Full Prescribing Information

Full Prescribing Information

Important Safety Information

Healthcare Professionals Site

DOCTOR DISCUSSION GUIDE

Talking to your doctor about painful bone mets and Strontium89

If painful bone mets are getting in the way of your daily life, talk to your cancer care team about Strontium89. The questions included here can help you communicate the severity of your bone pain, how it interferes with daily living, and your goals for treatment. 

With this information, you and your doctor can decide on whether a pain treatment plan including Strontium89 is best for you. Please complete the questions below, print, and share your answers at your next doctor’s appointment.

Answer the following questions to explain how bone pain affects you to your doctor

1. How would you describe the worst pain you felt in the past month? The past week?

2. How would you describe your pain level on a typical day?

3. How does your pain affect your mobility (walking, moving around)?

4. How does your pain affect your ability to perform household duties or work?

5. How does your pain affect your relationships with friends and family?

6. Are your current pain management or treatments sufficiently addressing your pain?

Help identify if Strontium89 is right for you

Only your cancer care team will be able to determine if you’re a candidate for treatment with Strontium89. Answering “yes” to the questions below can serve as a guide to whether or not treatment may be appropriate.

1. Are you over 18 years of age?__________

2. Do you have several painful bone metastases or are your bone metastases in multiple 
locations? __________

3. Is your white blood count 2,400 or above? __________

4. Is your platelet count 60,000 or above? __________

When speaking with your doctor, ask the following questions to better understand how Strontium89 may help you:

1. What are the pros and cons of treatment with Strontium89?

2. Will I be able to reduce my use of opioids?

3. What are the potential side effects with Strontium89?

4. Can I take Strontium89 with my current treatment(s)?

5. Can I expect improved pain control if I add Strontium89 to my current treatment?

Print this page out and discuss your answers with your cancer care team.
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Indication and important safety information

INDICATION

Strontium89 (Strontium Chloride Sr-89 Injection, USP) is used for the relief of bone pain in patients with bone metastases. You should only use Strontium89 if you have been diagnosed with metastatic bone cancer.

IMPORTANT SAFETY INFORMATION

  • Strontium89 may affect bone marrow and may cause white blood cell and platelet counts to be lower than normal. To monitor these effects, your doctor will perform regular blood tests before and after your injection, usually at least every other week until your levels have recovered. This may take up to 6 months. Your doctor will decide if it is safe for you to get a repeat injection, 90 days later, if needed. If you already have seriously decreased bone marrow function, your doctor may decide that you should not receive Strontium89.
  • Tell your doctor if you are pregnant or planning to become pregnant. Strontium89 may cause harm to your unborn baby and should not be used if you are pregnant or planning to become pregnant. You should not nurse your baby while using Strontium89.
  • You should not use Strontium89 if you do not have cancer in your bone.
  • You should not use Strontium89 if you are younger than 18 years old.
  • You may feel flushed (your skin may get red and warm) right after your injection.
  • Side effects in clinical studies:
    • One patient died from a blood infection caused by a severely low white blood cell count.
    • A small number of patients reported a mild and brief increase in bone pain within 36 to 72 hours after injection that was controlled with oral pain medication.
    • One patient had chills and fever 12 hours after injection but recovered.
These are not all of the side effects of Strontium89. If you have any questions or concerns about side effects, you should contact your doctor.
You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.FDA.gov/medwatch or call (800) FDA-1088.

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©2021 Q BioMed Inc. All rights reserved. US-SR89WEB_0010 MAR2021

The information contained in this section is intended for US healthcare professionals only.

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