Important: Formulation and dosage details
Formulation:
Bladder instillation 12·5mg, 81mg (specialist use only)
We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.
To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
Injection pre-filled syringe (alfa-2a (rbe); Roferon-A®) 3 million units/0·5mL, 4·5 million units/0·5mL, 6 million units/0·5mL, 9 million units/0·5mL (specialist use only)
MHRA advice: Immunomodulatory drugs and pregnancy prevention: temporary advice for management during coronavirus (COVID-19) (May 2020) (www.gov.uk)
MHRA advice: Lenalidomide (Revlimid): risk of serious hepatic adverse drug reactions (December 2014) (www.gov.uk)
MHRA advice: Lenalidomide (Revlimid): update on risk of second primary malignancy (December 2014) (www.gov.uk)
MHRA advice: Lenalidomide: risk of thrombosis and thromboembolism (December 2014) (www.gov.uk)
Risk minimisation materials
Capsules 2·5mg, 5mg, 7·5mg, 10mg, 15mg, 20mg, 25mg (hospital use only)
MHRA advice: Immunomodulatory drugs and pregnancy prevention: temporary advice for management during coronavirus (COVID-19) (May 2020) (www.gov.uk).
MHRA advice: Pomalidomide (Imnovid): risk of hepatitis B reactivation (May 2016) (www.gov.uk).
MHRA advice: Pomalidomide (Imnovid): risks of cardiac failure, interstitial lung disease and hepatotoxicity (May 2015) (www.gov.uk).
Risk minimisation materials
Capsules 1mg, 2mg, 3mg, 4mg (specialist use only)
As per SMC 972/14: in combination with dexamethasone for the treatment of adult patients with relapsed and refractory multiple myeloma who have received at least two prior treatment regimens, including lenalidomide and bortezomib, and have demonstrated disease progression on the last therapy.
MHRA advice: Immunomodulatory drugs and pregnancy prevention: temporary advice for management during coronavirus (COVID-19) (May 2020) (www.gov.uk).
MHRA advice: Thalidomide: reduced starting dose in patients older than age 75 years (December 2015) (www.gov.uk).
Risk minimisation materials
Capsules (Thalidomide Celgene®) 50mg (specialist use only)
As per SMC 525/08: in combination with melphalan and prednisone, as first line treatment of patients with untreated multiple myeloma, aged 65 years or over or ineligible for high dose chemotherapy.