How to Make Sure You Receive a FULL Money Award For Your Actemra Lawsuit
Actemra lawsuits alleging serious side effects such as heart attacks, strokes, or other serious medical emergencies are being filed across the nation. If you or a family member have been prescribed Actemra and experienced the aforementioned complications, you may be entitled to monetary compensation.
Parker Waichman LLP is Representing Victims and Victims’ Families in Actemra Side Effects Lawsuits
Parker Waichman LLP is now accepting cases from individuals who suffered harm after using Actemra who were not told of the risks and potential side effects that accompany Actemra use.
Our firm has recovered over $2 billion in compensation through verdicts and settlements and our peers have awarded our firm “5 Dragons,” the highest rating available, on Lawdragon.
Your medical bills, lost wages, pain and suffering, and other losses may be compensable through an Actemra injury lawsuit. Let our experienced attorneys at Parker Waichman help you understand the nature of your legal rights and how you can assert these rights with our assistance.
What is Actemra and Why Was it Manufactured?
Arthritis comes in many forms and is estimated to impact approximately 55 million adults in the United States according to the Centers for Disease Control and Prevention. One of the more insidious forms of arthritis is rheumatoid arthritis. This condition exists when a person’s own body attacks the lining of his or her joints, causing inflammation. Treatments for rheumatoid arthritis and other inflammatory conditions such as giant cell arteritis (inflammation of the arteries) focus on reducing inflammation and thereby pain and damage to the body’s joints and tissues. In the past, some of these treatments were known to cause serious – even deadly – side effects such as heart attacks and strokes. Patients were therefore delighted when Actemra was approved for use as the manufacturer, Roche/Genentech, represented that this new drug would provide many of the benefits of earlier treatments but without the serious side effects. As it has turned out, Roche/Genentech’s statements about the safety of Actemra were wrong.
You and/or your loved one may have suffered a heart attack, stroke, or other serious medical emergency after taking Actemra. These are risks of which you should have been made aware prior to commencing an Actemra treatment.
Who Manufactures Actemra?
Actemra, a drug manufactured by Roche/Genentech, was approved for use by the Food and Drug Administration in 2010 to treat several conditions including rheumatoid arthritis and giant cell arteritis. Rheumatoid arthritis is an autoimmune disorder in which the body’s own immune system attacks the joints of the body, causing inflammation, pain, and limitations on a person’s ability to move. A person’s hands are most commonly affected by rheumatoid arthritis; however, organs such as the heart and lungs can also be impacted by the disorder. Giant cell arteritis is a condition in which the lining of the arteries in the head become inflamed, often resulting in headache, fever, and loss of vision. Actemra may also be prescribed for children suffering from polyarticular juvenile idiopathic arthritis and/or systemic juvenile idiopathic arthritis. Actemra may be utilized in conjunction with other medications. It is typically administered intravenously or under the skin approximately once every one to four weeks.
What Do the Actemra Lawsuits Allege?
Actemra is not the only medication used to treat rheumatoid arthritis: other medications include Enbrel, Humira, and Remicade. Each of these medications carried with them an increased risk that the patient would suffer a heart attack, stroke, and lung disease. These dangers were made known to the users of these medications. When Actemra entered the market, the manufacturer Roche/Genentech marketed the drug as not carrying the same risks as these earlier treatments. A recent study of 500,000 reported instances of side effects and other adverse medical incidents, however, found that individuals who took Actemra were as likely (if not more likely) to suffer a heart attack, stroke, or gastrointestinal issues.
Actemra Side Effects and Possible Complications
Most consumers expect that medications will come with a few side effects. These side effects are usually listed on the packaging of the medication and/or included inside the packaging. In the case of Actemra, consumers were warned to watch for signs of infection as Actemra acted to suppress the immune system of the patient. Thus, Actemra patients were more prone to complications from infections and were told to watch for signs of an infection such as flu-like symptoms, shortness of breath, diarrhea, and body aches. Roche/Genentech did not tell consumers of Actemra that they should also be watching for signs of other health complications such as:
- Heart attack: Pain in the shoulder blades, arms, chest, or upper stomach that occurs during rest, palpitations, shortness of breath, and having clammy skin.
- Stroke: Trouble walking, having trouble speaking clearly or slurring of one’s words, weakness or paralysis on one side of the body, and loss of vision in one eye.
- Gastrointestinal issues: Diarrhea, nausea, and vomiting.
Should Your Stop Taking Actemra?
Manufacturers of medications like Roche/Genentech are required to alert consumers – doctors and patients – of the complications and risks that accompany use of their medications. This is so that doctors and patients can have an open and serious discussion of whether the medication in question is the right medication for the patient’s condition. A patient may not be comfortable, for example, in taking a certain medication knowing that the side effects and complications may be fatal. Similarly, a patient may not wish to change from one medication to another to manage his or her rheumatoid arthritis complications knowing that the newer medication offers the same risks as the medication he or she is presently taking without any additional benefits.
What Compensation Could You Be Awarded?
Individuals who were prescribed Actemra and who received treatments and thereafter suffered a heart attack, stroke, or other similar negative health event may be entitled to recover compensation from Roche/Genentech for losses and expenses related to their health complications. This can include:
- Costs of additional medical treatments and surgeries that were required to save one’s life and prevent further harm;
- Ambulatory costs if the person suffered a heart attack or stroke at his or her home or place of employment and needed to be transported to a medical facility;
- Costs of rehabilitation and/or therapy treatments;
- Additional prescription drug costs;
- Lost wages due to time missed from work;
- Lost future wages if one is not able to return to his or her former place of employment;
- Mental pain, anguish, and suffering.
Such compensation is available because the law imposes a legal duty on manufacturers of all products (including medications) to make products that are reasonably safe and provide warnings to consumers that are easy to find and understand so that consumers understand how to safely use the product and/or what signs of complications they should watch out for.
Products like Actemra and other medications are said to have one or more defects when:
- The medication is not properly developed and/or tested to ensure that all side effects and dangers that can be reasonably eliminated are in fact removed;
- The medication is not produced in accordance with acceptable and safe practices, resulting in a medication that is unnecessarily and unreasonably dangerous; and/or
- The medication does not contain enough information to consumers about the risks and potential side effects so that consumers can make an informed choice as to whether to use the medication.
In order to recover compensation through an Actemra injury lawsuit, you (the injured patient, or plaintiff) must demonstrate a causal connection between your use of Actemra and your subsequent medical event or injury. If you would have suffered a heart attack or stroke regardless of whether you utilized Actemra, then your claim for compensation may be denied. Because heart attacks and strokes can be caused by numerous other health conditions, being able to establish this causal link with persuasive and convincing evidence and testimony is of paramount importance. Although lawsuits against Roche/Genentech for injuries related to Actemra use are relatively novel lawsuits, Parker Waichman LLP has experience in assisting individuals harmed by dangerous medications and medications containing inadequate warning labels. Let our firm assist you with your Actemra injury claim today.
Do I Have Grounds for a Claim?
Determining whether you are entitled to compensation for your Actemra-related injuries requires a fact-intensive investigation into the nature of your injuries, whether there is a causal connection between your Actemra usage and these injuries, and how much compensation is necessary to “make you whole” by fully and fairly compensating you. If any one of these elements is missing from your situation – if you (1) did not suffer any injury, loss, or expense as a result of your use of Actemra; (2) did suffer injuries and losses but these were not because of Actemra; and/or (3) cannot express your losses and expenses in terms of dollars and cents – then your claim may not be successful. Investing time and resources in looking into each of these required elements at the outset of your case helps ensure the remainder of your case proceeds smoother and with fewer interruptions.
Evidence that your claim is valid and that your Actemra-related losses should be compensated can come from either from records, documents, and other physical, tangible evidence and/or the testimony of witnesses. In determining whether you have a Actemra injury claim, your attorney may wish to review and/or consult with:
- Your medical records: Your medical records will obviously need to show that you were administered Actemra at some point in order for your claim to proceed. However, other information contained in your medical records can either help support or defeat your claim for compensation. For example, keeping appointments and follow-up office visits with your doctor and promptly reporting signs and symptoms of Actemra complications to your doctor can be used to show that you were taking reasonable and appropriate steps to protect your health. Conversely, serious gaps in your medical records covering periods of time during which you claim you were suffering side effects and complications from Actemra can make it more difficult to recover compensation.
- Your doctor and other medical experts and professionals: Your primary care physician’s knowledge of the course of treatment of your rheumatoid arthritis is invaluable in your Actemra injury lawsuit. Specifically, your doctor and other medical professionals should be able to verify the fact you were administered Actemra and experienced side effects (as well as the dates these events occurred). Your doctor may also be able to state with some certainty that the side effects were connected to your use of Actemra. If your doctor cannot make this connection between the side effects that you experienced and Actemra, you may need a medical expert to testify after the expert has had an opportunity to review your medical records and/or perform his or her own physical examination of you.
- Your family, your employer, and others who know you: While your friends, family members, coworkers, and/or employer may not have the medical background and training to render any definitive opinion on the cause of your injuries or illnesses, these individuals can nonetheless be valuable in helping to explain for a judge or jury how your Actemra injuries impacted your ability to work, enjoy your normal pastimes and hobbies, and be present for your family members and children. Compensation is available for these and other noneconomic damages and losses, but your ability to recover such compensation will depend heavily on the knowledge and persuasiveness of these sorts of witnesses.
It is impossible to predict with 100 percent accuracy whether your claim will be successful or not prior to the claim actually being filed. However, by taking the time to investigate these and other sources of potential information prior to filing, you and your attorney can have an honest discussion about whether it makes sense for you to pursue a claim for compensation before you spend too much time and resources – two things you likely already do not have much of after an Actemra-related injury – on what may prove to be a fruitless lawsuit.
One other important consideration in determining whether you have an Actemra-related claim for compensation is the timing: specifically, how much time elapsed between the time you began noticing your side effects and injuries and when you decide to file your Actemra lawsuit. Each state has a different statute of limitations for Actemra injury lawsuits. The purpose of this statute of limitations is to control the amount of time Actemra injury victims like yourself and/or your loved one has to file a lawsuit seeking compensation. These statutes of limitations can be anywhere from one year to four years (or more) in length, so it is important to understand how long you have in your state to file a claim for compensation against the manufacturer of Actemra.
In most cases, if the statute of limitations runs before you are able to file a lawsuit then your legal rights are extinguished and you may not obtain compensation at all for your Actemra-related injuries (regardless of how clear and solid your case). In certain limited situations, however, the statute of limitations may be extended for a period of time. If there was no reason for you to know that the side effects that you were experiencing were related to your Actemra use, then a court may find that the statute of limitations should be tolled – or stopped – until the date and time when the court believes a rational and reasonable individual would have known that Actemra was to blame for his or her side effects and adverse medical injuries.
Process of an Actemra Injury Case
The time it takes for your Actemra injury claim to resolve depends on a multitude of factors including the complexity of your case, the strength of the evidence in your favor, the availability of witnesses and evidence supporting your claims and allegations, and the willingness of you and Roche/Genentech to settle your claim. Some lawsuits may reach a resolution within a matter of months after a claim is formally filed with the court; others may take up to a year or longer before they are resolved. No matter how long it takes your case to resolve, however, your Actemra injury lawsuit will pass through the same general phases as the claims of other Actemra injury victims. Understanding how your Actemra claim will generally progress can help alleviate worries you might have about your case “taking too long” or what will happen next in your case.
Conducting a Thorough Investigation and Protecting Evidence
Your Actemra injury lawsuit commences when you and your attorney investigate the strength of your case and make a decision whether to file a lawsuit. This initial step is critical: a poorly-conducted investigation may lead to the filing of a lawsuit that has no chance of success at trial. Moreover, during this initial phase as important documents and evidence are identified preservation orders may be requested from the court so that these items do not “disappear” while your case is waiting to be tried. (Businesses may only retain routine business records for a short length of time unless a preservation order is in place. Without a preservation order, the business is free to follow its normal protocols in deleting old business records. Once such records are deleted, they and the information they contained are gone forever.) Depending on when the statute of limitations for your case is scheduled to expire, this initial investigation stage may last for only a few weeks.
Preparing Your Pleading and Filing Suit
Once it is decided that your Actemra injury claim has merit, your attorney will prepare the initial pleadings that describe the facts surrounding your claim and the legal authorities that indicate you are entitled to compensation for your injuries (legal authorities may include statutes, prior cases, and/or generally-accepted legal principles). These initial pleading documents are filed with the court that you are requesting hear your case and are served – that is, delivered – on Roche/Genentech and any other defendants that are named in your Actemra lawsuit. The defendant(s) have a few weeks after receiving your documents to file an answer to your claim or assert certain jurisdictional defenses. An answer replies to your allegations by admitting and/or denying them and raises any counterclaims the defendant(s) believe it may have against you. On the other hand, if the defendant believes the court in which your lawsuit is filed does not have the ability to hear your Actemra claim (called jurisdiction) or if the defendant(s) believes that your pleadings fail to show how you are entitled to legal relief and monetary compensation even if every allegation is believed, the defendant(s) may file documents raising such defenses instead. If these defenses are resolved adversely to the defendant(s), then an answer may subsequently be filed. This initial stage of the lawsuit may last for several weeks.
Discovery
Once it is determined that the allegations in your pleadings, if true, would likely entitle you to relief, the next step is for the parties to exchange information and evidence in their possession through a process called discovery. The purpose of discovery is to eliminate a “trial by surprise” wherein neither side is privy to the evidence possessed by the other party and to encourage parties to settle their disputes outside of the courtroom. In any given Actemra lawsuit, discovery may take place through a variety of means:
- Interrogatories may be posed of the opposing party. These are questions that the party must answer (so long as the information being sought is not privileged or protected from discovery). These answers have a binding effect on the party that provides them: if you claim in an interrogatory answer that you received Actemra in 2016, it will be difficult and/or embarrassing for you to claim in court that you are owed compensation for a heart attack or stroke occurring in 2015.
- Depositions are, essentially, interviews of certain lay witnesses and/or expert witnesses taken when the witness is under oath. Depositions are generally used to get a “preview” of what a particular witness might say if called to testify at a later hearing or trial. Because the answers given by the witness at a deposition are given under oath, the witness is often said to be “locked into” his or her answers at trial: while a witness is free to change his or her answers to questions at trial, doing so when the witness has provided contrary answers during a deposition may lead to charges that the witness is not trustworthy and his or her answers should not be believed.
- Experts are a common part of many Actemra injury lawsuits given the complex medical nature of the drug and the side effects it produces. These experts may conduct reviews of your medical records and/or other reviews or experiments as may be necessary. The results of these reviews and/or experiments are turned over to the other party during discovery so that the other party may have an opportunity to have their own expert review these results.
Discovery may take months to complete, depending on the complexity of your Actemra lawsuit and the contested issues therein.
Settlement or Trial
Once discovery is complete, if there are still factual issues in dispute the case will be set for a trial. (If the parties agree on the facts but disagree on how the law applies to those facts, the case may be resolved by a judge before trial.) At trial, evidence and witness testimony is presented before a factfinder (judge or jury) who then applies legal principles to the facts as the factfinder believes them to be. The factfinder returns a verdict and, if this verdict is in favor of you, a damages award as compensation. The party that loses at trial will generally have the right to appeal any legal errors they believed occurred and that affected the outcome of the trial.
A settlement agreement may be reached at any time during this process – even before the initial pleadings are filed. This can result in a successful resolution of your case and claims long before they would be resolved at trial. Conversely, during the course of your lawsuit you and/or the other party may request continuances from the court. These orders delay the next step or hearing for weeks or longer and will lengthen the amount of time it takes for your lawsuit to be resolved.
Actemra Injury Claim FAQs
When you or your loved one discover you are injured after taking Actemra, you are likely to have far more questions than answers. This is normal: at Parker Waichman LLP, we are committed to helping empower our clients with knowledge about their claims and legal rights. We have found that a good number of our clients express similar questions or concerns in the initial stages of their claims: having answers to these questions can help you decide whether filing an Actemra lawsuit makes sense for you and your family and how you can best go about doing so.
What is Actemra and how would I know if I was prescribed or administered Actemra?
Actemra is a medication administered intravenously (that is, through the veins) that is used to treat rheumatoid arthritis and/or giant cell arteritis. It is manufactured by Roche/Genentech. The medication was first approved for use by the Food and Drug Administration in 2010 and as of 2017 has not been recalled despite its known dangers and complications. If you have been diagnosed with rheumatoid arthritis or giant cell arteritis, you may have been administered Actemra. If you are unsure, you can speak with your doctor or allow Parker Waichman LLP to review your medical records. Your doctor and/or your medical records are your best source of information to know if you received Actemra in the past.
I suffered a heart attack or stroke after taking Actemra. Does this mean I am entitled to compensation?
One call to Parker Waichman LLP in order to properly evaluate your claim is necessary. Actemra is known to elevate a person’s risk of having a heart attack or stroke, and the fact that the manufacturer did not disclose these risks to consumers means that compensation to heart attack and stroke victims may be available. In order for such compensation to be available, however, a causal connection must be established between the person’s use of Actemra and the heart attack or stroke. This means that patients with other risk factors for heart attacks and/or strokes – a family history of these medical issues, patients who smoke, and/or patients who are obese, for instance – may find it necessary to present evidence and testimony showing that these other factors were not the primary reason why the heart attack or stroke occurred. This can be a difficult burden to meet, but it is a burden that can be more easily met with the assistance of an Actemra injury lawyer familiar with these types of claims.
I received an Actemra treatment in the recent past. I feel fine now, but what should I watch out for in the future?
Not all individuals who receive Actemra will suffer a heart attack, stroke, or other serious medical complication. However, you are prone to experience side effects, some of which may be significant or even fatal. Because Actemra interferes with the body’s immune system, you should watch for signs that you have contracted an infection after taking Actemra. These signs and symptoms can include fever, chills, body aches, and other flu-like symptoms. You should also pay attention and be prepared to take action if you notice pain in your chest, shoulder blades, or upper abdomen, if you find it difficult to breath, or if you experience any one of the symptoms of stroke (loss of control of one side of the body, loss of vision in one eye, and/or trouble speaking).
I believe I may be experiencing side effects or complications from Actemra. What should I do?
If you believe you may be experiencing side effects or problems related to your use of Actemra, you should contact your doctor immediately. If you believe you may be suffering a heart attack or stroke, contact emergency medical personnel by dialing 911 or have a family member transport you to the nearest hospital emergency room as soon as possible. If you are suffering a heart attack or stroke, receiving immediate medical care can not only make the difference between life and death but can also determine the amount of permanent damage and harm you will suffer. It is always better to be safe than not, so even if you are not sure to what your feelings and symptoms are attributable it is advisable to seek emergency care. For purposes of a future Actemra lawsuit, it is also very beneficial to follow your doctor’s instructions and directions after your health has been stabilized. Missing follow-up appointments or abusing prescription drugs can jeopardize your health, invite another heart attack, stroke, or other harmful medical event, and endanger your ability to recover the compensation you need.
I contacted Roche/Genentech (or they contacted me) after I got sick using Actemra. They offered me a settlement. Should I take it?
The chances that Roche/Genentech would offer a settlement to you that adequately compensates you is low: many companies like Roche/Genentech do not offer settlements absent evidence establishing that their medication (in this case, Actemra) is responsible for your injuries and harm. When they do offer a settlement, it is usually for an amount that is as low as possible. While a settlement does provide you with more immediate compensation than compensation obtained through a lawsuit, this can be of little benefit if the amount of compensation provided does not give you the money you will need to address all of your losses and expenses. For this reason, it is usually a good idea to take any settlement offer you receive from Roche/Genentech to your attorney for review before deciding whether to accept or reject the offer. Your attorney can explain to you the terms and conditions of the settlement offer and help you understand the obvious and not-so-obvious ramifications of taking the settlement offer.
How long should I wait before visiting an attorney about my Actemra Claim?
You may be tempted to wait until your health improves before visiting an attorney to discuss your Actemra-related injuries and legal rights, but this can be a costly mistake. Each state has a statute of limitations that specifies how long Actemra injury victims have to file their claims. This period of time begins to run when you, the injured patient, either knew or should have known that you suffered an Actemra-related medical event or injury. If the statute of limitations expires before you have filed your case, then your claim can (and probably will) be dismissed and you will be prevented from receiving compensation. This harsh outcome will occur regardless of how serious your injuries actually are and/or the strength of the evidence against Roche/Genentech.
You should feel free to allow us at Parker Waichman LLP to address any other questions you may have about your Actemra lawsuit at any point during the pendency of your case.
How Can an Actemra Lawyer Help Me?
Dangerous and defective drugs like Actemra can cause significant physical, mental, and emotional harm to you and/or your loved one and cause considerable turmoil for your family. Nonetheless, simply having received Actemra does not automatically entitle you to monetary damages – even if you may have suffered a heart attack, stroke, or other side effect after having used Actemra. Unless your lawsuit settles, your damages award will come only at the end of a successful Actemra injury lawsuit. There are many different pitfalls that stand between you and your recovery, any one of which can derail your lawsuit and keep you from obtaining the compensation you need.
While retaining legal counsel to assist you in your Actemra injury lawsuit does not completely guarantee you will recover all the monetary damages you seek, doing so can greatly enhance your opportunity to do so because of the benefits and assistance your attorney can provide to you and your case. For example, your attorney will be able to:
Collect the evidence and locate the witnesses you need to support your claims:
Your lawyer is familiar with the quantity and quality of evidence necessary to convince a judge and/or jury that your Actemra-related injuries deserve to be compensated. While you may feel as if your own testimony – your own “story” – and supporting testimony from your doctor is enough to prevail, your experienced and knowledgeable Actemra injury lawyer is in a better position to know what experts and/or additional witnesses and/or evidence are needed to sustain your legal and factual burdens at trial. Not only this, but a well-prepared and supported claim may encourage Actemra’s manufacturer to settle your case – which can result in you obtaining compensation much sooner than if your case proceeded to trial.
Assist you in determining if a settlement offer is in your best interests:
If Roche/Genentech does offer you a settlement, experienced legal advice can help you determine how best to respond in order to protect your interests. In a settlement offer, Actemra’s manufacturer agrees to pay you a certain sum of money according to an agreed-upon timetable in return for you releasing the manufacturer (and any related parties) from any further legal liability for your injuries and losses. In nearly every settlement agreement, the manufacturer will deny any wrongdoing so as to protect itself in the event other injury victims also file claims.
However, not all settlement offers have your best interests in mind. Indeed, Roche/Genentech (like other defendants) may offer a settlement to you hoping to settle your claim for as little of compensation as possible. If you were to accept a settlement offer and the compensation provided for in the settlement offer did not fully and fairly compensate you for your losses, you would need to find another method to address the shortfall. For example, if you accepted a settlement offer for $50,000 but your expenses and losses ended up totaling $100,000, you would need to find another way to address the remaining $50,000 in expenses. Once a settlement has been accepted and put into place, it is almost impossible to undo the settlement in order to seek more compensation.
Continue to advance your case:
Time is definitely not on the side of the Actemra injury victim: not only must your case be filed within a certain amount of time, but continual and timely action needs to be taken at all stages in your case. For example, you may be sanctioned by the court if you delay in responding to discovery requests made of you by the other party. Additionally, if you fail to respond to a motion filed by the opposing party in a timely manner, you could be found to have abandoned any argument you might otherwise have to the motion and its contents. Finally, even failing to schedule hearings to keep your case moving through the system can be grounds for the court to dismiss your case (under the theory that you have abandoned your claim). While you are recovering from your injuries and conditions, it can be hard to keep track of all these legal deadlines along with your other obligations. Your attorney can help safeguard your legal rights and your claim’s viability while your attention is focused on your recovery and your family.
Aside from all of these benefits and resources your attorney can provide, your Actemra injury lawyer is also skilled in persuasively presenting your claim to a judge or jury. There is a certain art to presenting any injury case in court, and Actemra injury lawsuits are no different. Because Actemra lawsuits can involve highly-technical information, evidence, and testimony, having someone available to advocate on your behalf and who not only understands the information being presented but who can also relay such information to a judge or jury in an understandable and compelling way is invaluable.
For these reasons, you should choose your Actemra injury law firm with great care. Just because a lawyer is licensed to practice in a particular state or agrees to handle dangerous and defective medication cases does not mean that the lawyer or firm is the best choice to handle your Actemra injury claim. You should seek out a law firm with a proven record of succeeding in these and other difficult, medical-related cases. Doing so can give you peace of mind that your attorney will be able to investigate and prosecute your claim for damages in an expeditious manner and will not need to learn how to seek compensation for you following your Actemra-related injuries “on the job.”
Talk with One of Our Actemra Lawsuit Attorneys Today
Do not delay in seeking professional legal assistance from Parker Waichman LLP if you believe you or a loved one suffered a heart attack, stroke, or other serious medical event after using Actemra. Actemra was deliberately marketed as a safe treatment for rheumatoid arthritis and other conditions: one that worked effectively without the serious risks and side effects present in earlier forms of treatment. As a result, you and many others may have been enticed into accepting Actemra as a treatment when you would not have otherwise consented to using Actemra had you known all of the potential risks and side effects.