PERSONALIZE YOUR GUIDE

Our goal is for you or your loved one to get the most out of your visit to the doctor—whether you’re just
beginning your treatment journey or looking for another way to treat your uncontrolled moderate-to-severe eczema.

Answer the questions in this form and create your own personalized guide. You can use it to help start
a conversation with your doctor to see if DUPIXENT may be right for you.

LET’S START
YOUR GUIDE
I'M READY
  • Personal Info
  • Journey
  • Symptom Assessment
  • Impact
  • Review

YOUR PERSONALIZED GUIDE IS READY

We've gathered your answers in a personalized guide that you can save by choosing an option below. You can save the results of this page for easy referral by adding it to your bookmarks.

Your personalized results can be printed out, saved, or downloaded for easy access at your appointment.

Please remember that this is intended to be a helpful way for you to prepare for your conversation with your provider, but should not replace a full conversation with your provider.

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APPOINTMENT REMINDER

Let’s set an appointment on your calendar to remind you of your next doctor’s visit. It will include a link to your personalized discussion guide for easy reference, which will help you lead a productive conversation with your doctor.

Personal Info
I am a:

PATIENT

CAREGIVER

TREATMENT GOAL

Journey
Time since
diagnosis:

TREATMENTS USED

    Symptom Assessment

    SYMPTOM FREQUENCY

    Itching:      

    Inflamed, discolored skin:      

    Thickened, hardened
    patches of skin:
          

    FLARE-UP FREQUENCY

    FLARE-UP DURATION

    RASH
    SEVERITY

    ITCH
    INTENSITY

    Impact

    SYMPTOM
    LOCATION(S)

    Indication

    DUPIXENT is a prescription medicine used to treat adults and children 6 months of age and older with moderate-to-severe eczema (atopic dermatitis or AD) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. DUPIXENT can be used with or without topical corticosteroids. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 months of age.

    Please see additional Important Safety Information for DUPIXENT on next page.

    Next Steps

    SOME QUESTIONS TO ASK YOUR DOCTOR

    • Is DUPIXENT right for me?
    • How does DUPIXENT work differently from other
      treatments I've tried?
    • What results have you seen with patients on DUPIXENT?
    • What are the side effects of DUPIXENT?
    • How is DUPIXENT taken?

    NOTES

    Add any additional notes to discuss with your doctor.

    Important Safety Information and Indication

    Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT®.

    Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you:

    • have eye problems.
    • have a parasitic (helminth) infection.
    • are scheduled to receive any vaccinations. You should not receive a “live vaccine” right before and during treatment with DUPIXENT.
    • are pregnant or plan to become pregnant. It is not known whether DUPIXENT will harm your unborn baby.
      • A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. To enroll or get more information call 1-877-311-8972 or go to https://mothertobaby.org/ongoing-study/dupixent/.
    • are breastfeeding or plan to breastfeed. It is not known whether DUPIXENT passes into your breast milk.

    Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

    Especially tell your healthcare provider if you are taking oral, topical or inhaled corticosteroid medicines or if you have atopic dermatitis and asthma and use an asthma medicine. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back.

    DUPIXENT can cause serious side effects, including:

    • Allergic reactions. DUPIXENT can cause allergic reactions that can sometimes be severe. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area.
    • Eye problems. Tell your healthcare provider if you have any new or worsening eye problems, including eye pain or changes in vision, such as blurred vision. Your healthcare provider may send you to an ophthalmologist for an eye exam if needed.
    • Joint aches and pain. Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. Tell your healthcare provider about any new or worsening joint symptoms. Your healthcare provider may stop DUPIXENT if you develop joint symptoms.

    srcImage The most common side effects in patients with eczema include injection site reactions, eye and eyelid inflammation, including redness, swelling, and itching, sometimes with blurred vision, cold sores in your mouth or on your lips, and high count of a certain white blood cell (eosinophilia).

    Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of DUPIXENT. Call your doctor for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

    Use DUPIXENT exactly as prescribed by your healthcare provider. It's an injection given under the skin (subcutaneous injection). Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. Do not try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. In children 12 years of age and older, it's recommended DUPIXENT be administered by or under supervision of an adult. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver.

    Please see accompanying full Prescribing Information including Patient Information.

    Indication

    DUPIXENT is a prescription medicine used to treat adults and children 6 months of age and older with moderate-to-severe eczema (atopic dermatitis or AD) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. DUPIXENT can be used with or without topical corticosteroids. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 months of age.

    logo logo
    © 2021 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved.
    DUPIXENT® and DUPIXENT MyWay® are registered trademarks of Sanofi Biotechnology.
    DUP.21.06.0115   Last Update: August 2021

    ADDRESSING COMMON
    TREATMENT QUESTIONS

    A Breakthrough Eczema Treatment

    DUPIXENT is a biologic that works by targeting an underlying source of inflammation that could be a root cause of your uncontrolled moderate-to-severe eczema. Learn more about how it works.

    DISCOVER HOW
    DUPIXENT WORKS

    Back

    ADDRESSING COMMON
    TREATMENT QUESTIONS

    There Are Tools to Help

    It’s normal to feel uneasy, especially if you are unfamiliar with injections. After you've been trained by your healthcare provider, take advantage of supplemental injection resources and other assets, including:

    • How-to videos
    • A mindful breathing exercise
    • Hearing from other patients who've taken DUPIXENT
    • Downloadable Instructions for Use

    And remember, it is always important to talk to your doctor.

    EXPLORE INJECTION RESOURCES

    ADDRESSING COMMON
    TREATMENT QUESTIONS

    Use Our Tool to See Possible Cost and Coverage

    If you have questions about the cost and insurance coverage of DUPIXENT, the cost and coverage tool can help you see whether DUPIXENT may be covered by your insurance plan.

    USE THE COST AND COVERAGE TOOL

    Back

    ADDRESSING COMMON
    TREATMENT QUESTIONS

    Find a Specialist Who Treats Eczema

    Use a tool from Healthgrades to easily find nearby specialists with experience in treating children, teens, and adults with uncontrolled moderate-to-severe eczema (atopic dermatitis).

    Sanofi US and Regeneron do not endorse or recommend any particular physician, and search results do not include a comprehensive list of doctors in your area.

    FIND A SPECIALIST

    Back

    ADDRESSING COMMON
    TREATMENT QUESTIONS

    You may have questions when researching a treatment option. In addition to speaking with your healthcare provider, we can offer resources to help answer your questions.

    Want to understand more
    about how DUPIXENT works?

    Yes

    Uneasy about injections?

    Yes

    Questions about the cost
    of treatment?

    Yes

    Looking for an eczema
    specialist or doctor?

    Yes