Erwinia asparaginase - injection
Erwinia asparaginase - injection
Erwinia asparaginase is used to treat acute lymphocytic leukemia (ALL). It works by starving tumor cells of needed nutrients and slowing tumor cell growth.
This medication may be given by injection into a muscle by a health care professional. Some brands may also be given by injection under the skin or into a vein by a health care professional, usually in a hospital setting. The dosage is based on your medical condition and response to treatment.
Your doctor will give you pre-medication to help prevent allergic reactions.
Unless your doctor instructs you otherwise, drink plenty of fluids while using this medication.
Pain or swelling at the injection site, nausea, vomiting, stomach cramps, loss of appetite, headache, lack of energy, or drowsiness may occur. Nausea and vomiting can be severe, and in some cases you may need anti-nausea drugs. Not eating before your treatment may help relieve nausea and vomiting. Changes in diet, such as eating several small meals, or limiting activity may help lessen some of these effects. If these effects persist or worsen, tell your doctor or pharmacist promptly.
Tell your doctor right away if any of these unlikely but serious side effects occur:
Get medical help right away if any of these rare but very serious side effects occur:
This medication can lower the body's ability to fight an infection. Tell your doctor promptly if you develop any signs of an infection such as fever, chills, sores in mouth or on lips, or persistent sore throat.
A very serious allergic reaction to this drug is unlikely. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:
In the US -
Before receiving erwinia asparaginase, 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:
This drug may make you drowsy. Alcohol or marijuana (cannabis) can make you more drowsy. 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).
Do not have immunizations/vaccinations without the consent of your doctor, and avoid contact with people who have recently received oral polio vaccine for flu vaccine inhaled through the nose. Wash your hands well to prevent the spread of infections.
Use caution with sharp objects like razors or nail cutters and avoid activities such as contact sports to lower the chance of getting cut, bruised or injured.
Tell your doctor if you are pregnant or plan to become pregnant. You should not become pregnant while using erwinia asparaginase. Erwinia asparaginase may harm a pregnant woman and her unborn baby. Ask about reliable forms of birth control while using this medication and for at least 3 months after stopping treatment. If you become pregnant, talk to your doctor right away about the risks and benefits of this medication.
It is unknown if this drug passes into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.
This product can affect the results of certain lab tests. Make sure laboratory personnel and your doctors know you use this drug.
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 their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
Laboratory and/or medical tests (such as complete blood counts, liver function tests, amylase levels, blood sugar) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
It is important that you receive asparaginase as scheduled by your doctor. If you miss a dose, contact your doctor right away to obtain a new dosing schedule.
Not applicable. This medication is given in a hospital 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).
Information last revised February 2019.
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