Actemra (Tocilizumab Auto-Injectors) and Pyridostigmine Bromide

• Generic Name: tocilizumab
• Dosage Forms: injection, solution, concentrate
• Other Brand Names: Actemra, Actemra ACTPen

• It is used to treat some types of arthritis.
• It is used to treat a certain artery problem called giant cell arteritis (GCA).
• It is used to treat cytokine release syndrome (CRS).
• It may be given to you for other reasons. Talk with the doctor.

• Generic Name: pyridostigmine
• Dosage Forms: n.a.
• Other Brand Names: Mestinon, Mestinon Timespan, Regonol

Symptomatic management of myasthenia gravis to improve muscle strength.

Not effective in patients resistant to anticholinesterase drugs.

Has been used parenterally (IV or IM) for symptomatic treatment of acute exacerbations of myasthenia gravis or when oral therapy was impractical. However, the injectable preparation that was used for this indication no longer is commercially available in the US; the parenteral injection currently commercially available in the US does not include this use in its prescribing information.

Postoperative reversal of the effects of nondepolarizing neuromuscular blocking agents (e.g., gallamine, metocurine, tubocurarine [all no longer commercially available in the US], pancuronium).

Not effective and should not be used for reversal of depolarizing neuromuscular blocking agents (e.g., succinylcholine, decamethonium).

Preexposure prophylaxis against lethal effects of soman nerve agent poisoning in military combat personnel.

Used in conjunction with standard treatment of nerve agent poisoning (i.e., atropine and pralidoxime chloride) and other protective measures (e.g., masks, hoods, overgarments).

Discontinue use at first indication of nerve agent poisoning. Not for use after exposure to soman; not expected to be effective after such exposure and may exacerbate effects of sublethal exposure. (See Military Use for Soman Poisoning Prophylaxis in Boxed Warning.)