ixabepilone (Ixempra)

Brand Names: Ixempra

Generic Name: ixabepilone

What is ixabepilone (Ixempra)?

Ixabepilone is used to treat advanced breast cancer.

Ixabepilone is usually given after other treatments have failed.

Ixabepilone may also be used for purposes not listed in this medication guide.

What are the possible side effects of ixabepilone (Ixempra)?

Get emergency medical help if you have signs of an allergic reaction: itching, hives, rash; feeling dizzy or faint; warmth or tingly feeling; difficulty breathing, chest tightness; pounding heartbeats or fluttering in your chest; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • numbness, tingling, burning pain, discomfort, or loss of feeling anywhere in your body;
  • pain or burning when you urinate;
  • unusual weight gain;
  • pain, blisters, bleeding, or severe rash on the palms of your hands or the soles of your feet;
  • chest pain, difficult breathing;
  • pounding heartbeats or fluttering in your chest;
  • low blood cell counts--fever, chills, tiredness, mouth sores, skin sores, easy bruising, unusual bleeding, pale skin, cold hands and feet, feeling light-headed or short of breath; or
  • signs of a blood clot--sudden numbness or weakness, problems with vision or speech, swelling or redness in an arm or leg.

Common side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What is the most important information I should know about ixabepilone (Ixempra)?

You should not use ixabepilone along with capecitabine if you have liver problems.

Ixabepilone can increase your risk of bleeding or infection. Call your doctor if you have unusual bruising or bleeding, or new signs of infection (fever, chills, easy bruising, unusual bleeding, burning when you urinate).

What should I discuss with my healthcare provider before receiving ixabepilone (Ixempra)?

You should not be treated with ixabepilone if you are allergic to Cremophor (synthetic castor oil).

You may not be able to receive ixabepilone if you have:

  • liver problems and are also taking capecitabine; or
  • low platelets or white blood cell counts.

Tell your doctor if you have ever had:

Ixabepilone may harm an unborn baby. Use effective birth control to prevent pregnancy, and tell your doctor if you become pregnant.

You should not breastfeed while using ixabepilone.

How is ixabepilone given (Ixempra)?

Ixabepilone is given as an infusion into a vein. A healthcare provider will give you this injection.

Ixabepilone is usually given every 3 weeks.

Ixabepilone must be given slowly, and the infusion can take up to 3 hours to complete.

About 1 hour before you receive ixabepilone, you may be given other medications to help prevent certain side effects.

Ixabepilone can increase your risk of bleeding or infection. You will need frequent medical tests. Your cancer treatments may be delayed based on the results.

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What happens if I miss a dose (Ixempra)?

Call your doctor for instructions if you miss an appointment for your ixabepilone injection.

What happens if I overdose (Ixempra)?

Since this medicine is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.

What should I avoid while receiving ixabepilone (Ixempra)?

Avoid drinking alcohol.

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.

Grapefruit may interact with ixabepilone and lead to unwanted side effects. Avoid the use of grapefruit products.

Avoid being near people who are sick or have infections. Tell your doctor at once if you develop signs of infection.

What other drugs will affect ixabepilone (Ixempra)?

Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.

Many drugs can affect ixabepilone. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.

Where can I get more information (Ixempra)?

Your doctor or pharmacist can provide more information about ixabepilone.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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Reviewed on 7/12/2021

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