Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library ziv-aflibercept

ziv-aflibercept

Pronunciation: ZIV a FLIB er sept

Brand: Zaltrap

What is the most important information I should know about ziv-aflibercept?

What is the most important information I should know about ziv-aflibercept?

Ziv-aflibercept may cause serious and sometimes fatal bleeding. Call your doctor at once if you have any signs of unusual bleeding, including easy bruising, bloody stools, coughing up blood, or feeling light-headed or short of breath.

If you need surgery, tell the surgeon ahead of time that you are using ziv-aflibercept.

What is ziv-aflibercept?

What is ziv-aflibercept?

Ziv-aflibercept is used in combination chemotherapy to treat colorectal cancer that has spread to other parts of the body (metastatic).

Ziv-aflibercept is usually given after other medications did not work or have stopped working.

Ziv-aflibercept may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before receiving ziv-aflibercept?

What should I discuss with my healthcare provider before receiving ziv-aflibercept?

Tell your doctor if you have ever had:

  • bleeding problems;
  • heart problems, high blood pressure;
  • open sores or skin wounds; or
  • surgery or dental work within the past 4 weeks.

Ziv-aflibercept may harm an unborn baby. You may need to have a negative pregnancy test before starting this treatment. Use effective birth control to prevent pregnancy while using this medicine and for at least 1 month after your last dose. Tell your doctor if you become pregnant.

Pregnancy may be less likely to occur while the mother or the father is using this medicine. Women should still use birth control to prevent pregnancy because the medicine can harm an unborn baby.

You should not breastfeed while you are using ziv-aflibercept, and for at least 1 month after your last dose.

How is ziv-aflibercept given?

How is ziv-aflibercept given?

Ziv-aflibercept is given as an infusion into a vein, usually every other week. A healthcare provider will give you this injection.

This medicine must be given slowly, and the infusion can take at least 1 hour to complete.

You will need frequent medical tests and blood pressure checks.

Ziv-aflibercept can cause problems with wound healing, which could result in bleeding or infection. You will need to stop receiving ziv-aflibercept at least 4 weeks before having any surgery or dental work. Do not start using the medicine for at least 4 weeks after surgery, or until your surgical incision heals.

What happens if I miss a dose?

What happens if I miss a dose?

Call your doctor for instructions if you miss an appointment for your ziv-aflibercept injection.

What happens if I overdose?

What happens if I overdose?

Since this medicine is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.

What should I avoid while receiving ziv-aflibercept?

What should I avoid while receiving ziv-aflibercept?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

What are the possible side effects of ziv-aflibercept?

What are the possible side effects of ziv-aflibercept?

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

Ziv-aflibercept can make it easier for you to bleed. Call your doctor or seek emergency medical attention if you have:

  • easy bruising, unusual bleeding (nose, mouth, vagina, rectum), or any bleeding that will not stop;
  • signs of bleeding inside your body --feeling light-headed; pink or brown urine; bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds; or
  • signs of bleeding in the brain --sudden weakness (especially on one side of the body), severe headache, problems with speech or vision.

Call your doctor at once if you have:

  • severe or ongoing vomiting or diarrhea;
  • blisters or ulcers in your mouth, red or swollen gums, trouble swallowing;
  • any wound that will not heal;
  • headache, confusion, thinking problems, vision loss, seizure;
  • signs of a blood clot --chest pain, sudden numbness or weakness;
  • signs of perforation (a hole or tear) in your stomach or intestines --fever, ongoing stomach pain, change in bowel habits;
  • signs of a fistula (abnormal passageway) in your lower body --rectal pain, foul-smelling vaginal discharge, pain or swelling in your lower stomach, problems with urination or bowel movements.
  • dehydration symptoms --feeling very thirsty or hot, being unable to urinate, heavy sweating, or hot and dry skin;
  • signs of a kidney disorder --puffy eyes, swelling in your ankles or feet, weight gain, urine that looks foamy; or
  • low white blood cell counts --fever, mouth sores, skin sores, sore throat, cough, trouble breathing.

Older adults may be more likely to have severe diarrhea or get dehydrated.

Your cancer treatments may be delayed or permanently discontinued if you have certain side effects.

Common side effects may include:

  • increased blood pressure;
  • low white blood cells;
  • bruising or bleeding, nosebleeds;
  • stomach pain, diarrhea;
  • mouth sores, loss of appetite, weight loss;
  • headache, feeling tired;
  • hoarse voice; or
  • abnormal kidney or liver function tests.

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.

What other drugs will affect ziv-aflibercept?

What other drugs will affect ziv-aflibercept?

Other drugs may affect ziv-aflibercept, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Where can I get more information?

Where can I get more information?

Your doctor or pharmacist can provide more information about ziv-aflibercept.

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Cigna Company Information

About Cigna Company Profile Careers Newsroom Investors Suppliers Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice [PDF] Language Assistance [PDF] Report Fraud Sitemap

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities  that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details