Drug Notebook

FDA Alerts

    Cardiac and Pulmonary Function
  • Use only in patients with normal cardiac and pulmonary function as defined by thallium stress testing and pulmonary function tests. Use with extreme caution in patients with histories of cardiac or pulmonary disease even if thallium stress and pulmonary function test results are normal.
    Experience of Supervising Clinician
  • Use in hospital setting under supervision of a qualified clinician experienced in therapy with antineoplastic agents.
    Capillary Leak Syndrome
  • Risk of developing capillary leak syndrome (CLS), which is characterized by a loss of vascular tone and extravasation of plasma proteins and fluid into extravascular space. Results in hypotension and reduced organ perfusion; can be severe or fatal. CLS may be associated with cardiac arrhythmias (supraventricular and ventricular), angina, MI, respiratory insufficiency requiring intubation, GI bleeding or infarction, renal insufficiency, edema, and changes in mental status. (See Major Toxicities: Capillary Leak Syndrome under Cautions.)
    Infections
  • Possible impaired neutrophil function (reduced chemotaxis) and increased risk of disseminated infection, including sepsis and bacterial endocarditis. Treat preexisting bacterial infections prior to initiation of therapy. Patients with indwelling central lines are particularly at risk for gram positive bacterial infections. Prophylaxis with oxacillin, nafcillin, ciprofloxacin, or vancomycin has been associated with a reduced incidence of staphylococcal infections.
    CNS Effects
  • Withhold administration if moderate to severe lethargy or somnolence develops; continued administration may result in coma. (See CNS Effects and Mental Status Changes under Cautions.)

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aldesleukin
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(Al dess LEW kin)

What is the most important information I should know about aldesleukin?

Aldesleukin should only be administered under the supervision of a qualified healthcare provider experienced in the use of cancer chemotherapeutic agents.

Serious side effects have been reported with the use of aldesleukin including: allergic reactions (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); decreased bone marrow function and blood problems (extreme fatigue; easy bruising or bleeding; black, bloody or tarry stools; fever or chills; or infection); capillary leak syndrome, a condition that may lead to heart attack, severe breathing difficulties, stomach bleeding, kidney problems, and death; severe nausea, vomiting, diarrhea, and loss of appetite; and others. Talk to your doctor about the possible side effects from treatment with aldesleukin.

What is aldesleukin?

Aldesleukin (interleukin 2) is a cancer (chemotherapeutic) medication. Aldesleukin increases certain immunological processes in the body that cause decreased growth of some types of cancer cells.

Aldesleukin is used in the treatment of metastatic renal cell carcinoma (metastatic RCC), a type of kidney cancer) and metastatic melanoma.

Aldesleukin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before using aldesleukin?

Do not take aldesleukin without first talking to your doctor if you have:

You may not be able to take aldesleukin, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.

Aldesleukin is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not use aldesleukin without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether aldesleukin passes into breast milk. Do not take aldesleukin without first talking to your doctor if you are breast-feeding a baby.

How should I use aldesleukin?

Aldesleukin should only be administered under the supervision of a qualified healthcare provider experienced in the use of cancer chemotherapeutic agents.

Aldesleukin is administered by intravenous (into a vein) injection.

Your doctor will determine the correct amount and frequency of treatment with aldesleukin depending upon the type of cancer being treated and other factors. Talk to your doctor if you have any questions or concerns regarding the treatment schedule.

Your doctor will probably want you to have regularly scheduled blood tests and other medical evaluations during treatment with aldesleukin to monitor progress and side effects.

Store vials of lyophilized aldesleukin in the refrigerator. Protect the vials from light and store them in a carton until time of use. Reconstituted or diluted aldesleukin is stable for up to 48 hours at refrigerated and room temperatures, 2 to 25C (36 to 77F). However, since this product contains no preservative, the reconstituted and diluted solutions should be stored in the refrigerator. Do not use any aldesleukin products beyond the expiration date printed on the vial.

What happens if I miss a dose?

Contact your doctor if you miss a dose of aldesleukin.

What happens if I overdose?

If for any reason an overdose is suspected, seek emergency medical attention or contact your healthcare provider immediately.

Symptoms of a aldesleukin overdose may be similar to side effects caused by the medication, although often more severe.

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