What do I need to tell my doctor BEFORE I take this drug?

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PATIENT & CAREGIVER EDUCATION Antithymocyte Globulin (Equine) Brand Names: US Atgam Brand Names: Canada Atgam Warning Unsafe allerg ic effects may happen. You will be closely watched by your doctor. What is this drug used for? It is used to keep the body from turning down the kidney after a kidney transplant. It is used to treat aplastic anemia. It may be g iven to you for other reasons. Talk with the doctor. What do I need to tell my doctor BEFORE I take this drug? If you have an allerg y to lymphocytic immune g lobulin, horse proteins, or any other part of this drug. If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tong ue, or throat; or any other sig ns. If you are breast-feeding or plan to breast-feed. This drug may interact with other drug s or health problems. Antithymocyte Globulin (Equine) 1/5

Tell your doctor and pharmacist about all of your drug s (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or chang e the dose of any drug without checking with your doctor. What are some things I need to know or do while I take this drug? Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. You may have more chance of g etting an infection. Wash hands often. Stay away from people with infections, colds, or flu. You may bleed more easily. Be careful and avoid injury. Use a soft toothbrush and an electric razor. This drug is made from human plasma (part of the blood) and may have viruses that may cause disease. This drug is screened, tested, and treated to lower the chance that it carries an infection. Talk with the doctor. Talk with your doctor if you have recently had a vaccine or before g etting any vaccines. Vaccine use with this drug may either raise the chance of an infection or make the vaccine not work as well. Have blood work checked as you have been told by the doctor. Talk with the doctor. Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are preg nant. What are some side effects that I need to call my doctor about right away? WARNING/CAUTION: Even thoug h it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Sig ns of an allerg ic reaction, like rash; hives; itching; red, swollen, blistered, Antithymocyte Globulin (Equine) 2/5

or peeling skin with or without fever; wheezing; tig htness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tong ue, or throat. Sig ns of infection like fever, chills, very bad sore throat, ear or sinus pain, coug h, more sputum or chang e in color of sputum, pain with passing urine, mouth sores, or wound that will not heal. Fast or slow heartbeat. Shortness of breath. Very bad dizziness or passing out. Any unexplained bruising or bleeding. Swelling. Sweating a lot. Muscle pain. Diarrhea. Belly pain. What are some other side effects of this drug? All drug s may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or g et medical help if any of these side effects or any other side effects bother you or do not go away: Headache. Joint pain. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to your national health ag ency. How is this drug best taken? Use this drug as ordered by your doctor. Read all information g iven to you. Follow all instructions closely. Antithymocyte Globulin (Equine) 3/5

It is g iven as an infusion into a vein over a period of time. What do I do if I miss a dose? Call your doctor to find out what to do. How do I store and/or throw out this drug? If you need to store this drug at home, talk with your doctor, nurse, or pharmacist about how to store it. General drug facts If your symptoms or health problems do not g et better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else s drugs. Keep a list of all your drug s (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor. Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back prog rams in your area. Some drug s may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. Consumer Information Use and Disclaimer This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the Antithymocyte Globulin (Equine) 4/5

knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of g eneral information about this medicine. It does NOT include all information about the possible uses, directions, warning s, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine. Last Reviewed Date 2018-02-07 Copyright 2019 Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors. All rig hts reserved. If you have any questions or concerns, talk with a member of your healthcare team. You can reach them Monday throug h Friday from 9:00 AM to 5:00 PM at. After 5:00 PM, during the weekend, and on holidays, please call. If there s no number listed, or you re not sure, call 212-639-2000. Antithymocyte Globulin (Equine) 2019 Memorial Sloan Kettering Cancer Center - Generated on March 22, 2019 Antithymocyte Globulin (Equine) 5/5