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Also Known As: Elspar®

Asparaginase stops cancer cells from using a specific protein they need to live and grow.

How It Is Given:

  • Intravenously (by vein)
  • Intramuscularly (into muscle)

Immediate Side Effects (beginning within 24 hours):

  • Mild nausea and vomiting can occur one to three hours after treatment.
  • Loss of appetite can occur and last several days.
  • Flushing, a feeling of tightness in the chest, chest or back pain, shortness of breath, fast heart rate, a choking sensation, and a lowering of blood pressure can occur suddenly while the drug is being given. A skin test may be performed before treatment.

Late Side Effects (beginning after one week):

  • Flu-like symptoms such as muscle aches, weakness, and fatigue may occur after several treatments.
  • Mood changes, lethargy, increased sleepiness, or mild confusion can occur after treatment.

Special Points:

  • Do not take aspirin, ibuprofen (e.g., Motrin®, Advil®), or products containing them unless your doctor prescribes them.
  • Tell your doctor or nurse if you are taking any other medications, including over-the-counter preparations that do not require a prescription, herbal remedies, vitamins, or dietary supplements. Some of these may interfere with your chemotherapy.

Call Your Doctor or Nurse If You:

  • Have persistent nausea or vomiting and are unable to eat or drink for more than 24 hours after receiving the drug.
  • Have a fever of 100.5° F (38° C) or higher.
  • Experience increased sleepiness or confusion.
  • Have any unexplained or unexpected problems.
  • Have any questions or concerns.
Last Updated: Mar. 27, 2003
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