Warnings -
Serious side effects include:
- Severe bleeding, including bleeding in the stomach or bowel, has happened with CYRAMZA. This can be life threatening. If severe bleeding happens, you will have to stop receiving CYRAMZA.
- Tears in the stomach or bowel wall may happen with CYRAMZA. This can be life threatening. If you have tears in the stomach or bowel wall, you will have to stop receiving CYRAMZA.
- Wounds may not heal quickly or completely. If you are having surgery, CYRAMZA treatment should be stopped beforehand. Your doctor may put you back on CYRAMZA after your surgical wound has healed.
- Strokes, mini-strokes, blood clots, and heart attacks have happened to people on CYRAMZA. These can be fatal. If you have one of these events, you will have to stop receiving CYRAMZA.
- Severe high blood pressure has happened with CYRAMZA. Your doctor will take your blood pressure at least every two weeks while you are receiving CYRAMZA. Depending on your blood pressure, your doctor may pause or permanently stop CYRAMZA.
- Reactions related to infusing CYRAMZA have happened. These can be severe and life threatening. Most of these reactions happened during or after the first or second CYRAMZA infusion. In severe reactions, rapid heartbeat, low blood pressure, and severe trouble breathing may happen. Your health care team will give you medicine before each CYRAMZA infusion and will watch you for these side effects. If a reaction happens, CYRAMZA treatment may be infused at a slower rate or may be permanently stopped, depending on how severe the reaction is.
- CYRAMZA may worsen certain types of liver disease.
- A very rare but serious brain disorder has been found in research trials with CYRAMZA. The disorder is called PRES (posterior reversible encephalopathy syndrome). Signs of PRES may include seizure, headache, nausea, vomiting, blindness, and changes in your thinking. These symptoms may stop or improve within days. However, the changes in thinking can be ongoing, and PRES can be fatal. If you develop PRES, you will have to stop receiving CYRAMZA.
- Too much protein in the urine (called proteinuria) has been found in research trials with CYRAMZA. This may be a sign of kidney damage. Your doctor will watch your urine protein levels during treatment. If you develop protein in your urine, your doctor may pause your treatment and lower your dose of CYRAMZA. If you have severe proteinuria, you will have to stop receiving CYRAMZA permanently.
- Thyroid gland problems have been found in research trials with CYRAMZA. Your doctor will do blood tests to track how well your thyroid gland works during treatment.
- CYRAMZA can harm your unborn baby. You should avoid getting pregnant, and use effective birth control while receiving CYRAMZA and for 3 months after your last dose.
- CYRAMZA may harm a breastfeeding child. Do not breastfeed your child during treatment with CYRAMZA and for 2 months after your last dose.
Tell your doctor right away if you have:
- Bleeding or symptoms of bleeding, including lightheadedness.
- Severe diarrhea, vomiting, or severe abdominal pain.
- A wound that doesn’t heal properly or have a surgery planned.
- High blood pressure or symptoms of high blood pressure, including severe headache or lightheadedness or confusion, changes in your vision, or seizure.
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Symptoms of infusion reactions, including:
- Shaking or stiffness of the body
- Back pain or spasms
- Chest pain or tightness
- Chills
- Flushing (sudden warmth and/or reddened skin on the face, neck, or upper chest)
- Difficulty breathing
- Wheezing (a whistling sound in the breath caused by narrowed breathing tubes)
- Becoming blue due to lack of oxygen
- Tingling or numbness of the skin
- Had liver disease or other liver problems.
- Symptoms of PRES, including seizure, headache, nausea or vomiting, or changes in vision or thinking.
Common side effects
The most common side effects of CYRAMZA when given by itself include:
- Low blood platelet count
- Feeling tired
- Low albumin (protein in the blood)
- Low sodium in the blood
- Swelling in the arms, legs, hands, or feet
- High blood pressure
- Stomach pain
- Low white blood cell count
- Not feeling hungry
- Too much protein in the urine
- Feeling like you want to throw up (vomit)
- Unusual buildup of fluid in the belly
- Low calcium in the blood
- Headache
- Diarrhea
- Nose bleeds
- Trouble falling or staying asleep
- Fever
- Vomiting
- Back Pain
The most common serious side effects of CYRAMZA when given by itself include:
- Anemia (a decrease in red blood cells)
- Blocked digestive tract
- Unusual buildup of fluid in the belly
- Pneumonia (infection of one or both lungs)
Some people needed to have extra red blood cells put into their blood.
The most common side effects of CYRAMZA when given with certain chemotherapy medicines include:
- Low white blood cell count
- Diarrhea
- Tiredness
- Mouth sores with or without swelling in the lining of the mouth
- Decreased appetite
- Nose bleeds
- Low blood platelet count
- High blood pressure
- Swelling in the arms, legs, hands, or feet
- Too much protein in the urine
- Low white blood cell count with a fever
- Swelling, redness, or pain in the palms or soles (hand-foot syndrome)
- Increased production of tears
- Bleeding in the digestive tract
- Low albumin (a protein in the blood)
The most common serious side effects of CYRAMZA when given with certain chemotherapy medicines include:
- Low white blood cell count with a fever
- Pneumonia
- Low white blood cell count
- Diarrhea
- Blocked digestive tract
Some people needed treatment to increase their white blood cell counts.
The most common side effects of CYRAMZA when given with erlotinib include:
- Infections
- Increased levels of liver enzymes
- Diarrhea
- High blood pressure
- Low red blood cell count
- A sore or inflammation inside the mouth
- Low blood platelet count
- Loss of hair
- Nosebleeds
- Too much protein in the urine
- Decrease in a type of white blood cell
- Low potassium in the blood
- Swelling in the arms, legs, hands, and feet
- Headache
- Gastrointestinal bleeding
- Gums bleeding
- Bleeding in the lungs or respiratory tract
The most common serious side effects of CYRAMZA when given with erlotinib include:
- Pneumonia (infection in one or both lungs)
- Skin infection (bacterial infection under the skin)
- Collapsed lung (air or other gas in the pleural cavity in the lungs)
Some people needed to have extra red blood cells put into their blood.
These are not all the possible side effects of CYRAMZA. Tell your doctor if you have any side effects. You can report side effects at 1-800-FDA-1088 or
www.fda.gov/medwatch.
Before using
Before you receive CYRAMZA, tell your doctor if you:
- Have had or are at high risk for strokes or heart attack.
- Have high blood pressure or have blood pressure problems.
- Are planning to have surgery of any kind.
- Have ever had liver problems, including cirrhosis or other diseases of the liver.
- Are pregnant or may be pregnant: CYRAMZA can harm your unborn baby. You should avoid getting pregnant and use effective birth control during treatment with CYRAMZA and for 3 months after the last dose.
- Are breastfeeding: Your doctor will tell you to stop breastfeeding during treatment with CYRAMZA and for 2 months after the last dose.
Also tell your doctor about all the medicines and supplements you take, whether they have been prescribed for you or you buy them without a prescription.
Learn more
CYRAMZA is a prescription medicine. For more information, call 1-800-545-5979.
This summary provides basic information about CYRAMZA but does not include all information known about this medicine. Read the information given to you about CYRAMZA. This information does not take the place of talking with your doctor. Your doctor is the best person to help you decide if CYRAMZA is right for you.
RB CON BS 14SEP2022
CYRAMZA® is a registered trademark owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates.
