Vincristine liposomal injection

Generic Name: vincristine liposomal (vin-KRIS-teen)
Brand Name: Marqibo

Vincristine liposomal injection must be administered in an appropriate medical setting under close medical supervision.

If vincristine liposomal injection accidentally leaks into surrounding tissue, the skin and/or muscle may be severely damaged. Notify your doctor immediately if you feel pain, redness, or irritation at the injection site.

Vincristine liposomal injection is for intravenous (IV) (into a vein) use only. Fatalities have occurred when vincristine liposomal injection was injected into the spine. Discuss any questions or concerns with your doctor.


Vincristine liposomal injection is used for:

Treating certain types of leukemia. It may be used for other conditions as determined by your doctor.

Vincristine liposomal injection is an antineoplastic. It works by killing certain cancer cells.

Do NOT use vincristine liposomal injection if:

  • you are allergic to any ingredient in vincristine liposomal injection
  • you have a certain disease of the nervous system (Charcot-Marie Tooth syndrome)

Contact your doctor or health care provider right away if any of these apply to you.

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Before using vincristine liposomal injection:

Some medical conditions may interact with vincristine liposomal injection. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are able to become pregnant
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a current or recent infection (eg, herpes zoster infection or shingles, chickenpox), bone marrow problems (eg, low blood platelets, low white blood cells), bowel problems (eg, blockage, constipation), liver problems, lung or breathing problems, muscle problems, or nervous system problems
  • if you have a history of blood problems caused by chemotherapy
  • if you have received or are currently receiving radiation therapy or other chemotherapy
  • if you are dehydrated or have low blood sodium levels
  • if you have recently received or are scheduled to receive a vaccine
  • if you take any medicines that may increase the risk of nervous system problems. Check with your doctor or pharmacist if you are unsure if any of your medicines may increase the risk of nervous system problems

Some MEDICINES MAY INTERACT with vincristine liposomal injection. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Atazanavir, clarithromycin, indinavir, itraconazole, ketoconazole, nefazodone, nelfinavir, posaconazole, ritonavir, saquinavir, telithromycin, or voriconazole because they may increase the risk of vincristine liposomal injection's side effects
  • Carbamazepine, dexamethasone, phenobarbital, phenytoin, rifamycins (eg, rifampin), or St. John's wort because they may decrease vincristine liposomal injection's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if vincristine liposomal injection may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use vincristine liposomal injection:

Use vincristine liposomal injection as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Vincristine liposomal injection is administered as an injection at your doctor's office, hospital, or clinic.
  • Drinking extra fluids while you are taking vincristine liposomal injection is recommended. Check with your doctor for instructions.
  • Do not use vincristine liposomal injection if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
  • If you get vincristine liposomal injection on your skin, rinse the area thoroughly with soap and water. If you get vincristine liposomal injection in your eyes, nose, or mouth, flush the area thoroughly with water.
  • Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
  • If you miss a dose of vincristine liposomal injection, contact your doctor immediately.

Ask your health care provider any questions you may have about how to use vincristine liposomal injection.

Important safety information:

  • Vincristine liposomal injection may cause tiredness, dizziness, or light-headedness. These effects may be worse if you take it with alcohol or certain medicines. Use vincristine liposomal injection with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Vincristine liposomal injection may cause constipation. Talk with your doctor or pharmacist about using a stool softener or laxative to prevent constipation. If you become constipated while taking vincristine liposomal injection, talk with your doctor or pharmacist.
  • Vincristine liposomal injection may reduce the ability of your blood to clot properly. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark, tarry, or bloody stools.
  • Vincristine liposomal injection may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
  • A serious and possibly fatal condition called tumor lysis syndrome (TLS) has been reported in patients taking vincristine liposomal injection. Contact your doctor right away if you develop symptoms such as fast or irregular heartbeat; fainting; decreased urination; muscle weakness or cramps; nausea, vomiting, diarrhea, or loss of appetite; or sluggishness. Discuss any questions or concerns with your doctor.
  • Do not receive a live vaccine (eg, measles, mumps) while you are taking vincristine liposomal injection. Talk with your doctor before you receive any vaccine.
  • Lab tests, including complete blood cell counts and liver function, may be performed while you use vincristine liposomal injection. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • If you may become pregnant, you must use an effective form of birth control while you take vincristine liposomal injection. If you have questions about effective birth control, talk with your doctor.
  • Vincristine liposomal injection should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Vincristine liposomal injection may cause harm to the fetus. Do not become pregnant while you are using it. If you think you may be pregnant, contact your doctor right away. You will need to discuss the benefits and risks of using vincristine liposomal injection while you are pregnant. It is not known if vincristine liposomal injection is found in breast milk. Do not breast-feed while taking vincristine liposomal injection.

Possible side effects of vincristine liposomal injection:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; decreased appetite; diarrhea; mild stomach pain; nausea; tiredness; trouble sleeping.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); back, bone, jaw, joint, or muscle pain; burning, numbness, pain, tingling, or weakness in the hands, arms, legs, or feet; change in the amount of urine produced; chest pain; confusion; decreased coordination or balance; dizziness; fainting; mental or mood changes; mouth sores or inflammation; muscle spasm or weakness; nerve pain; burning, pain, redness, or swelling at the injection site; seizures; severe or persistent headache; severe or persistent stomach pain or constipation; shortness of breath; sluggishness; symptoms of infection (eg, fever, chills, cough, persistent sore throat, increased or painful urination); symptoms of liver problems (eg, dark urine, pale stools, persistent loss of appetite, yellowing of the skin or eyes); trouble urinating or other urination problems; trouble walking or moving; unusual bruising or bleeding; unusual tiredness or weakness; wheezing.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of vincristine liposomal injection:

Vincristine liposomal injection is handled and stored by a health care provider. Keep vincristine liposomal injection out of the reach of children and away from pets.

General information:

  • If you have any questions about vincristine liposomal injection, please talk with your doctor, pharmacist, or other health care provider.
  • Vincristine liposomal injection is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take vincristine liposomal injection or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about vincristine liposomal injection. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to vincristine liposomal injection. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using vincristine liposomal injection.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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