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Herceptin

What should your doctor know before you receive Herceptin

He has to know if you have any of these conditions:
breathing problems, such as asthma or COPD
bleeding problems
blood disorders
chest pain
heart disease or heart failure
infection (especially virus infections such as chickenpox or herpes)
prior treatment with radiation therapy or cyclophosphamide doxorubicin, epirubicin or mitoxantrone
lung disease
an unusual or allergic reaction to Herceptin, benzyl alcohol, or other medications, foods, dyes or preservatives
pregnant or trying to get pregnant
breast-feeding


How should you use Herceptin

Herceptin is for infusion into a vein. It is administered in a hospital or clinic setting by a health care professional. Continue a regular schedule of doses, usually given as a weekly infusion.


What if you miss a dose:

It is important not to miss a dose. Notify your prescriber or other health care professional if you are unable to keep an appointment.


What drugs may interact with Herceptin

warfarin
other chemotherapy agents, especially cyclophosphamide and doxorubicin, may increase some of the side effects due to Herceptin

Tell your prescriber or health care professional about all other medicines you are taking, including nonprescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.


Possible side effects of Herceptin

The side effects you may experience with Herceptin therapy depend upon the dose, other types of chemotherapy or radiation therapy given, and the disease being treated. Not all of these effects occur in all patients. Discuss any concerns or questions with your prescriber or health care professional.

Side effects that you should report to your prescriber or other health care professional as soon as possible:
Rare or uncommon:
difficulty breathing or shortness of breath
feeling lightheaded or dizziness upon standing
swelling of ankles or legs
shortness of breath
swelling or tightening of the throat or tongue
wheezing
More common:
chills
fever
rash or hives
nausea and/or vomiting

Side effects that usually do not require medical attention (report to your prescriber or other health care professional if they continue or are bothersome):
loss of appetite
diarrhea
sore throat
headache
itching
muscle aches
tingling of fingers or toes
pain
dizziness
runny nose
stomach pain
nasal congestion
unusual tiredness or weakness


What should you watch for while taking Herceptin

Visit your prescriber or healthcare professional for checks on your progress. You will need to have regular blood checks if you receive Herceptin with chemotherapy. The side effects of Herceptin can occur after you finish your infusion; report any side effects promptly, especially any difficulties in breathing, feeling lightheaded, hives, or other signs of an allergic reaction.

If you receive Herceptin and chemotherapy together, you may have an increased number of side effects due to the chemotherapy. Report any side effects as above, but continue your course of medicine even though you feel ill, unless your prescriber or health care professional tells you to stop.

Call your prescriber or health care professional for advice if you get a fever, chills, sore throat, nasal congestion or runny nose; do not treat yourself.

You may experience fever, chills and shakes during your first infusion of Herceptin. These effects are usually mild and can be treated with medicines. Report any reactions that occur during the infusion to your health care professional. These effects usually do not happen with later infusions.

All prescription drugs:

A
abilify accupril accutane acetaminophen aciphex actifed actonel actos acyclovir adalat adderall adipex advair advil albuterol alesse aleve allegra allopurinol amaryl ambien amiodarone amitriptyline amoxicillin amoxil amphetamine anacin aprazolam aricept asacol aspirin atenolol ativan atorvastatin atrovent augmentin avandia avapro avastin avelox azmacort
B
baclofen
bactrim bactroban baycol benadryl bextra biaxin boniva bontril buspar buspirone
C
caduet campral camptosar capoten captopril cardizem cardura carisoprodol casodex catapress cefzil celebrex celexa cellcept cephalexin cialis cipro ciprodex clarinex claritin climara clindamycin clonazepam clonidine codeine codeprex combivent combivir concerta copaxone coreg coricidin cotrim coumadin cozaar crestor cubicin cyclobenzaprine cymbalta
D
darvocet demerol depakote desogen detrol dextromethorphan diazepam diclofenac didrex diflucan digoxin dilantin diltiazem dimetapp diovan diprivan ditropan doxazosin doxycycline drixoral duragesic dyazide
E
effexor elavil elocon eloxatin emend enalapril enbrel endocet engerix-b entex epogen epzicom erbitux ertaczo ery-tab erythromycin estradiol evista 
F
fabrazyme famotidine fazaclo fenofibrate fioricet fiorinal flexeril flomax flonase flovent fluoxetine fosamax fosrenol furosemide  
G
gabapentin gamimune gemfibrozil gemzar glipizide glucophage glucotrol glucovance glyburide glyburide guaifenesin guaifenex 
H
herceptin humalog humira hydroxyzine hyzaar  
I
ibuprofen imdur imitrex imodium inderal insulin integrilin iressa 
K
kaletra keflex kenalog keppra ketek klonopin kytril  
L
lamictal lamisil lanoxin lantus lasix lescol levaquin levitra levothyroxine levoxyl lexapro lidoderm lipitor lisinopril lithium lorazepam lortab lotensin lotrel lotrisone lovenox lupron luveris  
M
macrobid magnevist meclizine medroxyprogesterone meridia metformin methadone methamphetamine methotrexate methylphenidate methylprednisolone metoclopramide metoprolol metronidazole miacalcin minocycline mobic monopril morphine motrin myfortic  
N
naproxen nasacort nasonex natrecor neulasta neupogen neurontin nexium nifedipine nitrofurantoin norco nortriptyline norvasc  
O
omeprazole omnicef orthovisc oxybutynin oxycodone oxycontin oxytrol  
P
paraplatin patanol paxil pegasys penicillin pepcid percocet percodan percogesic phendimetrazine phenergan phentermine phenytoin plavix plendil potassium pravachol prednisone premarin prempro prevacid prilosec prinivil procrit promethazine propecia propofol propoxyphene propranolol protonix proventil provigil prozac pseudoephedrine pulmicort  
R
ranitidine rebetol reglan relafen relpax remeron remicade renagel renova rhinocort riomet risperdal risperidone ritalin rituxan rocephin rogaine roxicet  
S
sanctura seasonale sensipar serevent seroquel serzone singulair skelaxin soma somavert sonata spiriva spironolactone strattera striant sustiva synagis synthroid 
T
tamoxifen tavist taxol taxotere tegretol temazepam tenormin tenuate tequin terazosin tetracycline tiazac tindamax titralac tobradex topamax toprol tramadol trazodone triamcinolone triaminic triamterene tricor trileptal trimox triphasil trizivir truvada tylenol 
U
ultane ultracet ultram uroxatral
V
valium valtrex vaniqa vasotec velcade verapamil viagra vicodin vicoprofen vidaza viracept viread vytorin  
W
warfarin wellbutrin  
X
xalatan xanax xenical xifaxan xolair xopenex xyrem  
Y
yasmin 
Z
zanaflex zantac zavesca zelnorm zemplar zerit zestoretic zestril zetia ziac zithromax zocor zofran zoladex zoloft zometa zorbtive zosyn zovirax zyrtec zyvox