gemcitabine

	What is the most important information I should know about gemcitabine?
	What is gemcitabine?
	What should I discuss with my healthcare provider before receiving gemcitabine?
	How is gemcitabine used?
	What happens if I miss a dose?
	What happens if I overdose?
	What should I avoid while using gemcitabine?
	What are the possible side effects of gemcitabine?
	What other drugs will affect gemcitabine?
	Where can I get more information?
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Do not receive this medication without telling your doctor if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.

Gemcitabine is given as an injection through a needle placed into a vein. You will receive this injection in a clinic or hospital setting. Gemcitabine is usually given once a week for several weeks. The medicine must be given slowly through an IV infusion, and can take up to 30 minutes to complete.

Gemcitabine can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. Your kidney and liver function may also need to be checked. Do not miss any scheduled visits to your doctor.

Do not receive a "live" vaccine while you are being treated with gemcitabine, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you.

If any of this medicine accidentally gets on your skin, wash the area thoroughly with soap and warm water.

Gemcitabine is a cancer medication that interferes with the growth and spread of cancer cells in the body.

Gemcitabine is used to treat cancers of the pancreas, lung and breast.

Gemcitabine may also be used for other purposes not listed in this medication guide.

Do not use this medication if you are allergic to gemcitabine.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely use this medication:

• kidney disease;
• liver disease; or
• if you are receiving radiation treatment.

FDA pregnancy category D. This medication can cause harm to an unborn baby. Do not receive gemcitabine without telling your doctor if you are pregnant. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.

It is not known whether gemcitabine 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.

Gemcitabine 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 30 minutes to complete.

Gemcitabine is usually given once a week for up to 7 weeks.

Gemcitabine can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. Your kidney and liver function may also need to be checked. Do not miss any scheduled visits to your doctor.

If any of this medicine accidentally gets on your skin, wash the area thoroughly with soap and warm water.

Contact your doctor if you miss a miss an appointment to receive your gemcitabine infusion.

Seek emergency medical attention if you think you have received too much of this medicine.

Overdose symptoms may include numbness or tingly feeling, severe skin rash, fever, chills, flu symptoms, or any signs of infection.

Avoid contact with people who have colds, the flu, or other contagious illnesses. Contact your doctor immediately if you develop signs of infection.

Do not receive a "live" vaccine while you are being treated with gemcitabine, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any of these serious side effects:

• pale skin, easy bruising or bleeding, unusual weakness;
• urinating less than usual or not at all;
• nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
• sudden numbness or weakness, especially on one side of the body;
• sudden headache, confusion, problems with vision, speech, or balance;
• fever, chills, body aches, flu symptoms;
• white patches or sores inside your mouth or on your lips;
• pain, swelling, or skin changes where the needle was placed;
• hearing problems;
• blood in your urine; or
• breathing problems.

Less serious side effects may include:

• mild nausea, vomiting, upset stomach;
• diarrhea or constipation;
• swelling in your hands, ankles, or feet;
• skin rash;
• numbness or tingly feeling;
• drowsiness; or
• hair loss.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

There may be other drugs that can interact with gemcitabine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Your doctor or pharmacist can provide more information about gemcitabine.