Ferulinor
Ferulinor is a medicine that helps your immune system fight certain types of cancer, such as multiple myeloma and lymphomas, by stopping cancer cells from growing and destroying them.
Form
kapseli, kova
Strength
10 mg
Active Ingredient
Lenalidomide
Manufacturer
STADA Nordic ApS
How to Use
Dosage
Your doctor will tell you exactly how much Ferulinor to take based on your condition.
Method
Swallow the capsules whole with water. Do not break, open, or chew them. You can take them with or without food, at about the same time each day as instructed by your doctor.
Important
Your doctor will determine your maximum daily dose and adjust it if needed based on your blood tests and general health.
Possible Side Effects
COMMON
- •Low red blood cell count (anemia), causing tiredness and weakness.
- •Rash, itching.
- •Muscle cramps, muscle weakness, muscle pain, bone pain, joint pain, back pain, limb pain.
- •Swelling, including swollen arms and legs.
- •Weakness, tiredness.
- •Fever and flu-like symptoms (e.g., fever, muscle ache, headache, earache, cough, chills).
- •Numbness, tingling, or burning sensation in the skin, pain in hands or feet, dizziness, tremors.
- •Reduced appetite, changes in taste.
- •Increased pain, tumor size, or redness around the tumor.
- •Weight loss.
- •Constipation, diarrhea, nausea, vomiting, stomach pain, heartburn.
- •Low levels of potassium, calcium, and/or sodium in the blood.
- •Underactive thyroid.
- •Leg pain (could be a sign of a blood clot), chest pain, or shortness of breath (could be a sign of a blood clot in the lungs).
- •All types of infections, including sinus, lung, and upper respiratory infections.
- •Shortness of breath.
- •Blurred or weak vision.
- •Cloudy eyes (cataract).
- •Kidney problems (kidneys not working well).
- •Abnormal liver test results.
- •Increased liver test results.
- •Changes in blood protein that can cause blood vessel swelling (vasculitis).
- •High blood sugar (diabetes).
- •Low blood sugar.
- •Headache.
- •Nosebleeds.
- •Dry skin.
- •Depression, mood changes, trouble sleeping.
- •Cough.
- •Low blood pressure.
- •General discomfort, feeling unwell.
- •Sore, inflamed mouth, dry mouth.
- •Dehydration.
- •Breakdown of red blood cells (hemolytic anemia).
- •Certain skin cancers.
- •Bleeding from gums, stomach, or intestines.
- •High blood pressure, slow, fast, or irregular heartbeat.
- •Increased levels of a substance from broken down red blood cells.
- •Increased levels of a protein indicating inflammation in the body.
- •Darkening of the skin, skin discoloration from bleeding under the skin (usually bruising), skin swelling from bleeding, bruising.
- •Increased uric acid in the blood.
- •Skin issues, skin redness, cracked skin, flaky or peeling skin, hives, increased sweating, night sweats.
- •Difficulty swallowing, sore throat, changes in voice.
- •Runny nose.
- •Urinating more or less than usual, or losing bladder control.
- •Blood in urine.
- •Shortness of breath, especially when lying down (may be a sign of heart failure).
- •Erectile dysfunction.
- •Stroke, fainting, dizziness (inner ear problem causing a spinning sensation), temporary loss of consciousness.
- •Chest pain spreading to arms, neck, jaw, back or stomach, sweating, shortness of breath, nausea or vomiting. These can be signs of a heart attack.
- •Muscle weakness, lack of energy.
- •Neck pain, chest pain.
- •Chills.
- •Joint swelling.
- •Slow or blocked bile flow from the liver.
- •Low levels of phosphate or magnesium in the blood.
- •Speech difficulties.
- •Liver damage.
- •Balance problems, difficulty moving.
- •Deafness, ringing in the ears (tinnitus).
- •Nerve pain, unpleasant or unusual sensations, especially when touched.
- •Too much iron in the body.
- •Thirst.
- •Confusion.
- •Toothache.
- •Falls that can cause injuries.
RARE
- •Bleeding inside the skull.
- •Circulation problems.
- •Vision loss.
- •Reduced sex drive.
- •Large amounts of urine with bone pain and weakness, which could be signs of a kidney disease (Fanconi syndrome).
- •Yellowing of skin, mucous membranes or eyes (jaundice), light stools, dark urine, skin itching, rash, stomach pain or swollen stomach – these can be symptoms of liver damage (liver failure).
- •Stomach pain, swollen stomach or diarrhea, which can be symptoms of colon inflammation (colitis or appendicitis).
- •Kidney cell damage (renal tubular necrosis).
- •Changes in skin color, sensitivity to sunlight.
- •Tumor lysis syndrome – metabolic complications that can occur during cancer treatment.
- •High blood pressure in the blood vessels supplying the lungs (pulmonary hypertension).
- •Sudden or worsening pain in the upper abdomen and/or back that lasts for several days, possibly with nausea, vomiting, fever, and fast heart rate. These could be signs of pancreas inflammation.
- •Wheezing, shortness of breath or dry cough, which can be symptoms of lung inflammation.
- •Muscle breakdown (muscle pain, weakness, or swelling) which can lead to kidney problems (rhabdomyolysis), observed rarely, sometimes when Ferulinor was given with a statin.
- •A skin disease caused by inflammation of small blood vessels, with joint pain and fever (leukocytoclastic vasculitis).
- •Stomach or bowel wall breakdown, leading to severe infection. Tell your doctor if you have severe stomach pain, fever, nausea, vomiting, bloody stools, or changes in bowel habits.
- •Viral infections, including shingles (a viral infection causing painful blistery rash) and recurrence of Hepatitis B infection (which can cause yellow skin/eyes, dark brown urine, right-sided abdominal pain, fever, nausea, or vomiting).
- •Rejection of transplanted organs (e.g., kidney, heart).
Important Warnings
- Do not take if you are pregnant, think you might be pregnant, or are planning to get pregnant, as Ferulinor can harm the baby. Women who can get pregnant must use reliable birth control. Men must use condoms during treatment and for 7 days after, even if they've had a vasectomy.
- Stop taking Ferulinor and get medical help right away if you have a severe allergic reaction (like hives, rash, swelling of your face/mouth, or trouble breathing).
- Tell your doctor if you have ever had blood clots or if you get symptoms like chest pain, leg pain, or shortness of breath during treatment.
- Tell your doctor if you get signs of an infection like fever, chills, sore throat, or cough, or if you have or have had certain viral infections (e.g., Hepatitis B, shingles, HIV).
- Tell your doctor if you have kidney or liver problems, as your dose might need to be changed.
Show 4 more warnings
- Tell your doctor if you have had a heart attack, blood clot, high blood pressure, or high cholesterol.
- Seek urgent medical help if you develop a widespread rash, red skin, high fever, flu-like symptoms, or swelling of lymph nodes. These could be signs of a very serious skin reaction.
- Contact your doctor immediately if you notice changes in vision, speech, balance, numbness, memory loss, or confusion, as these could be signs of a rare but serious brain disease called PML.
- Tell your doctor if you have shortness of breath, feel tired or dizzy, have chest pain, fast heartbeat, or swollen legs/ankles, as these could be signs of a serious lung condition.