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Safety information

For further information on treatment with Tzield (teplizumab), refer to the Patient information leaflet and the Patient Guide here.

 

What you need to know before you are given Tzield

  • You must not be given Tzield if you have had a severe allergic reaction to teplizumab or any of the other ingredients of this medicine
  • Please refer to Section 6 of your Patient Information Leaflet  'Contents of the pack and other information' for the list of ingredients in the medicine.

Tell your doctor if you, or the person you care for, have any known allergies.

Before and after you are given Tzield, talk to your doctor or nurse about all your medical conditions, including if you:

  • Have a serious infection – or an infection that does not go away or keeps coming back
  • Are taking medicine that weakens your immune system (called immunosuppressive medication)
  • Have recently had, or are planning to have, a vaccine. Tzield may affect how well a vaccine works
  • Have any serious side effects described on this website or the Patient Information Leaflet 

Tell your doctor or nurse about the medicines you take, have recently taken, or plan to take, including:

  • Prescription and non-prescription medicines, vitamins, and other supplements
  • If you have had or are planning to have a vaccine. Tzield may affect how well a vaccine works. You should tell your doctor or nurse that you are being treated with Tzield before having a vaccine

Pregnancy
Tell your doctor or nurse if you are pregnant or plan to become pregnant. Tzield may harm your unborn baby.

  • Do not have Tzield during pregnancy – and at least 30 days before a planned pregnancy

 

Breast-feeding
Tell your doctor or nurse if you are breast-feeding or plan to breast-feed. It is not known if Tzield passes into your breast milk and if it can harm your baby

  • Talk to your doctor about the best way to feed your baby if you have Tzield
  • If you are breast-feeding, it is best to pump and throw away your breast milk during treatment with Tzield – and for 20 days after treatment

 

Tzield is not expected to affect your ability to drive and use machines. However, if you feel tired, do not drive or use machines before discussing it with your doctor or nurse.

Possible side effects to look out for

Like all medicines, Tzield can cause side effects, although not everybody gets them.1

Your doctor will do blood tests to check your liver and complete blood counts before and during treatment with Tzield.1

During and after your Tzield treatment, your doctor or nurse will check for serious side effects, as well as other side effects, and treat you as needed.1

Serious side effects

Sometimes, treatment with Tzield can cause an immune response called cytokine release syndrome (CRS). This is most likely during the first five days of Tzield treatment, and you will be given some extra medications to help prevent it. Tell your doctor or nurse right away if you get any signs and symptoms of CRS.

Symptoms of CRS include:

  • Fever
  • Feeling tired
  • Achy muscles and joints
  • Feeling sick (nausea)
  • Headache
  • Increased liver enzymes in your blood

Sometimes, treatment with Tzield can cause lymphopenia. This is when you have a low number of white blood cells, which are important cells for the immune system and help you fight infections. 

  • Lymphopenia is a common but serious side effect (may affect up to 1 in 10 people)
  • Lymphopenia can happen after the first dose of Tzield and usually goes back to normal after the fifth dose, though it may take longer in some people


Your doctor or nurse may pause or stop your treatment if you get liver problems, have a serious infection, or if your blood counts stay too low.
 

Other side effects

Tell your doctor or nurse if you have any of the following side effects:

  • Headache
  • Feeling sick (nausea)
  • Rash
  • Fever
  • Blood tests that show:
    • An increase in liver enzyme levels
    • A decrease in white blood cell count (leukopenia)
    • A decrease in number of red blood cells (anaemia)
    • A decrease in number of blood platelets (thrombocytopenia)
    • A decrease in blood bicarbonate and blood calcium levels

  • Cytokine release syndrome
  • Inflamed nose and throat
  • Diarrhoea
  • Red and itchy raised bumps (hives)
  • Chills

  • Vomiting
  • Itchy skin
  • Feeling tired
  • Pain
  • Illness

These are not all the possible side effects of Tzield. Tell your doctor or nurse of any side effects and ask for medical advice.

You may be interested to find out…

What is Tzield?

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How long will I be
on Tzield?

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How do I report
side effects?

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Tzield is a medicine used to delay the start of Stage 3 Type 1 diabetes. This condition happens when the body cannot make enough insulin on its own and may need insulin injections. This medicine is used in adults and children aged 8 years and older who have Stage 2 Type 1 diabetes.1

If you have any questions on how Tzield works or about your treatment with Tzield, ask your doctor.

This website is not intended to be a substitute for medical advice. Please refer to the Patient information leaflet and the Patient Guide for full safety information. You may have received these items from your doctor already.

 

Reference:

  1. TZIELD® (teplizumab) UK Patient Information Leaflet. Accessed: November 2025.

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