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Single Vial Docetaxel Injection - ION Solutions

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16.2 Storage<br />

Store at 25°C (77°F); excursions permitted to 15° - 30°C (59° - 86°F). Retain in the original<br />

package to protect from bright light. Freezing does not adversely affect the product. After first use and<br />

following multiple needle entries and product withdrawals, <strong>Docetaxel</strong> <strong>Injection</strong> multi-use vials are stable<br />

for up to 28 days when stored between 2°C and 8°C (36°F and 46°F and protected from light.<br />

16.3 Handling and Disposal<br />

Procedures for proper handling and disposal of anticancer drugs should be considered. Several guidelines<br />

on this subject have been published [see References (15)].<br />

17 PATIENT COUNSELING INFORMAT<strong>ION</strong><br />

See FDA-Approved Patient Labeling<br />

• <strong>Docetaxel</strong> <strong>Injection</strong> may cause fetal harm. Advise patients to avoid becoming pregnant while<br />

receiving this drug. Women of childbearing potential should use effective contraceptives if<br />

receiving <strong>Docetaxel</strong> <strong>Injection</strong> [see Warnings and Precautions (5.10) and Use in Specific<br />

Populations (8.1)].<br />

• Obtain detailed allergy and concomitant drug information from the patient prior to <strong>Docetaxel</strong><br />

<strong>Injection</strong> administration.<br />

• Explain the significance of oral corticosteroids such as dexamethasone administration to the<br />

patient to help facilitate compliance. Instruct patients to report if they were not compliant with<br />

oral corticosteroid regimen.<br />

• Instruct patients to immediately report signs of a hypersensitivity reaction.<br />

• Tell patients to watch for signs of fluid retention such as peripheral edema in the lower<br />

extremities, weight gain and dyspnea.<br />

• Explain the significance of routine blood cell counts. Instruct patients to monitor their<br />

temperature frequently and immediately report any occurrence of fever.<br />

• Instruct patients to report myalgia, cutaneous, or neurologic reactions.<br />

• Explain to patients that side effects such as nausea, vomiting, diarrhea, constipation, fatigue,<br />

excessive tearing, infusion site reactions, and hair loss are associated with <strong>Docetaxel</strong> <strong>Injection</strong><br />

administration.<br />

Patient Information<br />

Read this Patient Information before you receive your first treatment with <strong>Docetaxel</strong> <strong>Injection</strong> and each<br />

time before you are treated. There may be new information. This information does not take the place of<br />

talking with your doctor about your medical condition or your treatment.<br />

What is the most important information I should know about <strong>Docetaxel</strong> <strong>Injection</strong><br />

<strong>Docetaxel</strong> <strong>Injection</strong> can cause serious side effects, including death.<br />

1. The chance of death in people who receive <strong>Docetaxel</strong> <strong>Injection</strong> is higher if you:<br />

• have liver problems<br />

• receive high doses of <strong>Docetaxel</strong> <strong>Injection</strong><br />

• have non-small cell lung cancer and have been treated with chemotherapy medicines that contain<br />

platinum<br />

2. <strong>Docetaxel</strong> <strong>Injection</strong> can affect your blood cells. Your doctor should do routine blood tests during<br />

treatment with <strong>Docetaxel</strong> <strong>Injection</strong>. This will include regular checks of your white blood cell counts.<br />

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