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pemetrexed, pem-ah-trex-ed, belongs to the group, antineoplastics, treat a type, cancer, malignant pleural mesothelioma, mpm, this cancer affects the inside lining, the chest cavity, pemetrexed is given with cisplatin, another anti-cancer medicine, chemotherapy, pemetrexed is also, treat a type, lung cancer, pemetrexed is given alone, not with cisplatin, to lower my chances, side effects, pemetrexed, must also take folic acid and vitamin b₁₂ prior to, treatment with pemetrexed, a physician will prescribe a medicine, a corticosteroid, take for 3 days, treatment with pemetrexed, corticosteroid medicines lower my chances, getting skin reactions with pemetrexed, dosage forms: parenteral, injection, using the medicine, weighed against the good it will do, for pemetrexed, allergic reaction to pemetrexed, allergic to any other substances, foods, preservatives, dyes, this medicine has been shown to cause problems in unborn babies, needed in serious diseases, are pregnant, plan to become pregnant be sure you have discussed this with a physician, when breast-feeding , not known whether pemetrexed passes into breast milk, not recommended to use pemetrexed, breast-feeding, unwanted effects in nursing babies, should stop breast-feeding once you start treatment with pemetrexed, discuss this with a physician, studies on this medicine have only been done in adult patients, there is no specific information comparing the use, pemetrexed in children with use in other age groups, has been tested in a limited number, older patients and has not been shown to cause different side effects, problems in older people, in younger adults, an interaction might occur, change the dose, taking any other prescription, nonprescription, over-the-counter, otc, when you are using pemetrexed, nonsteroidal anti-inflammatory drugs, nsaids, aspirin, ibuprofen, motrin and others, naproxen, aleve and others, celecoxib, celebrex, rofecoxib, vioxx, taking these medicines at the same time as pemetrexed can cause serious side effects, there are many nsaid medicines, any questions ask a physician, pharmacist if, medicines are nsaids, other medical problems, pemetrexed, any other medical problems, kidney disease , patients with kidney disease should not use pemetrexed, patients with kidney disease , more pemetrexed in their bodies, third space fluid, extra fluid, in my body, ascites, extra fluid, in my stomach area, pleural effusion, extra fluid, in my lungs and chest, pemetrexed should be used carefully in these patients, effects are not known, very important, take folic acid and vitamin b ₁₂, treatment with pemetrexed to lower my chances, harmful side effects, must start taking 350-1000 micrograms, folic acid every day for at least 5 days out, the 7 days before my first dose, pemetrexed, must keep taking folic acid every day during the time you are getting treatment with pemetrexed, for 21 days after my last treatment, can get folic acid vitamins over-the-counter, folic acid is also found in many multivitamin pills, pharmacist for help, not sure, choose a folic acid product, a physician will give you vitamin b₁₂ injections, getting treatment with pemetrexed, will get my first vitamin b ₁₂injection during the week before my first dose, pemetrexed, then about every 9 weeks during treatment, pemetrexed should be administered under the supervision, a qualified physician experienced, use, antineoplastic agents, pemetrexed is given together with certain other medicines, are using a combination, receive each one at the proper time, by mouth, ask my health care professional to help you plan a way, take them at the right times, will have regular blood tests before, treatment with pemetrexed, a physician may adjust my dose, pemetrexed, delay treatment based on the results, blood tests and on my general condition, a physician will prescribe a medicine, a corticosteroid, take for 3 days, treatment with pemetrexed, corticosteroid medicines lower my chances for getting skin reactions with pemetrexed, pemetrexed can be different for different patients, follow a physician's orders, the directions on the label carefully, using pemetrexed at home, any questions about the proper dose, keep out of a child's reach, keep the medicine from freezing, do not refrigerate, do not keep outdated medicine, medicine no longer needed, ask my doctor how to get rid, any medicine you do not use, discarded medicine is out of a child's reach, precautions, know the side effects, a physician check you at regular visits, a physician may adjust my dose, delay my treatment based on my general condition, check with a physician immediately, fever, chills, diarrhea, mouth sores, have an infection, may feel tired, weak for a few days after my pemetrexed treatments, severe weakness, tiredness, may get redness, sores, in my mouth, throat, lips, symptoms may happen a few days after pemetrexed treatment, may get a rash, itching during treatment, usually appear between treatments with pemetrexed and usually go away before the next treatment, call a physician if you get a severe rash, itching, pemetrexed, other anti-cancer medicine, given with, cisplatin, can sometimes causes nausea and vomiting , continue to receive the medicine, begin to feel ill, can get medicines to help control some, symptoms, talk with a physician if you get, symptoms, may lose my appetite and lose weight, talk to a physician if this is a problem for you, being treated with pemetrexed, after you stop treatment with it, do not have any immunizations, vaccinations, without a physician's approval, pemetrexed may lower my body's resistance and there is a chance you might get the infection the immunization is meant to prevent, other persons living, in my household should not take oral polio vaccine since there is a chance they could pass the polio virus on, avoid other persons who have taken oral polio vaccine within the last several months, do not get close to them, do not stay, same room with them for very long, cannot take these precautions, should consider wearing a protective face mask that covers the nose and mouth, pemetrexed can temporarily affect my blood counts and a physician will do blood tests, blood counts before and during treatment with pemetrexed, low red blood cells may make you feel tired, get tired easily, appear pale, become short, breath, low white blood cells may give you a greater chance for infection, a fever, temperature above 100.4 °f, other signs, infection, call a physician, low platelets give you a greater chance for bleeding, there are certain precautions you can take, especially when my blood count is low, to reduce the risk, infection, bleeding, can, avoid people with infections, check with a physician immediately, think you are getting an infection, get a fever, chills, cough, hoarseness, diarrhea, lower back, side pain, mouth sores, painful, difficult urination , check with a physician immediately, notice any unusual bleeding, bruising; black, tarry stools , blood in urine , stools, pinpoint red spots on my skin, be careful when using a regular toothbrush, dental floss, toothpick, nurse may recommend other ways to clean my teeth and gums, check with my medical doctor before having any dental work done, do not touch my eyes, the inside, nose unless you have just washed my hands and have not touched anything else, be careful not to cut myself when you are using sharp objects, a safety razor, fingernail, toenail cutters, avoid contact sports, other situations where bruising, injury could occur, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, check with a physician immediately, side effects occur, tarry stools , bleeding gums, chest pain , chills, cough, fever, coordination, lower back, side pain, pains in chest, groin, legs, especially calves, legs, painful, difficult urination , pale skin, pinpoint red spots on skin, severe headaches, sudden onset sudden, shortness of breath, sore throat, sudden onset, slurred speech, sudden vision changes, swollen glands, troubled breathing, ulcers, sores, white spots in mouth, unusual bleeding, bruising, unusual tiredness , weakness, bloody urine, bloody stools, decreased frequency/amount, urine, fainting, consciousness, fast, irregular breathing, increased blood pressure, increased thirst, itching, appetite, nausea, skin rash , swelling, eyes, eyelids, swelling, face, fingers, lower legs, tightness in chest, /or wheezing, vomiting, weight gain, side effects may go away during treatment, body adjusts to the medicine, side effects continue, bothersome, burning, tingling, numbness , pain, hands, arms, feet, legs, confusion, cough, hoarseness, decreased urination, diarrhea, without colostomy, difficulty having a bowel movement, stool, difficulty in moving, difficulty in swallowing, discouragement, dizziness , dry mouth, feeling sad, empty, headache, hair loss, heartburn, increase in heart rate, irritability, lightheadedness, interest, pleasure, mood changes, muscle aches, cramping, muscle pain, stiffness, pain in joints, pain produced by swallowing, pain, burning in throat, peeling, skin, rapid breathing, sensation, pins and needles, stabbing pain, stuffy, runny nose, sunken eyes, swelling, swelling, inflammation, the mouth, swollen joints , thinning, hair, thirst, tiredness, trouble concentrating, trouble sleeping , weight loss, wheezing, wrinkled skin, other side effects, brand names, alimta category antineoplastic