Drugs & Vitamins

Histrelin Implant Active Ingredients: Histrelin Implant Representative Names: Vantas What is Histrelin implant? What should I tell my health care provider before I take this medicine? How should this medicine be used? What if I miss a dose? What drug(s) may interact with Histrelin? What side effects may I notice from receiving Histrelin? What should I watch for while taking Histrelin? Where can I keep my medicine? What is Histrelin implant? (Back to top) HISTRELIN (Vantas™) implant releases a continual dose of a drug that is like a natural hormone in the body called gonadotropin-releasing hormone (GnRH). The implant, a small, thin flexible tube, is placed under the skin. The implant delivers histrelin to your body continuously over 12 months. Certain diseases, such as prostate cancer, may respond to histrelin. Generic histrelin implants are not available. What should I tell my health care provider before I take this medicine? (Back to top) They need to know if you have any of these conditions: •female (this implant is not for use in women) •osteoporosis •pain or difficulty passing urine •spinal cord metastasis •an unusual reaction to Histrelin, other medicines, foods, dyes, or preservatives How should this medicine be used? (Back to top) The histrelin implant is placed under the skin of your arm by a health care professional in a clinic or office. Following histrelin implant insertion, the insertion site should remain clean and dry for a duration of 24 hours. Avoid heavy lifting and strenuous exercise for 7 days after implant insertion. The surgical strips over the site should be allowed to fall off on their own over several days. This medicine is not indicated for use in children. What if I miss a dose? (Back to top) This does not apply. If you need to continue histrelin therapy, you will need to make an appointment to have the implant removed and replaced at one-years time. What drug(s) may interact with Histrelin? (Back to top) •cimetidine •herbal or dietary supplements, like black cohosh or DHEA •male hormones, like testosterone •methyldopa •metoclopramide •prasterone •some medicines for mood or mental problems •reserpine Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines. What side effects may I notice from receiving Histrelin? (Back to top) Side effects that you should report to your prescriber or health care professional as soon as possible: •blood in your urine •chest pain •difficulty breathing •difficulty urinating or cannot urinate •loss of bladder or bowel control •new or worse bone pain •pain in your legs or groin •pain at the insertion site •severe headache •visual changes •vomiting Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome): •breast swelling and tenderness •constipation •decreased sexual desire or ability (impotence) •hot flashes (sudden feelings of warmth or sweating) •inability to sleep (insomnia) •redness or irritation at the insertion site •testicles become smaller •urination problems •weight gain What should I watch for while taking Histrelin? (Back to top) Visit your prescriber or health care professional for regular checks on your progress. During the first week your symptoms may get worse, but then will improve as you continue your treatment. You may get hot flashes, increased bone pain, increased difficulty passing urine, or an aggravation of nerve symptoms. Discuss these effects with your prescriber or health care professional; some of them may improve with continued use of histrelin. Histrelin acetate implant can be expelled from your body through the original incision site. This occurs infrequently. You may notice the system being expelled, or rarely, the system may be expelled without your noticing it. If you believe the histrelin implant has been expelled from your body, call your doctor. Where can I keep my medicine? (Back to top) This does not apply. The implants are only inserted in an office or clinic setting. Last Updated:08/16/2007 CLINICAL PHARMACOLOGY© GOLD STANDARD MULTIMEDIA INC, ALL RIGHTS RESERVED

Note: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. It should not be construed to indicate that the use of the product is safe, appropriate, or effective for you. Consult your healthcare professional before taking the product.