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Ifosfamide (eye FOSS fa mide)

Pediatric Medication

Brand Names: U.S.

Ifex

Brand Names: Canada

Ifex

Warning

  • This drug may lower the ability of the bone marrow to make blood cells that the body needs. This can lead to very bad and sometimes deadly bleeding problems or infections. Tell the doctor right away if your child has signs of infection like fever, chills, or sore throat; any bruising or bleeding; or if your child feels very tired or weak.
  • Have your child’s blood work checked often. Talk with your child’s doctor.
  • This drug may cause blood in the urine and bladder pain. Talk with the doctor.
  • This drug may cause kidney problems in some patients. Talk with the doctor.
  • This drug may cause very bad and sometimes deadly brain problems, hallucinations, and confusion. Talk with the doctor.
  • Your child will be closely watched by the doctor.

What is this drug used for?

  • It is used to treat cancer.

Is it safe for my child to take this drug?

  • Not if your child has an allergy to ifosfamide or any other part of this drug.
  • Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • Not if your child cannot pass urine.

What are some things I need to know or do while my child takes this drug?

  • If your child has kidney disease, talk with the doctor.
  • If your child has liver disease, talk with the doctor.
  • Have your child’s blood work checked. Talk with your child’s doctor.
  • Check all drugs your child is taking with your child’s doctor. This drug may not mix well with some other drugs.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with the doctor before your child gets any vaccines. Use with this drug may either raise the chance of very bad infection or make the vaccine not work as well.
  • Avoid giving your child other drugs and natural products that may slow your child’s actions.
  • If your child drinks grapefruit juice or eats grapefruit often, talk with your child’s doctor.
  • Talk with the doctor before giving your child products that have aspirin, ibuprofen or like products, blood thinners (warfarin, ticlopidine, clopidogrel), garlic, ginseng, ginkgo, or vitamin E.
  • Your child may bleed or clot more easily. Have him/her be more careful and avoid injury. Keep your child from rough-housing or playing contact sports.
  • Have your child avoid tasks or actions that call for alertness until you see how this drug affects your child. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles.
  • Have your child pass urine often. Your child needs to empty his/her bladder often. Having your child drink lots of liquids will help.

What are some side effects that I need to call my child’s doctor about right away?

  • If any of this news causes you to be worried or if any of the unwanted side effects happen after your child is given this drug.
  • If your child shows signs of a very bad reaction, call your child’s doctor or the ER right away. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; swelling of face, lips, tongue, or throat; or if your child is not acting normal.
  • If your child is feeling very tired or weak.
  • If your child has very bad belly pain.
  • If your child has very bad back pain.
  • If your child has a very bad upset stomach or is throwing up.
  • If your child has very loose stools (diarrhea).
  • If your child is not able to pass urine.
  • If your child has any bruising or bleeding.
  • If your child has dark urine or yellow skin or eyes.
  • If your child gets a rash.
  • If your child’s health problem does not get better or if you think your child’s health problem is worse.

What are some other side effects of this drug?

  • Your child may have more chance of getting infections. Avoid crowds and people with infections, colds, or flu.
  • Low white blood cell count or low platelet count.
  • Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly. Have your child avoid tasks or actions that call for him/her to be alert or have clear eyesight until you see how this drug works.
  • Upset stomach or throwing up. Many small meals and good mouth care may help. Older children may suck hard, sugar-free candy. Your child may be given drugs to avoid these signs.
  • Hair loss. Hair most often grows back when this drug is stopped.
  • Blood in the urine.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.
  • It is given as an infusion into a vein over a period of time.
  • Have your child drink lots of noncaffeine liquids every day unless told to drink less liquid by your child’s doctor.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, 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 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 general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, 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.

Copyright

Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.