Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are using medicines such as anthracyclines (doxorubicin or daunorubicin), cisplatin, etoposide, methotrexate, tamoxifen, paclitaxel (Taxol®), or vinca alkaloids (vincristine).
Make sure your doctor knows if you are pregnant or breast feeding, or if you have anemia, any other blood disorder, kidney disease, or liver disease.
Tell your doctor if you have severe kidney disease. Also tell your doctor if you had a liver transplant recently or if you are going to have a transplant. The risk of having a very serious disease called nephrogenic systemic fibrosis (NSF) is increased in patients with severe kidney disease. Even if you have severe kidney problems, your doctor may decide that it is still important to use this medicine. Check with your doctor right away if you have burning or itching of the skin; red or dark patches on the skin; skin swelling, hardening, or tightening; joint stiffness; limited range of motion in the arms and legs; pain that is deep in the hip bone or ribs; or muscle weakness after you get the injection. These may be symptoms of nephrogenic systemic fibrosis.
Make sure your doctor knows if you have any allergic respiratory diseases, asthma, heart disease, or seizures, or if you have disorders like Dubin-Johnson syndrome, von Willebrand disease, or Wilson disease.