Ifosfamide Injection

Ifosfamide is used to treat certain types of cancer of the testicles. Ifosfamide is in a class of medications called alkylating agents. It works by slowing or stopping the growth of cancer cells in your body.

Ifosfamide comes as powder to be mixed with liquid to be injected over at least 30 minutes intravenously (into a vein) by a doctor or nurse in a medical facility. Your doctor will tell you how often you will receive ifosfamide injection. The schedule depends on the condition you have and on how your body responds to the medication.

Your doctor may need to delay your treatment if you experience certain side effects. It is important for you to tell your doctor how you are feeling during your treatment with ifosfamide injection.

Ifosfamide is also sometimes used to treat certain types of bladder cancer, lung cancer, cancer of the ovaries (cancer that begins in the female reproductive organs where eggs are formed), cancer of the cervix (cancer that begins in the opening of the uterus [womb]), and soft tissue or bone cancer (cancer that forms in muscles and bones). Talk to your doctor about the risks of using this medication for your condition.

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

Before receiving ifosfamide injection,

• tell your doctor or pharmacist if you are allergic to this drug, any part of this drug, or any other drugs, foods or substances. Tell your doctor or pharmacist about the allergy and what symptoms you had.
• tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins and nutritional supplements you are receiving or plan to take while receiving ifosfamide. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• the following herbal product may interact with ifosfamide: St. John's wort. Be sure to let your doctor and pharmacist know that you are taking this medication before you start receiving ifosfamide. Do not start this medication while receiving ifosfamide without discussing with your healthcare provider.
• tell your doctor if you have previously received treatment with other chemotherapy medications or if you have previously received radiation therapy. Also tell your doctor if you have or have ever had heart, or liver disease.
• tell your doctor if you are pregnant or planning to become pregnant. You or your partner should not become pregnant while you are receiving ifosfamide injection. Ifosfamide may interfere with the normal menstrual cycle (period) in women and may stop sperm production in men. However, you should not assume that you cannot get pregnant or that you cannot get someone else pregnant. If you can become pregnant, your doctor may order a pregnancy test before you start treatment. If you can become pregnant, you should use effective birth control during therapy and for 1 year after the last dose. If your partner can become pregnant, you should use effective birth control during therapy and for 6 months after the last dose. Talk to your doctor about birth control methods that will work best for you. If you or your partner become pregnant while receiving isfosfamide injection, call your doctor immediately. Ifosfamide may harm the fetus.tell your doctor if you are breastfeeding. You should not breastfeed during therapy and for 1 week after receiving the last dose.you should know that this medication may cause permanent infertility in men and women. Talk to your doctor about the risks of receiving ifosfamide injection. if you are having surgery, including dental surgery, tell the doctor or dentist that you are receiving ifosfamide injection. Ifosfamide may slow the healing of wounds.you should know that ifosfamide may make you drowsy or dizzy or cause vision problems. Do not drive a car or operate machiniery until you know how this medication affects you.ask your doctor about the safe use of alcoholic beverages while you are receiving ifosfamide injection. Alcohol can make the side effects from ifosfamide worse.

Do not eat large amounts of grapefruit or drink grapefruit juice while receiving this medication.

ifosfamide may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• nausea
• vomiting
• loss of appetite
• diarrhea
• sores in the mouth and throat
• hair loss
• general feeling of pain and tiredness

Some side effects can be serious. If you experience any of these symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately:

• swelling, redness, and pain in the place where the medication was injected
• rash; itching; hives; difficulty breathing or swallowing; hoarseness; or swelling of the face, eyelids, tongue, or throat
• poor or slow wound healingnew or worsening cough, wheezing, or shortness of breath
• chest pain; fast, irregular, or pounding heartbeatswelling of legs, ankles, or feet; shortness of breath; or unsual weight gain
• yellowing of the skin or eyes, extreme tiredness, nausea or vomiting, right sided stomach pain, dark colored urine, or decreased appetite

Ifosfamide may increase the risk that you will develop other cancers. Talk to your doctor about the risks of receiving ifosfamide injection.

Ifosfamide may cause other side effects. Call your doctor if you have any unusual problems while receiving this medication.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (https://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).

In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.

Symptoms of overdose may include the following:

• blurred vision
• seeing things or hearing voices that do not exist (hallucinating)
• fever, sore throat, chills, or other signs of infection
• unusual bleeding or bruising; black and tarry stools, red blood in stools, bloody vomit, vomited material material that looks like coffee grounds,
• decreased urination
• swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
• sores in the mouth and throat
• seizures
• confusion
• coma (loss of consciousness for a period of time)

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.