WARNINGS AND PRECAUTIONS
-Infusion reactions: Premedicate patients with glucocorticoid, acetaminophen and anti-histamine.
Monitor patients closely during infusions. Interrupt or discontinue infusion for reactions.
• Tumor Lysis Syndrome: Anticipate tumor lysis syndrome; premedicate with anti-hyperuricemics and adequate hydration especially for patients with high tumor burden and/or high circulating lymphocyte count. Correct electrolyte abnormalities, provide supportive care and monitor renal function and fluid balance.
• Neutropenia: Monitor for infection.
• Thrombocytopenia: Monitor platelet counts and for bleeding. Management of hemorrhage may require blood product support.
• Immunization: Do not administer live virus vaccines prior to or during GAZYVA.