Nustendi Patient Counseling Information

Advise patients to read the package insert.
Risk of Hyperuricemia: Advise patients of the risk of elevated serum uric acid levels, including development of gout. Inform patients that serum uric acid levels may be monitored during treatment with Nustendi. Patients with signs or symptoms of hyperuricemia should contact their healthcare provider if symptoms occur [see Hyperuricemia under Precautions].
Risk of Tendon Rupture: Inform patients of the risk of tendon rupture. Advise patients to rest at the first sign of tendinitis or tendon rupture and to immediately contact their healthcare provider if tendinitis or tendon rupture symptoms occur [see Tendon Rupture under Precautions].
Risk of Myopathy with Concomitant Use of Simvastatin or Pravastatin: Advise patients to notify their healthcare provider(s) if they are taking or plan to take simvastatin or pravastatin. The risk of myopathy occurring with the use of simvastatin or pravastatin may be increased when taken with Nustendi [see Interactions].
Pregnancy: Advise pregnant women of the potential risk to a fetus based on Nustendi's mechanism of action. Advise females to inform their healthcare provider of a known or suspected pregnancy [see Pregnancy under Use in Pregnancy & Lactation].