Allergy Alert: MS Treatment Linked to Severe Reactions

Health Canada has issued a new public safety alert concerning glatiramer acetate products, including the brand name Copaxone and its generic versions, widely used in the treatment of relapsing-remitting multiple sclerosis (RRMS). The agency warns of rare but serious cases of anaphylaxis, a potentially life-threatening allergic reaction, linked to the use of these medications.

Background on Glatiramer Acetate

Glatiramer acetate is an injectable medication prescribed to patients with RRMS, a form of multiple sclerosis characterized by episodes of new or worsening symptoms followed by periods of recovery. The drug has been an important treatment option for many years, as it can reduce the frequency of relapses and slow the progression of disability.

While generally considered safe and well-tolerated, no medication is without risks. The newly reported adverse events underline the importance of continued monitoring and clear communication between patients, healthcare providers, and regulatory agencies.

Reported Safety Concerns

Health Canada’s alert follows 11 documented cases of anaphylaxis associated with Copaxone and three additional cases linked to other manufacturers’ products. Although the number of reports is small compared to the overall use of the drug, the severity of the reaction prompted the agency to take action.

Anaphylaxis can occur suddenly, sometimes within minutes of taking a medication. Without immediate treatment, it can progress rapidly and become fatal.

Symptoms to Recognize

Patients and caregivers should be vigilant for signs and symptoms of anaphylaxis, which may include:

  • Shortness of breath, wheezing, or difficulty breathing

  • Swelling of the lips, tongue, face, or throat

  • Severe rash, itching, or hives

  • Lightheadedness, fainting, or dizziness due to a sudden drop in blood pressure

  • Chest pain, tightness, or rapid heartbeat

If any of these symptoms occur following an injection, patients should:

  1. Discontinue use immediately.

  2. Call emergency services or go to the nearest hospital.

  3. Inform their healthcare provider as soon as possible.

Health Canada’s Response

To ensure patients and healthcare professionals are fully informed, product labels for all glatiramer acetate medications have been updated to reflect this risk. This update is intended to help patients identify symptoms earlier and seek urgent care.

The agency has also urged healthcare providers to counsel patients on the warning signs of severe allergic reactions before beginning or continuing treatment with glatiramer acetate.

Guidance for Patients

Health Canada emphasizes the following steps for individuals currently taking glatiramer acetate:

  • Do not make changes to your treatment plan without first consulting your neurologist or prescribing physician.

  • If you have a history of allergies or severe reactions, inform your doctor before starting or continuing this medication.

  • Always have an emergency plan in place, especially if you are self-injecting at home. Keep your phone accessible to call for help if needed.

  • Report any side effects or adverse reactions to Health Canada’s MedEffect Canada program, which helps monitor drug safety nationwide.

Why This Alert Matters

Multiple sclerosis affects nearly 100,000 Canadians, and glatiramer acetate has been an important therapy for many of them. While this medication continues to play a vital role in treatment, this new alert serves as a reminder that even established therapies carry risks. Early recognition of symptoms and proactive safety measures can help save lives.

Looking Ahead

Health Canada continues to monitor the safety of MS treatments through post-market surveillance and collaboration with international regulators. Patients are encouraged to remain engaged in their treatment decisions, ask questions during medical appointments, and stay informed about updates to drug safety.

Key Takeaway

This allergy alert does not mean glatiramer acetate is unsafe for all patients. Instead, it highlights the importance of awareness and vigilance. With the right precautions, patients can continue to benefit from MS therapies while minimizing risks.

Stay tuned on Health Canada today!