Acthar Gel patient: Brandi carrying backpack outdoors Acthar Gel patient: Brandi carrying backpack outdoors

For people with symptoms of sarcoidosis

Relief is possible

Acthar Gel patient: Abby sitting in chair holding mug

Abby, taking Acthar Gel for sarcoidosis. Individual results may vary.

What is symptomatic sarcoidosis?

Sarcoidosis is a chronic inflammatory condition that causes inflammation in your body. Most people have symptoms in their lungs and lymph nodes. But it can also affect your skin, joints, eyes, and other areas. We don’t know what causes it. Most likely, both family history and factors in your environment contribute to sarcoidosis.

People who have been living with sarcoidosis for more than 2 to 5 years may have advanced sarcoidosis. With advanced sarcoidosis, your condition may have spread to other areas of your body. You also may still have symptoms, even while you’re taking medicine.

If you’ve been living with sarcoidosis and are still experiencing symptoms, you’re not alone. There may be a treatment that can help.

How you may feel

Signs and symptoms of sarcoidosis

Some people with advanced sarcoidosis have symptoms like fever or fatigue.

Other common symptoms you may have felt are:

Mild to moderate shortness of breath

Bone and joint pain

Wheezing or coughing

Abnormal heartbeat

The symptoms you have may also depend on which part of your body is affected by your sarcoidosis.

Doctors saw some of their sarcoidosis patients’ symptoms improve after taking Acthar Gel for 6 months

A study based on a review of medical records looked at whether Acthar Gel was effective in treating people with advanced sarcoidosis. The study examined 302 people taking Acthar Gel for at least 6 months.

In the study, doctors saw improvements in


of people’s symptoms after taking Acthar Gel.

Before taking Acthar Gel, patients had:

of breath

and joint pain


In the study


of the people taking steroids before treatment with Acthar Gel reduced their steroid dose or stopped taking them completely after treatment.

Safety of Acthar Gel was not studied. Remember that Acthar Gel can have similar side effects to what you may experience with steroids.

There were certain limits in this study. Acthar Gel is not a cure. Though Acthar Gel has been shown to help some people, not all people may experience the same results. Keep in mind that people in these clinical settings were on several treatments in addition to Acthar Gel. The results seen in these people may not all be due to Acthar Gel.

Acthar Gel patient: Kerry shares her experience of taking Acthar Gel


"I’ve started a sarcoidosis
support group so I can get back
into helping people in a different

Individual results may vary. Actual patient compensated for her time.

After taking Acthar Gel, some people with sarcoidosis saw improvements in their condition, and some even reduced their steroid dose

A separate 24-week clinical trial looked at whether Acthar Gel was effective in people with advanced sarcoidosis. A total of 18 people were enrolled in the study.

After 6 months, doctors identified the following improvements:

Improved lung function

Far less fatigue

About 50%

of people who took Acthar Gel for 6 months were able to reduce their steroid dose by half.

Some people were not able to reduce their steroid dose. Two people stopped participating in this study. Eight people reported side effects. Common side effects included anxiety, headache, swelling, and nausea.

There were certain limits in this study. Acthar Gel is not a cure. Though Acthar Gel has been shown to help some people, not all people may experience the same results. Keep in mind that people in these clinical settings were on several treatments in addition to Acthar Gel. The results seen in these people may not all be due to Acthar Gel.

Acthar Gel patient using laptop: resources for treatment journey

Start the Conversation

Resources for your treatment journey

Download tools to help you learn more about Acthar Gel.

Talk to your doctor about Acthar Gel.

Get the facts on sarcoidosis.
Get support

What is Acthar Gel?

Acthar® Gel is a prescription medicine used for:

  • Treatment for flares or on a regular basis (maintenance) in people with dermatomyositis or polymyositis (DM-PM)
  • Treatment for flares or on a regular basis (maintenance) in people with systemic lupus erythematosus (lupus)
  • Add-on therapy for short-term administration (to tide patients over an acute episode or exacerbation) in: psoriatic arthritis (PsA); rheumatoid arthritis (RA), including juvenile rheumatoid arthritis (selected cases may require low-dose maintenance therapy); ankylosing spondylitis
  • Treatment for people with symptoms of sarcoidosis
  • Treatment of severe acute and chronic allergic and inflammatory conditions affecting different parts of the eye. This can include the front part of the eye such as the cornea and iris, or the back part of the eye such as the optic nerve and retina
  • Reduction of proteinuria in people with nephrotic syndrome of the idiopathic type (unknown origin) without uremia (accumulation of urea in the blood due to malfunctioning kidneys) or that due to lupus erythematosus (lupus)
  • Treatment for adults with acute relapses or flares of multiple sclerosis (MS). Studies have shown Acthar to be effective in speeding recovery from an MS relapse. However, there is no evidence that it affects the ultimate outcome or natural history of the disease
  • Treatment of infantile spasms in infants and children under 2 years of age

Acthar is injected beneath the skin or into the muscle.


DO NOT take Acthar until you have talked to your doctor if you have any of the following conditions:

  • Have been given or are about to receive a live or live attenuated vaccine
  • A skin condition called scleroderma
  • Bone density loss or osteoporosis
  • Any infections, including fungal, bacterial, or viral
  • Eye infections, such as ocular herpes simplex
  • Had recent surgery
  • Stomach ulcers or a history of stomach ulcers
  • Heart failure
  • Uncontrolled high blood pressure
  • Addison’s disease or Cushing’s syndrome
  • Allergies to pig-derived proteins
  • Suspected infections at birth (in infants under 2 years of age)

Tell your doctor about any other health problems that you have. Give your doctor a complete list of medicines you are taking, including all prescription and nonprescription medicines, vitamins, and herbal supplements.

What is the most important information I should know about Acthar?

  • Never inject Acthar directly into a vein
  • Always inject Acthar beneath the skin or into the muscle
  • Follow your doctor’s instructions for injecting Acthar
  • Never stop treatment suddenly unless your doctor tells you to do so
  • Try not to miss any scheduled doctor’s appointments. It is important for the doctor to monitor you while taking Acthar
  • You may be more likely to get new infections. Also, old infections may become active. Tell your doctor if you see any signs of an infection. Contact your doctor at the first sign of an infection or fever. Signs of infection are fever, cough, vomiting, or diarrhea. Other signs may be flu or any open cuts or sores
  • When taking Acthar long-term, your adrenal gland may produce too much of a hormone called cortisol. This can result in symptoms of Cushing’s syndrome. This may cause increased upper body fat, a rounded “moon” face, bruising easily, or muscle weakness
  • Sometimes when you stop taking Acthar long-term, your body may not produce enough natural cortisol. This is called “adrenal insufficiency.” Your doctor may prescribe a steroid medicine to protect you until the adrenal gland recovers
  • You might develop high blood pressure, retain too much salt and water, or have low blood potassium levels. As a result of this, your doctor may recommend some changes to your diet, such as eating less salt or taking certain supplements
  • Vaccines may not work well when you are on Acthar. Talk to your doctor about which vaccines are safe to use when you are taking Acthar
  • Acthar may hide symptoms of other diseases. This can make it more difficult for your doctor to make a diagnosis if something else is going on
  • Stomach or intestinal problems. Acthar may increase the risk of bleeding and stomach ulcers. Tell your doctor if you have stomach pains, bloody vomit, bloody or black stools, excessive tiredness, increased thirst, difficulty breathing, or increased heart rate
  • Taking Acthar can make you feel irritable or depressed. You may also have mood swings or trouble sleeping. These effects are reversible once Acthar therapy is stopped
  • If you have other conditions, such as diabetes or muscle weakness, you may find they get worse
  • You might develop certain eye conditions, such as cataracts, glaucoma, or optic nerve damage
  • Your body may develop allergies to Acthar; these allergies may be severe. Signs of allergic reaction include:
    • Skin rash and itching
    • Swelling of the face, tongue, lips, or throat
    • Trouble breathing
  • The effects of Acthar may be intensified if you have an underactive thyroid or cirrhosis of the liver
  • Long-term Acthar use can affect growth and physical development in children. This can be reversed when Acthar is no longer needed
  • Acthar may cause osteoporosis (weak bones)
  • Acthar might harm an unborn baby. Therefore, tell your doctor if you are pregnant or plan to become pregnant

What are the most common side effects of Acthar?

Commonly reported side effects of Acthar include:

  • Injection site reaction
  • Fatigue, physical weakness, and lack of energy
  • Fluid retention
  • Insomnia (difficulty sleeping)
  • Headache
  • High blood sugar

The most common side effects for the treatment of infantile spasms (IS) are:

  • Increased risk of infections
  • Convulsions
  • High blood pressure
  • Irritability
  • Fever

The above side effects may also be seen in adults and children over 2 years of age. Some children with IS progress to other forms of seizures; IS sometimes masks these seizures, which may become visible after treatment for IS has been completed.

These are not all of the possible side effects of Acthar.

Tell your doctor about any side effect that bothers you, or that does not go away. Call your doctor or pharmacist for medical advice about side effects. You may report side effects to the FDA. Call 1-800-FDA-1088 1-800-FDA-1088 or visit You may also report side effects by calling 1-800-844-28301-800-844-2830.

Please see full Prescribing Information for additional Important Safety Information.

For parents and caregivers of patients with Infantile Spasms, please click here for Important Safety Information.