TIBSOVO may cause serious side effects, including:
- Differentiation Syndrome. Differentiation syndrome is a
condition that affects your blood cells and may be life-threatening or lead to death if not
treated. Differentiation syndrome has happened as early as 1 day and up to 3 months after
starting TIBSOVO. Call your healthcare provider or go to the nearest hospital emergency room
right away if you develop any of the following symptoms of differentiation syndrome during treatment with TIBSOVO:
- trouble breathing
- decreased urination
- dizziness or lightheadedness
- rapid weight gain
- swelling of your arms and legs
If you develop signs and symptoms of differentiation syndrome, your healthcare provider may treat
you with a corticosteroid medicine or a medicine called hydroxyurea and may monitor you in the
- Changes in the electrical activity of your heart called QTc
prolongation. QTc prolongation can cause irregular heartbeats that can be life-threatening.
Your healthcare provider will check the electrical activity of your heart with a test called an
electrocardiogram (ECG) during treatment with TIBSOVO. Tell your healthcare provider right away
if you feel dizzy, lightheaded, or faint.
- Guillain-Barré Syndrome. Guillain-Barré syndrome has happened in people treated with TIBSOVO. Your healthcare provider will monitor you for nervous system problems and will permanently stop your treatment with TIBSOVO if you develop Guillain-Barré syndrome. Tell your healthcare provider right away if you develop any signs or symptoms of Guillain-Barré syndrome, including:
- weakness or tingling feeling in your legs, arms, or upper body
- numbness and pain on one side or both sides of your body
- any changes in your ability to see, touch, hear, or taste
- burning or prickling sensation
- difficulty breathing
The most common side effects of TIBSOVO include:
- joint pain
- high white blood cell count
- swelling of arms or legs
- shortness of breath
- pain or sores in your mouth or throat
- irregular heart rhythm or heartbeat (QTc prolongation)
- decreased appetite
- muscle pain
- hemoglobin decreased (anemia)
- decreased levels of electrolytes in the blood
- changes in liver or kidney function tests
Your healthcare provider will do blood tests before you start and during treatment with TIBSOVO.
Your healthcare provider may decrease, temporarily hold, or permanently stop your treatment with
TIBSOVO if you develop side effects.
TIBSOVO may cause fertility problems in females and males, which may affect your ability to have
children. Talk to your healthcare provider if you have concerns about fertility.
These are not all the possible side effects of TIBSOVO. Call your doctor for medical advice
about side effects. You may report side effects to FDA at 1-800-FDA-1088
Before taking TIBSOVO, tell your healthcare provider about all of
your medical conditions, including if you:
- have any heart problems, including a condition called long QT syndrome.
- have problems with abnormal electrolytes such as sodium, potassium, calcium, or magnesium levels.
- have nervous system problems.
- have problems with your kidneys or are on dialysis.
- have any liver disorders, including cirrhosis.
- are pregnant or plan to become pregnant. TIBSOVO can cause harm to your unborn baby. You should avoid becoming pregnant during treatment with TIBSOVO. Tell your healthcare provider right away if you become pregnant or think you might be pregnant during treatment with TIBSOVO.
- are breastfeeding or plan to breastfeed. It is not known if TIBSOVO passes into your breast milk. Do not breastfeed during your treatment with TIBSOVO and for at least 1 month after your last dose of TIBSOVO.
Tell your healthcare provider about all the medicines you take, including
prescription and over-the-counter medicines, vitamins, and herbal supplements.
Especially tell your doctor if you take hormonal contraceptives.
TIBSOVO may affect how hormonal contraceptives work and may cause them to not work as well.
- Take TIBSOVO exactly as your healthcare provider tells you to.
- Do not change your dose or stop taking TIBSOVO without talking to your healthcare provider.
- Take TIBSOVO 1 time a day about the same time each day.
- Swallow TIBSOVO tablets whole. Do not split, crush, or chew the tablet.
- TIBSOVO can be taken with or without food. Do not take TIBSOVO with a high-fat meal.
- If you vomit after taking a dose of TIBSOVO, do not take an additional dose. Take your next dose at your usual time.
- If you miss a dose of TIBSOVO or did not take it at the usual time, take your dose as soon as possible and at least 12 hours before your next dose. Return to your normal schedule the following day. Do not take 2 doses of TIBSOVO within 12 hours.
General information about the safe and effective use of TIBSOVO
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do
not take TIBSOVO for conditions for which it was not prescribed. Do not give TIBSOVO to other
people, even if they have the same symptoms you have. It may harm them. You can ask your pharmacist
or healthcare provider for information about TIBSOVO that is written for healthcare professionals.
Prescribing Information, including Boxed WARNING and