How does this medication work? What will it do for me?
This medication belongs to the family of medications known as vaccines. It is used to prevent infections such as meningitis and blood infections caused by meningococcal group B bacteria (also called N. meningitides serogroup B). It works by stimulating the immune system to produce antibodies (substances designed to attack that particular bacteria). These antibodies remain in the body, ready to attack these bacteria, thereby reducing the risk of an infection.
It is given to people who are 10 years of age or older, up to 25 years of age.
This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
What form(s) does this medication come in?
Each single-dose, pre-filled syringe filled with 0.5 mL of a white suspension for injection contains 60 µg of Neisseria meningitidis serogroup B recombinant lipoprotein (rLP2086) subfamily A and 60 µg of Neisseria meningitidis serogroup B recombinant lipoprotein (rLP2086) subfamily B. Nonmedicinal ingredients: aluminum phosphate, histidine, polysorbate 80, sodium chloride, water for injection.
How should I use this medication?
Immunization with meningococcal vaccine requires 2 or 3 doses of the vaccine, depending on the person's risk for developing meningococcal disease. This vaccine may be given at the same time as other routine vaccinations.
The vaccine will be injected into the muscle of the upper, outer arm by a qualified health professional.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important this medication be given exactly as recommended by your doctor. If you or your child misses an appointment to receive the meningococcal vaccine, contact your doctor as soon as possible to reschedule your appointment.
Store this medication in the refrigerator. Do not let it freeze. Protect it from light by keeping it in the original packaging. Keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Who should NOT take this medication?
Do not take this medication if you are allergic to meningococcal group B vaccine or any ingredients of the medication.
What side effects are possible with this medication?
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.
The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
- joint pain
- muscle pain
- pain, warmth, redness, tenderness, swelling, hardening at the place of injection
Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
- a high fever (over 38°C)
Stop taking the medication and seek immediate medical attention if any of the following occur:
- signs of a serious allergic reaction (e.g., shortness of breath, wheezing, trouble breathing, hives, swelling of the lips, tongue or throat)
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Are there any other precautions or warnings for this medication?
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Bleeding problems: There is a risk of increased bleeding or bruising when any intramuscular injection is given to a person who has a bleeding disorder or is taking medications to thin the blood. The safety and effectiveness of this vaccine have not been established for people with thrombocytopenia (low platelets) or bleeding disorders. If you have these conditions, discuss the risks and benefits of this vaccine with your doctor.
Fever: A doctor may decide to delay this vaccine if the person receiving the vaccine has an acute infection or fever. Mild infections without fever, such as colds, usually do not require delay of the vaccine.
Immune problems: The safety and effectiveness of this vaccine have not been determined for people with immune system problems. It is likely that, as with other vaccines, meningococcal group B vaccine may not create enough of an antibody response to protect against infections caused by these bacteria. Also, this vaccine may not be effective for people receiving immunosuppressive therapy (e.g., some medications used to treat cancer or for transplant recipients).
Pre-medication: Your doctor may suggest that your child receives antifever medications (e.g., acetaminophen, ibuprofen) before or after receiving the vaccine. Follow the instructions given by your doctor.
Protection: This vaccine can only protect against the types of bacteria specific to this vaccine and, as with other vaccines, may not provide 100% protection for everyone who receives the vaccine.
Pregnancy: This vaccine should only be used during pregnancy if the benefits outweigh the risks. If you discover you were pregnant when you received this vaccine, contact your doctor as soon as possible.
Breast-feeding: It is not known if meningococcal vaccine (group B) passes into breast milk. If you are a breast-feeding mother and may be given this vaccine, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding or wait until you have stopped breast-feeding to receive the vaccine.
Children: The safety and effectiveness of this vaccine have not been established for children less than 10 years of age.
Adults: The safety and effectiveness of this vaccine have not been established in adults over the age of 65.
What other drugs could interact with this medication?
There may be an interaction between meningococcal group B vaccine and any of the following:
- cancer medications (e.g., carboplatin, cyclophosphamide, doxorubicin, ifosfamide, methotrexate, vincristine)
- corticosteroids (e.g., budesonide, dexamethasone, hydrocortisone, fluticasone, prednisone)
- monoclonal antibodies (e.g., adalimumab, eculizumab, golimumab, guselkumab, infliximab, rituximab, tocilizumab)
If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
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