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Can Orencia be given as an IV infusion? Orencia is approved for intravenous infusion in adults with rheumatoid arthritis and psoriatic arthritis. It is also approved for IV use in children six years and older who have juvenile idiopathic arthritis. What doses are typically used for IV administration? The adult IV dose is based on body weight: 500 mg for patients weighing less than 60 kg, 750 mg for patients under 100 kg, and 1000 mg for patients over 100 kg. The dose is diluted in 100 mL normal saline and given over 30 minutes. The first three doses are spaced two weeks apart, then monthly thereafter. What happens if an IV dose is missed? A missed IV dose should be given as soon as possible. The schedule is then restarted from the next scheduled date, rather than continuing the altenate-week pattern. What is the difference between IV and subcutaneous forms of Orencia? The IV form requires office visits and is administered by a healthcare professional. The subcutaneous self-injection form is approved for adults with rheumatoid arthritis, psoriatic arthritis, and ulcerative colitis. It is also approved for children older than two years for juvenile idiopathic arthritis. The subcut form does not has a loading phase like the IV form. Does the IV form require premedication? The IV form does not require premedication with antihistamines or steroids, but patients are observed for reactions during and after the 30-minute delivery. When does the Orencia patent expire? The Orencia patent expires in 2025.
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