Store the medicine in the refrigerator, away from direct light. Do not freeze.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed.
Keep all medicine away from children and never share your medicine with anyone.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Tell your doctor if you have ever been treated with radiation or other cancer medicines.
Warnings While Using This Medicine:
Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away.
If you plan to have children, talk with your doctor before using this medicine. Some men and women using this medicine have become infertile (unable to have children).
This medicine lowers the number of some types of blood cells in your body. Because of this, you may bleed or get infections more easily. To help with these problems, avoid being near people who are sick or have infections. Wash your hands often. Stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers.
Your doctor will need to check your blood at regular visits while you are using this medicine. Be sure to keep all appointments.
Some people who have used this medicine have developed a second form of cancer. It is not known if this medicine caused the second cancer to develop. Talk to your doctor about this risk.
Cancer medicines can cause nausea and/or vomiting in most people, sometimes even after receiving medicines to prevent it. Ask your doctor or nurse about other ways to control these side effects.
Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:
Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
Blood in your urine or stools
New lumps or growths under your skin
Painful or difficult breathing
Severe nausea, vomiting, diarrhea
Skin or eyes turn yellow
Skin rash or redness
Unexplained fever, chills, cough
Unusual bleeding, bruising, or weakness
If you notice these less serious side effects, talk with your doctor:
Hair loss
Missed menstrual periods
Sores or white patches on your lips, mouth, or throat
Weight loss
If you notice other side effects that you think are caused by this medicine, tell your doctor.
Make sure your doctor knows if you are breastfeeding, or if you have kidney disease. 
