Interested in LUCENTIS?
Print out this page, answer the questions, and bring it to your next doctor appointment to find out if LUCENTIS® (ranibizumab injection) is right for you.
1. Do you have dry AMD or wet AMD?
I have dry AMD I have wet AMD
2. If you have wet AMD, do you have it in 1 eye or both eyes?
1 eye Both eyes
3. Please describe what other medical conditions you have and what medications you take for them.
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4. Are you being treated for wet AMD? If so, please
note the treatments you have tried, how many treatments you have had, and why you stopped using them.
| TREATMENT | HOW MANY TREATMENTS | STOPPED BECAUSE |
| Visudyne® (verteporfin for injection) PDT* | ||
| Hot laser | ||
| Macugen® (pegaptanib sodium injection)† | ||
| Other injection ___________ |
||
| Alternative therapy ___________ |
Note: Be sure to discuss your complete medical history with your eye doctor.
LUCENTIS is for prescription use only.
Individual results with LUCENTIS may vary.
*Visudyne is a registered trademark of Novartis
Pharmaceuticals Corporation.
†Macugen is a registered trademark of (OSI) Eyetech, Inc.,
and Pfizer Inc.





