`` Systemic lupus erythematosus (SLE) | Acthar® Gel (repository corticotropin injection)

Relief for systemic lupus erythematosus (SLE)

Acthar Gel is FDA approved to treat SLE.

Bianca, treated with Acthar Gel.
Individual results may vary. Compensated by Keenova.

Links On this page What is Acthar Gel

What is Acthar Gel?

Acthar Gel is a prescription medicine used for the treatment of flares or on a regular basis (maintenance) in people with SLE.

Ask about Acthar Gel

Make the most of your next doctor's appointment. Download this brochure and bring it to your next visit.

Look inside to find information about:
  • What Acthar Gel is and how it is believed to work
  • How to take it
  • Patient support programs
  • Tips for talking with your doctor
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Are you struggling with these common symptoms of SLE?

Fatigue Fatigue (often the primary symptom)
Butterfly-shaped rash Butterfly-shaped rash that covers the cheeks and bridge of the nose
Unexplained fevers Unexplained fevers
Swollen or painful joints Swollen or painful joints
Ask your doctor about Acthar Gel. It may help ease symptoms of SLE.

SLE flares may involve a single symptom or a group of symptoms that suddenly appear or get worse. They can be unpredictable and debilitating, and symptoms can come and go.

Flares look and feel different for everyone. Learning to recognize your own triggers can help you better predict and manage them. Common flare triggers include sun or heat exposure, interrupted sleep, and stress.

Acthar Gel is approved for the treatment of flares, and as a maintenance therapy for people with SLE.

What is SLE?

SLE is the most common type of lupus. It’s a complex, long-term condition where the immune system becomes overactive and attacks healthy parts of the body. The exact cause of SLE is unknown. Most likely, family history and environmental factors are involved.

SLE can affect your:

joint
joints
skin
skin
blood vessels
blood vessels
brain
brain
lungs
lungs
kidneys
kidneys
Life with SLE can be difficult to explain

Symptoms are not always visible, so it can be hard for others to truly understand its impact. Don't feel discouraged. You deserve to be heard without the pressure to appear "fine."

Real patient stories

You're not alone. Hear from real people about their experiences and the impact Acthar Gel has had for them.

Play video
Meet Cathy

Cathy shares her experience with SLE and getting treatment with Acthar Gel.

Additional patient stories

Meet Bianca

Meet Bianca

quote icon

I turned this condition into a strength.”

When I was a senior in high school, unusual lesions began to appear on my hands and face. I was a typical teenager and didn’t think anything bad could happen to me. After seeing a rheumatologist, I was diagnosed with systemic lupus erythematosus or lupus. I may have been young, but I knew that with this condition my daily life would forever be changed.

My rheumatologist suggested I try an injection called Acthar® Gel (repository corticotropin injection). He explained that it is administered under the skin or into the muscle to help improve the symptoms associated with my condition. We also discussed the potential risks and benefits of this treatment, including the most common side effects such as injection site reactions, physical weakness, and fluid retention, just to name a few. After the treatment was approved by my insurance, my doctor and I worked together to find the dose that would be the most effective in managing my symptoms.

When I first started on Acthar, a Nurse Navigator* came out to my home to train me on self-injections, and it was so helpful. After training with them, I received a booklet with self-injection instructions to refer to until I didn’t need assistance anymore. My journey has been filled with ups and downs. I hope that by sharing my story, I can encourage others to never give up and find the treatment options that work best for them.

Everyone’s experiences are different. It’s important to talk to your healthcare provider if you have any questions or concerns about your treatment. Individual results may vary.

*Nurse Navigators do not provide medical advice, and patients should discuss any medical questions with their HCP.

 Meet Bianca

Learn about Bianca's experience treating systemic lupus erythematosus with Acthar Gel.

2-minute read

Meet Jacqueline

Meet Jacqueline

quote icon

My resilience has kept me strong, and now I want to share my story.”

My life has made me who I am: strong, resilient, and able to face any challenge thrown my way. These qualities give me the ability to weather even the most intense of my lupus symptoms.

My symptoms started when I was 19—I was experiencing odd pains and irritation in my eyes. I was also experiencing rashes across my face that wouldn’t go away. Finally, using an assessment of my symptoms and results from lab work, my doctor diagnosed me with lupus.

I was started on treatment but didn’t improve. My doctor referred me to another rheumatologist. We tried numerous treatment options. Finally, my doctor recommended Acthar® Gel (repository corticotropin injection). We discussed the potential risks and benefits of this treatment, including the most common side effects such as injection site reactions, physical weakness, and fluid retention, just to name a few. A Nurse Navigator was assigned to me, and they were there for support when I needed it.* My resilience has kept me strong throughout my journey, and now I want to share my story to give hope to others in similar situations.

Everyone’s experiences are different. It’s important to talk to your healthcare provider if you have any questions or concerns about your treatment. Individual results may vary.

*Nurse Navigators do not provide medical advice, and patients should discuss any medical questions with their HCP.

 Meet Jacqueline

Learn about Jacqueline's experience treating systemic lupus erythematosus with Acthar Gel.

Systemic lupus erythematosus

Meet Julia

Meet Julia

quote icon

If you never take time to read your own body or understand your diagnosis, you’ll never know what options you can take to manage it.”

Life is full of second chances, though they aren’t guaranteed. After I was diagnosed with lupus, I thought all my second chances were gone. But my family instilled in me the values of hope and determination. That’s what led me to find Acthar® Gel (repository corticotropin injection).

In 2011, I began to experience fatigue and joint pain to the point where getting out of my chair became difficult. I assumed it was a sign of getting older, but eventually, I couldn’t ignore the pain any longer and I made an appointment with my doctor. After several blood tests and a few visits to the rheumatologist, I was diagnosed with lupus.

I worked with my primary care doctor to find my current rheumatologist and neurologist. Together, my healthcare team recommended I start treatment with Acthar Gel to manage my lupus symptoms. I have a dedicated Nurse Navigator* who taught me how to self-inject under the skin. Now, I’m determined to help people find their own second chance at fighting their condition.

Everyone’s experiences are different. It’s important to talk to your healthcare provider if you have any questions or concerns about your treatment individual results may vary.

*Nurse Navigators do not provide medical advice, and patients should discuss any medical questions with their HCP.

 Meet Julia

Learn about Julia's experience treating systemic lupus erythematosus with Acthar Gel.

2-minute read

NEXT:
Discover how Acthar Patient Support can help you start treatment if you and your doctor decide on Acthar Gel
What is Acthar Gel?
Toggle ISI tray

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 symptomatic 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.

IMPORTANT SAFETY INFORMATION
Toggle ISI tray

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
  • Acthar is injected beneath the skin or into the muscle. Always inject Acthar with SelfJect beneath the skin
  • 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 while you are taking Acthar
  • Acthar may hide symptoms of other diseases. This can make it more difficult for your doctor to make a diagnosis of 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 makes 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 or visit www.fda.gov/medwatch . You may also report side effects by calling 1-800-844-2830.

Please see the full Prescribing Information. If you've been prescribed SelfJect, please see the 40-unit or 80-unit Instructions for Use and the 40-unit or 80-unit Quick Reference Guide.

For parents and caregivers of children with infantile spasms, please also see Medication Guide.

Toggle ISI tray

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 symptomatic 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.

IMPORTANT SAFETY INFORMATION

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
  • Acthar is injected beneath the skin or into the muscle. Always inject Acthar with SelfJect beneath the skin
  • 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 while you are taking Acthar
  • Acthar may hide symptoms of other diseases. This can make it more difficult for your doctor to make a diagnosis of 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 makes 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 or visit www.fda.gov/medwatch. You may also report side effects by calling 1-800-844-2830.

Please see the full Prescribing Information. If you've been prescribed SelfJect, please see the 40-unit or 80-unit Instructions for Use and the 40-unit or 80-unit Quick Reference Guide.

For parents and caregivers of children with infantile spasms, please also see Medication Guide.

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