Discover another FDA-approved ACTH treatment option
For those suffering with specific chronic autoimmune and inflammatory conditions, including multiple sclerosis, rheumatoid arthritis, and excess urinary protein due to nephrotic syndrome
With the availability of Cortrophin Gel, both patients and healthcare professionals now have access to another adrenocorticotropic hormone (ACTH) treatment option.
Cortrophin Gel is an ACTH injection therapy approved for the following conditions:
Multiple sclerosis attacks
Acute attacks or flares of multiple sclerosis.
Short-term add-on therapy to help manage acute episodes or flares in:
Rheumatoid arthritis, including juvenile rheumatoid arthritis
Acute gouty arthritis
Excess urinary protein due to nephrotic syndrome
Reduction of protein in the urine of people with nephrotic syndrome of the idiopathic type (unknown origin) without uremia (accumulation of urea in the blood due to malfunctioning kidneys) or due to lupus.
Treatment for severe acute and chronic allergic and inflammatory conditions affecting different parts of the eye. This can include the front part of the eye such as the cornea and iris, or the back part of the eye such as the optic nerve and retina.
Treatment for people with symptoms of sarcoidosis.
Treatment for flares or as maintenance therapy in select cases of:
- Systemic lupus erythematosus
- Systemic dermatomyositis (polymyositis)
- Severe skin reactions (Stevens-Johnson syndrome)
- Severe psoriasis
Allergic states/ Hypersensitivity
- Atopic dermatitis (eczema)
- Serum sickness
Understanding the role of ACTH
Cortrophin Gel is a naturally sourced, purified hormone called corticotropin. Corticotropin is a complex mixture of proteins, one of which is ACTH. One way ACTH may reduce inflammation is by boosting the body’s production of cortisol. This may help regulate the immune system and reduce inflammation.
ACTH may also interact with certain receptors, located throughout the body, that play a role in regulating inflammation, among other functions.
The exact way Cortrophin Gel works is not fully known.
Learn how to administer Cortrophin Gel
Important Safety Information
DO NOT use Cortrophin Gel if you have any of the following conditions:
- A skin condition called scleroderma
- Bone density loss or osteoporosis
- Fungal infections
- Ocular herpes simplex (an eye infection)
- A recent surgery
- Stomach ulcers or a history of stomach ulcers
- Heart failure
- High blood pressure
- Allergies to pig-derived proteins
- Adrenal glands that do not make enough of the hormone cortisol (primary adrenocortical insufficiency) or
- An adrenal cortex that makes too much of the hormones cortisol and aldosterone (adrenocortical hyperfunction)
Tell your doctor if you:
- Have or have had any other health problems
- Are taking any prescription or over-the-counter medicines, including aspirin, vitamins, and herbal or dietary supplements
- Have any allergies
- Are about to receive any vaccine
- Are pregnant or plan to become pregnant. Cortrophin Gel may harm your unborn baby.
- Are breastfeeding or plan to breastfeed. It is not known if Cortrophin Gel passes into your breast milk and if it can harm your baby.
What important information do I need to know about Cortrophin Gel?
Be sure to take Cortrophin Gel exactly as your doctor has directed. Always inject Cortrophin Gel under the skin or into the muscle. Do not inject Cortrophin Gel directly into the vein.
- You may be more likely to get infections. Contact your doctor at the first sign of an infection or fever.
- Your body may not produce enough natural cortisol after you stop taking Cortrophin Gel long term. This is called adrenal insufficiency. Your doctor may try to reduce your dosage gradually or prescribe a steroid medicine to protect you until the adrenal gland recovers.
- You might develop high blood pressure, retain too much salt and water, or have low blood potassium levels. As a result of this, your doctor may recommend some changes to your diet, such as eating less salt or taking certain supplements.
- Corticotropin therapy may hide symptoms of other diseases. This can make it more difficult for your doctor to make a diagnosis if something else is going on.
- Taking Cortrophin Gel can make you feel irritable or depressed. You may also have mood swings or trouble sleeping.
- You might develop certain eye conditions, such as cataracts, glaucoma, or optic nerve damage.
- You may develop allergies to Cortrophin Gel. Signs of an allergic reaction include dizziness, nausea and vomiting, shock, and skin reactions.
- The effects of Cortrophin Gel may be intensified if you have an underactive thyroid or cirrhosis of the liver.
Side effects of Cortrophin Gel include fluid or salt retention; muscle weakness; osteoporosis, stomach ulcers with possible bleeding; impaired wound healing; high blood pressure; convulsions; headache; development of Cushingoid state (a hormonal condition often characterized by facial puffiness and weight gain); and suppression of growth in children.
These are not all of the possible side effects of Cortrophin Gel. Call your doctor or pharmacist for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
What is Purified Cortrophin Gel?
Purified Cortrophin Gel is a prescription medicine that is injected under the skin or into the muscle. It is used for:
- Short-term add-on therapy to help manage acute episodes or flares in rheumatoid arthritis, including juvenile rheumatoid arthritis; psoriatic arthritis; ankylosing spondylitis; and acute gouty arthritis.
- Treatment for flares or as maintenance therapy in select cases of systemic lupus erythematosus and systemic dermatomyositis (polymyositis).
- Treatment for severe skin reactions (Stevens-Johnson syndrome) and severe psoriasis.
- Treatment for atopic dermatitis (eczema) and serum sickness.
- Treatment for severe acute and chronic allergic and inflammatory conditions affecting different parts of the eye. This can include the front part of the eye such as the cornea and iris, or the back part of the eye such as the optic nerve and retina.
- Treatment for people with symptoms of sarcoidosis.
- Reduction of protein in the urine of people with nephrotic syndrome of the idiopathic type (unknown origin) without uremia (accumulation of urea in the blood due to malfunctioning kidneys) or due to lupus.
- Acute attacks or flares of multiple sclerosis.
Please see full Prescribing Information.