- Cold-Chain Shipping Notice
- What is Copaxone?
- Indications and Benefits of Copaxone
- Copaxone Drug Information
- How Does Copaxone Work?
- Copaxone Dosage
- Usage Guide
- Side Effects
- Missed Dose
- Storage Information
- Warnings and Precautions
- Contraindications
- Interactions
- Alternatives
- Cost & Ordering Information
- How to Order?
- About Buy Canadian Insulin Services
- Frequently Asked Questions
- Disclaimer
- Price Match Guarantee
Cold-Chain Shipping Notice
This medication requires specialized cold-chain packaging to help maintain its quality and integrity during transit. Each shipment includes a temperature indicator to monitor storage conditions throughout the shipping process.
Do NOT use this medication if the attached temperature indicator shows that it was exposed to temperatures below 2°C (36°F) or above 8°C (46°F). If the temperature indicator shows that the acceptable temperature range has been exceeded, or if you have any concerns about the condition of your shipment upon arrival, do not use the medication and contact our pharmacy immediately for further instructions and assistance.
Please inspect your shipment and the temperature indicator as soon as it is delivered.
What is Copaxone?
Copaxone (glatiramer acetate) is a prescription treatment used for relapsing forms of multiple sclerosis, also called MS.
MS is a condition where the immune system attacks the protective covering around nerves in the brain and spinal cord.
Copaxone belongs to a drug class called immunomodulators, which help calm certain immune system activity linked to MS flare-ups. It is FDA-approved for adults with clinically isolated syndrome, relapsing remitting MS, and active secondary progressive MS.
Copaxone is commonly prescribed to adults who experience repeated MS relapses or ongoing disease activity. It contains glatiramer acetate and is given as an injection under the skin. This treatment may help reduce how often relapses happen and support long-term disease management.
Many patients look to buy Copaxone in Canada to access their prescribed treatment at a more affordable cost.
Indications and Benefits of Copaxone
Copaxone is prescribed to help manage relapsing forms of multiple sclerosis in adults and may help reduce disease activity over time.
FDA-Approved Indications
- Copaxone is FDA-approved for clinically isolated syndrome, which is a first episode of neuro-related symptoms that may later develop into multiple sclerosis.
- It is also approved for relapsing remitting multiple sclerosis, the most common form of MS marked by periods of flare-ups followed by recovery.
- Copaxone may also be used in adults with active secondary progressive multiple sclerosis, where symptoms gradually worsen while relapses continue to occur.
Key Clinical Benefits
- Clinical studies showed that glatiramer acetate helped lower the yearly relapse rate compared to placebo treatment.
- In a major clinical trial, patients using Copaxone experienced about a 29% reduction in relapses versus placebo.
- Copaxone may also help reduce the formation of new brain lesions, which are areas of nerve damage seen during MRI scans.
- Unlike some other MS treatments, Copaxone generally does not require routine blood monitoring during treatment.
Common Off-Label Uses
- Some healthcare providers may prescribe glatiramer acetate for patients with early signs of MS before a definite diagnosis is confirmed through testing and imaging.
Copaxone Drug Information
| Category | Details |
| Brand Name | Copaxone |
| Generic Name | Glatiramer acetate |
| Medication Class | An immunomodulator used for multiple sclerosis |
| Primary Use | Treatment of relapsing forms of multiple sclerosis in adults |
| Additional Uses / Off-Label | No specific off-label uses are listed in the FDA prescribing information. |
| Available Form | Injection in prefilled syringes |
| Method of Administration | Injected under the skin, also called subcutaneous injection |
| Available Dosage Strengths | 20 mg per mL and 40 mg per mL prefilled syringes |
| Dosing Frequency | Usually once daily for 20 mg per mL or 3 times weekly for 40 mg per mL, as prescribed |
| Storage Instructions | Store in the refrigerator at 36°F to 46°F or 2°C to 8°C. If refrigeration is not available, it may be stored for up to 1 month at room temperature between 59°F and 86°F or 15°C and 30 °C. Protect from light and high heat. Do not freeze. |
| Pregnancy & Breastfeeding | Patients who are pregnant, planning pregnancy, breastfeeding, or planning to breastfeed should speak with their healthcare provider. It is not known if Copaxone passes into breast milk. |
| Major Drug Interactions | The FDA Medication Guide does not list 5 specific major drug interactions. Patients should tell their healthcare provider about all prescription drugs, over-the-counter products, vitamins, and herbal supplements because Copaxone may affect how other treatments work, and other treatments may affect Copaxone. |
| Manufacturer | Manufactured for Teva Neuroscience, Inc. |
How Does Copaxone Work?
Copaxone works by helping calm certain parts of the immune system that are involved in multiple sclerosis, also called MS.
In MS, the immune system mistakenly attacks the protective covering around nerves, which can lead to inflammation, pain, weakness, and other nerve-related symptoms.
Copaxone contains glatiramer acetate, which is believed to help redirect immune system activity away from healthy nerve tissue.
This may help reduce flare-ups and slow damage caused by the condition.
Copaxone does not cure MS, but it may help lower the number of relapses and reduce new areas of nerve damage in the brain. Since it works gradually to help control immune activity, patients may not notice immediate symptom improvement after starting treatment.
Some people may begin seeing benefits within a few months of regular use. The effects can continue as long as the treatment is used consistently as prescribed by a healthcare provider.
Copaxone Dosage
Copaxone is available as a subcutaneous injection in two strengths: 20 mg per mL and 40 mg per mL. Both strengths come in single-dose prefilled syringes for self-injection at home. The 20 mg and 40 mg products are not interchangeable and should only be used according to the prescribed schedule.
The dosage of Copaxone depends on the prescribed strength and should always be used exactly as directed by a healthcare provider.
What Dosage Strengths Does Copaxone Come In?
- 20 mg per mL single-dose prefilled syringe
- 40 mg per mL single-dose prefilled syringe
Recommended Dosage Chart
| Condition | Starting Dose | Maintenance Dose | Maximum Dose |
| Relapsing forms of multiple sclerosis | 20 mg injected under the skin once daily | 20 mg injected under the skin once daily | 20 mg per day |
| Relapsing forms of multiple sclerosis | 40 mg injected under the skin 3 times weekly at least 48 hours apart | 40 mg injected under the skin 3 times weekly at least 48 hours apart | 40 mg per dose 3 times weekly |
Usage Guide
Copaxone should always be used exactly as instructed by your healthcare provider. Read the Instructions for Use provided with your treatment before starting.
Step-by-Step Instructions
- Remove one prefilled syringe from the refrigerator and allow it to sit at room temperature for about 20 minutes before use.
- Wash your hands and choose a clean injection area such as the arms, abdomen, hips, or thighs.
- Check the syringe carefully. The solution should look clear and colorless to slightly yellow. Do not use it if you notice particles or discoloration.
- Clean the injection area with an alcohol wipe and allow the skin to dry.
- Inject Copaxone under the skin as instructed by your healthcare provider or nurse.
- Dispose of the used syringe safely after one use only.
Copaxone is not affected by food, so that it can be used with or without meals. Try to use it on the same schedule recommended by your healthcare provider.
Important Things to Avoid
- Do not inject Copaxone into a vein.
- Do not freeze the syringe.
- Avoid using the same injection area repeatedly to help reduce skin damage.
- Do not use an incompatible autoinjector device.
How to Know Copaxone Is Working?
Copaxone works over time and may help reduce MS relapses and new nerve damage. Some patients may notice fewer flare-ups after several months of regular use. Continue using it as prescribed unless your healthcare provider tells you to stop.
Side Effects
| Common Side Effects | Serious Side Effects |
| Injection site redness | Serious allergic reactions, including anaphylaxis, which may cause swelling of the face, lips, mouth, throat, or tongue |
| Injection site pain | Trouble breathing, wheezing, or tightness in the throat after the injection |
| Injection site swelling | Severe rash, hives, or widespread itching |
| Injection site lumps | Chest pain that occurs after an injection or on its own |
| Injection site itching | Fast heartbeat, dizziness, fainting, or difficulty speaking |
| Injection site rash | Skin damage at the injection site, including lipoatrophy or skin tissue death |
| Shortness of breath | Liver problems, including liver failure |
| Flushing or warmth of the skin | Symptoms of liver problems, such as yellowing of the skin or eyes, dark urine, pale stools, confusion, unusual bleeding, or severe tiredness |
| Chest pain | Seek immediate medical attention if serious side effects occur or symptoms appear suddenly after injection. |
Missed Dose
If you miss a dose of Copaxone, take it as soon as you remember, unless it is almost time for your next scheduled dose. If your next dose is close, skip the missed dose and continue with your regular injection schedule. Do not use 2 injections at the same time to make up for a missed dose.
For the 3 times weekly schedule, make sure doses remain at least 48 hours apart. Use only a compatible autoinjector if instructed, since using the wrong device may increase the risk of missing or receiving an incomplete dose.
Storage Information
Store Copaxone in the refrigerator at 36°F to 46°F or 2°C to 8°C before use. If refrigeration is not available, it may be kept at room temperature between 59°F and 86°F or 15°C and 30°C for up to 1 month.
Keep the prefilled syringes away from intense light and high heat.
Do not freeze Copaxone. If a syringe freezes, it should be discarded and not used. Store syringes in their original packaging until needed to help protect them from light. Since Copaxone comes in single-use prefilled syringes, any unused portion should be thrown away after injection.
Expired or damaged syringes should also be safely discarded according to local sharps disposal guidelines.
Warnings and Precautions
- Serious allergic reactions, including life-threatening anaphylaxis, have been reported with Copaxone. Reactions may occur after the first dose or even years after starting treatment. Emergency medical help should be sought right away for swelling, trouble breathing, rash, fainting, or severe dizziness.
- Immediate post-injection reactions may occur within seconds to minutes after injection. Symptoms may include flushing, chest pain, fast heartbeat, anxiety, shortness of breath, throat tightness, or hives.
- Chest pain may occur on its own or as part of an injection reaction. Some episodes may happen at least 1 month after starting treatment.
- Injection site damage, including lipoatrophy and skin necrosis, has been reported. Rotating injection areas may help reduce this risk.
- Copaxone may affect immune system activity and could potentially interfere with the body’s ability to respond to infections or abnormal cells.
- Liver injury, including liver failure and hepatitis with jaundice, has been reported during treatment.
- Medication errors may happen if an incompatible autoinjector device is used.
Patients Who Need Extra Caution
- Patients with a history of allergic reactions to glatiramer acetate or mannitol should not use Copaxone.
- Patients with liver problems should be monitored closely due to the risk of hepatic injury.
- Patients using optional autoinjectors should confirm device compatibility before use.
Monitoring Requirements
- Patients should attend regular follow-up visits with their healthcare provider during treatment.
- Monitor for signs of allergic reactions, chest pain, skin damage at injection sites, and symptoms of liver problems, such as yellowing of the skin or dark urine.
- Healthcare providers may evaluate liver function if symptoms of hepatic injury develop.
Contraindications
- Copaxone should not be used in patients with a known allergy or hypersensitivity to glatiramer acetate, the active ingredient in the treatment. Using it again may trigger serious allergic reactions, including life-threatening anaphylaxis.
- Patients who are allergic to mannitol should also not use Copaxone. Mannitol is an inactive ingredient found in the injection and may cause severe allergic responses in sensitive individuals.
- Patients who previously experienced anaphylaxis or other serious allergic reactions after using Copaxone should never restart treatment unless a healthcare provider confirms another cause for the reaction.
- Signs of a severe allergic reaction may include swelling of the face or throat, trouble breathing, widespread rash, dizziness, or fainting, and require immediate emergency medical care.
Interactions
Copaxone may interact with certain treatments that affect the immune system. Patients should tell their healthcare provider about all prescription drugs, over-the-counter products, vitamins, herbs, and supplements before starting treatment.
| Drug / Substance | What Happens | What to Do |
| Alemtuzumab (Lemtrada, Campath) | May greatly increase the risk of a weakened immune system and serious infections | These treatments are generally not used together. Speak with your healthcare provider about safer options. |
| Ocrelizumab (Ocrevus) | May increase the risk of immunosuppression and infection | Avoid combined use unless specifically directed and monitored by a specialist. |
| Ofatumumab (Kesimpta, Arzerra) | Can increase the risk of infections due to immune system effects | Healthcare providers usually avoid prescribing both treatments together. |
| Ozanimod (Zeposia) | May further weaken immune system defenses and increase infection risk | Careful medical review is needed before combining these treatments. |
| Other immune-suppressing treatments | May increase the risk of infection or immune-related complications | Inform your healthcare provider about all immune-affected treatments before use. |
| Alcohol | No direct interaction is known, but alcohol may worsen multiple sclerosis symptoms in some patients. | Limit or avoid alcohol if it worsens symptoms such as dizziness or fatigue. |
| Herbal supplements and vitamins | No confirmed interactions are currently known | Discuss all supplements with your healthcare provider before use. |
| Vaccines | No confirmed vaccine interactions are listed, but the immune response may be affected. | Check with your healthcare provider before receiving vaccines during treatment. |
Alternatives
| Drug Name | Generic Name | Drug Class | Key Difference from Copaxone | Best For |
| Kesimpta | Ofatumumab | Monoclonal antibody | Given as a monthly injection that targets B cells in the immune system | Adults looking for a self-injected monthly treatment |
| Tecfidera | Dimethyl fumarate | Oral disease-modifying treatment | Taken by mouth instead of injection | Patients who prefer an oral treatment option |
| Ocrevus | Ocrelizumab | Monoclonal antibody | Given as an intravenous infusion in a healthcare setting | Adults who prefer less frequent dosing schedules |
| Avonex | Interferon beta 1a | Interferon beta therapy | Injected into the muscle rather than under the skin | Patients familiar with interferon-based treatments |
| Gilenya | Fingolimod | Sphingosine 1-phosphate receptor modulator | An oral capsule that works by trapping certain immune cells in lymph nodes | Adults who prefer a once daily oral treatment |
Cost & Ordering Information
Buy Copaxone Through Buy Canadian Insulin
Buy Canadian Insulin helps patients access Copaxone through participating pharmacy partners.
Pricing may vary depending on product strength, quantity selected, supplier availability, and participating pharmacy partner pricing policies.
Some patients may find pricing through participating pharmacy partners that differs from certain U.S. retail pharmacy prices.
Available services may include:
- Pricing options based on quantity selected
- Prescription processing through participating pharmacy partners
- Shipping options available across eligible U.S. delivery locations
- Ordering support through phone, email, or live chat
- Multiple quantity options depending on prescription authorization and supplier availability
Copaxone is a prescription medication that requires review and approval by a licensed healthcare professional and pharmacist before dispensing, where applicable.
Shipping timelines may vary depending on prescription review requirements, inventory availability, destination location, customs review, and carrier services.
Refrigerated Shipping Information
Copaxone is a temperature-sensitive medication that should be stored in the refrigerator before use.
Orders are shipped using specialized insulated packaging and cooling materials designed to help maintain recommended storage conditions during transit.
Upon delivery:
- Inspect the package promptly.
- Refrigerate Copaxone as soon as possible.
- Store at 36°F to 46°F or 2°C to 8°C.
- Keep the syringes protected from light.
- Do not freeze.
- Do not use if the syringe has been frozen or appears damaged.
Temporary temperature variations may occur during shipping. Patients with questions about product storage upon arrival should contact customer support or the dispensing pharmacy before use.
Prescription Requirement
A valid prescription from a licensed healthcare provider is required before Copaxone can be dispensed.
Patients may submit their prescription during checkout or send it separately using one of the approved prescription submission methods.
Prescription Medications Discounts and Coupons
Eligible first-time customers may use coupon code FIRST10 during checkout for qualifying orders, subject to current promotional terms and conditions.
Ordering Information
Have a prescription?
Patients may explore available Copaxone prescription options through participating pharmacy partners.
Available ordering features may include:
- Pricing options based on quantity selected
- Multiple quantity options depending on prescription details
- Shipping options with tracking availability when provided by the carrier
- Customer support assistance through phone, email, or live chat
- Online and phone ordering availability
Pharmacist Consultation Availability
Licensed pharmacists are available to answer questions regarding Copaxone, including injection instructions, storage recommendations, possible side effects, and medication interactions.
Patients should consult their healthcare provider or pharmacist before starting, stopping, or changing treatment.
Important Treatment Information
Copaxone is used for relapsing forms of multiple sclerosis. It does not cure MS and should be used only as prescribed by a healthcare provider.
Patients should attend recommended follow-up appointments and report serious allergic reactions, chest pain, breathing problems, injection site damage, or symptoms of liver problems right away.
Customer Support & Business Information
For questions regarding prescription processing, product availability, shipping timelines, or account support, contact Buy Canadian Insulin customer support:
Phone: 1-888-525-1815
Fax: 1-888-234-1275
Email: info@buycanadianinsulin.com
Customer Support Hours:
Monday-Friday: 7am – 10pm CST
Saturday & Sunday: 9am – 5pm CST
Business Address:
Buy Canadian Insulin
1026 Manitoba Avenue, Suite 1001
Selkirk, MB R1A 4M2
Canada
How to Order?
About Buy Canadian Insulin Services
Buy Canadian Insulin works with participating pharmacy partners to help patients access prescription medications and related healthcare products.
Product availability, pricing, and shipping timelines may vary depending on supplier inventory, participating pharmacy partner availability, and destination location.
Some prescription orders may be fulfilled through licensed pharmacy partners located in Canada or other international fulfillment locations depending on product availability.
Orders are packaged according to pharmacy handling and shipping procedures.
Have a prescription?
Order Copaxone online today and enjoy a host of benefits, including:
Frequently Asked Questions
Buying Copaxone from Canada
FDA-Prescription, Off-Label Information, and Limitations
Dosage & Administration
Adverse Reactions
Food & Drug Interactions
Storage & Travel
Drug Comparison
Disclaimer
Buy Canadian Insulin provides educational information about medications and health conditions for informational purposes only. This content is not intended to replace professional medical advice, diagnosis, or treatment. Prescription medications require valid prescription review and processing through participating pharmacy partners. Product availability, pricing, and shipping timelines may vary. Consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.
