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Deferasirox tablets for oral suspension

Generic Name: deferasirox (dee-FER-a-sir-ox)
Brand Name: Exjade

Deferasirox tablets for oral suspension may cause severe and sometimes fatal kidney problems or liver problems. The risk may be greater in patients who already have kidney or liver problems. Lab tests, including kidney and liver function, will be performed while you use deferasirox tablets for oral suspension to check for these problems. Be sure to keep all doctor and lab appointments.

Deferasirox tablets for oral suspension may also cause severe and sometimes fatal stomach or bowel bleeding. The risk may be greater in elderly patients who have advanced blood or bone marrow cancer and/or low blood platelet counts.

Tell your doctor if you develop symptoms of kidney problems (eg, decreased urination) or liver problems (eg, yellowing of the skin or eyes; dark urine; pale stools; severe or persistent nausea, stomach pain, or loss of appetite). Tell your doctor if you develop symptoms of stomach or bowel bleeding (eg, stomach pain; black, tarry stools; vomit that looks like coffee grounds).


Deferasirox tablets for oral suspension is used for:

Treating high levels of iron in the blood.

Deferasirox tablets for oral suspension is an iron-chelating agent. It works by binding to the extra iron in the blood and removing it from the body.

Do NOT use deferasirox tablets for oral suspension if:

  • you are allergic to any ingredient in deferasirox tablets for oral suspension
  • you have severe kidney or liver problems, or very low blood platelet levels
  • you have certain blood or bone marrow problems (high-risk MDS) or advanced cancer

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

Before using deferasirox tablets for oral suspension:

Some medical conditions may interact with deferasirox tablets for oral suspension. 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 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 history of kidney problems (eg, kidney failure), liver problems (eg, cirrhosis), or stomach or bowel problems (eg, bleeding, ulcers)
  • if you have cancer, blood or bone marrow problems, low blood platelets, vision or eye problems, hearing problems, or an infection
  • if you are dehydrated
  • if you are 65 years old or older and have MDS

Some MEDICINES MAY INTERACT with deferasirox tablets for oral suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Anticoagulants (eg, warfarin), oral bisphosphonates (eg, alendronate), corticosteroids (eg, prednisone), or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of stomach or bowel ulcers or bleeding may be increased
  • Other iron-chelating medicines (eg, deferoxamine) because they may increase the risk of deferasirox tablets for oral suspension's side effects
  • Cholestyramine, colesevelam, colestipol, fosphenytoin, phenobarbital, phenytoin, rifampin, or ritonavir because they may decrease deferasirox tablets for oral suspension's effectiveness
  • Alosetron, caffeine, duloxetine, melatonin, paclitaxel, ramelteon, repaglinide, tacrine, theophyllines (eg, aminophylline), or tizanidine because the risk of their side effects may be increased by deferasirox tablets for oral suspension
  • Alfentanil, aprepitant, budesonide, buspirone, conivaptan, cyclosporine, darifenacin, darunavir, dasatinib, dihydroergotamine, dronedarone, eletriptan, eplerenone, ergotamine, everolimus, felodipine, fentanyl, fluticasone, hormonal contraceptives (eg, birth control), indinavir, lopinavir, lovastatin, lurasidone, maraviroc, midazolam, nisoldipine, pimozide, quetiapine, quinidine, saquinavir, sildenafil, simvastatin, sirolimus, tacrolimus, tolvaptan, tipranavir, triazolam, ticagrelor, or vardenafil because their effectiveness may be decreased by deferasirox tablets for oral suspension
  • Medicines that may harm the kidney (eg, aminoglycoside antibiotics [eg, gentamicin], amphotericin B, NSAIDs [eg, ibuprofen], tacrolimus, vancomycin) or the liver (eg, acetaminophen, methotrexate, ketoconazole, isoniazid, certain medicines for HIV infection) because the risk of kidney or liver side effects may be increased. Ask your doctor if you are unsure if any of your medicines might harm the kidney or liver

This may not be a complete list of all interactions that may occur. Ask your health care provider if deferasirox tablets for oral suspension 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 deferasirox tablets for oral suspension:

Use deferasirox tablets for oral suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take deferasirox tablets for oral suspension by mouth on an empty stomach at least 30 minutes before eating. Take it at the same time each day.
  • Do not chew or swallow the tablet whole. You must mix deferasirox tablets for oral suspension with water, orange juice, or apple juice before you take it. Ask your doctor or pharmacist how much fluid you should use to mix your dose of deferasirox tablets for oral suspension.
  • To mix deferasirox tablets for oral suspension, place the tablet in the correct amount of water, orange juice, or apple juice. Stir well until the tablet has completely dissolved, then immediately drink all of the liquid. Rinse the container with an additional small amount of water, orange juice, or apple juice and drink the contents to ensure the entire dose is taken.
  • Do not take an antacid that has aluminum in it at the same time you take deferasirox tablets for oral suspension. If you take antacids that contain aluminum, ask your doctor or pharmacist how to take them with deferasirox tablets for oral suspension.
  • Take as you have been told, even if you feel well.
  • To gain the most benefit, do not miss doses.
  • If you miss a dose of deferasirox tablets for oral suspension, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use deferasirox tablets for oral suspension.

Important safety information:

  • Tell your doctor or dentist that you take deferasirox tablets for oral suspension before you receive any medical or dental care, emergency care, or surgery.
  • Deferasirox tablets for oral suspension may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use deferasirox tablets for oral suspension with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions.
  • Serious and sometimes fatal bone marrow problems have been reported in patients taking deferasirox tablets for oral suspension. Contact your doctor or get medical help right away if you develop symptoms of infection (eg, fever, chills, persistent sore throat or cough), unusual bruising or bleeding, or unusual tiredness or weakness.
  • A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
  • Do not switch between different forms of deferasirox tablets for oral suspension without first talking with the doctor.
  • Hormonal birth control (eg, birth control pills) may not work as well while you are using deferasirox tablets for oral suspension. To prevent pregnancy, use an extra form of birth control (eg, condoms).
  • Have your vision and hearing checked as you have been told by your doctor.
  • Lab tests may be performed while you take deferasirox tablets for oral suspension. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use deferasirox tablets for oral suspension with caution in the ELDERLY; they may be more sensitive to its effects, especially kidney problems, liver problems, and stomach or bowel bleeding.
  • If your CHILD is taking deferasirox tablets for oral suspension, the dose may need to be changed as your child's weight changes. Have your child's weight checked often. Talk with the doctor before changing your child's dose.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking deferasirox tablets for oral suspension while you are pregnant. It is not known if this medicine is found in breast milk. Do not breast-feed while taking deferasirox tablets for oral suspension.

Possible side effects of deferasirox tablets for oral suspension:

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:

Diarrhea; nausea; stomach pain; vomiting.

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, throat, or tongue; unusual hoarseness); decreased hearing, hearing loss, or other hearing problems; symptoms of kidney problems (eg, decreased urination); symptoms of liver problems (eg, yellowing of the skin or eyes; dark urine; pale stools; severe or persistent nausea, stomach pain, or loss of appetite); symptoms of stomach or bowel bleeding or ulcers (eg, stomach pain; black, tarry stools; vomit that looks like coffee grounds); vision changes (eg, blurred or cloudy vision, decreased vision).

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 deferasirox tablets for oral suspension:

Store deferasirox tablets for oral suspension at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep deferasirox tablets for oral suspension out of the reach of children and away from pets.

General information:

  • If you have any questions about deferasirox tablets for oral suspension, please talk with your doctor, pharmacist, or other health care provider.
  • Deferasirox tablets for oral suspension 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 deferasirox tablets for oral suspension 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 deferasirox tablets for oral suspension. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to deferasirox tablets for oral suspension. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using deferasirox tablets for oral suspension.

Review Date: November 3, 2016

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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