Firmagon : Uses, Side Effects, Interactions & More
Why is this medication prescribed?
Firmagon (Degarelix injection) is used to treat advanced prostate cancer (cancer that begins in the prostate [a male reproductive gland]). Firmagon is in a class of medications called gonadotropin-releasing hormone (GnRH) receptor antagonists. It works by decreasing the amount of testosterone (a male hormone) produced by the body. This may slow or stop the spread of prostate cancer cells that need testosterone to grow.
How should this medicine be used?
Firmagon (Degarelix injection) comes as a powder to be mixed with liquid and injected under the skin in the stomach area, away from the ribs and waistline. It is usually injected once every 28 days by a doctor or nurse in a medical facility.
After you receive a dose of Firmagon, be sure that your belt or waistband does not put pressure on the place where the medication was injected.
Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.
Other uses for this medicine
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before receiving Firmagon,
- tell your doctor and pharmacist if you are allergic to Firmagon, any other medications, or any of the ingredients in Firmagon. Ask your pharmacist or check the patient information for a list of the ingredients.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: amiodarone (Cordarone), disopyramide (Norpace), quinidine, procainamide, or sotalol (Betapace). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you have or have ever had long QT syndrome (a rare heart problem that may cause irregular heartbeat, fainting, or sudden death); high or low levels of calcium, potassium, magnesium, or sodium in your blood; or heart, liver, or kidney disease.
- women who are or who may become pregnant should not receive Firmagon. Firmagon may harm the fetus. If you receive Firmagon while you are pregnant, call your doctor immediately. If you are breastfeeding, talk to your doctor before you receive Firmagon.
What special dietary instructions should I follow?
Unless your doctor tells you otherwise, continue your normal diet.
What should I do if I forget a dose?
If you miss an appointment to receive a dose of Firmagon, call your doctor right away.
What side effects can this medication cause?
Firmagon may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- pain, redness, swelling, hardness, or itching in the place where the medication was injected
- hot flashes
- excessive sweating or night sweats
- weight gain or loss
- difficulty falling asleep or staying asleep
- enlargement of the breasts
- decreased sexual desire or ability
- back or joint pain
Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment:
- difficulty breathing or swallowing
- rapid, irregular, or pounding heartbeat
- swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
- fluttering feeling in the chest
- painful, frequent, or difficult urination
- fever or chills
Firmagon may cause your bones to become weaker and more brittle than they were at the beginning of your treatment. Talk to your doctor about the risks of taking this medication.
Firmagon 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 (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).
In case of emergency/overdose
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.
What other information should I know?
Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your body’s response to Firmagon. Your doctor also may monitor your blood pressure during your treatment.
Before having any laboratory test, tell your doctor and the laboratory personnel that you are receiving Firmagon.
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.
Disclaimer: DrLinex has made every effort to ensure that all information is factually accurate, comprehensive and up-to-date. However, this article should not be used as a licensed health care professional’s choice of knowledge and expertise. You should always consult your doctor or other health care professional before taking any medication. The information given here is subject to change and it has not been used to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions or adverse effects. The lack of warning or other information for any drug does not indicate that the combination of medicine or medication is safe, effective or appropriate for all patients or all specific uses.