Deferasirox

Pediatric Medication

Brand Names: US

Exjade; Jadenu; Jadenu Sprinkle

Brand Names: Canada

Exjade; Jadenu

Warning

  • This drug may cause kidney problems. Some people have needed dialysis. Sometimes, these kidney problems have been deadly. The risk of kidney problems may be higher if your child already has kidney problems or other health problems. Your child will need to have kidney function checked as you have been told by your child’s doctor. If you have questions, talk with your child’s doctor.
  • If your child is dehydrated or is taking any drugs that can raise the chance of kidney problems, talk with your child’s doctor. There are many drugs that can raise the chance of kidney problems. Ask your child’s doctor or pharmacist if you are not sure.
  • This drug may cause liver problems. Sometimes, this has been deadly. The risk of liver problems may be higher if your child already has liver problems or other health problems. Your child will need to have liver function checked as you have been told by the doctor. If you have questions, talk with your child’s doctor.
  • If your child has kidney or liver problems, talk with your child’s doctor. This drug may need to be avoided or the dose may need to be changed with certain types of kidney or liver problems.
  • This drug may raise the chance of very bad and sometimes deadly stomach or bowel side effects like ulcers or bleeding. The risk is greater in older people. The risk is also greater in people who have had stomach or bowel ulcers or bleeding before. These problems may occur without warning signs. Talk with the doctor.

What is this drug used for?

  • It is used to get rid of iron when too much is in the body.

What do I need to tell the doctor BEFORE my child takes this drug?

  • If your child has an allergy to this drug or any part of this drug.
  • If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If your child has any of these health problems: Cancer, certain blood or bone marrow problems (low platelets, high-risk myelodysplastic syndrome/MDS), kidney disease, or liver disease.
  • If your child has not been able to eat or drink like normal, has diarrhea, is throwing up, or gets another illness that can cause dehydration.
  • If your child is using another drug like this one.

If your child is breast-feeding a baby:

  • Talk with the doctor if your child is breast-feeding a baby or plans to breast-feed a baby.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

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

  • Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
  • Very bad and sometimes deadly blood cell problems may happen. Your child will need to have blood tests while taking this drug. Talk with the doctor. Tell the doctor right away if your child has any signs of infection.
  • 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’s blood work checked often. Talk with your child’s doctor.
  • Have your child’s urine checked as you have been told by the doctor.
  • Have your child get an eye exam as you have been told by the doctor.
  • Have your child’s hearing tested before starting this drug and while taking it.
  • Do not give your child antacids that have aluminum in them with this drug.
  • Do not switch between different forms of this drug without first talking with the doctor.
  • If giving to your child, the dose of this drug may need to be changed as your child’s weight changes. Have your child’s weight checked often. Talk with the doctor before changing your child’s dose.
  • This drug may affect how much of some other drugs are in the body. If your child is taking other drugs, talk with the doctor. Your child may need to have blood work checked more closely while taking this drug with other drugs.
  • Use with care in children. Talk with the doctor.

If your child is or may be sexually active:

  • Birth control pills and other hormone-based birth control may not work as well to prevent pregnancy. Be sure your child uses some other kind of birth control also, like a condom, when taking this drug.

If your child is pregnant:

  • Tell the doctor if your child is pregnant or becomes pregnant. You will need to talk about the benefits and risks of your child using this drug while pregnant.

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

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of infection like fever, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or wound that will not heal.
  • Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain.
  • Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
  • Signs of bleeding like throwing up blood or throw up that looks like coffee grounds; coughing up blood; blood in the urine; black, red, or tarry stools; bleeding from the gums; vaginal bleeding that is not normal; bruises without a reason or that get bigger; or any bleeding that is very bad or that you cannot stop.
  • Signs of bowel problems like black, tarry, or bloody stools; fever; mucus in the stools; throwing up blood or throw up that looks like coffee grounds; very bad belly pain; or very bad hard stools (constipation) or loose stools (diarrhea).
  • Feeling very tired or weak.
  • Change in hearing.
  • Hearing loss.
  • Change in eyesight.
  • Rashes may happen with this drug. This drug may need to be stopped for some types of rashes. If your child gets a rash while taking this drug, call your child’s doctor right away to find out what to do.
  • A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if your child has signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in the mouth, throat, nose, or eyes.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
  • Belly pain.
  • Upset stomach or throwing up.
  • Loose stools (diarrhea).
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.

Tablets for suspension:

  • Give on an empty stomach. Give 30 minutes before a meal.
  • Mix the tablet with fruit juice (orange, apple) or water until melted and have your child drink right away. Do not let your child chew or swallow it whole.
  • After drinking, rinse the rest of the drug in the glass with more juice or water and have your child drink.

Tablets:

  • Give on an empty stomach or with a light meal.
  • Give this drug by mouth with water or other liquid.
  • If your child cannot swallow tablets, the tablet may be crushed and added to a small amount of soft food. Give the mixture right away. Do not store for future use.
  • The 90 mg tablet must not be crushed using certain types of tablet crushers. If you will be crushing the 90 mg tablet, talk with the doctor or pharmacist.

Granules:

  • Give on an empty stomach or with a light meal.
  • Sprinkle the granules onto a small amount of soft food like yogurt or applesauce.
  • Have your child swallow the mixture right away. Do not store for use at a later time.

All products:

  • Give this drug at the same time of day.
  • To gain the most benefit, do not miss giving your child doses.
  • Keep giving this drug to your child as you have been told by your child’s doctor or other health care provider, even if your child feels well.

What do I do if my child misses a dose?

  • Give a missed dose as soon as you think about it.
  • If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
  • Do not give 2 doses at the same time or extra doses.

How do I store and/or throw out this drug?

  • Store at room temperature.
  • Store in a dry place. Do not store in a bathroom.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

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, nurse, 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.

Last Reviewed Date

2018-05-17

Copyright

© 2018 Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors. All rights reserved.

Last Updated