Exjade Generic Name: Deferasirox
Exjade is used for:
Treating high levels of iron in the blood caused by blood transfusions.
Exjade is an iron-chelating agent. It works by binding to the extra iron in the blood and removing it from the body.
Do NOT use Exjade if:
- you are allergic to any ingredient in Exjade
- you are taking another iron-chelating medicine (eg, deferoxamine)
Contact your doctor or health care provider right away if any of these apply to you.
Before using Exjade :
Some medical conditions may interact with Exjade . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have a history of kidney problems (eg, kidney failure) or are taking medicines that affect kidney function
- if you have liver problems, stomach or bowel problems (eg, bleeding, ulcers), blood or bone marrow problems, or low blood platelets
- if you have vision or eye problems, or hearing problems
- if you are over 60 years old and have myelodysplastic syndrome (MDS)
Some MEDICINES MAY INTERACT with Exjade . Tell your health care provider if you are taking any other medicines, especially any of the following:
- Anticoagulants (eg, warfarin), bisphosphonates (eg, alendronate), corticosteroids (eg, prednisone), or nonsteroidal anti-inflammatory drugs (NSAIDS) (eg, ibuprofen) because the risk of stomach ulcers or bleeding may be increased
- Other iron-chelating medicines (eg, deferoxamine) because they may increase the risk of Exjade 's side effects
- Cyclosporine, hormonal contraceptives (eg, birth control), or simvastatin because their effectiveness may be decreased by Exjade
This may not be a complete list of all interactions that may occur. Ask your health care provider if Exjade may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Exjade :
Use Exjade as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take Exjade by mouth on an empty stomach at least 1 hour before or 2 hours after eating.
- Do not chew or swallow the tablet whole. You must mix Exjade with water, orange juice, or apple juice before you take it. Ask your doctor or pharmacist how much fluid you should use to mix your dose of Exjade .
- To mix Exjade , place the tablet in the correct amount of water, orange juice, or apple juice. Stir well until the tablet has completely dissolved, then drink all of the liquid immediately. Rinse the container with an additional small amount of water, orange juice, or apple juice and drink the contents to ensure the entire dose is taken.
- Take Exjade on a regular schedule to get the most benefit from it. Taking it at the same time each day will help you remember to take it.
- Do not take an antacid that has aluminum in it at the same time you take Exjade . If you take antacids that contain aluminum, ask your doctor or pharmacist how to take them with Exjade .
- If you miss a dose of Exjade , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Exjade .
Important safety information:
- Exjade may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Exjade with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions.
- Serious stomach ulcers or bleeding can occur with the use of Exjade . Contact your doctor or emergency room at once if you develop severe stomach or back pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual weight gain or swelling.
- Hormonal birth control (eg, birth control pills) may not work as well while you are using Exjade . To prevent pregnancy, use an extra form of birth control (eg, condoms).
- Lab tests, including liver and kidney function, serum ferritin levels, vision tests, hearing tests, and complete blood cell counts, may be performed while you use Exjade . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use Exjade with caution in the ELDERLY; they may be more sensitive to its effects.
- Exjade should be used with extreme caution in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Exjade while you are pregnant. It is not known if Exjade is found in breast milk. If you are or will be breast-feeding while you use Exjade , check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Exjade :
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Cough; diarrhea; headache; nausea; stomach pain; vomiting.Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); bloody or tarry stools; chills; dark urine or decreased amount of urine; decreased hearing, hearing loss, or other hearing problems; fever; pale stools; persistent sore throat or cough; severe or persistent stomach pain; severe or persistent vomiting or diarrhea; unusual bruising or bleeding; unusual tiredness or fatigue; vision changes (eg, blurred or cloudy vision, decreased vision); vomit that looks like coffee grounds; yellowing of the skin or eyes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include nausea and diarrhea.Proper storage of Exjade :
Store Exjade at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Exjade out of the reach of children and away from pets.
- If you have any questions about Exjade , please talk with your doctor, pharmacist, or other health care provider.
- Exjade is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
This information is a summary only. It does not contain all information about Exjade . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
- Exjade Prescribing Information (FDA)
- Exjade Advanced Consumer (Micromedex) - Includes Dosage Information
- Exjade Consumer Overview
- Deferasirox Professional Patient Advice (Wolters Kluwer)