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SPECIAL AUTHORITY REQUESTAMIFAMPRIDINE HLTH 5828 2023/08/14INITIAL Complete sections 1 2, and 4RENEWAL Complete sections 1 2, and 5For uptodate criteria and forms, please check: www.gov.bc.ca/pharmacarespecialauthority
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How to fill out amifampridine - govbcca

01
Consult with your healthcare provider to determine if amifampridine is right for you.
02
Obtain a prescription from your healthcare provider.
03
Read the medication guide provided with amifampridine carefully.
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Take the medication as directed by your healthcare provider, typically starting with a low dose.
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Monitor for side effects and report any unusual symptoms to your healthcare provider.
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Attend follow-up appointments for ongoing evaluation and dosage adjustment.

Who needs amifampridine - govbcca?

01
Individuals diagnosed with myasthenia gravis who experience inadequate response to conventional therapy.
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Patients with Lambert-Eaton Myasthenic Syndrome.
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Individuals who have muscle weakness or fatigue that is not adequately addressed by other treatments.
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Amifampridine is a medication primarily used to treat myasthenia gravis, a chronic autoimmune neuromuscular disorder, and is under review by the government for regulatory purposes.
Healthcare providers, pharmacists, and distributors involved in the administration or distribution of amifampridine are typically required to file the amifampridine - govbcca.
To fill out the amifampridine - govbcca, individuals must provide detailed information regarding the medication's usage, patient demographics, and any adverse effects experienced.
The purpose of amifampridine - govbcca is to ensure the safe usage and distribution of the medication by tracking its administration and monitoring for any potential side effects.
Required information includes patient identifiers, dosage provided, frequency of administration, and any side effects observed during treatment.
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