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This medication may lower your ability to fight infections. This may make you more likely to get a serious infection or make any infection you have worse. People taking ruxolitinib by mouth have had very serious (possibly fatal) infections (such as fungal infections, tuberculosis, herpes zoster). Tell your doctor right away if you have any signs of infection (such as a sore throat that doesn't go away, cough that doesn't go away, fever, chills, unusual sweating, painful skin rash/blisters). Cancers (such as skin cancer) and blood clots have been reported in people using ruxolitinib cream. Also, another medication similar to ruxolitinib has, when taken by mouth, caused serious (possibly fatal) side effects, including heart problems, blood clots, and cancer (such as lymphoma). Before using ruxolitinib, tell your doctor or pharmacist if you have a history of heart disease, stroke, cancer, or any risk factors for heart disease (such as high blood pressure, diabetes, previous blood clots, high cholesterol, smoking or history of smoking). Patients who are 50 years of age or older may be at increased risk for heart problems or blood clots. Discuss the risks and benefits of treatment with your doctor. Get medical help right away if you have symptoms such as shortness of breath/rapid breathing, chest/jaw/left arm pain, unusual sweating, sudden dizziness/fainting, pain/swelling/warmth in the groin/calf, sudden/severe headaches, trouble speaking, confusion, sudden vision changes, or weakness on one side of the body.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: signs of anemia (such as unusual tiredness, pale skin), easy bleeding/bruising. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.