WARNING

Mylotarg (generic name gemtuzumab ozogamicin) was an FDA-approved medication used to treat certain types of acute myeloid leukemia (AML). However, it’s essential to note that drug information can change over time, so I recommend checking with a healthcare professional or the most recent sources for the latest information.

The risks associated with taking Mylotarg may include:

• Infusion Reactions: Some patients may experience allergic reactions during or shortly after receiving the medication. These reactions may include fever, chills, difficulty breathing, or skin rash.
• Bone Marrow Suppression: Mylotarg can cause bone marrow suppression, leading to a decrease in blood cell counts (red blood cells, white blood cells, and platelets). This may result in anemia, increased risk of infection, and bleeding tendencies.
• Hepatotoxicity: Mylotarg may cause liver problems, leading to abnormal liver function tests. Regular monitoring of liver function is necessary during treatment.
• Venous Occlusive Disease (VOD): VOD is a serious condition in which the small blood vessels in the liver become blocked, leading to liver damage. Mylotarg has been associated with an increased risk of VOD, especially when used in high doses or in combination with certain other chemotherapy drugs.
• Cardiotoxicity: Some patients may experience heart-related side effects, such as arrhythmias, heart failure, or cardiac arrest.
• Infertility: Mylotarg may cause temporary or permanent infertility in some individuals.
• Secondary Cancer: There have been reports of patients developing secondary cancers, such as myelodysplastic syndrome (MDS) or acute leukemia, after treatment with Mylotarg.
• Pregnancy and Breastfeeding: Mylotarg can be harmful to a developing fetus, so it’s crucial for pregnant women to avoid the drug. It is also not recommended for use during breastfeeding.

Always consult your oncologist or healthcare provider before starting any new medication and discuss the potential risks and benefits of Mylotarg in your specific medical condition. They can provide personalized information and advice based on the most up-to-date knowledge and your individual health profile.

Why is this medication prescribed?

Mylotarg (generic name gemtuzumab ozogamicin) is prescribed for the treatment of certain types of acute myeloid leukemia (AML) in adults and children. AML is a type of cancer that affects the bone marrow and blood, characterized by the rapid growth of abnormal white blood cells. Mylotarg is an antibody-drug conjugate that targets CD33, a protein found on the surface of AML cells. The medication works by delivering a toxic substance directly to the cancer cells, thereby destroying them.

How should this medicine be used?

• Dosage: The dosage of Mylotarg may vary depending on factors such as the patient’s age, weight, overall health, and the specific AML subtype being treated. It is typically administered in cycles, with each cycle lasting for a certain number of days.
• Administration: Mylotarg is given as an intravenous (IV) infusion, which means it is delivered directly into the bloodstream through a vein.
• Frequency: The treatment schedule and duration will be determined by the oncologist based on the individual’s response to the medication and any potential side effects.
• Pre-medications: Patients may be given pre-medications, such as antihistamines and corticosteroids, to reduce the risk of infusion reactions.
• Monitoring: During treatment with Mylotarg, patients will be closely monitored by their healthcare team to assess the response to the medication and to watch for any adverse effects.

It’s essential for patients to strictly adhere to the prescribed treatment plan and attend all scheduled appointments to ensure the best possible outcome and minimize potential risks.

As with any cancer treatment, Mylotarg may cause side effects, and its use should be carefully considered in each patient’s case. If you or someone you know has been prescribed Mylotarg, it’s crucial to have open and honest discussions with the treating healthcare team to fully understand the treatment plan, potential benefits, and risks associated with the medication. They can provide personalized guidance based on the latest medical information and your specific health condition.

Other uses for this medicine

Mylotarg (gemtuzumab ozogamicin) was primarily approved for the treatment of certain types of acute myeloid leukemia (AML). However, the use of medications can evolve over time, and new indications may emerge. Always consult with a healthcare professional or check the latest sources for the most up-to-date information on Mylotarg’s approved uses.

What special precautions should I follow?

Regarding special precautions, here are some important points to consider if you are prescribed Mylotarg or caring for someone receiving the medication:

• Medical History: Before starting Mylotarg, inform your healthcare provider about any pre-existing medical conditions, especially liver or heart problems. Additionally, provide a comprehensive list of all medications, supplements, or herbal products you are taking to avoid potential drug interactions.
• Pregnancy and Breastfeeding: Mylotarg can harm an unborn baby and is not recommended for use during pregnancy. If you are pregnant or planning to become pregnant, discuss alternative treatment options with your doctor. Similarly, the drug may pass into breast milk and potentially harm a nursing baby, so breastfeeding is generally not advised during Mylotarg treatment.
• Infusion Reactions: Mylotarg can cause infusion-related reactions, such as fever, chills, rash, or breathing difficulties. Patients are usually pre-medicated with antihistamines and corticosteroids to reduce the risk of these reactions. Infusion should be closely monitored, and any signs of allergic response should be reported to the medical team promptly.
• Bone Marrow Suppression: Mylotarg can lead to bone marrow suppression, resulting in low blood cell counts. Regular blood tests will be conducted to monitor blood cell levels, and your healthcare provider may adjust the dosage or schedule if necessary.
• Hepatotoxicity: Patients taking Mylotarg should undergo regular liver function tests to monitor for potential liver problems. If any signs of liver damage, such as jaundice or elevated liver enzymes, are observed, inform your doctor immediately.
• Venous Occlusive Disease (VOD): Mylotarg use has been associated with an increased risk of VOD, a condition in which the small blood vessels in the liver become blocked. Watch for symptoms like abdominal pain, ascites (fluid buildup in the abdomen), and unexplained weight gain, and report any concerns to your healthcare team.
• Cardiac Monitoring: Due to the possibility of cardiotoxicity, heart function should be monitored during Mylotarg treatment, especially in patients with pre-existing heart conditions.
• Fertility Concerns: Mylotarg may cause temporary or permanent infertility in some patients. If fertility preservation is a concern, discuss it with your healthcare provider before starting treatment.
• Infections: Mylotarg can increase the risk of infections. Inform your doctor if you develop signs of infection, such as fever, cough, or difficulty breathing.

Always follow your doctor’s instructions and attend all scheduled appointments for close monitoring during Mylotarg treatment. If you experience any new or concerning symptoms, promptly communicate them to your healthcare team for appropriate management.

It’s crucial to remember that individual medical circumstances can differ, so it’s essential to seek personalized advice from your healthcare provider when considering any treatment, including Mylotarg.

What special dietary instructions should I follow?

There were no specific dietary instructions provided for Mylotarg (gemtuzumab ozogamicin). However, it’s always a good idea to follow a balanced and nutritious diet to support your overall health and well-being during cancer treatment. Eating a variety of nutrient-rich foods, staying hydrated, and avoiding excessive alcohol consumption can help maintain your strength and immune function.

What should I do if I forget a dose?

If you miss a scheduled dose of Mylotarg, contact your healthcare provider immediately. They will advise you on the appropriate course of action, which may involve rescheduling the missed dose or adjusting the treatment plan based on your individual circumstances. It’s essential not to administer a double dose to make up for a missed one without medical guidance.

What side effects can this medication cause?

Mylotarg (gemtuzumab ozogamicin) can cause various side effects, as is common with many medications. It’s important to note that not all patients will experience these side effects, and their severity can vary from person to person. If you are prescribed Mylotarg, your healthcare team will closely monitor you for any adverse reactions and provide supportive care as needed. Here are some of the potential side effects of Mylotarg:

•  Infusion Reactions: Some patients may experience infusion-related reactions during or shortly after receiving Mylotarg. These reactions can include fever, chills, rigors (shivering), nausea, vomiting, headache, rash, itching, and difficulty breathing. Pre-medications are often given to help reduce the risk and severity of these reactions.
•  Bone Marrow Suppression: Mylotarg can cause bone marrow suppression, leading to decreased blood cell counts. This can result in anemia (low red blood cell count), neutropenia (low white blood cell count), and thrombocytopenia (low platelet count). Bone marrow suppression can increase the risk of infections, fatigue, and bleeding tendencies.
• Liver Problems: Mylotarg may cause hepatotoxicity, which can manifest as elevated liver enzymes or liver damage. Regular liver function tests are typically performed to monitor for any signs of liver impairment.
• Nausea and Vomiting: Gastrointestinal upset, including nausea and vomiting, can occur as a side effect of Mylotarg.
• Fatigue: Feeling tired or weak (fatigue) is a common side effect of many cancer treatments, including Mylotarg.
• Headache: Some patients may experience mild to moderate headaches during treatment.
• Infections: Mylotarg can weaken the immune system, increasing the susceptibility to infections. Patients may be at a higher risk of developing infections during treatment.
• Hemorrhage: Unusual bleeding or bruising may occur due to the impact on blood clotting factors.

It’s essential to promptly report any side effects or symptoms you experience during Mylotarg treatment to your healthcare provider. They can assess the severity of the side effects and provide appropriate management strategies to help minimize discomfort and ensure your well-being.

In some cases, the potential benefits of Mylotarg in treating acute myeloid leukemia (AML) may outweigh the risks of side effects. Your healthcare team will weigh these factors and make treatment decisions based on your individual medical condition and overall health. As always, open communication with your medical team is vital for optimizing your care during cancer treatment.

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

Storage and Disposal of Mylotarg:

• Storage: Mylotarg is typically provided as a powder for reconstitution or as a solution in a vial. It should be stored according to the instructions on the packaging. Generally, it is stored in a refrigerator at 2°C to 8°C (36°F to 46°F). Do not freeze the medication unless explicitly stated in the product information.
• Reconstitution and Handling: If Mylotarg is provided as a powder, it needs to be reconstituted by a healthcare professional following proper aseptic procedures. They will mix the powder with the appropriate diluent before administration.
• Disposal: Any unused or expired Mylotarg should be disposed of properly as per local regulations for hazardous waste or medical waste disposal. Do not dispose of medications in household trash or flush them down the toilet unless specifically instructed to do so.

In case of emergency/overdose

In case of emergency or overdose, seek immediate medical attention or contact your local poison control center. Symptoms of overdose may include severe or unexpected side effects. Be prepared to provide information about the quantity of medication taken, the time of ingestion, and any symptoms you are experiencing.

What other information should I know

• Administration: Mylotarg is typically given as an intravenous (IV) infusion by a healthcare professional in a clinical setting. The dosing and administration schedule will be determined by your healthcare provider based on your specific condition.
• Side Effects: Like all medications, Mylotarg may cause side effects. Common side effects include fever, nausea, vomiting, fatigue, headache, and diarrhea. Serious side effects such as liver problems, lung toxicity, and bone marrow suppression are possible but less common. Report any unusual or severe side effects to your healthcare provider.
• Pregnancy and Breastfeeding: Mylotarg may cause harm to unborn babies, so it is generally not recommended during pregnancy. If you are pregnant or planning to become pregnant, discuss the risks and benefits with your doctor. It is also not recommended during breastfeeding, as it may pass into breast milk and harm the nursing infant.
• Drug Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking before starting Mylotarg. Some drugs may interact with Mylotarg and affect its effectiveness or increase the risk of side effects.

Always adhere to your healthcare provider’s instructions and attend regular check-ups during treatment to monitor your response to the medication and manage any potential side effects. If you have any concerns or questions about Mylotarg, don’t hesitate to discuss them with your healthcare provider.