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Understanding Potential Side Effects

Knowing what to expect and keeping an open line of communication with your healthcare team may help in managing certain side effects you experience.

Get to know the potential serious and common side effects of ZEJULA

Potential serious side effects of ZEJULA include:

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    Get to know the most common side effects of ZEJULA

    Work with your healthcare team to help manage certain side effects you experience

    Remember to always tell your doctor about any side effects you experience while taking ZEJULA. Don’t feel like you need to keep in any feelings of discomfort or take them in stride. It is important to keep your healthcare team informed, so they can better understand what’s going on and how they may be able to help—and they want to help you!


    Here’s what your healthcare team may do to help manage them:

     

    • If you have certain side effects, then your doctor may change your dose of ZEJULA, temporarily stop your treatment with ZEJULA, or permanently stop treatment with ZEJULA

     

    • If you experience severe side effects, your doctor may interrupt your treatment with ZEJULA for up to 28 days and then reduce your daily dose. This dose interruption and adjustment is to allow your blood counts or other severe side effects to improve. Your doctor may ask you to make adjustments in the schedule of your blood tests. Be sure to keep your doctor informed about how you feel. Your doctor will determine when you can resume taking ZEJULA

     

    • Talk to your doctor about other at-home tips that may help manage certain side effects :
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    Nausea and Vomiting

    • Take your medication before bed
    • Stay hydrated—even small sips throughout the day may help
    • Avoid certain foods or smells that seem to trigger your nausea
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    Constipation

    • Increase your daily intake of fiber, including fresh fruit and vegetables
    • Add bulking agents, such as wheat bran, to your diet
    • Drink plenty of water to avoid dehydration
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    Fatigue/Tiredness

    • Try to take short walks and get light exercise, which may help increase your energy level. Especially in the morning, soon after you wake up
    • Build in rest time or short naps (less than 1 hour, ideally 20–30 minutes)
    • If you are overtired, ask for help with important tasks such as making meals
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    Insomnia

    • Make your bedroom sleep-friendly. Sleep in a cool, quiet, and dark room
    • Avoid watching TV or looking at electronic devices before bedtime
    • Go to sleep and wake up around the same time each day, even on the weekends
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    Mapping out monitoring

    Your healthcare team will keep a close eye on you as you take ZEJULA.

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    Approved Uses & Safety Info

    Approved Uses

    ZEJULA is a prescription medicine used for the:

    • maintenance treatment of adults with advanced ovarian cancer, fallopian tube cancer, or primary peritoneal cancer. ZEJULA is used after the cancer has responded (complete or partial response) to treatment with platinum-based chemotherapy.
    • maintenance treatment of adults with a certain type of inherited (germline) abnormal BRCA gene with ovarian cancer, fallopian tube cancer, or primary peritoneal cancer that comes back. ZEJULA is used after the cancer has responded (complete or partial response) to treatment with platinum-based chemotherapy. Your healthcare provider will perform a test to make sure that ZEJULA is right for you.  

     

    It is not known if ZEJULA is safe and effective in children.

    Important Safety Information

    ZEJULA may cause serious side effects, including:

     

    Bone marrow problems called Myelodysplastic Syndrome (MDS) or a type of blood cancer called Acute Myeloid Leukemia (AML). Some people who have ovarian cancer and who have received previous treatment with chemotherapy or certain other medicines for their cancer have developed MDS or AML during treatment with ZEJULA. MDS or AML may lead to death.

     

    Symptoms of low blood cell counts (low red blood cells, low white blood cells, and low platelets) are common during treatment with ZEJULA. They can be a sign of serious bone marrow problems, including MDS or AML. These symptoms may include the following:

    • Weakness
    • Feeling tired
    • Weight loss
    • Frequent infections
    • Fever
    • Shortness of breath
    • Blood in urine or stool
    • Bruising or bleeding more easily


    Your doctor will do blood tests to check your blood cell counts before treatment with ZEJULA. You will be tested weekly for the first month of treatment with ZEJULA, monthly for the next 11 months of treatment, and as needed afterward.

     

    High blood pressure is common during treatment with ZEJULA, and it can become serious. Your doctor will check your blood pressure and heart rate at least weekly for the first two months, then monthly for the first year, and as needed thereafter during your treatment with ZEJULA.

     

    Posterior reversible encephalopathy syndrome (PRES) is a condition that affects the brain and may happen during treatment with ZEJULA. If you have headache, vision changes, confusion, or seizure, with or without high blood pressure, please contact your doctor.

     

    Before starting to take ZEJULA, tell your doctor about all of your medical conditions, including if you:

    • Have heart problems
    • Have liver problems
    • Have high blood pressure
    • Are pregnant or plan to become pregnant. ZEJULA can harm your unborn baby and may cause loss of pregnancy (miscarriage)
      • If you are able to become pregnant, your doctor should perform a pregnancy test before you start treatment with ZEJULA
      • If you are able to become pregnant, you should use effective birth control (contraception) during treatment with ZEJULA and for 6 months after taking the last dose of ZEJULA
      • You should tell your doctor right away if you become pregnant
    • Are breastfeeding or plan to breastfeed
      • ZEJULA may harm your baby. You should not breastfeed your baby during treatment with ZEJULA and for 1 month after taking the last dose of ZEJULA


    Tell your doctor about all the medicines you take,     including prescription and over-the-counter medicines, vitamins, and herbal supplements.

     

    The most common side effects of ZEJULA include the following:

    • Nausea
    • Tiredness
    • Constipation
    • Pain in your muscles and back
    • Pain in the stomach area
    • Vomiting
    • Loss of appetite
    • Trouble sleeping
    • Headache
    • Shortness of breath
    • Rash
    • Diarrhea
    • Cough
    • Dizziness
    • Changes in the amount or color of your urine
    • Urinary tract infection
    • Low levels of magnesium in the blood


    If you have certain side effects, then your doctor may change your dose of ZEJULA, temporarily stop, or permanently stop treatment with ZEJULA.

     

    These are not all the possible side effects of ZEJULA. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects.

     

    Please see accompanying full Prescribing Information for ZEJULA.

    You are encouraged to report negative side effects of prescription drugs to the FDA.
    Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

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