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CIBINQO may cause serious side effects, including:
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Serious infections
| CIBINQO is a medicine that affects your immune system. CIBINQO can lower the ability of your immune system to fight infections. This can cause serious infections that can lead to hospitalization or death. The most common type of infections were caused by viruses. Before you take CIBINQO, tell your healthcare professional if you have an infection or get infections that often come back. Your healthcare professional will assess the risks before you begin treatment with CIBINQO if you have a chronic and reoccurring infection. They will closely monitor you for symptoms of an infection during and after your treatment with CIBINQO. This includes monitoring you for symptoms of tuberculosis. Your healthcare professional may suspend your treatment if you develop a serious infection.
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Cancer
| CIBINQO may increase your risk of getting cancer, by changing the way your immune system works. Before you take CIBINQO, tell your healthcare professional if you have ever had cancer. People taking a medicine in the class of medicines called Janus kinase (JAK) inhibitors may have a higher risk of certain cancers including lymphoma.
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Blood clots
| CIBINQO may increase your risk of getting blood clots in the veins of your legs (
deep vein thrombosis), lungs (
pulmonary embolism), or arteries (
arterial thrombosis). These blood clots can be serious or life threatening. Your healthcare professional will assess your risk of getting blood clots and tell you if it is safe to take CIBINQO. Blood clots in the veins of the legs and lungs have happened more often in people who are taking a medicine in the class of medicines called Janus kinase (JAK) inhibitors.
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Heart problems, stroke and death
| JAK inhibitors may increase your risk of heart problems including heart attack or your risk of stroke. These can lead to death.
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Serious infections Tell your healthcare professional if you have an infection or get infections that often come back. Taking CIBINQO increases your risk of developing serious infections such as herpes simplex, shingles (herpes zoster) and pneumonia. CIBINQO may also make infections such as shingles and herpes simplex come back. Your healthcare professional will closely monitor you for infection during and after your treatment. They may put you on antimicrobial therapy if you develop a new infection during treatment. They might also stop your treatment with CIBINQO. They will also screen you for the following infections before and during treatment with CIBINQO:
Talk to your healthcare professional if you get any symptoms of an infection, including shingles, herpes simplex, pneumonia or other infection while you are taking CIBINQO. See
Serious side effects and what to do about them for more information.
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Cancer Before you take CIBINQO, tell your healthcare professional if you have or have had cancer:
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Blood clots CIBINQO may increase your risk of getting blood clots in the veins of your legs or lungs. Your healthcare professional will assess your risk of getting blood clots and tell you if it is safe to take CIBINQO. You are more likely to get blood clots while taking CIBINQO if you:
Stop taking CIBINQO and talk to your healthcare professional right away if you get any symptoms of blood clots in the veins of your legs (
deep vein thrombosis) or lungs (
pulmonary embolism) while you are taking CIBINQO. See
Serious side effects and what to do about them for more information.
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Heart problems, stroke and death CIBINQO may increase your risk of heart attacks and stroke:
See
Serious side effects and what to do about them for more information on these and other serious side effects.
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Vaccinations Talk to your healthcare professional before starting CIBINQO if you are planning to receive a vaccine:
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Pregnancy If you’re able to get pregnant:
If you become pregnant or think you might be pregnant, talk to your healthcare professional right away.
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Breastfeeding Before you take CIBINQO, tell your healthcare professional if you’re breastfeeding or plan to breastfeed:
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Monitoring and tests Blood tests should be performed before you start taking CIBINQO, as well as during your treatment with CIBINQO.
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Driving and using machines CIBINQO may cause dizziness. Do NOT drive or use dangerous machines until you know how CIBINQO affects you.
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Talk to your healthcare professional if you experience any of the following serious side effects:
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COMMON | Herpes simplex (infection of the genitals, eyes or skin caused by the herpes simplex virus) Symptoms include tingling, pain or itching in genital area, small red blisters or sores on penis, scrotum or vaginal area, redness, pain or swelling around the eye, blurred vision, watery eyes, small red blisters or sores on any skin area.
Infections Symptoms include fever, chills, muscle aches, flu-like symptoms, cough, sore throat, diarrhea or stomach pain, feeling tired
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UNCOMMON | Cancer including skin cancer
Symptoms may be variable
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Lymphopenia (low white blood cells) Symptoms include getting infections more easily
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Pneumonia (lung infection) Symptoms include chest pain when you breathe or cough, confusion, cough which may produce phlegm, fatigue, fever, sweating and shaking, chills, nausea, vomiting or diarrhea, shortness of breath
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Shingles, also known as herpes zoster (skin infection) Symptoms include a painful skin rash of fluid-filled blisters, blisters appear along a strip of skin, itching or tingling of the skin
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Thrombocytopenia (low blood platelets) Symptoms include bruising or bleeding
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Stop taking CIBINQO and get immediate medical help if you experience any of the following serious side effects:
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COMMON | Herpes simplex (infection of the genitals, eyes or skin caused by the herpes simplex virus) Symptoms include tingling, pain or itching in genital area, small red blisters or sores on penis, scrotum or vaginal area, redness, pain or swelling around the eye, blurred vision, watery eyes, tingling, pain or itching in genital area, small red blisters or sores on any skin area
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UNCOMMON | Myocardial infarction (heart attack) Symptoms include pressure or squeezing pain between the shoulder blades, in the chest, jaw, left arm or upper abdomen, shortness of breath, dizziness, fatigue, lightheadedness, clammy skin, sweating, indigestion, anxiety, feeling faint and possible irregular heartbeat
Blood clots •
Deep vein thrombosis (blood clot in the legs) Symptoms include swelling, and pain; leg may be warm to the touch and may appear red • Pulmonary embolism (blood clot in the lungs) Symptoms include chest pain that may increase with deep breathing, cough, coughing up bloody sputum, shortness of breath |