Tice BCG

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Tice BCG


Generic Name: BCG (Bacillus Calmette-Guerin) Vaccine (Intravesical) (BCG)
Brand Name: Examples include TheraCys and Tice BCG

Tice BCG contains live bacteria. It must be prepared, handled, and disposed of as biohazard material. Serious infections have been reported by health care providers after accidental needle sticks during preparation and handling of Tice BCG . Patients with weakened immune systems have become infected when their injection medicines are prepared in the same area as Tice BCG . Serious, sometimes fatal, infections have also occurred in patients receiving Tice BCG through a catheter.


Tice BCG is used for:

Treating cancer of the bladder.

Tice BCG is a strain of bacteria. How it works is not fully known. It is thought to stimulate the immune system.

Do NOT use Tice BCG if:

  • you are allergic to any ingredient in Tice BCG
  • you have a history of sepsis, urinary tract infections or a large amount of blood in the urine, or HIV- or AIDS-related conditions
  • you are receiving cancer therapy (eg, cytotoxic medicines, radiation therapy) or are taking medicines that suppress the immune system (eg, corticosteroids [eg, hydrocortisone])
  • you have active tuberculosis (TB)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Tice BCG :

Some medical conditions may interact with Tice BCG . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you recently had urinary tract surgery or a you have a weakened immune system

Some MEDICINES MAY INTERACT with Tice BCG . Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Cancer therapy (eg, cytotoxic medicines, radiation therapy) or corticosteroids (eg, hydrocortisone) because the risk of serious, life-threatening infections is increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Tice BCG may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Tice BCG :

Use Tice BCG as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Tice BCG is usually administered by catheter through the urinary tract at your doctor"s office, hospital, or clinic. If you are using Tice BCG at home, carefully follow the injection procedures taught to you by your health care provider. Ask your doctor or pharmacist any questions that you may have about Tice BCG .
  • Fluid intake should be increased in order to "flush" the bladder in the hours following treatment with Tice BCG . Ask your doctor or pharmacist for instructions.
  • Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
  • After you receive Tice BCG , lay on your back, front, and each side for 15 minutes each while retaining the solution in your bladder. You may then stand up, but try to retain the solution for another 60 minutes before emptying your bladder. After retaining the solution for 2 hours, all patients should sit down to urinate.
  • Dilute all urine for up to 6 hours after receiving Tice BCG with an equal amount of household bleach. Wait 15 minutes before flushing.
  • If you miss a dose of Tice BCG , contact your doctor right away.

Ask your health care provider any questions you may have about how to use Tice BCG .

Important safety information:

  • Tice BCG may lower your resistance to infection. Prevent infection by avoiding contact with people who have an infection. Do not touch your eyes or the inside of your nose unless you have thoroughly washed your hands first.
  • The use of birth control is recommended while you or your sexual partner is using Tice BCG . Do not become pregnant while using Tice BCG .
  • Tice BCG is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Tice BCG during pregnancy. It is unknown if Tice BCG is excreted in breast milk. Do not breast-feed while taking Tice BCG .

Possible side effects of Tice BCG :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea; increased pain or frequency of urination; loss of appetite; nausea; stomach pain.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blood in urine; burning or pain when urinating; chills; cough; fever; flu-like symptoms; frequent or urgent urination; general feeling of discomfort; joint pain; tiredness; vomiting.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Proper storage of Tice BCG :

Tice BCG is usually handled and stored by a health care provider. If you are using Tice BCG at home, store Tice BCG as directed by your pharmacist or health care provider. Keep Tice BCG out of the reach of children and away from pets.

General information:

  • If you have any questions about Tice BCG , please talk with your doctor, pharmacist, or other health care provider.
  • Tice BCG is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Tice BCG . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: November 1, 2006
Database Edition 06.4.1.002
Copyright © 2006 Wolters Kluwer Health, Inc.




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