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"The best piece of advice that I've received to manage my MS is to take care of myself."

Shiela, MS LifeLines Ambassador

Living with RRMS since 2002

Taking Rebif® since 2003

Nancy — MS LifeLines® Nurse Specialist

— Nancy, RN, MSCN

Nancy says she felt compelled to enter nursing when she saw the compassion of nurses who cared for her ailing grandmother. Nancy not only has a degree in nursing, but in education, as well. She now combines the best of these two academic worlds, helping patients learn about relapsing MS and manage their Rebif® (interferon beta 1-a) therapy.

Nancy knows her job is critical in helping MS patients manage their lives. "I have a number of patients that I talk with who let me know that I make a difference," she says. "Being told by patients that I make a difference on a daily basis puts a smile on my face and makes me feel I am here for a good reason. They, in turn, have impacted my life. I look forward to calling them!"

Nancy wants relapsing MS patients taking Rebif to know that the MS LifeLines call center nurses are there for them, to help them learn about MS, to let them know about additional resources and to make sure they know they are not alone. "They should call – no question is dumb or stupid!" Nancy always asks her patients if they would like to be called again, "which we gladly do with pleasure."

Her most important advice for people living with MS is simple: Keep your doctor involved in your treatment and informed about how you're feeling.

Call MS LifeLines for support anytime, and stay on Rebif!

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Brought to you by EMD Serono, Inc. and Pfizer Inc., the co-marketers of Rebif® (interferon beta-1a) in the US EMD SeronoPfizer

Prescribing Information - Medication Guide

This information is intended only for residents of the United States.

Rebif is used to treat relapsing forms of MS to decrease the frequency of relapses and delay the occurrence of some of the physical disability that is common in people with MS. Rebif is not approved for the treatment of chronic progressive multiple sclerosis. Rebif is available by prescription only in 22 mcg and 44 mcg pre-filled syringes and a titration pack.

Before beginning treatment, patients should discuss with their doctor the potential benefits and risks associated with Rebif. Let your doctor know if you have a history of depression, seizures, liver disease, thyroid problems, and blood count or bleeding problems or if you have had previous allergic reactions to medications. Tell your doctor about all medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Rebif and other medicines may affect each other causing serious side effects. Talk to your doctor before you take any new medicines. Rebif is not recommended for women who are or plan to become pregnant.

Potential serious side effects of Rebif include depression, liver problems, risk to pregnancy, injection site problems and severe allergic reactions. Allergic reactions are rare and may be associated with difficulty breathing and loss of consciousness, which requires immediate medical attention.

The most common side effects with Rebif are injection site reactions, flu-like symptoms (fever, chills, muscle aches, tiredness), depression, abdominal pain, increased liver enzymes, and blood cell count decreases. Let your doctor know immediately if you have any of these symptoms or feel sad, tired, hot or cold, experience hives, rashes, bruising, yellowing of the skin, or a change in body weight (gain or loss).

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.

This information is not intended to replace discussions with your healthcare provider. For additional information about Rebif, please consult the Medication Guide or Prescribing Information and talk to your doctor. You can also call toll free 1-877-44-REBIF (1-877-447-3243). Rebif is available by prescription only.

MS LifeLines is an educational support service for people living with MS and their families. MS LifeLines and MS LifeLines Ambassadors are sponsored by EMD Serono, Inc. and Pfizer Inc.

Rebif, Rebiject II, and MS LifeLines are registered trademarks of EMD Serono, Inc. or its affiliates.

MS in Balance is a service mark of EMD Serono, Inc. or its affiliates.

Copyright 2008 EMD Serono, Inc. All rights reserved.