clozaril patient registration form

%PDF-1.5 %���� endstream endobj 22 0 obj <>stream H��W�r�}߯�'׮+��g���,XH�+��^RH@@������\x��R,.�w���gz�~�(q��^M���T%�w�-��P��^D�I�[#�U+��?��㏪������9~\�RY:'�̐>�h�Dw�m�E�(M�Pz�!| ۶U�mX��ͻ��0����G�7�VY���ga�������]�Ɵ�4��w2d���U�T�Z_�7�~����k/�����(�ĸ�R��B)#M=��6�f`������X���f�a����y{�hbe)`���������� -�bWǙQ4��D�j'5|��VH�.�'R����mg���d�#����D,�6�1�*����ɞ���ˬ��Ҽ���zi���r\�s��DL�)�Հ Mߴ>7�����W���|e���r���/� ��)� The CPMS regularly monitors the WBC counts and ANC of patients on Clozaril ®, in accordance with regulations1, and is a vital resource for maintaining patient safety.The CPMS provides: 24/7 support service available. Only pharmacies certified in the Clozapine REMS Program will … Before prescribing please review the Approved Clozaril ... for the dispensing of CLOZARIL® only. Signing of this form also constitutes my understanding of and commitment to my responsibilities regarding the reporting of adverse events, as detailed above. clozaril leponex clozapine clozaril dosage schedule mylan clozapine registry form teva clozapine patient registration form It is not intended as apredictor of suicidal death outcome clozaril monitoring form clozaril dosage forms If you receive this medication at the surgery center, the eye drops will be given by a healthcare professional. All patients on Clozaril must be registered on the Mylan controlled database (“the CPMS”). High satisfaction among HCPs:opinion from market research is that the service works well and is good at keeping HCPs informed about patients’ blood status. By continuing to use this website, you consent to our use of these cookies.

®CLOZARIL may only be prescribed for patients who are registered with the CLOZARIL® Patient Monitoring Service (CPMS). 48 0 obj <>stream You have been directed to eCPMS your home for entering Clozaril Patient Monitoring System data Before prescribing Clozaril, please refer to the Clozaril ® Data Sheet and appropriate local treatment guidelines. patient without my prior knowledge and permission regarding which brand is being dispensed. #]ol ���{r=�M��y NQ��S>���$�+� #��p� ��Y�ڙ��|������Wf[��!�%�?M�~,�QJ��M��12ϒ��t�?��O���E0�}Sܾ#�����&�~��i���4���w?�.�,]�,�>.S��m^l�̩���†�S'�uf`�B�f�7��JI�0�"ݕyA�5�w��ۄs��?nW�C�]���v�ݧ��E|}%�,�$����D�O�2�ӲK?���{���9w�� C�����������]5�{�&���l�$c����nУ�kֲ��V��;�p�y���u)����]i�D��{�QN���ë�2-��JY�/�t�%�_!Tw�>���9�L�!���|��%�K^�Z�����9yR��Ѷ�u��VwD��� Q���c�bD4�T�� �X����"ݘ=ܚ��K�I� Z����.�]�*fT����#h;り�e����Q� 7f\ �*}�a�����V��Y�_�?T�n���Q��ƨ� �A�NJ�X-���GK%k!�S���y�_� If the patient is to be initiated on clozapine while admitted to an inpatient setting, a certified prescriber must enroll the patient in the Clozapine REMS Program prior to receiving the first dose of clozapine. Schizophrenia is among other serious mental disorders that are predictors of recurrent suicide attempts. This website uses cookies. For Canadian Residents Only | Français Ready to learn more about Clozaril® ? Signing of this form also constitutes my understanding of and commitment to my responsibilities regarding the reporting of adverse events, as detailed above. e��� 1. endstream endobj 19 0 obj <> endobj 20 0 obj <> endobj 21 0 obj <>stream I will not prescribe CLOZARIL® until the non-rechallengeable status of this patient has been verified. e>Vu�(�kK5��5�P��{���9�u����8]7TU�:��+� ��,:$՛d$�iv1��6��}�!�q�`Ԣw��jV���I��F �V�R_�1�î.����f�u��|a[�l��_�+%���k�E��؛Tjz���U��� I understand that my registration will be confirmed by being sent … Initiating treatment.

Mylan does not review or control the content of any non-Mylan website. 32 0 obj <>/Filter/FlateDecode/ID[<32455BF138FEDFA146A1D4EF96051BB7><6A5166FB84CB274AA05A7967A039FD0D>]/Index[18 31]/Info 17 0 R/Length 79/Prev 47682/Root 19 0 R/Size 49/Type/XRef/W[1 2 1]>>stream h�bbd``b`�$�� ��$�����@�s+��$8���;��[$�[��J&F�� S)'�3��` ��# Contact Us: Tel: 1-877-276-2569 Fax: 1-866-836-6778 Distributed by: HLS Therapeutics (USA), Inc. Rosemont, PA 19010 (844) 457-8721 Click on the Important Program Update (IPU) button for more information. Although mortality rates due to agranulocytosis are low (estimated at 0.3%)The CPMS was developed to provide effective blood monitoring of patients receiving Clozaril. United Kingdom Ireland; Tel: 0845 769 8269 Fax: 0845 769 8379 or 8541 Tel: (01) 662 1141 Fax: (01) 662 5961 Healthcare professionals are asked to report any suspected adverse reactions via:The website you are trying to access is designed for healthcare professionals only - the content is not designed for the general public.Are you a healthcare professional based in UK or Ireland? w�$K�%`�dˮ��+��6�ȃ�j��8pM�"-�΁���� �?�HW���k`LX&��E���k��P��9��B"%@H�����.O5�Ofy��.Y��KO��xL>>���2)��)v y���r� yQ`.^���f��+�Ul�{r�aN�$כdmfK�����