Let's take a minute to talk about your medication. This is Extavia. It helps treat multiple sclerosis by reducing the number of flare-ups. Extavia is given as an injection under the skin. Before injecting it at home, you should read the Instructions for Use. Also, you should demonstrate an injection to your doctor or nurse. You should know how to store the medicine, and how to dispose of needles. If you have questions, your doctor or pharmacist can help. Your injection site may have mild tenderness or redness. Call your doctor if this gets worse or does not go away in a few days. You may have flu-like symptoms after each dose. These include feeling tired, or having muscle aches, fever, chills or sweating. These often decrease after the first few months of treatment. Until then, your doctor can advise which pain reliever is best for you. If these or other side effects become reasons you want to stop taking Extavia, please talk to your doctor or pharmacist. As with any medicine, more serious side effects can occur. With Extavia, these can include allergic reactions and problems with the heart, blood, liver or thyroid. You should read the Medication Guide for full information. To help keep this medicine safe for you, your doctor will order blood tests and follow you closely. If you ever have unexplained changes to your feelings or mood, like depression, anxiety or thoughts of suicide, it could be a side effect of this type of medicine. You should call your doctor right away. Women should talk to their doctors before becoming pregnant or breastfeeding. For best results, take Extavia exactly as directed by your doctor, and ask about patient support resources.