Regadenoson

Regadenoson is used to prepare for a radiologic (x-ray) exam that checks blood flow through the heart to look for coronary artery disease.

Regadenoson may also be used for reasons not mentioned in this medication guide.

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

You may also receive other intravenous (IV) medications that help make blood vessels show up better during the imaging test.

Your breathing, blood pressure, oxygen levels, and other vital signs will be monitored closely during your stress test.

You should not receive regadenoson if you have a serious heart condition like AV block or "sick sinus syndrome" (unless you have a pacemaker).

You should not be treated with regadenoson if you are allergic to it, or if you have a serious heart condition such as:

• 2nd or 3rd degree AV block; or
• "sick sinus syndrome" (unless you have a pacemaker).

Receiving regadenoson may increase your risk of having abnormal heartbeats, breathing problems, heart attack, stroke, or cardiac arrest. Talk to your doctor about your specific risk.

Tell your doctor if you have recently been sick with vomiting or diarrhea, or if you have ever had:

• asthma or COPD (chronic obstructive pulmonary disease);
• chest pain or heart problems;
• blood circulation problems;
• coronary artery disease (clogged arteries);
• seizures;
• heart disease or high blood pressure; or
• if you also take dipyridamole or theophylline.

It is not known whether regadenoson will harm an unborn baby. Tell your doctor if you are pregnant.

Do not breast-feed within 10 hours after receiving regadenoson. If you use a breast pump during this time, throw out any milk you collect. Do not feed it to your baby.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Tell your caregiver right away if you have:

• severe dizziness, fast heartbeats, and warmth or a tingly feeling;
• wheezing, chest tightness, trouble breathing;
• weak or shallow breathing;
• chest pain or pressure, pain spreading to your jaw or shoulder;
• a seizure;
• low blood pressure--a light-headed feeling, like you might pass out;
• high blood pressure--a severe headache or pounding in your neck or ears;
• signs of a stroke--sudden numbness or weakness (especially on one side of the body), severe headache, slurred speech, balance problems.

Common side effects of regadenoson may include:

• trouble breathing;
• headache, dizziness;
• chest pain or discomfort;
• nausea; or
• flushing (warmth, redness, or tingly feeling).

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.

Usual Adult Dose for Radionuclide Myocardial Perfusion Study:

0.4 mg rapid IV injection (approximately 10 seconds) into a peripheral vein using a 22 gauge or larger catheter or needle.Comments: Administer a 5 mL saline flush immediately after injection of this drug. Administer the radionuclide myocardial perfusion imaging agent 10 to 20 seconds after the saline flush. The radionuclide may be injected directly into the same catheter as this drug.Use: Radionuclide myocardial perfusion imaging (MPI) in patients unable to undergo adequate exercise stress.

Since regadenoson is given by a healthcare professional for medical testing, you are not likely to have a dosing schedule.

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

Avoid drinking coffee or other drinks with caffeine for at least 12 hours before your stress test.

Some medicines should not be used within 12 hours before you receive regadenoson. Inform your doctor about all other medicines you take, especially:

• aminophylline;
• dipyridamole; or
• theophylline.

Other drugs may influence regadenoson, which includes prescription and over-the-counter medicines, vitamins, and herbal products. Let your doctor know about all your current medicines and any new medicine you begin or stop using.