Trexall
Trexall may cause severe and sometimes fatal side effects. These may include bone marrow, blood, liver, lung, kidney, or skin problems. For this reason, Trexall is only used to treat certain patients who have life-threatening cancer or who have severe psoriasis or rheumatoid arthritis that is not relieved by other treatments. Your doctor will perform lab tests to check for side effects while you take Trexall . Keep all doctor and laboratory appointments. Talk with your doctor and be sure you understand the risks and benefits of using Trexall .
Trexall may cause birth defects or fetal death. Do not use Trexall to treat psoriasis or rheumatoid arthritis if you are pregnant. Tell your doctor before you take Trexall if you are pregnant or think you may be pregnant. Do not become pregnant while using Trexall . Talk to your doctor about using an effective form of birth control.
Certain medicines and conditions may increase your risk for side effects. Tell your doctor if you take a nonsteroidal anti-inflammatory drug (NSAID) (eg, ibuprofen, celecoxib) or salicylate (eg, aspirin), or if you receive radiation therapy. Tell your doctor if you have excess fluid in your stomach or around your lungs and if you have any liver, kidney, lung, blood, bone marrow, stomach, intestinal, or immune system problems. Tell your doctor right away if you develop any new or worsening symptoms, including black, tarry stools; dry, nonproductive cough; mouth sores; red, swollen, or blistered skin; severe or persistent diarrhea or vomiting; shortness of breath or trouble breathing; signs of infection (eg, fever, chills, sore throat); stomach pain; unusual bruising or bleeding; unusual tiredness or weakness; or yellowing of the skin or eyes.
Trexall is used for:
Treating certain types of cancer, severe psoriasis, or rheumatoid arthritis in certain patients. It may be used alone or with other medicines. It may also be used for other conditions as determined by your doctor.
Trexall is an antimetabolite. It works to treat cancer and psoriasis by blocking an enzyme needed for cell growth. This helps to slow the growth of cancer cells and abnormal skin cells. Exactly how Trexall works to treat rheumatoid arthritis is unknown. It reduces symptoms of inflammation (eg, pain, swelling, stiffness) caused by rheumatoid arthritis.
Do NOT use Trexall if:
Contact your doctor or health care provider right away if any of these apply to you.
Before using Trexall :
Some medical conditions may interact with Trexall . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
Some MEDICINES MAY INTERACT with Trexall . Tell your health care provider if you are taking any other medicines, especially any of the following:
This may not be a complete list of all interactions that may occur. Ask your health care provider if Trexall may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Trexall :
Use Trexall as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Ask your health care provider any questions you may have about how to use Trexall .
Important safety information:
Possible side effects of Trexall :
All medicines may cause side effects, but many people have no, or minor, side effects.
Dizziness; headache; loss of appetite; mild hair loss; nausea; stomach pain or upset; tiredness; vomiting.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; blood in the urine; calf or leg pain or swelling; change in the amount of urine; chest pain; coma; confusion; coughing up blood; dark urine; diarrhea; difficult or painful urination; dry cough; fever, chills, or sore throat; menstrual changes; mental or mood changes; mouth sores; one-sided weakness; red, swollen, peeling, or blistered skin; seizures; severe or persistent nausea or vomiting; shortness of breath; speech changes; unusual bleeding or bruising; unusual pain and discoloration of the skin; unusual tiredness or weakness; vision changes or vision loss; yellowing of skin or eyes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (
Store Trexall at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Trexall out of the reach of children and away from pets.
General information:
This information is a summary only. It does not contain all information about Trexall . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
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