Firmagon (degarelix) is a man-made form of a protein that reduces the amount of certain hormones in the body, including testosterone.
Firmagon is used to treat prostate cancer. It works by decreasing the amount of testosterone in the body, which the tumor needs to grow.
Firmagon may also be used for purposes not listed in this medication guide.
Important information
Although Firmagon is not for use by women, this medication should not be used by a woman who is pregnant or breast-feeding, or who may become pregnant.
Before you receive Firmagon, tell your doctor if you have liver or kidney disease, a personal or family history of "Long QT syndrome," congestive heart failure, or an electrolyte imbalance, such as low or high levels of potassium or magnesium in your blood.
Tell your doctor about all other medications you use, especially a heart rhythm medication.
Firmagon is usually given once every 28 days. Follow your doctor"s instructions.
To be sure this medication is helping your condition, your blood may need to be tested on a regular basis. Do not miss any follow-up visits to your doctor.
Before using this medicine
You should not use Firmagon if you are allergic to degarelix.
To make sure Firmagon is safe for you, tell your doctor if you have:
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heart disease, heart rhythm disorder;
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a personal or family history of Long QT syndrome;
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liver or kidney disease; or
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an electrolyte imbalance, such as low or high levels of potassium or magnesium in your blood.
Although Firmagon is not for use by women, this medicine can cause birth defects if a woman is exposed to it during pregnancy. Firmagon should not be used by a woman who is pregnant.
It is not known whether degarelix passes into breast milk or if it could harm a nursing baby. Firmagon should not be used by a woman who is breast-feeding a baby.
How is Firmagon given?
Firmagon is injected under the skin around your stomach. A healthcare provider will give you this injection.
Firmagon is usually given once every 28 days. Follow your doctor"s instructions.
The first time you receive Firmagon, you will be given two injections. At your monthly follow-up visits you will receive only one injection.
While using Firmagon, you may need frequent blood tests at your doctor"s office.
What happens if I miss a dose?
Call your doctor for instructions if you miss an appointment for your Firmagon injection.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while receiving Firmagon?
On the day of your injection, avoid wearing a belt, tight waistband, or tight clothing around your stomach where the injection will be given.
Degarelix can pass into body fluids (including urine, feces, vomit). For at least 48 hours after you receive a dose, avoid allowing your body fluids to come into contact with your hands or other surfaces. Patients and caregivers should wear rubber gloves while cleaning up body fluids, handling contaminated trash or laundry or changing diapers. Wash hands before and after removing gloves. Wash soiled clothing and linens separately from other laundry.
Firmagon side effects
Get emergency medical help if you have any signs of an allergic reaction to Firmagon: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have:
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headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats;
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pain or burning when you urinate;
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shortness of breath (even with mild exertion), swelling, rapid weight gain; or
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dangerously high blood pressure - severe headache, blurred vision, pounding in your neck or ears, nosebleed, anxiety, confusion, severe chest pain, shortness of breath, irregular heartbeats.
Common Firmagon side effects may include:
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feeling tired;
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chills or hot flashes;
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weight gain;
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abnormal liver function tests;
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joint pain, back pain;
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increased blood pressure;
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impotence, loss of interest in sex, trouble having an orgasm; or
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pain, swelling, redness, or a hard lump where the medicine was injected.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
What other drugs will affect Firmagon?
Tell your doctor about all your current medicines and any you start or stop using, especially:
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heart rhythm medicine - amiodarone, disopyramide, dofetilide, dronedarone, flecainide, procainamide, quinidine, sotalol, and others.
This list is not complete. Other drugs may interact with degarelix, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
