decide if you will use KYNAMRO or
breastfeed. You should not do both.
Tell your doctor about all the
medicines you take, including prescription and non-prescription medicines,
vitamins, and herbal supplements. Before starting a new
medicine while taking KYNAMRO, even if you will only be taking it for a
short time, ask your doctor or pharmacist if it is safe to take while
you are using KYNAMRO.
Know the medicines you take. Keep a list of them to
show your doctor and pharmacist when you get a new
How should I take KYNAMRO?
- See the Instructions for Use that comes with this Medication Guide for complete
information on how to use KYNAMRO.
- KYNAMRO is given by injection under your skin (subcutaneous) 1
time each week. KYNAMRO is available in single-use (1 time) vials,
or as a single-use pre-filled syringe.
- Take KYNAMRO exactly as your doctor tells you to take it.
- Make sure that you or your caregiver are trained by your doctor or
other healthcare professional on how to inject KYNAMRO the right
- Do not try to give yourself or have another person give you
injections at home until you or both of you understand and are
comfortable with how to prepare for your dose and give the
- Take KYNAMRO on the same day of the week at the same time of day.
- If you miss a dose or forget to take your dose of KYNAMRO
at your usual weekly time, you can take it when you remember, unless
it is less than 3 days until your next weekly dose. If it is less
than 3 days until your next weekly dose, wait and take your next
weekly dose at your regularly scheduled time. Do not take a double
dose at the same time to make up for a forgotten or missed dose.
- It is important that KYNAMRO is at room temperature when it is
- Do not mix KYNAMRO with other injectable medicines.
- Do not use KYNAMRO at the same time as other injectable medicines.
- If you use too much KYNAMRO, call your doctor right away.
- Do not stop taking KYNAMRO without talking to your
What are the possible side effects of
KYNAMRO can cause serious side
- See “What is the most
important information I should know about
- injection site problems
- flu-like symptoms
Call your doctor right away if you
have any of the serious side effects of KYNAMRO.
The most common side effects of
- injection site problems. Skin reactions can happen in
some people including redness or discoloration of the skin, pain,
tenderness, itching, and swelling around the injection site. You may
also get a reaction at a former site of injection, when injecting at
a different site, or after an injury to an injection site.
- flu-like symptoms, including fever, chills, aches, and tiredness.
These symptoms usually happen within 2 days of an injection.
Tell your doctor about any side effect that bothers you or that
does not go away.
These are not all the possible side effects of KYNAMRO.
For more information, ask your doctor or pharmacist.
Call your doctor for medical advice about side effects. You may
report side effects to FDA at 1-800-FDA-1088.
How should I store KYNAMRO?
- Store KYNAMRO in a refrigerator between 36°F to
46°F (2°C to 8°C). If a refrigerator is
not available, KYNAMRO can be stored at or below 86°F
(30°C) for up to 14 days if it is kept away from heat.
- Protect KYNAMRO from light and store in the original carton.
- Safely throw away medicine that is out of date or no longer
Keep KYNAMRO and all medicines out of
the reach of children.
General information about
Do not use KYNAMRO for a condition for which it was not
prescribed. Do not give KYNAMRO to other people, even if they have the
same symptoms you have. It may harm them.
This Medication Guide summarizes the most important information
about KYNAMRO. You can ask your pharmacist or doctor for information
about KYNAMRO that is written for healthcare professionals.
For more information, go to www.KYNAMRO.com or call 1-877-KYNAMRO
What are the ingredients in
Active ingredient: mipomersen sodium
Inactive ingredients: sterile water, hydrochloric acid, and sodium hydroxide
This Medication Guide has been approved by the U.S. Food and Drug
KYNAMRO is manufactured for:
500 Kendall Street
Cambridge, MA 02142
KYNAMRO is a trademark of Genzyme Corporation.
Issued: January 2013