Generic Name: Goserelin Implant 3.6 mg (GOE se REL in)
Brand Name: Zoladex
Uses of Zoladex:
- It is used to treat prostate cancer.
- It is used to treat endometriosis.
- It is used to treat breast cancer.
- It is used to treat uterine bleeding.
- It may be given to you for other reasons. Talk with the doctor.
What do I need to tell my doctor BEFORE I take Zoladex?
- If you have an allergy to goserelin or any other part of Zoladex (goserelin implant 3.6 mg).
- 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 unexplained vaginal bleeding.
- If you are pregnant.
- If you are breast-feeding or plan to breast-feed.
This is not a list of all drugs or health problems that interact with this medicine.
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 Zoladex 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 Zoladex?
- Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
- This medicine may raise some hormone levels in your body during the first few weeks of taking it. Disease signs may get worse before getting better. Tell your doctor if you have any new signs or if your disease signs are worse for longer than a few weeks after starting Zoladex.
- This medicine lowers some hormone levels in your body. This may cause some effects like change in breast size, breast soreness or tenderness, testicle changes in men, change in sex ability in men, hot flashes, or sweating. Talk with your doctor.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take this medicine.
- This medicine may raise the chance of high blood sugar (diabetes). Talk with the doctor.
- If you have high blood sugar (diabetes), talk with your doctor.
- Check your blood sugar as you have been told by your doctor.
- This medicine may cause weak bones. This may happen more often if used for a long time. This may raise the chance of broken bones. Call your doctor right away if you have bone pain.
- Have a bone density test as you have been told by your doctor. Talk with your doctor.
- Injury where the shot was given and blood vessel injury have happened with Zoladex. These include pain, bruising, and bleeding. Sometimes, these have led to the need for a blood transfusion or surgery. Talk with the doctor.
- A higher chance of stroke or very bad and sometimes deadly heart problems have been noted with the use of drugs like this medicine in men. The chance is low, but get medical help right away if you have chest pain or pressure, a change in strength on 1 side that is greater than the other, trouble speaking or thinking, change in balance, or change in eyesight.
- Most of the time, Zoladex stops you from having a period (menstrual bleeding). This is not a method of birth control. Use a non-hormone type of birth control like condoms to prevent pregnancy while taking this medicine.
- If you miss doses of Zoladex, bleeding between cycles can happen. There may also be a chance of getting pregnant if you miss doses of this medicine. Talk with your doctor.
- This medicine may cause harm to the unborn baby if you take it while you are pregnant.
- Use birth control that you can trust to prevent pregnancy while taking Zoladex and for 3 months after care ends.
- If you get pregnant while taking this medicine or within 3 months after your last dose, call your doctor right away.
How is this medicine (Zoladex) best taken?
Use Zoladex (goserelin implant 3.6 mg) 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 high blood sugar like confusion, feeling sleepy, more thirst, more hungry, passing urine more often, flushing, fast breathing, or breath that smells like fruit.
- Signs of high calcium levels like weakness, confusion, feeling tired, headache, upset stomach and throwing up, hard stools (constipation), or bone pain.
- Signs of low mood (depression), thoughts of killing yourself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
- Shortness of breath, a big weight gain, or swelling in the arms or legs.
- Not able to pass urine.
- Pain when passing urine.
- Irritation where the shot is given.
- Back pain.
- Belly pain.
- Swelling of belly.
- Blood in the urine.
- Dark urine.
- Throwing up blood or throw up that looks like coffee grounds.
- A burning, numbness, or tingling feeling that is not normal.
- Fever or chills.
- Sore throat.
- A very bad pituitary gland problem (pituitary apoplexy) has rarely happened with this medicine. Most of the time, this has happened within 2 weeks after the first dose. Call your doctor right away if you have a sudden headache, throwing up, passing out, mood changes, eye weakness, not able to move your eyes, or change in eyesight.
- A type of abnormal heartbeat (prolonged QT interval) can happen with Zoladex. Call your doctor right away if you have a fast heartbeat, a heartbeat that does not feel normal, or if you pass out.
- Vaginal bleeding that is not normal.
What are some other side effects of Zoladex?
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:
- Pimples (acne).
- Lowered interest in sex.
- Loose stools (diarrhea).
- Not hungry.
- Upset stomach.
- Feeling tired or weak.
- Not able to sleep.
- Vaginal irritation.
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:
How do I store and/or throw out Zoladex?
- If you need to store this medicine at home, talk with your doctor, nurse, or pharmacist about how to store it.
Consumer Information Use and Disclaimer
- 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 Zoladex, please talk with your doctor, nurse, pharmacist, or other health care provider.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. 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 Zoladex. 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 the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using Zoladex.
Review Date: February 7, 2018
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