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Generic Name: carfilzomib (kar FILZ oh mib)
Brand Name: Kyprolis

Medically reviewed by on Mar 17, 2020 – Written by Cerner Multum

What is carfilzomib?

Carfilzomib is used to treat multiple myeloma. Carfilzomib is sometimes given with other medicines when treating relapsed multiple myeloma.

Carfilzomib is usually given after other treatments have failed.

Carfilzomib may also be used for purposes not listed in this medication guide.

Important Information

Carfilzomib can affect your heart or lungs. Call your doctor at once if you have chest pain, pounding heartbeats, shortness of breath (even with mild exertion or while lying down), swelling of your hands or feet, feeling like you might pass out, wheezing, gasping for breath, cough with foamy mucus, or blue colored appearance of your lips and skin.

Before taking this medicine

You should not use carfilzomib if you are allergic to it.

Tell your doctor if you have ever had:

Carfilzomib can harm an unborn baby or cause birth defects if the mother or the father is using carfilzomib.

  • If you are a woman, do not use carfilzomib if you are pregnant. Use effective birth control to prevent pregnancy while you are using this medicine and for at least 6 months after your last dose.

  • If you are a man, use effective birth control if your sex partner is able to get pregnant. Keep using birth control for at least 3 months after your last dose.

  • Tell your doctor right away if a pregnancy occurs while either the mother or the father is using carfilzomib.

You should not breast-feed while using carfilzomib.

How is carfilzomib given?

Carfilzomib is given as an infusion into a vein. A healthcare provider will give you this injection.

Carfilzomib is given in a 28-day treatment cycle. You will receive an injection only on certain days of this cycle.

Drink plenty of liquids before and after your carfilzomib injections.

You may be given other medications to help prevent serious side effects or infections. Keep using these medicines for as long as your doctor has prescribed.

You may need frequent medical tests to be sure this medicine is not causing harmful effects. Your cancer treatments may be delayed based on the results.

Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while receiving this medication.

What happens if I miss a dose?

Call your doctor for instructions if you miss an appointment for your carfilzomib injection.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while receiving carfilzomib?

Avoid driving or hazardous activity until you know how carfilzomib will affect you. Your reactions could be impaired.

Carfilzomib side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Some side effects may occur within 24 hours after the injection. Tell your caregiver right away if you feel weak, nauseated, chilled or feverish, light-headed, or if you have joint or muscle pain, a cold sweat, chest pain or tightness, trouble breathing, or swelling in your face.

Call your doctor at once if you have:

  • shortness of breath (even while lying down), wheezing, blue colored lips and skin, cough with foamy mucus;

  • a light-headed feeling, like you might pass out;

  • easy bruising, unusual bleeding, or any bleeding that will not stop;

  • headache, confusion, change in mental status, vision loss, seizure (convulsions);

  • vomiting, diarrhea, weakness, blood in your stools, coughing up blood or vomit that looks like coffee grounds;

  • jaundice (yellowing of the skin or eyes);

  • heart problems--chest pain, pain spreading to your jaw or shoulder, pounding in your neck or ears, blurred vision, anxiety;

  • kidney problems--little or no urination, swelling in your feet or ankles, feeling tired or short of breath;

  • low blood cell counts--fever, chills, tiredness, mouth sores, skin sores, pale skin, cold hands and feet;

  • low potassium level--leg cramps, irregular heartbeats, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling;

  • signs of a blood clot--sudden numbness or weakness, slurred speech, pain or redness in an arm or leg; or

  • signs of tumor cell breakdown--confusion, weakness, muscle cramps, nausea, vomiting, fast or slow heart rate, decreased urination, tingling in your hands and feet or around your mouth.

Common side effects may include:

  • fever, bruising, pale skin or other signs of low blood cell counts;

  • low potassium;

  • nausea, diarrhea;

  • feeling short of breath;

  • cold symptoms such as stuffy nose, sneezing, cough, sore throat;

  • muscle spasm;

  • swelling in your hands or feet; or

  • headache, trouble sleeping, feeling tired.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect carfilzomib?

Other drugs may affect carfilzomib, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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

Frequently Asked Questions