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Melanie (taken for 1 to 5 years) 31.12.2018

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These add-on therapies include antibody-based drugs, such as tocilizumab that blocks the interleukin-6 cytokine receptor or leronlimab that blocks the chemokine receptor CCR5. When cytokine receptors and chemokine receptors are blocked then it matters less that there are high levels of cytokines or chemokines, because their effects are significantly minimised.

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These have been observed with prolonged administration. There have been reports of acute interstitial nephritis with hematuria blood in the urine, proteinuria protein in the urine and occasionally nephritic syndrome.

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This is most likely to occur within 4 hours post sildenafil dosing. Initiation of sildenafil at a dose of 25 mg should be considered see section 4.

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