Generic Name: Sirolimus Tablets (sir OH li mus)
Brand Name: Rapamune
Medically reviewed by Drugs.com. Last updated on Aug 17, 2019.
- This medicine may raise the chance of very bad and sometimes deadly infections. Talk with the doctor.
- Call your doctor right away if you have any signs of infection like fever, chills, flu-like signs, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or a wound that will not heal.
- This medicine may raise the chance of getting cancer like lymphoma or skin cancer. Call your doctor right away if you have a change in color or size of a mole, a skin lump or growth, a big weight loss, night sweats, or swollen glands.
- This medicine is not for use in people who have had liver or lung transplants. Very bad and sometimes deadly problems have happened in these people. Talk with the doctor.
Uses of Rapamune:
- It is used after a kidney transplant to keep the body from rejecting the kidney.
- It is used to treat a lung disease called lymphangioleiomyomatosis (LAM).
- It may be given to you for other reasons. Talk with the doctor.
What do I need to tell my doctor BEFORE I take Rapamune?
- If you have an allergy to sirolimus or any other part of Rapamune (sirolimus tablets).
- If you are taking any of these drugs: Clarithromycin, erythromycin, itraconazole, ketoconazole, rifabutin, rifampin, telithromycin, or voriconazole.
- If you are breast-feeding or plan to breast-feed.
This is not a list of all drugs or health problems that interact with Rapamune (sirolimus tablets).
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Rapamune (sirolimus tablets) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
What are some things I need to know or do while I take Rapamune?
- Tell all of your health care providers that you take Rapamune (sirolimus tablets). This includes your doctors, nurses, pharmacists, and dentists.
- High blood pressure has happened with Rapamune (sirolimus tablets). Have your blood pressure checked as you have been told by your doctor.
- This medicine may cause high cholesterol and triglyceride levels. Talk with the doctor.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- Have your urine checked as you have been told by your doctor.
- High blood sugar has happened with Rapamune (sirolimus tablets). This includes diabetes that is new or worse. Talk with the doctor.
- Check your blood sugar as you have been told by your doctor.
- Tell your doctor if you have signs of high blood sugar like confusion, feeling sleepy, more thirst, more hungry, passing urine more often, flushing, fast breathing, or breath that smells like fruit.
- You may have more chance of getting an infection. Wash hands often. Stay away from people with infections, colds, or flu.
- You may bleed more easily. Be careful and avoid injury. Use a soft toothbrush and an electric razor.
- The chance of skin cancer may be raised. Avoid lots of sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun.
- Talk with your doctor before getting any vaccines. Use of some vaccines with Rapamune (sirolimus tablets) may either raise the chance of an infection or make the vaccine not work as well.
- Avoid grapefruit and grapefruit juice.
- This medicine may affect how wounds heal. Sometimes, people with wound healing problems have needed surgery. Call your doctor right away if you have a wound that is red, warm, painful, or swollen. Call your doctor right away if your wound opens up or if there is blood, fluid, or pus in a wound.
- Some people treated with Rapamune (sirolimus tablets) have had very bad kidney problems caused by a certain viral infection (BK virus). In people who have had a kidney transplant, BK virus infection may cause loss of the kidney. Call your doctor right away if you have signs of kidney problems like change in the amount of urine passed, difficulty or pain when passing urine, or blood in the urine.
- Very bad and sometimes deadly blood problems like thrombotic thrombocytopenic purpura/hemolytic uremic syndrome (TTP/HUS) have happened with Rapamune (sirolimus tablets) in some people. Call your doctor right away if you feel very tired or weak or have any bruising or bleeding; dark urine or yellow skin or eyes; pale skin; change in the amount of urine passed; change in eyesight; change in strength on 1 side is greater than the other, trouble speaking or thinking, or change in balance; or fever.
- This medicine may cause harm to the unborn baby if you take it while you are pregnant.
- Use birth control before starting Rapamune (sirolimus tablets), during treatment, and for 3 months after your last dose.
- If you get pregnant while taking Rapamune (sirolimus tablets) or within 3 months after your last dose, call your doctor right away.
How is this medicine (Rapamune) best taken?
Use Rapamune (sirolimus tablets) as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Take with or without food but take the same way each time. Always take with food or always take on an empty stomach.
- To gain the most benefit, do not miss doses.
- Keep taking Rapamune (sirolimus tablets) as you have been told by your doctor or other health care provider, even if you feel well.
- If you are taking cyclosporine, take it at least 4 hours before taking Rapamune (sirolimus tablets).
- Do not switch between different forms of Rapamune (sirolimus tablets) without first talking with the doctor.
- Swallow whole. Do not chew, break, or crush.
- If you have trouble swallowing, talk with your doctor.
What do I do if I miss a dose?
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
What are some side effects that I need to call my doctor about right away?
- Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
- Signs of low potassium levels like muscle pain or weakness, muscle cramps, or a heartbeat that does not feel normal.
- Swelling, warmth, numbness, change of color, or pain in a leg or arm.
- Chest pain or pressure or a fast heartbeat.
- Coughing up blood.
- Feeling very tired or weak.
- Skin wound that will not heal.
- Swelling in the arms or legs.
- Any unexplained bruising or bleeding.
- Period (menstrual) changes.
- Some people have had lung problems with Rapamune (sirolimus tablets). Sometimes, this has been deadly. Call your doctor right away if you have signs of lung problems like shortness of breath or other trouble breathing, cough that is new or worse, or fever.
- A very bad brain problem called progressive multifocal leukoencephalopathy (PML) has happened with Rapamune (sirolimus tablets). It may cause disability or can be deadly. Tell your doctor right away if you have signs like confusion, memory problems, low mood (depression), change in the way you act, change in strength on 1 side is greater than the other, trouble speaking or thinking, change in balance, or change in eyesight.
- Very bad and sometimes deadly liver problems have happened with Rapamune (sirolimus tablets). Call your doctor right away if you have signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
What are some other side effects of Rapamune?
- Belly pain.
- Upset stomach.
- Joint pain.
- Pimples (acne).
- Nose or throat irritation.
If OVERDOSE is suspected:
How do I store and/or throw out Rapamune?
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Do not take Rapamune (sirolimus tablets) out of the blister pack until you are ready to take it. Take Rapamune (sirolimus tablets) right away after opening the blister pack. Do not store the removed drug for future use.
- Protect from light.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
Consumer information use
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time Rapamune (sirolimus tablets) is refilled. If you have any questions about Rapamune (sirolimus tablets), please talk with the doctor, pharmacist, or other health care provider.
More about Rapamune (sirolimus)
- Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Drug Images
- Drug Interactions
- Compare Alternatives
- Pricing & Coupons
- En Español
- Generic Availability
- Drug class: mTOR inhibitors
- FDA Alerts (5)