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|Ifosfamide Solution

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Ifosfamide Solution

Generic Name: Ifosfamide Injection Solution (eye-FOSS-fuh-mide)
Brand Name: Ifex

Ifosfamide Solution should only be used under the supervision of a doctor experienced with the use of cancer medicines. Bladder effects (eg, bleeding, inflammation) or central nervous system effects (eg, confusion, coma) may occur with use of Ifosfamide Solution. Contact your doctor immediately if you experience any of these symptoms. Ifosfamide Solution may also cause bone marrow depression.

Ifosfamide Solution is used for:

Treating certain types of cancer in combination with other medicines. It is also usually used along with a medicine called mesna, which decreases the risk of bleeding in the bladder.

Ifosfamide Solution is an antineoplastic. It works by stopping the growth of certain cancers.

Do NOT use Ifosfamide Solution if:

you are allergic to any ingredient in this medicine
you have severe bone marrow depression
you are in your first 3 months of pregnancy

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

Before using Ifosfamide Solution:

Some medical conditions may interact with Ifosfamide Solution. 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 have liver or kidney disease, bone marrow depression, an infection, chickenpox, or shingles
if you have had radiation therapy

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

Digoxin because its effectiveness may be decreased by Ifosfamide Solution

This may not be a complete list of all interactions that may occur. Ask your health care provider if Ifosfamide Solution 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 Ifosfamide Solution:

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

Ifosfamide Solution is usually administered as an injection at your doctor"s office, hospital, or clinic. If you are using Ifosfamide Solution at home, carefully follow the injection procedures taught to you by your health care provider.
If the medicine contains particles or is discolored, or if the vial/container is cracked or damaged in any way, do not use it.
Drinking extra fluids while you are taking Ifosfamide Solution is recommended. Check with your doctor or nurse for instructions.
Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor, nurse, or pharmacist to explain local regulations for selecting an appropriate container and properly disposing of the container when full.
If you miss a dose of Ifosfamide Solution, contact your doctor immediately for dosing instructions.

Ask your health care provider any questions you may have about how to use Ifosfamide Solution.

Important safety information:

Ifosfamide Solution may cause drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Ifosfamide Solution. Using Ifosfamide Solution alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.
Empty your bladder regularly. Your doctor may recommend that you get up at least once during the night to urinate.
Ifosfamide Solution may reduce the number of blood cells that are needed for clotting. To prevent bleeding, avoid situations where bruising or injury may occur.
Ifosfamide Solution may decrease your body"s ability to heal itself. To prevent wounds, avoid situations where bruising or injury may occur.
Ifosfamide Solution may lower your body"s ability to fight infection. To prevent infection, avoid contact with people who have colds or other infections. Do not touch your eyes or the inside of your nose unless you have thoroughly washed your hands first.
If nausea, vomiting, or loss of appetite occurs, ask your doctor, nurse, or pharmacist for ways to lessen these effects.
Check with your doctor before having vaccinations while you are using Ifosfamide Solution.
Use Ifosfamide Solution with extreme caution in CHILDREN; safety and effectiveness have not been confirmed.
LAB TESTS, including kidney function, complete blood cell count, and urine tests, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
PREGNANCY and BREAST-FEEDING: Ifosfamide Solution has been shown to cause harm to the fetus. If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Ifosfamide Solution during pregnancy. Ifosfamide Solution is excreted in breast milk. Do not breast-feed while taking Ifosfamide Solution.

Possible side effects of Ifosfamide Solution:

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:

Hair loss; loss of appetite; nausea.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abdominal pain; blood in the urine; confusion; cough; dizziness; fever or chills; hallucinations; irregular or absent menstrual periods; joint pain; mood changes; painful or frequent urination; shortness of breath; sleepiness; sore throat; sores on the mouth or lips; unusual bruising or bleeding; unusual fatigue; vomiting; yellowing of the skin or eyes.

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 Ifosfamide Solution:

Powder for injection should be stored at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. After solution has been properly mixed, it may be stored at room temperature for 7 days or refrigerated between 36 and 46 degrees F (2 and 8 degrees C) for up to 21 days. Do not store Ifosfamide Solution in the bathroom. Keep Ifosfamide Solution, as well as needles and syringes, out of the reach of children and away from pets.

General information:

If you have any questions about Ifosfamide Solution, please talk with your doctor, pharmacist, or other health care provider.
Ifosfamide Solution 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 Ifosfamide Solution. 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

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