Is VNS Therapy® right for you?
Transcription
Is VNS Therapy® right for you?
Is VNS Therapy right for you? ® Evaluate your treatment and your options Kristof, On VNS Therapy since 2006 You are not alone. At this point you probably have many questions about the best treatment options going forward. It may be that, although you’ve taken your medicine and followed your doctor’s advice, your seizures haven’t eased up or stopped. This is called drug-resistant epilepsy and you are not alone. Drug-resistant epilepsy means your seizures have not been controlled even after trying multiple appropriate treatments. About one in three people (approximately 35%) with epilepsy experience this type of epilepsy that is difficult to treat with medications. Years of medical research tell us that if two or three drugs have not given you seizure freedom, there’s very little chance of gaining seizure freedom with any additional drugs. 1 page 2 Is VNS Therapy® right for you? If multiple medications have not provided you with acceptable, ongoing seizure relief, it may be time to discuss different treatment options with your doctor. Is VNS Therapy® right for you? page 3 How does your treatment treat you? It is important to evaluate your current epilepsy treatment and the way it affects your life. If you can answer “yes” to any of these questions, it may be time to talk to your doctor about treatment options beyond medication. • A re you taking multiple medications for seizure control and still having seizures? • A re you experiencing side effects from your current treatments that interfere with your daily activities? • H ave you repeatedly been to the emergency room or admitted to the hospital because of your seizures or seizure-related injuries? • D oes the time it takes you to recover from your seizures stop you from continuing with your daily activities? We understand that treatment is not just about seizure control. The goal of your treatment should be to help you improve seizure control with the fewest side effects so you can have the best possible quality of life. page 4 Is VNS Therapy® right for you? Is VNS Therapy® right for you? page 5 You have another option. A unique treatment approach is VNS (Vagus Nerve Stimulation) Therapy. More than 65,000 people worldwide have chosen VNS Therapy to help control their seizures without the side effects often associated with medications like depression, dizziness, confusion, weight changes, fatigue, insomnia, and low energy. VNS Therapy is not another medication. It has been proven to reduce the number and intensity of seizures. page 6 Is VNS Therapy® right for you? In addition, many people using VNS Therapy have also reported improvements in mood, increased alertness, and enhanced memory. It is a safe, effective treatment that improves over time. Many people experience long-lasting seizure control with VNS Therapy. Is VNS Therapy® right for you? page 7 About VNS Therapy The vagus nerve connects the brain to various parts of the body. VNS Therapy sends messages to the brain through this nerve to help control seizures. It’s important to understand that VNS Therapy does not involve brain surgery. The minimally invasive procedure is typically performed under general anesthesia by a surgeon. A small generator about the size of a watch is placed under the skin usually in the chest area. A thin, flexible wire connects the generator to the vagus nerve in the neck which delivers periodic pulses directly to the brain. The procedure takes about an hour and most people go home the same day. page 8 Is VNS Therapy® right for you? Is VNS Therapy® right for you? page 9 VNS Therapy is customized to suit every individual. Your doctor programs the generator to automatically deliver the appropriate dose of stimulation for you. One dose commonly used by physicians is 30 seconds of stimulation every 5 minutes. In addition to the comfort of having treatment automatically delivered, VNS Therapy may provide you with added control. If you or your caregiver recognizes that you are having a seizure or are about to have a seizure, a handheld VNS Therapy magnet allows you to immediately activate an additional dose of stimulation so that it potentially shortens, stops, decreases the intensity, or decreases the recovery period of the seizure. Use of the magnet is not necessary to receive VNS Therapy. The most common side effects of VNS Therapy may include hoarseness or changes in voice tone, coughing, a tickling sensation in the throat or on the neck, and a feeling of shortness of breath. These side effects generally occur only when the generator is on and usually decrease over time. The magnet can be used to turn off the generator to temporarily control these side effects during activities such as public speaking, singing, or exercising. page 10 Is VNS Therapy® right for you? Is VNS Therapy® right for you? page 11 How do you learn more about VNS Therapy? If you would like to know whether you can benefit from VNS Therapy, there are a number of ways to learn more: 1. Talk to your neurologist about whether VNS Therapy is right for you. 2.Call a VNS Therapy nurse case manager toll-free at 1-888-867-7846. He or she can answer questions about VNS Therapy and also help you with insurance and payment questions. VNS Therapy is covered by many insurance plans, including Medicare and Medicaid. 3.Join our monthly Phone Facts conference call and talk with VNS Therapy patients and other people thinking about getting VNS Therapy. On this call, you can get firsthand information about the procedure and learn what it feels like to have VNS Therapy. An epilepsy specialist is available for every session. You do not have to provide your name, even if you wish to ask questions. All calls are free and confidential. Calls take place the first Tuesday of every month, 7:00 PM Central Standard Time: 1-877-451-8943. 4.Visit www.VNSTherapy.com You can also join us on Facebook www.facebook.com/ VNSTherapyforEpilepsy page 12 Is VNS Therapy® right for you? Is VNS Therapy® right for you? page 13 Safety Information for VNS Therapy INTENDED USE / INDICATIONS—UNITED STATES Patients who have pre-existing swallowing, cardiac, or respiratory difficulties (including, Epilepsy: The VNS Therapy System is indicated for use as an adjunctive therapy in reducing but not limited to, obstructive sleep apnea and chronic pulmonary disease) should the frequency of seizures in adults and adolescents over 12 years of age with partial onset discuss with their physicians whether VNS Therapy is appropriate for them since there is seizures which are refractory to antiepileptic medications. the possibility that stimulation might worsen their condition. Patients with The VNS Therapy CONTRAINDICATIONS System or any part of The VNS Therapy System implanted should not have a full body MRI. The VNS Therapy System cannot be used in patients after a bilateral or left cervical PRECAUTIONS vagotomy. Do not use short-wave diathermy, microwave diathermy, or therapeutic The safety and efficacy of The VNS Therapy System has not been established for use ultrasound diathermy on patients implanted with The VNS Therapy System. during pregnancy. Patients who smoke may have an increased risk of laryngeal irritation. Diagnostic ultrasound is not included in this contraindication. Injury or damage can occur ADVERSE EVENTS during diathermy treatment whether The VNS Therapy System is turned “ON” or “OFF.” The most commonly reported side effects from stimulation include hoarseness (voice WARNINGS alteration), paresthesia (prickling feeling in the skin), dyspnea (shortness of breath), sore Physicians should inform patients about all potential risks and adverse events throat and increased coughing. These typically occur only during stimulation, are well discussed in The VNS Therapy System Physician’s Manual including information that VNS tolerated and noticed less as time goes on. The most commonly reported side effect from Therapy may not be a cure for epilepsy. Since seizures may occur unexpectedly, patients the implant procedure is infection. should consult with a physician before engaging in unsupervised activities, such as driving, swimming, and bathing, or in strenuous sports that could harm them or others. The safety and efficacy of The VNS Therapy System has not been established for uses outside of its approved indications. Patients should avoid excessive stimulation (>4 hours of continuous stimulation due to repeated magnet activations) and manipulation of the Pulse Generator and Lead through the skin. A malfunction of The VNS Therapy System could cause painful or direct current stimulation. Removal of The VNS Therapy System requires an additional surgical procedure. page 14 Is VNS Therapy® right for you? *THE INFORMATION CONTAINED IN THIS SUMMARY REPRESENTS PARTIAL EXCERPTS OF IMPORTANT PRESCRIBING INFORMATION TAKEN FROM THE PRODUCT LABELING. THE INFORMATION IS NOT INTENDED TO SERVE AS A SUBSTITUTE FOR A COMPLETE AND THOROUGH UNDERSTANDING OF THE VNS THERAPY SYSTEM NOR DOES THIS INFORMATION REPRESENT FULL DISCLOSURE OF ALL PERTINENT INFORMATION CONCERNING THE USE OF THIS PRODUCT. (CAUTION—U.S. FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN.) Is VNS Therapy® right for you? page 15 Call toll-free: 1-888-VNS-STIM 8 6 7-7 8 4 6 Or visit www.VNSTherapy.com You can also join us on Facebook www.facebook.com/ VNSTherapyforEpilepsy www.cyberonics.com CYBERONICS, INC. 100 Cyberonics Boulevard Houston, Texas 77058 Tel: +1.800.332.1375 Fax: +1.281.218.9332 CYBERONICS EUROPE Belgicastraat 9 1930 Zaventem, Belgium Tel: +32.2.720.95.93 Fax: +32.2.720.60.53 ©2012 Cyberonics, Inc. All rights reserved. Cyberonics® and VNS Therapy® are registered trademarks of Cyberonics, Inc. PtRFY13-11-2000-US
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