Goserelin Implant 10.8 mg

• It is used to treat prostate cancer.
• It may be given to you for other reasons. Talk with the doctor.

• Tell all of your health care providers that you take goserelin implant 10.8 mg. This includes your doctors, nurses, pharmacists, and dentists.
• This medicine may raise some hormone levels in your body during the first few weeks of taking it. Disease signs may get worse before getting better. Tell your doctor if you have any new signs or if your disease signs are worse for longer than a few weeks after starting this medicine.
• This medicine lowers some hormone levels in your body. This may cause some effects like change in breast size, breast soreness or tenderness, testicle changes in men, change in sex ability in men, hot flashes, or sweating. Talk with your doctor.
• Have blood work checked as you have been told by the doctor. Talk with the doctor.
• This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take goserelin implant 10.8 mg.
• This medicine may raise the chance of high blood sugar (diabetes). Talk with the doctor.
• If you have high blood sugar (diabetes), talk with your doctor.
• Check your blood sugar as you have been told by your doctor.
• This medicine may cause weak bones. This may happen more often if used for a long time. This may raise the chance of broken bones. Call your doctor right away if you have bone pain.
• Have a bone density test as you have been told by your doctor. Talk with your doctor.
• Injury where the shot was given and blood vessel injury have happened with this medicine. These include pain, bruising, and bleeding. Sometimes, these have led to the need for a blood transfusion or surgery. Talk with the doctor.
• A higher chance of stroke or very bad and sometimes deadly heart problems have been noted with the use of drugs like goserelin implant 10.8 mg in men. The chance is low, but get medical help right away if you have chest pain or pressure, a change in strength on 1 side that is greater than the other, trouble speaking or thinking, change in balance, or change in eyesight.

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Signs of high blood sugar like confusion, feeling sleepy, more thirst, more hungry, passing urine more often, flushing, fast breathing, or breath that smells like fruit.
• Signs of high calcium levels like weakness, confusion, feeling tired, headache, upset stomach and throwing up, hard stools (constipation), or bone pain.
• Signs of low mood (depression), thoughts of killing yourself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
• Shortness of breath, a big weight gain, or swelling in the arms or legs.
• Not able to pass urine.
• Pain when passing urine.
• Irritation where the shot is given.
• Back pain.
• Belly pain.
• Swelling of belly.
• Dizziness.
• Blood in the urine.
• Dark urine.
• Throwing up blood or throw up that looks like coffee grounds.
• A burning, numbness, or tingling feeling that is not normal.
• Fever or chills.
• Sore throat.
• A very bad pituitary gland problem (pituitary apoplexy) has rarely happened with goserelin implant 10.8 mg. Most of the time, this has happened within 2 weeks after the first dose. Call your doctor right away if you have a sudden headache, throwing up, passing out, mood changes, eye weakness, not able to move your eyes, or change in eyesight.
• A type of abnormal heartbeat (prolonged QT interval) can happen with this medicine. Call your doctor right away if you have a fast heartbeat, a heartbeat that does not feel normal, or if you pass out.

• If you need to store goserelin implant 10.8 mg at home, talk with your doctor, nurse, or pharmacist about how to store it.