Lupron Depot 7.5
"The U.S. Food and Drug Administration today expanded the approved use of Zytiga (abiraterone acetate) to treat men with late-stage (metastatic) castration-resistant prostate cancer prior to receiving chemotherapy.
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Lupron Depot 7.5 mg
Potential exacerbations of signs and symptoms during the first few weeks of treatment is a concern in patients with vertebral metastases and/or urinary obstruction or hematuria which, if aggravated, may lead to neurological problems such as temporary weakness and/or paresthesia of the lower limbs or worsening of urinary symptoms (see WARNINGS section).
In a clinical trial of LUPRON DEPOT 7.5 mg for 1-month administration, the following adverse reactions were reported in 5% or more of the patients during the initial 24-week treatment period regardless of causality.
LUPRON DEPOT 7.5 mg for 1-Month Administration (N=56)
|Body as a Whole|
|Metabolic and Nutritional Disorders|
|* Due to the expected physiologic effect of decreased testosterone levels.|
In this same study, the following adverse reactions were reported in less than 5% of the patients on LUPRON DEPOT 7.5 mg for 1-month administration.
Body as a Whole - Asthenia, Cellulitis, Fever, Headache, Injection site reaction, Neoplasm; Cardiovascular System - Angina, Congestive heart failure; Digestive System - Anorexia, Dysphagia, Eructation, Peptic ulcer; Hemic and Lymphatic System - Ecchymosis; Musculoskeletal System - Myalgia; Nervous System - Agitation, Insomnia/sleep disorders, Neuromuscular disorders; Respiratory System - Emphysema, Hemoptysis, Lung edema, Sputum increased; Skin and Appendages - Hair disorder, Skin reaction; Urogenital System - Balanitis, Breast enlargement, Urinary tract infection.
Abnormalities of certain parameters were observed, but their relationship to drug treatment are difficult to assess in this population. The following were recorded in ≥ 5% of patients at final visit: Decreased albumin, decreased hemoglobin/hematocrit, decreased prostatic acid phosphatase, decreased total protein, decreased urine specific gravity, hyperglycemia, hyperuricemia, increased BUN, increased creatinine, increased liver function tests (AST, LDH), increased phosphorus, increased platelets, increased prostatic acid phosphatase, increased total cholesterol, increased urine specific gravity, leukopenia.
During postmarketing surveillance, which includes other dosage forms and other patient populations, the following adverse events were reported.
Like other drugs in this class, mood swings, including depression, have been reported. There have been very rare reports of suicidal ideation and attempt. Many, but not all, of these patients had a history of depression or other psychiatric illness. Patients should be counseled on the possibility of development or worsening of depression during treatment with LUPRON.
Changes in Bone Density
Decreased bone density has been reported in the medical literature in men who have had orchiectomy or who have been treated with an LH-RH agonist analog. In a clinical trial, 25 men with prostate cancer, 12 of whom had been treated previously with leuprolide acetate for at least six months, underwent bone density studies as a result of pain. The leuprolide-treated group had lower bone density scores than the nontreated control group. It can be anticipated that long periods of medical castration in men will have effects on bone density.
During post-marketing surveillance, rare cases of pituitary apoplexy (a clinical syndrome secondary to infarction of the pituitary gland) have been reported after the administration of gonadotropin-releasing hormone agonists. In a majority of these cases, a pituitary adenoma was diagnosed, with a majority of pituitary apoplexy cases occurring within 2 weeks of the first dose, and some within the first hour. In these cases, pituitary apoplexy has presented as sudden headache, vomiting, visual changes, ophthalmoplegia, altered mental status, and sometimes cardiovascular collapse. Immediate medical attention has been required.
Endocrine System – Diabetes;
Respiratory, thoracic and mediastinal disorder – Interstitial lung disease;
Hemic and Lymphatic System - Decreased WBC;
Musculoskeletal System - Tenosynovitis-like symptoms;
Urogenital System - Prostate pain.
See other LUPRON DEPOT and LUPRON Injection package inserts for other events reported in women and pediatric populations.
Read the Lupron Depot 7.5 mg (leuprolide acetate for depot suspension) Side Effects Center for a complete guide to possible side effects »
No pharmacokinetic-based drug-drug interaction studies have been conducted with LUPRON DEPOT. However, because leuprolide acetate is a peptide that is primarily degraded by peptidase and not by Cytochrome P-450 enzymes as noted in specific studies, and the drug is only about 46% bound to plasma proteins, drug interactions would not be expected to occur (see Pharmacokinetics).
Drug/Laboratory Test Interactions
Administration of LUPRON DEPOT in therapeutic doses results in suppression of the pituitary-gonadal system. Normal function is usually restored within three months after treatment is discontinued. Due to the suppression of the pituitary-gonadal system by LUPRON DEPOT, diagnostic tests of pituitary gonadotropic and gonadal functions conducted during treatment and for up to three months after discontinuation of LUPRON DEPOT may be affected.
Last reviewed on RxList: 3/14/2012
This monograph has been modified to include the generic and brand name in many instances.
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