TALZENNA can cause the number of white blood cells to decrease (neutropenia), putting you at risk for infection. Stress, poor nutrition, and lack of sleep may also increase your risk of infection.
Some steps you can take to protect yourself against infection during treatment are:
Washing your hands often
Following food safety guidelines
Minimizing exposure to people who might be sick or who have recently had a live vaccine
Your healthcare team should check your white blood cell counts before and during treatment. If you experience symptoms, like fever, tell your doctor right away.
TALZENNA may cause serious side effects, including:
Bone marrow problems called Myelodysplastic Syndrome (MDS) or Acute Myeloid Leukemia (AML). Some people who have cancer and who have received previous treatment with chemotherapy or certain other medicines for their cancer have developed MDS or AML during or after treatment with TALZENNA. MDS or AML may lead to death. If you develop MDS or AML, your healthcare provider will stop treatment with TALZENNA.
Symptoms of low blood cell counts are common during treatment with TALZENNA, but can be a sign of serious problems, including MDS or AML. Tell your healthcare provider if you have any of the following symptoms during treatment with TALZENNA:
weakness
weight loss
fever
frequent infections
blood in urine or stool
shortness of breath
feeling very tired
bruising or bleeding more easily
Your healthcare provider will do blood tests to check your blood cell counts:
every month during treatment with TALZENNA
weekly if you have low blood cell counts that last a long time. Your healthcare provider may stop treatment with TALZENNA until your blood cell counts improve.
Before taking TALZENNA, tell your healthcare provider about all of your medical conditions, including if you:
have kidney problems
are pregnant or plan to become pregnant. TALZENNA can harm your unborn baby, and may cause loss of pregnancy (miscarriage). You should not become pregnant during treatment with TALZENNA. Tell your healthcare provider right away if you are pregnant or become pregnant during treatment with TALZENNA.
Females who are able to become pregnant should use effective birth control (contraception) during treatment with TALZENNA and for at least 7 months after receiving the last dose of TALZENNA. Talk to your healthcare provider about forms of birth control that may be right for you.
Males with female partners who are pregnant or are able to become pregnant should use effective birth control during treatment with TALZENNA and for at least 4 months after receiving the last dose of TALZENNA.
are breastfeeding or plan to breastfeed. It is not known if TALZENNA passes into your breast milk. Do not breastfeed during treatment with TALZENNA and for at least 1 month after receiving the last dose of TALZENNA. Talk to your healthcare provider about the best way to feed your baby during this time.
Tell your healthcare provider about all the medicines you take, including prescription medicines, over-the-counter medicines, vitamins, and herbal supplements. Taking TALZENNA and certain other medicines can affect how TALZENNA works and may cause side effects.
Know the medicines you take. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine.
How to take TALZENNA
Take TALZENNA exactly as your healthcare provider tells you.
If you miss a dose of TALZENNA or vomit, take your next dose at your regular time. Do not take an extra dose to make up for a missed dose.
If you take too much TALZENNA, call your healthcare provider or go to the nearest hospital emergency room right away.
The most common side effects of TALZENNA include:
low red blood cell counts
low white blood cell counts
low platelet counts
tiredness or weakness
increased blood glucose levels
increased liver function tests
low calcium in the blood
nausea
headache
vomiting
hair loss
diarrhea
decreased appetite
TALZENNA may cause fertility problems in males. This may affect your ability to father a child. Talk to your healthcare provider if this is a concern for you. These are not all of the possible side effects of TALZENNA.
Call your doctor for medical advice about side effects.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Indication
TALZENNA is a prescription medicine used:
alone to treat adults with a certain type of breast cancer (human epidermal growth factor receptor 2 [HER2]-negative)
who have an abnormal inherited BRCA gene, and
whose cancer has spread to other parts of the body (locally advanced or metastatic).
Your healthcare provider will perform a test to make sure that TALZENNA is right for you. It is not known if TALZENNA is safe and effective in children.
