Drug Notebook

FDA Alerts

    Cardiotoxicity
  • Risk of cardiotoxicity (e.g., ventricular dysfunction, CHF).
  • Evaluate left ventricular function prior to and during therapy.
  • Discontinuance of trastuzumab should be strongly considered in patients who develop a clinically important decrease in left ventricular function.
    Anthracyclines and Cyclophosphamide
  • Increased frequency and severity of cardiac toxicity when used in combination with an anthracycline and cyclophosphamide.
    Hypersensitivity, Infusion, and Pulmonary Reactions
  • Risk of severe (rarely fatal) hypersensitivity reactions, (e.g., anaphylaxis), infusion reactions, or severe pulmonary effects.
  • Onset of symptoms generally occurs during or within 24 hours of initiation of the infusion.
  • Interrupt infusion in patients who develop dyspnea or clinically important hypotension.
  • Patients should be monitored until signs and symptoms of these effects completely resolve.
  • Discontinuance of trastuzumab should be strongly considered in patients who develop anaphylaxis, angioedema, or acute respiratory distress syndrome (ARDS).

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trastuzumab
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(tras TOO zoo mab)

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

Before receiving this medication, tell your doctor if you have heart disease, congestive heart failure, a history of heart attack, or any allergies or breathing problems. You may not be able to receive trastuzumab, or you may need a dosage adjustment or special tests during treatment.

Some people receiving a trastuzumab injection have had a reaction to the infusion (when the medicine is injected into the vein). Tell your caregiver right away if you feel dizzy, nauseated, light-headed, weak, itchy, or short of breath during the injection.

What is trastuzumab?

Trastuzumab is a cancer medication. It interferes with the growth of cancer cells and slows their growth and spread in your body.

Trastuzumab is used to treat breast cancer that has progressed after treatment with other chemotherapy.

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

What should I discuss with my health care provider before receiving trastuzumab?

Before using trastuzumab, tell your doctor if you are allergic to any drugs, or if you have:

  • heart disease;

  • congestive heart failure;

  • a history of heart attack; or

  • any allergies or breathing problems.

If you have any of these conditions, you may not be able to receive trastuzumab, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether trastuzumab passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How is trastuzumab given?

Trastuzumab is given as an injection through a needle placed into a vein. You will receive this injection in a clinic or hospital setting. The medicine must be given slowly through an IV infusion, and can take up to 90 minutes to complete.

Before you receive this medication, you may need to undergo a biopsy to make sure trastuzumab is the right medication to treat your cancer.

To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Your heart function may also need to be tested. Do not miss any scheduled visits to your doctor.

Trastuzumab is usually given once every 7 days. Follow your doctor's instructions.

What happens if I miss a dose?

Contact your doctor if you miss an appointment for your trastuzumab injection.

What happens if I overdose?

Seek emergency medical attention if you think you have received too much of this medicine. Symptoms of a trastuzumab overdose are unknown.

What should I avoid while taking trastuzumab?

There are no restrictions on food, beverages, or activity while you are receiving trastuzumab unless your doctor has told you otherwise.

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