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looking ahead to Erwinaze (Intramuscular) Generic Name: asparaginase erwinia chrysanthemi (Injection route) as-PAR-a-jin-ase er-WIN-ee-ah kri-SAN-them-ee Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings User Reviews Support Group Q & A Pricing & Coupons Commonly used brand name(s) In the U.S. Erwinaze Available Dosage Forms: Powder for Solution Therapeutic Class: Antineoplastic Agent Pharmacologic Class: Asparaginase Slideshow Leukemia Symptoms And Lessons: Is A Solution In Sight? Uses For Erwinaze Asparaginase Erwinia chrysanthemi is used together with other cancer medicines to treat a certain type of blood cancer called acute lymphoblastic leukemia (ALL). This medicine is used in patients who have had an allergic reaction to E. coli -derived asparaginase. Asparaginase Erwinia chrysanthemi belongs to the group of medicines known as antineoplastic agents. It interferes with the growth of the cancer cells, which are eventually destroyed. Since the growth of normal body cells may also be affected by this medicine, other effects will also occur. Some of these may be serious and must be reported to your doctor. Before you begin treatment with Erwinaze , you and your doctor should talk about the benefits of this medicine as well as the risks of using it. This medicine is to be given only by or under the immediate supervision of your doctor. Before Using Erwinaze In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of Erwinaze in children. Geriatric Appropriate studies have not been performed on the relationship of age to the effects of Erwinaze in the geriatric population. Safety and efficacy have not been established. Pregnancy Pregnancy Category Explanation All Trimesters C Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. Breast Feeding Studies in women breastfeeding have demonstrated harmful infant effects. An alternative to this medication should be prescribed or you should stop breastfeeding while using this medicine. Interactions with Medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Methotrexate Prednisolone Prednisone Vincristine Vincristine Sulfate Liposome Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Other Medical Problems The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Bleeding problems caused by L-asparaginase treatment, history of or Blood clotting problems caused by L-asparaginase treatment, history of or Pancreatitis caused by L-asparaginase treatment, history of Should not be given to patients with these conditions. Bleeding problems or Blood clotting problems or Diabetes or Hyperglycemia (high blood sugar) or Pancreatitis (inflammation of the pancreas) Use with caution. May make these conditions worse. Proper Use of Erwinaze A doctor or other trained health professional will give you this medicine in a hospital or cancer treatment center. This medicine is given as a shot into a muscle or a vein. Erwinaze is sometimes given together with other medicines. If you are receiving a combination of medicines, it is important that you receive each one at the proper time. If you are taking some of these medicines by mouth, ask your doctor to help you plan to take them at the right times. Missed Dose 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. Precautions While Using Erwinaze It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly. Blood tests may be needed to check for unwanted effects. This medicine may cause a serious type of allergic reaction called anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Tell your doctor or nurse right away if you have chills, fever, lightheadedness, dizziness, or fainting, fast, pounding heartbeat, swelling of the face, tongue, and throat, or trouble breathing after you receive the medicine. Pancreatitis may occur while you are using this medicine. Tell your doctor right away if you have sudden and severe stomach pain, chills, constipation, nausea, vomiting, fever, or lightheadedness. Check with your doctor right away if you start having increased thirst or hunger, increased urination, pale skin, nausea, sweating, or faintness. These may be signs that you are having problems with the amount of blood sugar in your body. Tell your doctor right away if you develop confusion, headache, nausea and vomiting, numbness or tingling in the arms or legs, or chest pain after receiving this medicine. These may be symptoms of a serious bleeding or blood clotting problem. Erwinaze Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor or nurse immediately if any of the following side effects occur: More common Cough difficulty with swallowing dizziness fast heartbeat fever hives or welts, itching, or rash hoarseness irritation joint pain, stiffness, or swelling puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue redness of the skin swelling of the eyelids, face, lips, hands, or feet tightness in the chest troubled breathing or swallowing unusual tiredness or weakness Less common Abdominal or stomach pain bloating blurred vision chills constipation dark urine dry mouth flushed, dry skin fruit-like breath odor increased hunger increased thirst increased urination indigestion loss of appetite nausea pains in the chest, groin, or legs, especially calves of the legs pains in the stomach, side, or abdomen, possibly radiating to the back seizures severe headaches of sudden onset sudden loss of coordination sudden onset of slurred speech sudden vision changes sweating unexplained weight loss vomiting yellow eyes or skin Rare Blood in the urine or stools bruising confusion coughing or vomiting blood headache numbness or tingling in the face, arms, or legs persistent bleeding or oozing from puncture sites, mouth, or nose red streaks on the skin swelling, tenderness, or pain at the injection site trouble speaking, thinking, or walking Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Less common Diarrhea Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Side Effects (complete list) The information contained in the Truven Health Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Truven Health products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Truven Health and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Copyright 2017 Truven Health Analytics, Inc. All Rights Reserved. Next Side Effects Print this page Add to My Med List More about Erwinaze (asparaginase erwinia chrysanthemi) Side Effects During Pregnancy Dosage Information Drug Interactions Support Group Pricing & Coupons En Español 0 Reviews Add your own review/rating Drug class: miscellaneous antineoplastics Consumer resources Erwinaze Professional resources Erwinaze (AHFS Monograph) Erwinaze (FDA) Related treatment guides Acute Lymphoblastic Leukemia Acute Lymphocytic Leukemia} Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug 6 years Approval History FDA approved 2011 Manufacturer Jazz Pharmaceuticals plc Drug Class Miscellaneous antineoplastics Related Drugs Acute Lymphocytic Leukemia prednisone , methotrexate , Deltasone , cyclophosphamide , Cytoxan , vincristine , Trexall , Sterapred , daunorubicin , Prednicot , More... Acute Lymphoblastic Leukemia methotrexate , Gleevec , mercaptopurine , imatinib , Adriamycin , doxorubicin , Sprycel , Trexall , dasatinib , Purinethol , Kymriah , More... Erwinaze Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Help and Support Looking for answers? Ask a question or go join the Erwinaze support group to connect with others who have similar interests.} } vastly


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