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Faslodex Warnings, Precautions, Pregnancy, Nursing, Abuse - Fulvestrant
WARNINGS
Women of childbearing potential should be advised not to become pregnant while receiving FASLODEX. FASLODEX can cause fetal harm when administered to a pregnant woman and has been shown to cross the placenta following single intramuscular doses in rats and in rabbits. In studies in the pregnant rat, intramuscular doses of fulvestrant 100 times lower than the maximum recommended human dose (based on body surface area [BSA]), caused an increased incidence of fetal abnormalities and death. Similarly, rabbits failed to maintain pregnancy and the fetuses showed an increased incidence of skeletal variations when fulvestrant was administered at one-half the recommended human dose (based on BSA).
There are no studies in pregnant women using Faslodex. If FASLODEX
is used during pregnancy or if the patient becomes pregnant while receiving
this drug, the patient should be apprised of the potential hazard to the fetus,
or potential risk for loss of the pregnancy. See Pregnancy section of
PRECAUTIONS
.
Because FASLODEX is administered intramuscularly, it should not be used in patients with bleeding diatheses, thrombocytopenia or patients on anticoagulants.
PRECAUTIONS
General
Before starting treatment with FASLODEX, pregnancy must be
excluded (see WARNINGS
).
Hepatic Impairment
Safety and efficacy have not been evaluated in patients with moderate to severe hepatic impairment (see CLINICAL PHARMACOLOGY-Hepatic Impairment and DOSAGE AND ADMINISTRATION-Hepatic Impairment sections).
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