RANIBIZUMAB
Background and Date of Approval
Ranibizumab is an anti-neovascularisation agent belonging to the class of vascular endothelial growth factor A (VEGF-A) antagonists. The FDA approved this medication for medical use on 30 June 2006.
Uses
It is used in adults to treat several eye diseases causing vision impairment. It is used to treat wet age-related macular degeneration (AMD, a persistent eye disease that causes loss of the ability to see straight ahead and may make it more difficult to read, drive, or perform other daily activities). Ranibizumab is also used to treat myopic choroidal neovascularization (mCNV; a complication in near-sighted people where new blood vessels can grow in the back of the eye), and to treat macular edema after retinal vein occlusion (an eye disease caused by blockage of blood flow from the eye that leads to blurry vision and vision loss). It is also used to treat diabetic macular edema (an eye disease caused by diabetes that can lead to vision loss) and diabetic retinopathy (damage to the eyes caused by diabetes).
How is it administered?
Ranibizumab is administered as an injection into your eye by an eye doctor under a local anesthetic. Your doctor will decide the dose and frequency of the injection based on your disease condition. Do not self-administer the medicine.
Side Effects
The common side effects of ranibizumab are pain and swelling in the eye, bleeding in the eye, blurred vision, urinary tract infection, skin rashes, and discharge from the eye. Other serious side effects are tearing of the layer in the back of the eye, flashes of light in the eye, temporary loss of sight, clouding of the lens, and eyeball infection.
Warnings
Do not use Ranibizumab injection if you are allergic to Ranibizumab or other ingredients of this medicine. Do not take this medicine if you have an infection in or around your eye and if you have pain or redness in your eye. This medicine should not be used in pregnant and breastfeeding women because it can harm your unborn baby.
Precautions
Inform your doctor immediately if you develop symptoms such as eye pain or increased discomfort, worsening eye redness, blurred or decreased vision, an increased number of small particles in your vision, or increased sensitivity to light. Inform your doctor if you have a prior history of eye conditions or eye treatments or had a stroke before initiating the treatment. Inform your healthcare provider about all the medicines you take, including prescription, over-the-counter, nutritional or vitamin supplements, and herbal products. Certain medications interact with Ranibizumab and reduce their effectiveness by causing undesirable side effects.
Word of Advice
Store in a refrigerator between 2°C and 8°C. Do not freeze. Protect the medicine from light and excessive moisture. Keep the medicine out of reach of children and pets. The use of ranibizumab in children and adolescents has not been established and is therefore not recommended. This medicine can be used for patients aged 65 years and over with dose adjustments. If the eye becomes red, sensitive to light, painful, or develops a vision change, seek immediate care from an ophthalmologist. Your doctor will monitor the condition of your eye and, depending on how you respond to the treatment, will decide if and when you need further treatment.
References
Lucentis 10 mg/ml solution for injection - Patient Information Leaflet (PIL) - (emc). www.medicines.org.uk. [Revised Nov 2022] [cited 2023 Jun 9]. Available from: https://www.medicines.org.uk/emc/product/307/pil Genentech, Inc, Lucentis [ranibizumab injection]. Access.fda.gov. [revised October 2014] [cited 2023 Jun 9]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/125156s105lbl.pdf James E Frampton; Ranibizumab: a review of its use in the treatment of neovascular age-related macular degeneration; Drugs & Aging; Published on May 2013; Accessed on June 09 2023; https://pubmed.ncbi.nlm.nih.gov/23539234/
Frequently Asked Questions
What is the duration of treatment for ranibizumab?
The duration of the treatment with ranibizumab depends on your disease condition. Your doctor will decide the dose and frequency of the treatment based on your response.
What are the contraindications for ranibizumab?
Do not use Ranibizumab injection if you are allergic to ranibizumab or other ingredients of this medicine. Do not take this medicine if you have an infection in or around your eye and if you have pain or redness in your eye. This medicine should not be used during pregnancy and breastfeeding.
Does ranibizumab increase the risk of stroke?
Ranibizumab can increase your chances of high blood pressure and stroke. Inform your physician if you have a history of stroke before initiating the treatment.
What is ranibizumab indication?
Ranibizumab is used in adults to treat certain eye diseases that cause visual impairment.
What are the serious side effects of ranibizumab?
The serious side effects of ranibizumab are a tear of the layer in the back of the eye, flashes of light in the eye, temporary loss of sight, clouding of the lens, and eyeball infection.