PERSONALIZE YOUR GUIDE

Our goal is for you or your loved one to get the most out of your doctor's visit and recognize the symptoms
that may lead to uncontrolled asthma. Whether you're just beginning your treatment journey or looking for
another way to treat your moderate-to-severe asthma, take a moment to answer a few questions. Then use
this guide to help start that 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 Severity
  • Asthma Control
  • 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 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.

I am a:

PATIENT

CAREGIVER
Time since diagnosis:
YES

TREATMENTS USED

    SYMPTOM FREQUENCY

    Coughing:   Moderate

    Wheezing:   Frequently

    Shortness of breath:   Frequently

    Rapid breathing:   Moderate

    Chest tightness:   Occasionally

    ASTHMA’S IMPACT

    Awoken at night:

    (Because of symptoms
    in the past month)

    Been to emergency room:

    (In the past year)

    Limited or missed an activity:

    (Because of an attack)

    Used rescue inhaler:

    (More than twice a week)

    TRIGGERS

      THINK ABOUT
      CONDITION

      Occasionally

      TREATMENT GOAL

        Indication

        DUPIXENT is a prescription medicine used to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) 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 years of age.

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

        SOME QUESTIONS TO ASK YOUR DOCTOR

        • How does DUPIXENT work differently
          from other treatment options?
        • How does DUPIXENT work?
        • 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 uncontrolled
          moderate-to-severe asthma?

        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” if you are treated with DUPIXENT.
        • are pregnant or plan to become pregnant. It is not known whether DUPIXENT will harm your unborn baby.
          • There is a pregnancy exposure registry for women who take DUPIXENT during pregnancy to collect information about the health of you and your baby. Your healthcare provider can enroll you or you may enroll yourself. To get more information about the registry 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 (hypersensitivity), including a severe reaction known as anaphylaxis. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following symptoms: breathing problems, fever, general ill feeling, swollen lymph nodes, swelling of the face, mouth and tongue, hives, itching, fainting, dizziness, feeling lightheaded (low blood pressure), joint pain, or skin rash.
        • Eye problems. Tell your healthcare provider if you have any new or worsening eye problems, including eye pain or changes in vision.

        The most common side effects in patients with atopic dermatitis include injection site reactions, eye and eyelid inflammation, including redness, swelling , and itching, and cold sores in your mouth or on your lips.

        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. Your healthcare provider will tell you how much DUPIXENT to inject and how often to inject it. DUPIXENT is an injection given under the skin (subcutaneous injection). If your healthcare provider decides that you or a caregiver can give DUPIXENT injections, you or your caregiver should receive training on the right way to prepare and inject DUPIXENT. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. In children 12 years of age and older, it is recommended that DUPIXENT be administered by or under supervision of an adult. In children younger 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 people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) 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 years of age.

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        © 2021 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved.
        DUPIXENT® and DUPIXENT MyWay® are registered trademarks of Sanofi Biotechnology.
        DUP.21.04.0159   Last Update: December 2021