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Brand Names:

Contraindications:

Uses:

• Medicines used to treat cancer are very strong and can have many side effects. Before receiving this medicine, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor during your treatment.
• You will receive this medicine while you are in a hospital or cancer treatment center. A nurse or other trained health professional will give you this medicine. It may also be given by a home health caregiver.
• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot into one of your muscles.
• The medicine is usually given one time each month.
• You may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.
• Never share your medicine with anyone.

• This medicine needs to be given on a fixed schedule. If you miss a dose, call your doctor, home health caregiver, or treatment clinic for instructions.

Storage:

• If you store this medicine at home, keep it in the refrigerator. Do not freeze.
• Use a new needle and syringe each time you inject your medicine. Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets. Follow any special instructions about how to throw away empty medicine bottles, tubes, or bags.
• Keep all medicine away from children.

Special precautions:

• Make sure your doctor knows if you are also using a blood thinner such as warfarin (Coumadin®).

Warnings:

• Although it is unlikely that a postmenopausal woman might become pregnant, you should know that using this medicine while you are pregnant could harm the unborn baby. If you think you have become pregnant while using the medicine, tell your doctor right away.
• Make sure your doctor knows if you are breastfeeding, or if you have a bleeding disorder or any unusual bleeding or bruising.
• This medicine may cause you to have vaginal bleeding, especially when you first start using it. Tell your doctor if you have any vaginal bleeding.
• Cancer medicines can cause nausea and/or vomiting in most people, sometimes even after receiving medicines to prevent it. Ask your doctor or nurse about other ways to control these side effects.

Side Effects:

• Chest pain or trouble breathing
• Fever, chills, cough, sore throat, body aches
• Warmth or redness in the face, neck, arms, or upper chest
• Headache or back pain
• Nausea, vomiting, constipation, diarrhea, or stomach pain
• Pain or swelling where the shot is given
• Tiredness or weakness