*Serious bone problems are defined as broken bones (fractures), the need for surgery to bones, the need for radiation treatments to the bone, and spinal cord compression.
Calcium level check
Your doctor will test your blood calcium levels, which must be regular in order to start treatment. Your doctor will correct calcium levels if they are too low.
Learn why blood calcium levels are important here.
Your doctor will check if you are pregnant before starting XGEVA®. Women should use highly effective birth control when taking XGEVA®. Birth control should be taken for at least 5 months after your last dose of XGEVA®.
Tell your doctor if you are pregnant, are planning a pregnancy, think you are pregnant, or are breastfeeding.
Inform your oncologist of any dental work or if you’re having tooth pain. In clinical studies, osteonecrosis of the jaw (ONJ) was reported in some people taking XGEVA®, which can be serious. Learn more about ONJ here.
It’s important to visit your dentist as often as they recommend. Let your dentist know that you are taking XGEVA®.
What to wear
When choosing what to wear to your appointment, opt for comfortable, loose-fitting clothes. This can make it easier for you, as well as the healthcare team member giving the shot.
Your doctor will choose where to give the shot. It is given under the skin and does not involve an infusion through the vein.
The area will first be sterilized with rubbing alcohol. After the shot, this area will be sterilized again and covered with some cotton and a bandage.
Set up routine appointments
Talk to your doctor in advance about setting up an appointment for once every 4 weeks. This will help you to get the most benefit from XGEVA®. Use this tracker to help.
If you have missed a dose, it is important to talk to your doctor about getting back on track with XGEVA®. Find more tips for staying on track—scroll down!
Take XGEVA® as prescribed
Even if you don’t have symptoms, it is important to be consistent with your shots to give yourself the best chance of getting the kind of results seen in clinical studies.
To see how XGEVA® worked in clinical studies, click here.
Take calcium and vitamin D supplements for extra prevention
Continue taking these supplements at the dose prescribed by your doctor to help prevent low calcium levels in the blood.