PERSONALIZE YOUR GUIDE

Our goal is for you or your loved one to get the most out of a visit to the doctor—whether you’re just beginning your
treatment journey or looking for another way to treat your eosinophilic esophagitis (EoE).

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

As you complete this guide, consider the acronym IMPACT, which often describes behaviors of those living with EoE:
  • I Imbibe fluids with meals
  • M Modify food (cutting into small pieces, pureeing)
  • P Prolong mealtimes
  • A Avoid hard-textured foods
  • C Chew excessively
  • T Turn away tablets/pills

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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.

Please remember that this is intended to be a helpful way for you to prepare for your conversation with your or your loved one's 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.

Indication

DUPIXENT is a prescription medicine used to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). It is not known if DUPIXENT is safe and effective in children with eosinophilic esophagitis under 12 years of age and who weigh at least 88 pounds (40 kg).

Important Safety Information and Indication

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

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

TYPES OF SYMPTOMS

    Symptom Assessment
    Modify foods due
    to symptoms?
    Experience EoE
    symptoms?
    Been to
    emergency room:

    (in the past year)

    Impact

    EoE's IMPACT

    Difficulty swallowing in social settings:
    Unable to eat certain foods:

    THINK ABOUT
    CONDITION

    Occasionally

    Indication

    DUPIXENT is a prescription medicine used to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). It is not known if DUPIXENT is safe and effective in children with eosinophilic esophagitis under 12 years of age and who weigh at least 88 pounds (40 kg).

    Important Safety Information and Indication

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

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

    Next Steps

    SOME QUESTIONS TO ASK YOUR DOCTOR

    • How does DUPIXENT work differently from other treatment options?
    • How would I take DUPIXENT?
    • How do I get started with DUPIXENT?
    • What are the possible side effects of DUPIXENT?
    • How can DUPIXENT help treat my eosinophilic esophagitis?

    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 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.
    • 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 EoE 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.
    • 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.

    The most common side effects in patients with eosinophilic esophagitis include injection site reactions, upper respiratory tract infections, cold sores in your mouth or on your lips, and joint pain (arthralgia).

    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.

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    © 2023 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved.
    DUPIXENT® and DUPIXENT MyWay® are registered trademarks of Sanofi Biotechnology.
    DUP.22.11.0145  Last Update: May 2023