WARNING

Jevtana (generic name cabazitaxel) is a medication used in the treatment of advanced prostate cancer. While Jevtana can be effective in managing the disease, it also carries certain risks and potential side effects. Here are some of the risks associated with taking Jevtana:

• Bone marrow suppression: Jevtana can affect the bone marrow, leading to a decrease in the production of blood cells. This can result in an increased risk of infection, bleeding, and anemia.
• Gastrointestinal issues: Jevtana commonly causes gastrointestinal side effects such as nausea, vomiting, diarrhea, and abdominal pain. These symptoms can be managed with appropriate medications.
• Fatigue and weakness: Some patients may experience fatigue and weakness while undergoing Jevtana treatment. It is important to conserve energy and get adequate rest during this time.
• Allergic reactions: Allergic reactions to Jevtana are rare but possible. Signs of an allergic reaction may include rash, itching, swelling, dizziness, and difficulty breathing. Seek immediate medical attention if these symptoms occur.
• Nerve damage: Jevtana can cause peripheral neuropathy, which is characterized by numbness, tingling, or pain in the hands and feet. It is essential to report any changes in sensation to your healthcare provider.
• Increased risk of infections: Due to its effect on the immune system, Jevtana can make individuals more susceptible to infections. Promptly report any signs of infection, such as fever, cough, or urinary tract symptoms, to your healthcare team.
• Kidney and liver problems: Jevtana may affect the function of the kidneys and liver. Regular monitoring of these organs’ function is necessary during treatment.
• Drug interactions: Jevtana can interact with other medications, including certain antibiotics, antifungals, and medications that affect liver enzymes. Inform your doctor about all medications you are taking to avoid potential interactions.

It is important to note that the risks and side effects associated with Jevtana can vary among individuals. Your healthcare team will closely monitor your condition and adjust the treatment as needed to manage any adverse effects. It is crucial to discuss any concerns or questions you have with your healthcare provider before starting Jevtana treatment.

Why is this medication prescribed?

Jevtana is a prescription medication that contains the active ingredient cabazitaxel. It is primarily prescribed for the treatment of advanced prostate cancer that has spread to other parts of the body and is no longer responsive to hormone therapy.

Prostate cancer is initially treated with hormone therapy to suppress the production of male hormones (androgens) that stimulate the growth of cancer cells. However, over time, some prostate cancers can become resistant to hormone therapy and continue to progress. In such cases, Jevtana may be prescribed as a chemotherapy drug to help slow down the progression of the disease and extend survival.

How should this medicine be used?

Jevtana (cabazitaxel) is administered as an intravenous infusion, which means it is injected directly into a vein. It should be used under the supervision of a healthcare professional in a hospital or clinic setting. Here is a general overview of how Jevtana is typically used:

• Pre-medication: Prior to receiving Jevtana, your healthcare provider may prescribe medications to help reduce the risk of potential side effects, such as an allergic reaction. These pre-medications may include corticosteroids, antihistamines, and antiemetics (medications to prevent nausea and vomiting).
• Administration: Jevtana is given as an intravenous infusion. It is slowly injected into a vein over a period of about one hour. The exact dosage and infusion duration will be determined by your doctor based on your individual circumstances.
• Treatment Schedule: Jevtana is usually administered once every three weeks (every 21 days). This is known as a treatment cycle. The treatment cycles may be repeated until the disease progresses or unacceptable side effects occur.
• Monitoring and Follow-up: During and after the infusion, your healthcare team will monitor your vital signs and observe for any immediate reactions or side effects. They will also conduct regular blood tests to monitor your blood cell counts and overall health.

It’s important to strictly follow your doctor’s instructions regarding the dosage, schedule, and duration of treatment with Jevtana. If you have any questions or concerns about the administration or usage of Jevtana, it is best to consult with your healthcare provider for personalized guidance.

Other uses for this medicine

Jevtana (cabazitaxel) is primarily approved for the treatment of advanced prostate cancer that is resistant to hormone therapy. However, it is always important to consult with a healthcare professional regarding the specific uses of any medication. They will assess your individual condition and determine the most appropriate treatment options for you.

What special precautions should I follow?

As for special precautions associated with Jevtana, here are some important considerations:

• Allergic reactions: Inform your healthcare provider if you have a history of allergic reactions to cabazitaxel or other medications. Serious allergic reactions, including severe skin reactions and difficulty breathing, can occur with Jevtana infusion. Immediate medical attention should be sought if any signs of an allergic reaction develop.
• Blood cell count: Jevtana can affect your bone marrow function and may lead to a decrease in your blood cell counts, including white blood cells, red blood cells, and platelets. Regular blood tests will be conducted to monitor your blood cell counts. If you experience symptoms such as fever, unusual bruising or bleeding, or persistent infections, notify your healthcare provider.
• Liver function: Jevtana may affect liver function, so your doctor may monitor your liver enzymes through blood tests. Inform your healthcare provider if you have a history of liver disease or any other conditions affecting liver function.
• Pregnancy and breastfeeding: Jevtana can harm unborn babies, so it is important to avoid pregnancy during treatment and for a period of time after the last dose. Additionally, it is not known whether Jevtana is excreted in human breast milk, so breastfeeding should be avoided while taking the medication.
• Drug interactions: Inform your doctor about all medications, supplements, and herbal products you are taking, as they may interact with Jevtana. Certain medications, such as those that affect liver function or blood clotting, may require dosage adjustments or careful monitoring when used concurrently with Jevtana.
• Side effects: Jevtana can cause various side effects, including fatigue, nausea, diarrhea, constipation, hair loss, peripheral neuropathy (numbness or tingling in hands and feet), and increased risk of infection. Report any new or worsening symptoms to your healthcare provider.

These are general precautions associated with Jevtana, but it is important to consult with your healthcare provider for personalized advice and guidance based on your specific medical history and current condition. They will provide you with comprehensive information and instructions regarding the precautions and potential risks associated with Jevtana.

What special dietary instructions should I follow?

While taking Jevtana, it’s important to follow specific dietary instructions and guidelines. Here are the recommendations:

• Fasting: It is recommended to fast for at least 3 hours prior to and 1 hour after receiving Jevtana. This means you should not eat anything during this time frame. However, you should drink plenty of fluids to stay hydrated.
• Corticosteroids: Jevtana treatment typically involves taking corticosteroids such as prednisone along with the medication. It is important to follow the dietary instructions and guidelines provided with the corticosteroid medication, as they may have specific recommendations regarding food or drink interactions.
• Consult with your doctor or oncologist: It is always advisable to consult with your healthcare provider for personalized dietary instructions while taking Jevtana. They will have the most up-to-date information and can provide you with guidance tailored to your specific needs.

What should I do if I forget a dose?

Regarding a missed dose of Jevtana, it is essential to follow the instructions provided by your doctor or healthcare provider. If you forget a dose, here are general guidelines to consider:

• Contact your healthcare provider: Inform your doctor or oncologist about the missed dose as soon as possible. They will provide you with specific instructions on how to proceed.
• Do not double the dose: Do not take a double dose of Jevtana to make up for the missed one. Taking more medication than prescribed can increase the risk of side effects.
• Follow the recommended schedule: Resume your regular dosing schedule as advised by your healthcare provider. It’s important to adhere to the prescribed treatment plan for the best possible outcome.

What side effects can this medication cause?

Jevtana (generic name: cabazitaxel) is a medication used in the treatment of prostate cancer. Like any medication, Jevtana can have potential side effects. Here are some of the commonly reported side effects associated with Jevtana:

• Bone marrow suppression: Jevtana can affect the bone marrow’s ability to produce blood cells, leading to a decrease in white blood cells, red blood cells, and platelets. This can result in increased susceptibility to infections, anemia, and bleeding problems.
• Neutropenia: Neutropenia refers to a low level of neutrophils, a type of white blood cell that helps fight off infections. Jevtana can cause neutropenia, which can increase the risk of developing infections.
• Anemia: Jevtana may cause a decrease in red blood cell count, leading to anemia. Symptoms of anemia include fatigue, weakness, shortness of breath, and pale skin.
• Fatigue: Many people experience fatigue or tiredness as a common side effect of Jevtana treatment.
• Gastrointestinal effects: Jevtana can cause nausea, vomiting, diarrhea, and constipation. These gastrointestinal symptoms are usually manageable with supportive care and medication.
• Peripheral neuropathy: Some individuals may experience peripheral neuropathy, which is characterized by numbness, tingling, or pain in the hands and feet.
• Hair loss: Hair loss or thinning of the hair is a potential side effect of Jevtana treatment. This is usually reversible after completing treatment.
• Injection site reactions: Jevtana is administered intravenously, and injection site reactions such as pain, redness, swelling, or skin reactions may occur.
• Allergic reactions: Although rare, allergic reactions to Jevtana can occur. Signs of an allergic reaction include difficulty breathing, rash, itching, swelling, or dizziness. Immediate medical attention is necessary if an allergic reaction is suspected.

What should I know about storage and disposal of this medication?

Jevtana (generic name: cabazitaxel) is a medication used in the treatment of advanced prostate cancer. Here’s what you should know about its storage and disposal:

1. Storage: Jevtana should be stored at room temperature, typically between 68°F and 77°F (20°C and 25°C). It is important to keep it in its original packaging and protect it from light. Always store Jevtana out of reach of children and pets.
2. Disposal: Here are some options for safe disposal:
   • Take-back programs: Check with your local pharmacy or healthcare facility if they have a drug take-back program.
   • FDA recommendations: The FDA suggests mixing the medication with an undesirable substance (like cat litter or coffee grounds) in a sealed bag and placing it in the trash. Make sure to remove or scratch out any personal information on the medication packaging.
   • Flush down the toilet: If specific disposal instructions advise flushing, and there are no drug take-back programs available, you can flush the medication down the toilet. However, this should only be done if specifically recommended by the medication’s instructions or authorized sources, as it may not be suitable for all drugs.

In case of emergency/overdose

In case of an emergency or overdose, take the following steps:

• Contact emergency services: If you or someone else experiences severe symptoms or reactions, immediately call your local emergency number or go to the nearest emergency room.
• Poison control center: You can also contact your local poison control center for guidance. They can provide assistance regarding the specific steps to take and offer further advice.

What other information should I know?

Additionally, here are some other essential points to be aware of:

• Administration: Jevtana is typically administered intravenously (IV) by a healthcare professional in a clinical setting.
• Side effects: Like any medication, Jevtana can cause side effects. Common side effects may include fatigue, nausea, diarrhea, hair loss, anemia, and decreased appetite. It is essential to discuss any side effects you experience with your healthcare provider.
• Drug interactions: Inform your doctor about all medications, supplements, and herbal products you are currently taking. Some drugs may interact with Jevtana and affect its effectiveness or increase the risk of side effects.
• Pregnancy and breastfeeding: Jevtana may cause harm to a developing fetus, so it is important to avoid its use during pregnancy. It is also not recommended for breastfeeding, as it may pass into breast milk.

Always consult your healthcare provider or pharmacist for detailed instructions, specific guidelines, and any questions or concerns you may have regarding the storage, disposal, or use of Jevtana.