Faslodex Side Effects
Generic Name: fulvestrant
Please note - some side effects for Faslodex may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).
Side Effects of Faslodex - for the Consumer
Faslodex
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 when using Faslodex:
Seek medical attention right away if any of these SEVERE side effects occur when using Faslodex:Abnormal skin sensations; anxiety; back, bone, joint, or pelvic pain; constipation; diarrhea; dizziness; headache; hot flushes; increased cough; loss of appetite; nausea; pain, swelling, or redness at the injection site; sleeplessness; sore throat; stomach pain; sweating; vomiting; weakness.
TopSevere allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; depression; fever or chills; frequent or painful urination; mental or mood changes; pain, redness, or tenderness in the legs; persistent sore throat; persistent vaginal bleeding; severe tiredness or weakness; shortness of breath; swelling of the hands or feet.
Faslodex Side Effects - for the Professional
Faslodex
The most commonly reported adverse experiences in the Faslodex and anastrozole treatment groups, regardless of the investigator’s assessment of causality, were gastrointestinal symptoms (including nausea, vomiting, constipation, diarrhea and abdominal pain), headache, back pain, vasodilatation (hot flushes), and pharyngitis.
Injection site reactions with mild transient pain and inflammation were seen with Faslodex and occurred in 7% of patients (1% of treatments) given the single 5 mL injection (predominately European Trial) and in 27% of patients (4.6% of treatments) given the 2 x 2.5 mL injections (North American Trial).
Table 4 lists adverse experiences reported with an incidence of 5% or greater, regardless of assessed causality, from the two controlled clinical trials comparing the administration of Faslodex 250 mg intramuscularly once a month with anastrozole 1 mg orally once a day.
|
Body system and adverse event* |
Faslodex 250 mg N=423 (%) |
Anastrozole 1 mg N=423 (%) |
|
Body as a whole |
68.3 |
67.6 |
|
Asthenia |
22.7 |
27.0 |
|
Pain |
18.9 |
20.3 |
|
Headache |
15.4 |
16.8 |
|
Back pain |
14.4 |
13.2 |
|
Abdominal pain |
11.8 |
11.6 |
|
Injection site pain† |
10.9 |
6.6 |
|
Pelvic Pain |
9.9 |
9.0 |
|
Chest pain |
7.1 |
5.0 |
|
Flu syndrome |
7.1 |
6.4 |
|
Fever |
6.4 |
6.4 |
|
Accidental injury |
4.5 |
5.7 |
|
Cardiovascular system |
30.3 |
27.9 |
|
Vasodilatation |
17.7 |
17.3 |
|
Digestive system |
51.5 |
48.0 |
|
Nausea |
26.0 |
25.3 |
|
Vomiting |
13.0 |
11.8 |
|
Constipation |
12.5 |
10.6 |
|
Diarrhea |
12.3 |
12.8 |
|
Anorexia |
9.0 |
10.9 |
|
Hemic and lymphatic Systems |
13.7 |
13.5 |
|
Anemia |
4.5 |
5.0 |
|
Metabolic and Nutritional disorders |
18.2 |
17.7 |
|
Peripheral edema |
9.0 |
10.2 |
|
Musculoskeletal system |
25.5 |
27.9 |
|
Bone pain |
15.8 |
13.7 |
|
Arthritis |
2.8 |
6.1 |
|
Nervous system |
34.3 |
33.8 |
|
Dizziness |
6.9 |
6.6 |
|
Insomnia |
6.9 |
8.5 |
|
Paresthesia |
6.4 |
7.6 |
|
Depression |
5.7 |
6.9 |
|
Anxiety |
5.0 |
3.8 |
|
Respiratory system |
38.5 |
33.6 |
|
Pharyngitis |
16.1 |
11.6 |
|
Dyspnea |
14.9 |
12.3 |
|
Cough increased |
10.4 |
10.4 |
|
Skin and appendages |
22.2 |
23.4 |
|
Rash |
7.3 |
8.0 |
|
Sweating |
5.0 |
5.2 |
|
Urogenital system |
18.2 |
14.9 |
|
Urinary tract infection |
6.1 |
3.5 |
Other adverse events reported as drug-related and seen infrequently (<1%) include thromboembolic phenomena, myalgia, vertigo, leukopenia and hypersensitivity reactions including angioedema and urticaria.
Vaginal bleeding has been reported infrequently (<1%), mainly in patients during the first 6 weeks after changing from existing hormonal therapy to treatment with Faslodex. If bleeding persists, further evaluation should be considered.
TopSide Effects by Body System
Gastrointestinal
Gastrointestinal side effects have included nausea (26%), vomiting (13%), constipation (12.5%), diarrhea (12.3%), abdominal pain (11.8%), and anorexia (9%).
Hematologic
Hematologic side effects have included anemia (4.5%).
Cardiovascular
Cardiovascular side effects have included vasodilation (17.7%), and peripheral edema (9%).
Musculoskeletal
Musculoskeletal side effects have included bone pain (15.8%), and arthritis (2.8%).
Nervous system
Nervous system side effects have included dizziness (6.9%), insomnia (6.9%), paresthesia (6.4%), depression (5.7%), and anxiety (5%).
Respiratory
Respiratory side effects have included pharyngitis (16.1%), dyspnea (14.9%), and cough increased (10.4%).
Genitourinary
Genitourinary side effects have included urinary tract infection (6.1%).
Dermatologic
Dermatologic side effects have included rash (7.3%).
Endocrine
Endocrine side effects have included sweating (5%).
General
General side effects have included asthenia (22.7%), pain (18.9%), headache (15.4%), back pain (14.4%), pain at injection site (10.9%), pelvic pain (9.9%), chest pain (7.1%), flu syndrome (7.1%), fever (6.4%), and accidental injury (4.5%).
Hypersensitivity
Hypersensitivity side effects including angioedema and urticaria have been reported.
TopMore resources:
Faslodex - Includes detailed dosage instructions.
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