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Xgeva

Generic Name: Denosumab Injection (Xgeva) (den OH sue mab)
Brand Name: Xgeva

Medically reviewed on May 2, 2018.

Uses of Xgeva:

  • It is used when treating some cancers.
  • It is used to treat high calcium levels in patients with cancer.
  • It may be given to you for other reasons. Talk with the doctor.

What do I need to tell my doctor BEFORE I take Xgeva?

  • If you have an allergy to denosumab or any other part of Xgeva (denosumab injection (xgeva)).
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If you have low calcium levels.
  • If you are using another drug that has the same drug in it.
  • If you are pregnant or may be pregnant. Some brands of Xgeva (denosumab injection (xgeva)) are not for use during pregnancy.

This is not a list of all drugs or health problems that interact with Xgeva (denosumab injection (xgeva)).

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 Xgeva (denosumab injection (xgeva)) 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 Xgeva?

  • Tell all of your health care providers that you take Xgeva (denosumab injection (xgeva)). This includes your doctors, nurses, pharmacists, and dentists.
  • This medicine may raise the chance of a broken leg. Talk with the doctor.
  • After Xgeva (denosumab injection (xgeva)) is stopped, the chance of a broken bone is raised. This includes bones in the spine. The chance of having more than 1 broken bone in the spine is raised if you have ever had a broken bone in your spine. Do not stop treatment with Xgeva (denosumab injection (xgeva)) without talking to your doctor.
  • Have a bone density test as you have been told by your doctor. Talk with your doctor.
  • Have blood work checked as you have been told by the doctor. Talk with the doctor.
  • Take calcium and vitamin D as you were told by your doctor.
  • Have a dental exam before starting Xgeva (denosumab injection (xgeva)).
  • Take good care of your teeth. See a dentist often.
  • If you are a man and your sex partner is pregnant or gets pregnant at any time while you are being treated, talk with your doctor.
  • This medicine may cause harm to the unborn baby if you take it while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
  • Very low blood calcium levels have happened with Xgeva (denosumab injection (xgeva)). Sometimes, this has been deadly. If you have questions, talk with the doctor.
  • If you are able to get pregnant, a pregnancy test will be done to show that you are NOT pregnant before starting Xgeva (denosumab injection (xgeva)). Talk with your doctor.
  • Use birth control you can trust to prevent pregnancy while you are taking Xgeva (denosumab injection (xgeva)) and for 5 months after you stop taking it.
  • If you get pregnant while taking Xgeva (denosumab injection (xgeva)) or within 5 months after your last dose, call your doctor right away.

How is this medicine (Xgeva) best taken?

Use Xgeva (denosumab injection (xgeva)) as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • It is given as a shot into the fatty part of the skin.

What do I do if I miss a dose?

  • Call your doctor to find out what to do.

See also: Dosage Information (in more detail)

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of electrolyte problems like mood changes, confusion, muscle pain or weakness, a heartbeat that does not feel normal, seizures, not hungry, or very bad upset stomach or throwing up.
  • Mouth sores.
  • Swelling in the arms or legs.
  • Feeling very tired or weak.
  • Any new or strange groin, hip, or thigh pain.
  • Very bad bone, joint, or muscle pain.
  • Shortness of breath.
  • Very bad dizziness or passing out.
  • Any unexplained bruising or bleeding.
  • This medicine may cause jawbone problems. The chance may be higher the longer you take Xgeva (denosumab injection (xgeva)). The chance may be higher if you have cancer, dental problems, dentures that do not fit well, anemia, blood clotting problems, or an infection. The chance may also be higher if you are having dental work, getting chemo or radiation, or taking other drugs that may cause jawbone problems like some steroid drugs. There are many drugs that can do this. Ask your doctor or pharmacist if you are not sure. Call your doctor right away if you have jaw swelling or pain.
  • High calcium levels have happened after Xgeva (denosumab injection (xgeva)) was stopped in people whose bones were still growing. Call your doctor right away if you have signs of high calcium levels like weakness, confusion, feeling tired, headache, upset stomach or throwing up, constipation, or bone pain.

What are some other side effects of Xgeva?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

See also: Side effects (in more detail)

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Xgeva?

  • If you need to store Xgeva (denosumab injection (xgeva)) at home, talk with your doctor, nurse, or pharmacist about how to store it.

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.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
  • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Xgeva (denosumab injection (xgeva)), please talk with your doctor, nurse, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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