This is a summary of important information that you need to know about OPDIVO. Your healthcare team can work with you to help answer any questions you may have about OPDIVO. Keep this information in a safe place, so you can refer to it before and during your treatment.
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What is OPDIVO?
OPDIVO is a prescription medicine used to treat bladder cancer (urothelial carcinoma). OPDIVO is for adult patients who:
Have bladder cancer that has spread or grown; AND
Have tried chemotherapy that contains platinum, and it did not work or is no longer working.
OPDIVO was approved based on response rate and how long patients' responses lasted. There is ongoing evaluation of clinical benefit of OPDIVO for this use.
It is not known if OPDIVO is safe and effective in children less than 18 years of age.
OPDIVO is a medicine that may treat your bladder cancer by working with your immune system. It can cause your immune system to attack normal organs and tissues in many areas of your body, and can affect the way these organs work.
What are the serious side effects of OPDIVO?
A serious side effect is a side effect that can sometimes become life-threatening and can lead to death. They can happen anytime during treatment or even after your treatment has ended.
Get medical help immediately if you develop any of these symptoms or they get worse. It may keep these problems from becoming more serious. Your healthcare team will check you for side effects during treatment with OPDIVO, and may treat you with corticosteroid or hormone replacement medicines. If you have a serious side effect, your healthcare team may need to delay or completely stop your treatment.
Lung problems (pneumonitis) — Things to look out for may include:
- new or worsening cough
- chest pain
- shortness of breath
Intestinal problems (colitis) that can lead to tears or holes in your intestine — Things to look out for may include:
- diarrhea (loose stools) or more
bowel movements than usual
- blood in your stools or dark,
tarry, sticky stools
- severe stomach area (abdomen)
pain or tenderness
Liver problems (hepatitis) — Things to look out for may include:
- yellowing of your skin or the whites of your eyes
- severe nausea or vomiting
- pain on the right side of your stomach area (abdomen)
- dark urine (tea colored)
- bleeding or bruising more easily than normal
- feeling less hungry than usual
Hormone gland problems (especially the thyroid, pituitary, adrenal glands, and pancreas) — Things to look out for may include:
- headaches that will not go away
or unusual headaches
- extreme tiredness
- weight gain or weight loss
- changes in mood or behavior,
such as decreased sex drive,
irritability, or forgetfulness
- hair loss
- feeling cold
- voice gets deeper
- excessive thirst or lots of urine
Kidney problems, including nephritis and kidney failure — Things to look out for may include:
- decrease in the amount of urine
- blood in your urine
- swelling in your ankles
- loss of appetite
Skin problems — Things to look out for may include:
- skin blistering
- ulcers in the mouth or other
Inflammation of the brain (encephalitis) — Things to look out for may include:
- tiredness or weakness
- memory problems
- seeing or hearing things that are not really there (hallucinations)
- stiff neck
Problems in other organs — Things to look out for may include:
- changes in eyesight
- severe or persistent muscle or joint pains
- severe muscle weakness
Severe infusion reactions — Things to look out for may include:
- chills or shaking
- itching or rash
- difficulty breathing
- feeling like passing out
Talk to your healthcare team right away if you get any of the symptoms of a severe infusion reaction during or after an infusion of OPDIVO.
What should I discuss with my healthcare team about pregnancy and nursing before starting OPDIVO?
Tell your healthcare team if you are pregnant or plan to become pregnant. OPDIVO can harm your unborn baby. Females who are able to become pregnant should use an effective method of birth control during and for at least 5 months after the last dose of OPDIVO.
Talk to your healthcare team about birth control methods that you can use during this time. Tell your healthcare provider right away if you become pregnant during treatment.
Tell your healthcare team if you are breastfeeding or plan to breastfeed. It is not known if OPDIVO passes into your breast milk. Do not breastfeed during treatment.
What should I discuss with my healthcare team before starting OPDIVO?
Talk to your healthcare team about all of your health problems or concerns, including if you:
- have immune system problems such as Crohn’s disease, ulcerative colitis, or lupus
- have had an organ transplant
- have lung or breathing problems
- have liver problems
- have any other medical conditons
Talk to your healthcare team about all of the medicines you are taking, including:
- prescription medicines
- over-the-counter medicines
- herbal supplements
What are the most common side effects of OPDIVO?
The most common side effects of OPDIVO include:
- feeling tired
- pain in muscles, bones, and joints
- back pain
- itchy skin
- shortness of breath
- decreased appetite
- upper respiratory tract infection
These are not all of the possible side effects of OPDIVO. Talk to your healthcare team for more information.
You can report any side effects you experience to the FDA by calling
How will I receive OPDIVO?
OPDIVO is a prescription medicine that is given as an intravenous (IV) infusion by your healthcare team.
An IV infusion is when medicine is given directly into the bloodstream through a needle placed in a vein by a healthcare professional - usually in the arm or hand.
60 minutes intravenous (IV) infusion time, though actual time in the clinic may vary.
OPDIVO is usually given every 2 weeks. Your doctor will decide how many treatment cycles you will receive, and do blood tests to check you for side effects.
Call your doctor right away to reschedule your appointment if you miss any of your appointments.
For more information, please see U.S. Full Prescribing Information and Medication Guide for OPDIVO, or talk to your healthcare team.