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   DIR Return to: COPAXONE, GLATOPA (glatiramer acetate)
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       #Post#: 4484--------------------------------------------------
       New warning about glatiramer acetate
   DIR By: agate
       Date: July 14, 2024, 1:05 pm
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       The EMA is the source of the information in this article:
  HTML https://bit.ly/3zG7cfr
       From Medscape (July 14, 2024)--"EMA Warns of Anaphylactic
       Reactions to MS Drug":
  HTML https://bit.ly/3zQS6n5
       When I first started on Copaxone (2007) I was concerned about
       the immediate post-injection reaction (IPIR) some people were
       having. The people at the support line, Shared Solutions,
       assured me that it was always temporary and usually required no
       medical attention. When I asked if this was an allergic
       reaction, the answer was that it would be impossible to have an
       allergic reaction to this drug, but that the IPIR was "like an
       allergic reaction."
       Nevertheless, over the years some people have been saying
       they've had an allergic reaction to glatiramer. And now it seems
       that there can indeed be an allergic reaction to it, even
       anaphylaxis--and apparently even fatal anaphylaxis though this
       part of the article isn't entirely clear:
       --- Quote ---
       >
       > Cases involving the use of glatiramer acetate with a fatal
       outcome have been reported, PRAC [the EMA's Pharmacovigilance
       Risk Assess Committee] noted.The committee cautioned that
       because the initial symptoms could overlap with those of
       postinjection reaction, there was a risk for delay in
       identifying an anaphylactic reaction.PRAC has sanctioned a
       direct healthcare professional communication (DHPC) to inform
       healthcare professionals about the risk. Patients and caregivers
       should be advised of the signs and symptoms of an anaphylactic
       reaction and the need to seek emergency care if this should
       occur, the committee added. In the event of such a reaction,
       treatment with glatiramer acetate must be discontinued, PRAC
       stated.
       >
       --- End Quote ---
       So does this mean that everyone using glatiramer who has an IPIR
       should get medical attention for it?   It sounds as if patients
       are going to be carefully instructed in how to differentiate an
       anaphylactic reaction from an "ordinary" IPIR. This could be
       tricky when someone is in the midst of an IPIR.
       #Post#: 4506--------------------------------------------------
       Changes in the way glatiramer acetate is being presented
   DIR By: agate
       Date: August 5, 2024, 6:35 pm
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       I ran across this material about Copaxone recently. Interesting
       that the IPIR that was previously always described as "not an
       allergic reaction but like an allergic reaction" is now being
       called an allergic reaction. And instead of the previous advice
       about how anyone having an IPIR should just calm down and let it
       pass has been replaced by advising people to seek immediate
       medical attention.
       From HealthCentral newsletter (July 31, 2024)--"What are the
       side effects of Copaxone for multiple sclerosis?"
  HTML https://www.healthcentral.com/condition/mulitple-sclerosis/copaxone-for-ms-side-effects
       #Post#: 4688--------------------------------------------------
       FDA adds boxed warning to GA  over risk of rare serious reaction
   DIR By: agate
       Date: January 23, 2025, 12:49 pm
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       Now glatiramer acetate will have a boxed warning.  Over 80
       people have had genuine anaphylactic shock reactions to this
       drug, 51 were hospitalized, 13 required intensive care, and 6
       have died. The reaction is rare but it does happen.
       From PharmacyTimes (January 23, 2025)--"FDA adds boxed warning
       to glatiramer acetate over risk of rare, serious allergic
       reaction::
  HTML https://www.pharmacytimes.com/view/fda-adds-boxed-warning-to-glatiramer-acetate-over-risk-of-rare-serious-allergic-reaction
       This information was picked up by at least 10 online reporting
       sites in the last couple of days. It is probably regarded as
       important news from a business standpoint. Glatiramer has often
       been touted as the safest of the MS drugs.
       Reading message board posts over the years, though, I was struck
       by the number of posts describing "immediate post-injection
       reactions" that sounded far more serious than described by the
       drug company. It is easy to shrug off message board posts as
       possibly coming from someone who is exaggerating. My guess is
       that at least some of those posts weren't exaggerated
       statements.
       #Post#: 4701--------------------------------------------------
       FDA's boxed warning of anaphylaxis risk
   DIR By: agate
       Date: February 5, 2025, 2:09 pm
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       The recently added boxed warning has been getting considerable
       attention, and here is some more.
       From Neurology Advisor (February 5, 2025)--"FDA: Anaphylaxis
       risk prompts boxed warning for MS drug":
  HTML https://www.neurologyadvisor.com/news/fda-anaphylaxis-risk-prompts-boxed-warning-for-ms-drug/
       This reaction is possible at any time during treatment as the
       article notes.
       --- Quote ---
       > Anaphylaxis can occur at any time during treatment. Among the
       82 reported anaphylaxis cases, 19 occurred more than 1 year
       after initiating the medication.
       --- End Quote ---
       #Post#: 4974--------------------------------------------------
       (Abst.) Anaphylaxis and glatiramer acetate
   DIR By: agate
       Date: October 29, 2025, 1:35 am
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       More on this.
       From PubMed (October 28, 2025), abstract of an article by
       authors at the US Food and Drug Administration--"Anaphylaxis and
       glatiramer acetate":
  HTML https://pubmed.ncbi.nlm.nih.gov/41139841/
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