Alert

temsirolimus

Pronunciation: TEM sir OH li mus

Brand: Torisel

What is the most important information I should know about temsirolimus?

You should not use temsirolimus if you have severe liver disease.

What is temsirolimus?

Temsirolimus is used to treat cancer of the kidneys, also called renal cell carcinoma.

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

What should I discuss with my healthcare provider before receiving temsirolimus?

You should not use temsirolimus if you have severe liver disease.

Tell your doctor if you have ever had:

  • liver disease;
  • kidney disease;
  • high cholesterol or triglycerides (a type of fat in the blood);
  • diabetes;
  • a head injury or brain tumor; or
  • an allergy to temsirolimus or sirolimus (Rapamune).

Both men and women using this medicine should use effective birth control to prevent pregnancy. Temsirolimus can harm an unborn baby or cause birth defects if the mother or father is using this medicine.

Keep using birth control for at least 3 months after your last dose of temsirolimus. Tell your doctor right away if a pregnancy occurs while either the mother or the father is using temsirolimus.

This medicine may affect fertility (ability to have children) in both men and women. However, it is important to use birth control to prevent pregnancy because temsirolimus can harm an unborn baby.

You should not breastfeed while using this medicine and for at least 3 weeks after your last dose.

How is temsirolimus given?

Temsirolimus is given as an infusion into a vein. A healthcare provider will give you this injection.

Temsirolimus is usually given once each week unless your cancer progresses or you have serious side effects from this medicine. This medicine must be given slowly, and the infusion can take up to 60 minutes to complete.

You may be given other medication to prevent an allergic reaction to temsirolimus.

You may need frequent medical tests to be sure this medicine is not causing harmful effects. Your cancer treatments may be delayed based on the results.

If you need surgery, tell the surgeon ahead of time that you are using temsirolimus.

What happens if I miss a dose?

Call your doctor if you miss an appointment for your temsirolimus injection.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include breathing problems, confusion, seizure, or bloody stools.

What should I avoid while receiving temsirolimus?

Grapefruit may interact with temsirolimus and lead to unwanted side effects. Avoid the use of grapefruit products.

Do not receive a "live" vaccine while using temsirolimus. The vaccine may not work as well and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), polio, rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.

This medicine can pass into body fluids (urine, feces, vomit). For at least 48 hours after you receive a dose, avoid allowing your body fluids to come into contact with your hands or other surfaces. Caregivers should wear rubber gloves while cleaning up a patient's body fluids, handling contaminated trash or laundry or changing diapers. Wash hands before and after removing gloves. Wash soiled clothing and linens separately from other laundry.

What are the possible side effects of temsirolimus?

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

Some side effects may occur during the injection. Tell your caregiver right away if you feel dizzy, warm, tingly, light-headed, or short of breath.

Call your doctor at once if you have:

  • cough, chest pain, wheezing, trouble breathing;
  • stomach pain, bloody or tarry stools;
  • pain or burning when you urinate, blood in your urine;
  • a surgical incision that will not heal;
  • low blood cell counts --fever, chills, tiredness, mouth sores, skin sores, easy bruising, unusual bleeding, pale skin, cold hands and feet, feeling light-headed or short of breath;
  • high blood sugar --increased thirst, increased urination, dry mouth, fruity breath odor;
  • kidney problems --little or no urination, puffy eyes, swelling in your feet or ankles, weight gain, urine that looks foamy; or
  • low potassium level --leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling.

Side effects such as diarrhea, swelling, and breathing problems may be more likely in older adults.

Common side effects may include:

  • low blood cell counts;
  • feeling weak or tired;
  • mouth sores or ulcers;
  • nausea, vomiting, stomach pain, loss of appetite;
  • swelling;
  • headache, joint pain;
  • rash; or
  • abnormal blood 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 temsirolimus?

Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.

Tell your doctor about all your current medicines. Many drugs can affect temsirolimus, especially:

  • sunitinib;
  • St. John's Wort;
  • an antibiotic or antifungal medicine;
  • an antidepressant;
  • antiviral medicine to treat hepatitis C or HIV/AIDS;
  • a blood thinner (warfarin, Coumadin, Jantoven);
  • heart or blood pressure medicine, especially an ACE inhibitor or calcium channel blocker (such as amlodipine, benazepril, diltiazem, ramipril, verapamil, and many others);
  • insulin or oral diabetes medicine; or
  • seizure medicine.

This list is not complete and many other drugs may affect temsirolimus. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Where can I get more information?

Your doctor or pharmacist can provide more information about temsirolimus.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2019 Cerner Multum, Inc. Version: 6.01. Revision date: 3/8/2019.

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