What should I tell my care team before I take this medication?
They need to know if you have any of these conditions:
- Autoimmune diseases, such as lupus, psoriasis, rheumatoid arthritis
- Bleeding disorder
- Diabetes
- Heart attack
- Heart disease
- High blood pressure
- High cholesterol
- HIV or AIDs
- Kidney disease
- Mental health conditions
- Organ transplant
- Other liver disease
- Substance use disorder
- Suicidal thoughts, plans, or attempt
- Stomach or intestine problems, such as colitis
- Stroke
- Thyroid disease
- An unusual or allergic reaction to peginterferon, other medications, foods, dyes, or preservatives
- Pregnant or trying to get pregnant
- Breast-feeding
What may interact with this medication?
Do not take this medication with any of the following:
- Live virus vaccines
- Thioridazine
This medication may also interact with the following:
- Antiviral medications for HIV or AIDS
- Caffeine
- Cyclosporine
- Desipramine
- Methadone
- Sirolimus
- Tacrolimus
- Theophylline
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medication?
Visit your care team for regular checks on your progress. You may need blood work while taking this medication.
Watch for new or worsening thoughts of suicide or depression. This includes sudden changes in mood, behaviors, or thoughts. These changes can happen at any time but are more common in the beginning of treatment or after a change in dose. Call your care team right away if you experience these thoughts or worsening depression.
This medication may increase your risk of getting an infection. Call your care team for advice if you get a fever, chills, sore throat, or other symptoms of a cold or flu. Do not treat yourself. Try to avoid being around people who are sick.
This medication may increase your risk to bruise or bleed. Call your care team if you notice any unusual bleeding.
Be careful brushing or flossing your teeth or using a toothpick because you may get an infection or bleed more easily. If you have any dental work done, tell your dentist you are receiving this medication.
This medication may increase blood sugar. The risk may be higher in patients who already have diabetes. Ask your care team what you can do to lower your risk of diabetes while taking this medication.
Talk to your care team if you or your partner wish to become pregnant or think either of you might be pregnant. This medication can cause serious birth defects if taken during pregnancy or for 10 days after the last dose. A negative pregnancy test is required before staring this medication. A reliable form of contraception is recommended while taking this medication and for 10 days after the last dose. Talk to your care team about effective forms of contraception.
Talk to your care team before breastfeeding. Changes to your treatment plan may be needed.
This medication may cause infertility. It is usually temporary. Talk to your care team if you are concerned about your fertility.
What are the most serious risks of this medication?
This medicine can increase the risk of having a heart attack or stroke.
This medicine can lower your body’s ability to fight infections. You may get more infections while taking this medicine. Any infection you get could become serious and even deadly.
This medicine can cause serious mental health problems. Patients of all ages and their families should watch for changes, especially sudden changes in mood, behaviors, thoughts, or feelings. Some symptoms to watch for are depression, thoughts of suicide, aggressive behavior, wanting to hurt others, hostility, anger, anxiety, irritability, being suspicious or distrustful, or any unusual or extreme changes in behavior or mood. Call your healthcare provider right away for new or worsening mental problems. Call your healthcare provider as needed, especially if you are worried about symptoms.
This medicine can cause immune system disorders or make them worse. Examples are rheumatoid arthritis, lupus, sarcoidosis, thyroid disease, and psoriasis. Tell your healthcare provider if you have any kind of immune disease.
The use of this medicine with ribavirin requires extra caution. Ribavirin can cause severe birth defects or death to an unborn baby. Pregnant females should not take ribavirin. Females who can become pregnant must use effective birth control during combined treatment and for 6 months after the last dose. Call your healthcare provider if you become pregnant, have unprotected sex, or think your birth control has failed. Males must also use extra care. Males taking ribavirin must always use a condom during sex with female partners who are pregnant or who can get pregnant. If a pregnant woman is exposed to your semen during treatment, it could cause birth defects or death to the unborn baby. Condoms must be used during treatment and for 6 months after the last dose. Tell your healthcare provider right away if your partner becomes pregnant or thinks she is pregnant while you are taking ribavirin.