Brentuximab is used to treat certain types of cancers
(Hodgkin's lymphoma, systemic anaplastic large cell lymphoma, peripheral
T-cell lymphoma, primary cutaneous anaplastic large cell lymphoma, mycosis
fungoides, large B-cell lymphoma). It works by slowing or stopping the
growth of cancer cells.
This medication is given by injection into a vein over
30 minutes by a health care professional. It is given as directed by your
doctor, usually once every 2 or 3 weeks.
The dosage is based on your medical condition, weight,
and response to treatment.
Your health care professional will monitor you during
the infusion in case you develop a reaction to brentuximab. If a rare but
severe allergic reaction occurs, the infusion will be stopped and you
should never receive brentuximab again. If a less serious reaction occurs,
the infusion will be interrupted, you will be treated for the reaction, and
the infusion will be continued. If you develop a less serious infusion
reaction, you will be directed by your doctor to take certain medications
(such as acetaminophen, antihistamines, corticosteroids) before each future
brentuximab infusion to lessen the chance of symptoms. Consult your doctor
for more details. Get medical help right away if you have symptoms such as
fever, chills, rash, itching, cough, or trouble breathing within 24 hours
of the infusion.
See also Warning and How to Use sections.
Nausea, vomiting, diarrhea, dizziness, headache, or
unusual tiredness may occur. If any of these effects last or get worse,
tell your doctor or pharmacist promptly.
Remember that this medication has been prescribed
because your doctor has judged that the benefit to you is greater than the
risk of side effects. Many people using this medication do not have serious
side effects.
This medication may rarely make your blood sugar rise,
which can cause or worsen diabetes. Tell your doctor right away if you have
symptoms of high blood sugar, such as increased thirst/urination. If you
already have diabetes, check your blood sugar regularly as directed and
share the results with your doctor. Your doctor may need to adjust your
diabetes medication, exercise program, or diet.
Tell your doctor right away if you have any serious side
effects, including:
- numbness/tingling/weakness/pain of the
hands/feet/arms/legs
- muscle weakness
- shortness of breath
- easy bruising/bleeding
- signs of liver disease (such as nausea/vomiting that doesn't
stop, loss of appetite, stomach/abdominal pain, yellowing eyes/skin, dark
urine)
- severe diarrhea
- severe constipation
- black stools
- vomit that looks like coffee grounds
This medication may lower your ability to fight
infections. This may make you more likely to get a serious (rarely fatal)
infection or make any infection you have worse. Get medical help right away
if you have any signs of infection (such as sore throat that doesn't go
away, fever, swollen lymph nodes, chills, cough).
Brentuximab sometimes causes side effects due to the
rapid destruction of cancer cells (tumor lysis syndrome). To lower your
risk, your doctor may add a medication and tell you to drink plenty of
fluids. Tell your doctor right away if you have symptoms such
as:
- low back/side pain (flank pain)
- signs of kidney problems (such as painful urination,
pink/bloody urine, change in the amount of urine)
- muscle spasms/weakness
A very serious allergic reaction to this drug is rare.
However, get medical help right away if you notice any symptoms of a
serious allergic reaction, including:
- rash
- itching/swelling (especially of the face/tongue/throat)
- severe dizziness
- trouble breathing
This is not a complete list of possible side effects. If
you notice other effects not listed above, contact your doctor or
pharmacist.
In the US - Call your doctor for medical advice about side effects.
You may report side effects to FDA at 1-800-FDA-1088 or at
www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about
side effects. You may report side effects to Health Canada at
1-866-234-2345.
Before using brentuximab, tell your doctor or pharmacist
if you are allergic to it; or if you have any other allergies. This product
may contain inactive ingredients, which can cause allergic reactions or
other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
- kidney disease
- liver disease
- diabetes
Brentuximab can make you more likely to get infections
or may make current infections worse. Stay away from anyone who has an
infection that may easily spread (such as chickenpox, COVID-19, measles,
flu). Talk to your doctor if you have been exposed to an infection or for
more details.
Tell your health care professional that you are using
brentuximab before having any immunizations/vaccinations. Avoid contact
with people who have recently received live vaccines (such as flu vaccine
inhaled through the nose).
To lower the chance of getting cut, bruised, or injured,
use caution with sharp objects like razors and nail cutters, and avoid
activities such as contact sports.
This drug may make you dizzy. Alcohol or marijuana
(cannabis) can make you more dizzy. Do not drive, use machinery, or do
anything that needs alertness until you can do it safely. Limit alcoholic
beverages. Talk to your doctor if you are using marijuana
(cannabis).
Before having surgery, tell your doctor or dentist about
all the products you use (including prescription drugs, nonprescription
drugs, and herbal products).
Older adults may be more sensitive to the side effects
of this drug.
Tell your doctor if you are pregnant or plan to become
pregnant. You should not become pregnant while using brentuximab.
Brentuximab may harm an unborn baby. Your doctor should order a pregnancy
test before you start this medication. Women using this medication should
ask about reliable forms of birth control during treatment and for 2 months
after the last dose. Men using this medication should ask about reliable
forms of birth control during treatment and for 4 months after the last
dose. If you or your partner becomes pregnant, talk to your doctor right
away about the risks and benefits of this medication.
It is unknown if this medication passes into breast
milk. Because of the possible risk to the infant, breastfeeding is not
recommended while using this medication. Consult your doctor before
breastfeeding.
Drug interactions may change how your medications work
or increase your risk for serious side effects. This document does not
contain all possible drug interactions. Keep a list of all the products you
use (including prescription/nonprescription drugs and herbal products) and
share it with your doctor and pharmacist. Do not start, stop, or change the
dosage of any medicines without your doctor's approval.
Some products that may interact with this drug
include:
- bleomycin
- other drugs that weaken the immune system/increase the risk
of infection (such as natalizumab, rituximab)
If someone has overdosed and has serious symptoms such
as passing out or trouble breathing, call 911. Otherwise, call a poison
control center right away. US residents can call 1-800-222-1222. Canada
residents can call 1-844-764-7669.
Lab and/or medical tests (such as complete blood counts,
kidney/liver function, blood sugar) should be done while you are using this
medication. Keep all medical and lab appointments. Consult your doctor for
more details.
It is important to get each dose of this medication as
scheduled. If you miss a dose, ask your doctor or pharmacist right away for
a new dosing schedule.
Not applicable. This medication is given in a hospital
or clinic and will not be stored at home.
Your condition can cause complications in a medical
emergency. For information about enrolling in MedicAlert, call
1-888-633-4298 (US) or 1-800-668-1507 (Canada).