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bevacizumab (ophthalmic)

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Brand names: Avastin

Anti-VEGF (Off-Label Ophthalmic) Rx

Avastin is a medicine that blocks a protein called vascular endothelial growth factor (VEGF). It is used to treat several types of cancer.

What it does

Avastin is used to treat metastatic colorectal cancer (cancer of the colon or rectum that has spread).

Common side effects

Nosebleeds, Headache, High blood pressure

Key warnings

Avastin can cause serious side effects.

How It Works

Avastin blocks a protein called vascular endothelial growth factor (VEGF). VEGF helps tumors grow new blood vessels. By blocking VEGF, Avastin can help slow or stop the growth of cancer.

How to Take It

Avastin is given to you through a needle in your vein (IV infusion). Your doctor will determine the right dose for you based on your type of cancer and your weight. The infusions are typically given every 2 or 3 weeks. Make sure to talk to your doctor about your treatment schedule.

Pregnancy & Breastfeeding

Avastin can harm an unborn baby. If you are a woman who could become pregnant, you should use effective birth control while you are taking Avastin and for 6 months after your last dose. Do not breastfeed while taking Avastin and for 6 months after your last dose.

Missed Dose

Call your doctor as soon as possible to reschedule your appointment.

Storage

Store Avastin in the refrigerator in its original container to protect from light. Do not freeze or shake.

Serious Warnings

Avastin can cause serious side effects. It can cause holes in your stomach or intestines, problems with wound healing, and severe bleeding. It can also cause blood clots in your arteries or veins, high blood pressure, and problems with your kidneys. In rare cases, it can cause a brain condition called Posterior Reversible Encephalopathy Syndrome (PRES). Tell your doctor right away if you have any of these side effects.

Common Questions

What if I need surgery?
Tell your doctor if you plan to have surgery. You should stop taking Avastin at least 28 days before any planned surgery.
Can Avastin affect my heart?
Yes, Avastin can sometimes cause congestive heart failure. Tell your doctor if you have any symptoms of heart failure, such as shortness of breath or swelling in your ankles.
Will Avastin interact with other medications I am taking?
Avastin's effect on other drugs is minimal. However, always inform your doctor of all medications you are taking.
What should I do if I have an infusion reaction?
If you have an infusion reaction, such as chills, shaking, or high blood pressure, tell your doctor or nurse right away. They may need to slow down or stop the infusion.
Can Avastin cause problems with my ovaries?
Yes, Avastin can cause ovarian failure in women. Talk to your doctor if you have concerns about this risk.
How often will I need to see the doctor while taking Avastin?
Your doctor will want to see you regularly to monitor you for side effects and to check how well the medicine is working.
What if my blood pressure goes up?
Your doctor will monitor your blood pressure. If it gets too high, they may need to give you medicine to lower it or stop Avastin until your blood pressure is under control.
Can Avastin cause kidney problems?
Yes, Avastin can cause kidney problems, including protein in your urine. Your doctor will check your urine regularly.
What kind of bleeding is considered serious?
Any severe or unusual bleeding should be reported to your doctor immediately.
Are there any foods I should avoid while taking Avastin?
There are no specific foods you need to avoid, but it's always a good idea to eat a healthy diet.
What are the common side effects of bevacizumab (ophthalmic)?
The most commonly reported side effects of bevacizumab (ophthalmic) include Nosebleeds, Headache, High blood pressure, Runny nose, Protein in your urine. Always consult your healthcare provider about potential side effects.
What drug class is bevacizumab (ophthalmic)?
bevacizumab (ophthalmic) belongs to the Anti-VEGF (Off-Label Ophthalmic) drug class. It requires a prescription (Rx). Avastin is used to treat metastatic colorectal cancer (cancer of the colon or rectum that has spread).
Is bevacizumab (ophthalmic) safe during pregnancy?
Avastin can harm an unborn baby. If you are a woman who could become pregnant, you should use effective birth control while you are taking Avastin and for 6 months after your last dose. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Has bevacizumab (ophthalmic) been recalled?
There is 1 recall associated with bevacizumab (ophthalmic) products. Lack of Assurance of Sterility. Check the recalls section below for full details and affected products.

Active Recalls

Class II August 29, 2025

Lack of Assurance of Sterility

Fagron Compounding Services

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What the FDA Data Shows for bevacizumab (ophthalmic)

The FDA label for bevacizumab (ophthalmic) (sold under brand names such as Avastin) classifies it as a prescription-only medication in the Anti-VEGF (Off-Label Ophthalmic) class. Avastin is used to treat metastatic colorectal cancer (cancer of the colon or rectum that has spread). Official labeling lists 11 commonly reported side effects, including Nosebleeds, Headache, High blood pressure.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. Voluntary reports accumulate over the lifetime of a drug and reflect wide-ranging clinical use. Interaction data is drawn directly from FDA-approved prescribing information. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 1 recall record on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: January 6, 2025

All federal data sources used on this page