

ULTOMIRIS® OneSource™ Enrolment Form

SOLIRIS® OneSource™ Enrolment Form
For any questions, feedback, or requests, please reach out to your local Alexion representative, or contact us online.
ULTOMIRIS®
Indications and Clinical Use:
ULTOMIRIS® (ravulizumab for injection) is indicated for:
Indications and Clinical Use:
ULTOMIRIS® (ravulizumab for injection) is indicated for:
- The treatment of adult and pediatric patients one month of age and older with atypical hemolytic uremic syndrome (aHUS) to inhibit complement-mediated thrombotic hemolysis (TMA)
Limitations of Use: ULTOMIRIS® is not indicated for the treatment of patients with Shiga toxin E. coli related hemolytic uremic syndrome (STEC-HUS).
Contraindications:- Do not initiate ULTOMIRIS® in patients with unresolved Neisseria meningitidis infection
Most Serious Warnings and Precautions:
WARNING: SERIOUS MENINGOCOCCAL INFECTIONS
Life-threatening meningococcal infections/sepsis have occurred in patients treated with ULTOMIRIS®. Meningococcal infection may become rapidly life-threatening or fatal if not recognized and treated early.
- Comply with the most current National Advisory Committee on Immunization (NACI) recommendations for meningococcal vaccination in patients with complement deficiencies.
- Patients must be vaccinated against meningococcal infections prior to, or at the time of, initiating ULTOMIRIS®, unless the risks of delaying ULTOMIRIS® therapy outweigh the risks of developing a meningococcal infection.
- Monitor patients for early signs of meningococcal infections and treat immediately if infection is suspected.
For More Information:
Please consult the product monograph https://alexion.com/documents/ultomiris_product_monograph_approved_english for important information relating to adverse reactions, drug interactions, and dosing information which have not been discussed in this piece. The product monograph is also available by calling 1-844-922-0605.
Please consult the product monograph https://alexion.com/documents/ultomiris_product_monograph_approved_english for important information relating to adverse reactions, drug interactions, and dosing information which have not been discussed in this piece. The product monograph is also available by calling 1-844-922-0605.
SOLIRIS®
Indications and Clinical Use:
SOLIRIS® (eculizumab for injection) is indicated for:
Contraindications:
Do not initiate SOLIRIS® in patients:
Indications and Clinical Use:
SOLIRIS® (eculizumab for injection) is indicated for:
- The treatment of patients with atypical hemolytic uremic syndrome (aHUS) to reduce complement-mediated thrombotic microangiopathy.
Contraindications:
Do not initiate SOLIRIS® in patients:
- with unresolved Neisseria meningitidis infection
- who are not currently vaccinated against Neisseria meningitidis (unless they receive prophylactic treatment with appropriate antibiotics until 2 weeks after vaccination)
Most Serious Warnings and Precautions:
SERIOUS WARNINGS AND PRECAUTIONS
Cases of serious or fatal meningococcal infections have been reported in patients treated with SOLIRIS®. Meningococcal infections may become rapidly life-threatening or fatal if not recognized and treated early.
- Comply with the most current National Advisory Committee on Immunization (NACI) recommendations for meningococcal vaccination in patients with complement deficiencies.
- All patients must be vaccinated with meningococcal vaccines prior to, or at the time of, initiating SOLIRIS®, unless the risks of delaying SOLIRIS® therapy outweigh the risks of developing a meningococcal infection; revaccinate according to current medical guidelines for vaccine use.
- All patients must be monitored for early signs of meningococcal infections, evaluated immediately if infection is suspected, and treated with antibiotics, if necessary.
For More Information:
Please consult the product monograph https://alexion.com/-/media/alexion_global/documents/regulatory/north-america/canada/2024/english/soliris_product_monograph_en_approved_24jul2024.pdf for important information relating to adverse reactions, drug interactions, and dosing information which have not been discussed in this piece. The product monograph is also available by calling 1-844-922-0605.
Please consult the product monograph https://alexion.com/-/media/alexion_global/documents/regulatory/north-america/canada/2024/english/soliris_product_monograph_en_approved_24jul2024.pdf for important information relating to adverse reactions, drug interactions, and dosing information which have not been discussed in this piece. The product monograph is also available by calling 1-844-922-0605.