What is ONUREG®?
ONUREG® is a prescription medicine used for continued treatment of adults with acute myeloid leukemia (AML) who had a first complete remission (CR) following intensive induction chemotherapy with or without recovery of your blood cell counts, and who are not able to complete intensive curative therapy. It is not known if ONUREG® is safe and effective in children under 18 years of age.
Do not take ONUREG® if you:
are allergic to azacitidine or any of the ingredients in ONUREG®. See the Patient Information for a complete list of ingredients in ONUREG®.
Before taking ONUREG®, tell your healthcare provider about all of your medical conditions, including if you:
- have kidney or liver problems.
- are pregnant or plan to become pregnant. ONUREG® can harm your unborn baby.
Females who are able to become pregnant:
- Your healthcare provider should perform a pregnancy test before you start treatment with ONUREG®.
- You should use effective birth control (contraception) during treatment and for at least 6 months after your last dose of ONUREG®.
- Tell your healthcare provider right away if you become pregnant during treatment with ONUREG®.
Males with a female sexual partner who can become pregnant:
- You should use effective birth control (contraception) during treatment and for at least 3 months after your last dose of ONUREG®.
- are breastfeeding or plan to breastfeed. It is not known if ONUREG® passes into your breast milk. Do not breastfeed during treatment and for 1 week after your last dose of ONUREG®.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
How should I take ONUREG®?
- Take ONUREG® exactly as your healthcare provider tells you to take it.
- Your healthcare provider will prescribe an anti-nausea medicine for you to take to help prevent nausea and vomiting during your treatment with ONUREG®.
- Take the anti-nausea medicine 30 minutes before each dose of ONUREG®.
- Your healthcare provider may decide to stop the anti-nausea medicine after your second cycle of ONUREG®, if you do not have any nausea or vomiting.
- Take ONUREG® by mouth 1 time each day beginning on Day 1 through Day 14 of each 28-day cycle.
- Take ONUREG® with or without food at about the same time each day.
- Swallow ONUREG® tablets whole. Do not cut, crush, or chew the tablets.
- If the powder from ONUREG® tablets comes in contact with your skin, wash the area well right away with soap and water. If the powder from ONUREG® tablets comes in contact with your eyes or mouth (mucous membranes), flush the area right away with water.
- If you miss a dose of ONUREG®, or if you do not take your dose at the usual time, take the dose as soon as possible that day. Take your next dose at the regular time the next day. Do not take 2 doses on the same day to make up for a missed dose.
- If you vomit after taking a dose of ONUREG®, do not take another dose on the same day. Take your next dose at the regular time the next day.
What are the possible side effects of ONUREG®?
ONUREG® can cause serious side effects, including:
New or worsening low white blood cell counts (neutropenia). New or worsening low white blood cell counts are common but can also be severe during treatment with ONUREG®. If your white blood cell counts become very low, you are at increased risk for infections. Your healthcare provider will check your white blood cell counts before and during treatment with ONUREG®. Your healthcare provider may prescribe a medicine to help increase your white blood cell count if needed.
Tell your healthcare provider right away if you get any of the following symptoms:
- fever or chills
- body aches
- feeling very tired or weak
- unusual headaches
New or worsening low platelet counts (thrombocytopenia). Low platelet counts are common but can also be severe during treatment with ONUREG®. Your healthcare provider will check your platelet counts before and during treatment with ONUREG®. Tell your healthcare provider right away if you have any unusual bruising or bleeding. Your healthcare provider may change your dose or tell you to stop taking ONUREG® if you have low blood cell counts.
ONUREG® may cause fertility problems in males and females, which may affect your ability to have children. Talk with your healthcare provider if you have concerns about fertility.
The most common side effects of ONUREG® include:
- nausea and vomiting. See "How should I take ONUREG®?"
- diarrhea. You may need to be treated with anti-diarrheal medicines.
- tiredness or weakness
- stomach area (abdominal) pain
- joint pain
- decreased appetite
- pain in arms or legs
These are not all of the possible side effects of ONUREG®. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1‑800‑FDA‑1088.
General information about the safe and effective use of ONUREG®.
Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use ONUREG® for a condition for which it was not prescribed. Do not give ONUREG® 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 ONUREG® that is written for health professionals.