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What should I discuss with my healthcare provider before taking auranofin (Ridaura)?

You should not use this medication if you are allergic to auranofin, or if you have ever had any of these medical problems caused by using gold therapy:

• an allergic skin reaction;
• stomach or intestinal problems;
• a breathing disorder;
• a bone marrow disorder; or
• a severe blood cell disorder.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely use this medication:

• a bone marrow disorder or weak immune system;
• kidney disease;
• liver disease; or
• inflammatory bowel disease.

FDA pregnancy category C. It is not known whether auranofin is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether auranofin passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take auranofin (Ridaura)?

Take this medication exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Take this medicine with a full glass of water.

Auranofin can lower blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. Do not miss any scheduled appointments.

Contact your doctor at once if you develop signs of infection such as fever, chills, sore throat, flu symptoms, easy bruising or bleeding (nosebleeds, bleeding gums), loss of appetite, nausea and vomiting, mouth sores, or unusual weakness.

It may take up to 6 months of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 3 or 4 months of treatment.

Store auranofin at room temperature away from moisture, heat, and light.

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