Sargramostim (Injection)

Introduction

Sargramostim (sar-GRA-moe-stim)

Helps your body make white blood cells after chemotherapy, bone marrow transplant, or stem cell transplant. Also used to move cells into the blood for collection before a transplant.

Brand Name(s)

Leukine

When This Medicine Should Not Be Used

How to Use This Medicine

Injectable

• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot under your skin or through a needle placed in one of your veins.
• This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
• A nurse or other trained health professional will give you this medicine.
• You may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.
• If you will be giving this medicine to yourself as a shot under your skin (subcutaneous): You will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas.
• Do not shake the medicine. Use a new needle and syringe each time you inject your medicine.
• This medicine is available in two different forms. These forms are either a pre-mixed liquid or a powder. You might be able to use the pre-mixed liquid directly from the vial, or you might have to mix it with another liquid before you use it. You must mix the powder with another liquid before you use it. Make sure you understand how to prepare the medicine before giving yourself an injection.

If a dose is missed:

• This medicine needs to be given on a fixed schedule. If you miss a dose, call your doctor, pharmacist, or treatment clinic for instructions.

How to Store and Dispose of This Medicine

• If you store this medicine at home, keep the unopened packages in the refrigerator. Do not freeze.
• Ask your pharmacist, doctor, or nurse about how to store your medicine after you have opened a vial (bottle). The pre-mixed liquid can usually be stored for up to 20 days after the vial has been opened. The powder has different storage directions based on what kind of liquid it is mixed with.
• Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.
• Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed.
• Keep all medicine away from children and never share your medicine with anyone.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are also using lithium or a corticosteroid (such as cortisone, prednisone, Flonase®, Advair®).
• Make sure your doctor knows about all other radiation and chemotherapy treatments you have received in the past.

Warnings While Using This Medicine

• Make sure your doctor knows if you are pregnant or breast feeding, or if you have kidney disease or liver disease. Your doctor also needs to know if you have lung disease or other breathing problems. Make sure your doctor knows if you have heart disease, especially if you have heart rhythm problems or congestive heart failure (CHF). It is important for your doctor to know if you have problems with too much fluid in your body (sometimes called "edema"). Some examples of edema are pleural effusion (fluid around your lungs) or pericardial effusion (fluid around your heart).
• Your doctor will need to check your blood at regular visits while you are using this medicine. Be sure to keep all appointments.
• If your cancer symptoms get worse, call your doctor.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Blue lips or fingers.
• Chest pain or pressure.
• Dizziness or fainting, and warmth or redness in your face, neck, arms, or upper chest.
• Fast or uneven heartbeat.
• Sudden trouble breathing.
• Swelling in your hands, ankles, or feet, or rapid weight gain.

If you notice these less serious side effects, talk with your doctor:

• Bone, joint, or muscle pain.
• Headache.
• Low fever (under 100.5 degrees F), chills.
• Nausea, vomiting, diarrhea, stomach pain, weight loss, trouble swallowing.
• Redness, pain, or swelling where the injection was given.

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088