Sargramostim (By injection)
Helps your body make white blood cells after chemotherapy, bone marrow transplant, or stem cell transplant. Also used to move cells into the blood for collection before a transplant.
When This Medicine Should Not Be Used
How to Use This Medicine
- Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot under your skin or into a vein.
- A nurse or other health provider will give you this medicine.
- You may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.
- This medicine is available in two different forms: premixed liquid or a powder. You might be able to use the premixed liquid directly from the vial, or you might have to mix it with another liquid before you use it. You must mix the powder with another liquid before you use it.
- If you will be giving this medicine to yourself as a shot under your skin: You will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas.
- Use a new needle and syringe each time you inject your medicine. Do not shake the medicine.
- Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.
- Missed dose: You must use this medicine on a fixed schedule. Call your doctor or pharmacist if you miss a dose.
- Unopened: If you store this medicine at home, keep it in the refrigerator. Do not freeze.
- Opened: Store the pre-mixed liquid can be stored for up to 20 days. The powder has different storage directions based on what kind of liquid it is mixed with.
- Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Some medicines can affect how sargramostim works. Tell your doctor if you are using any of the following:
- Cancer medicines (including radiation treatment)
- Steroid medicine
Warnings While Using This Medicine
- Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, cancer, edema (fluid retention), heart disease, heart rhythm problem, or lung disease or other breathing problems.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Blue lips or fingers
- Chest pain, trouble breathing
- Decrease in how much or how often you urinate, cloudy urine
- Fast or uneven heartbeat
- Lightheadedness, dizziness, or fainting
- Rapid weight gain, swelling in your hands, ankles, or feet.
- Warmth or redness in your face, neck, arms, or upper chest
If you notice these less serious side effects, talk with your doctor:
- Bone, joint, or muscle pain
- Nausea, vomiting, diarrhea, stomach pain, weight loss, trouble swallowing
- Redness, pain, or swelling where the injection was given
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088
- Last reviewed on 10/4/2017
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