This product is used to treat a certain type of cancer (bladder cancer). Nadofaragene firadenovec is made from a certain virus that has been specially prepared. The virus is used to carry a certain human gene (interferon alfa) into cells. This type of treatment is known as gene therapy.

How to use Adstiladrin 3X10exp11 Vp/Ml Intravesical Suspension

Read the Patient Information Leaflet if available from your pharmacist before you start using this product and each time you get a treatment. If you have any questions, ask your doctor or pharmacist.

This product is given into the bladder through a tube (catheter) by a health care professional. It is given as directed by your doctor, usually every 3 months.

The product is left in the bladder for 1 hour and then released by urinating. During the 1 hour, your doctor may have you change positions every 15 minutes to make sure the product gets to all parts of the bladder. Follow your doctor's instructions carefully.

Small amounts of virus may shed in the urine. Since the urine may contain a virus that may infect you or others, you must disinfect the toilet bowl every time you urinate for the first 2 days after treatment. Add half a cup of bleach to the toilet bowl before you urinate. After urinating, wait 15 minutes before you flush the toilet. Talk to your doctor about other important things you must do to prevent infection.

Side Effects

Tiredness, urinary discharge, difficult/painful/frequent urination, or bladder spasms may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

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: pink/bloody urine, signs of infection (such as such as sore throat that doesn't go away, fever, chills).

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

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.


Before receiving nadofaragene firadenovec, tell your doctor or pharmacist if you are allergic to it; or to interferon alfa; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this product, tell your doctor or pharmacist your medical history, especially of: immune system problems (such as HIV, certain cancers such as leukemia/lymphoma).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Tell your doctor if you are pregnant or plan to become pregnant. You should not become pregnant while using nadofaragene firadenovec. Nadofaragene firadenovec may harm an unborn baby. Your doctor should order a pregnancy test before you start this medication. Women using this medication should ask about reliable forms of birth control during treatment and for 6 months after the last dose. Men using this medication should ask about reliable forms of birth control during treatment and for 3 months after the last dose. If you or your partner becomes pregnant, talk to your doctor right away about the risks and benefits of this medication.

It is unknown if this product passes into breast milk. Consult your doctor before breastfeeding.


Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

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If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669.

Notes Notes

Lab and/or medical tests (such as triglyceride levels, blood sugar levels) should be done while you are using this product. Keep all medical and lab appointments.

Missed Dose Missed Dose

It is important to get each dose of this product as scheduled. If you miss a dose, ask your doctor or pharmacist right away for a new dosing schedule.

Storage Storage

Not applicable. This product is given in a hospital or clinic and will not be stored at home.


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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.