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								USES: 
								
								Fulvestrant is used to 
								treat 
								
								
								breast cancer 
								that has spread to other areas of the body in 
								women who have gone through "the change of life" 
								(menopause). 
								It is used in patients who have not responded 
								well to other medications (e.g., 
								
								
								tamoxifen). 
								Breast 
								
								cancer 
								cells need the hormone estrogen in order to 
								grow. Fulvestrant works by blocking the effect 
								of estrogen, slowing tumor cell growth. 
								
								
								HOW TO USE: 
								
								Learn all preparation and usage instructions in 
								the product package. If any of the information 
								is unclear, consult your doctor or 
								pharmacist.Inject this medication slowly into 
								the buttock muscle (intramuscularly - IM) 
								usually once a month, or as directed by your 
								doctor. You will be instructed on whether to 
								give your dose as one or two injections. To 
								minimize discomfort, the medication can be taken 
								out of the refrigerator up to 1 hour before the 
								scheduled dose and allowed to reach room 
								temperature.This medication is normally clear 
								and colorless to yellow in color. Before using, 
								check this product visually for particles or 
								discoloration. If either is present, do not use 
								the liquid.Learn how to store and discard 
								needles and medical supplies safely. Consult 
								your pharmacist. 
								
								
								SIDE EFFECTS: 
								
								Pain/swelling/redness at the injection site, 
								nausea, vomiting, loss of appetite, 
								
								
								constipation,
								
								
								
								diarrhea, 
								upset stomach, 
								
								
								dizziness, 
								tiredness, weakness, 
								
								
								headache, 
								body aches/pains, flushing and sweating (hot 
								flushes/hot flashes), or trouble sleeping may 
								occur. Changes in diet such as eating several 
								small meals or limiting physical activity may 
								help lessen the chance of 
								
								
								
								nausea and vomiting. 
								If any of these effects continue or worsen, 
								notify your doctor or pharmacist promptly. 
								Remember that your doctor has prescribed this 
								medication because he or she has judged that the 
								benefit to you is greater than the risk of side 
								effects. Many people using this medication do 
								not have serious side effects. Tell your doctor 
								immediately if any of these unlikely but serious 
								side effects occur: burning/painful/frequent 
								urination, numbness/tingling/swelling of the 
								hands or feet, pain/redness/swelling of the arms 
								or legs, bone/pelvis/hip 
								pain, 
								signs of infection (e.g., 
								
								
								fever, 
								persistent 
								
								
								sore throat), 
								persistent cough, persistent 
								
								
								vaginal bleeding, 
								mental/mood changes (e.g., 
								
								
								anxiety,
								
								
								
								depression). 
								Tell your doctor immediately if any of these 
								rare but very serious side effects occur: 
								
								
								chest pain, 
								trouble breathing. A very serious allergic 
								reaction to this drug is unlikely, but seek 
								immediate medical attention if it occurs. 
								Symptoms of a serious allergic reaction may 
								include: 
								
								
								rash, 
								itching/swelling (especially of the 
								face/tongue/throat), severe dizziness, trouble 
								breathing. This is not a complete list of 
								possible side effects. If you notice other 
								effects not listed above, contact your doctor or 
								pharmacist. In the US -Call your doctor for 
								medical advice about side effects. You may 
								report side effects to FDA at 1-800-FDA-1088.In 
								Canada - Call your doctor for medical advice 
								about side effects. You may report side effects 
								to Health Canada at 1-866-234-2345. 
								
								
								
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