Ramucirumab injection

What is this medicine?

RAMUCIRUMAB (ra mue SIR ue mab) is a monoclonal antibody. It is used to treat stomach cancer, colorectal cancer, liver cancer, and lung cancer.

How should I use this medicine?

This medicine is for infusion into a vein. It is given by a health care professional in a hospital or clinic setting.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, breathing problems, swelling of the face, lips, or tongue

• signs of infection - fever or chills, cough, sore throat

• chest pain or chest tightness

• confusion

• dizziness

• feeling faint or lightheaded, falls

• severe abdominal pain

• severe nausea, vomiting

• signs and symptoms of bleeding such as bloody or black, tarry stools; red or dark-brown urine; spitting up blood or brown material that looks like coffee grounds; red spots on the skin; unusual bruising or bleeding from the eye, gums, or nose

• signs and symptoms of a blood clot such as breathing problems; changes in vision; chest pain; severe, sudden headache; pain, swelling, warmth in the leg; trouble speaking; sudden numbness or weakness of the face, arm or leg

• symptoms of a stroke: change in mental awareness, inability to talk or move one side of the body

• trouble walking, dizziness, loss of balance or coordination

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• cold, clammy skin

• constipation

• diarrhea

• headache

• nausea, vomiting

• stomach pain

• unusually slow heartbeat

• unusually weak or tired

What may interact with this medicine?

Interactions have not been studied.

What if I miss a dose?

It is important not to miss your dose. Call your doctor or health care professional if you are unable to keep an appointment.

Where should I keep my medicine?

This drug is given in a hospital or clinic and will not be stored at home.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• bleeding disorders

• blood clots

• heart disease, including heart failure, heart attack, or chest pain (angina)

• high blood pressure

• infection (especially a virus infection such as chickenpox, cold sores, or herpes)

• protein in your urine

• recent or planning to have surgery

• stroke

• an unusual or allergic reaction to ramucirumab, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

What should I watch for while using this medicine?

Your condition will be monitored carefully while you are receiving this medicine. You will need to to check your blood pressure and have your blood and urine tested while you are taking this medicine.

Your condition will be monitored carefully while you are receiving this medicine.

This medicine may increase your risk to bruise or bleed. Call your doctor or health care professional if you notice any unusual bleeding.

Before having surgery, talk to your health care provider to make sure it is ok. This drug can increase the risk of poor healing of your surgical site or wound. You will need to stop this drug for 28 days before surgery. After surgery, wait at least 2 weeks before restarting this drug. Make sure the surgical site or wound is healed enough before restarting this drug. Talk to your health care provider if questions.

Do not become pregnant while taking this medicine or for 3 months after stopping it. Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information. Do not breast-feed an infant while taking this medicine or for 2 months after stopping it.

This medicine may interfere with the ability to have a child. Talk with your doctor or health care professional if you are concerned about your fertility.