TICE BCG, illustration of injection vial form (not a photo of the actual pack)

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TICE BCG

Bacillus Calmette–guérin (bcg) (tice Strain)

Prescription required

$220.00

500MU · 1 vial

BrandBranded medicine· By Merck (Organon)

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FDA boxed warning

WARNING

TICE ® BCG contains live, attenuated mycobacteria. Because of the potential risk for transmission, prepare, handle, and dispose of TICE ® BCG as a biohazard material (see PRECAUTIONS and DOSAGE AND ADMINISTRATION sections).

Read this with the rest of the clinical information

About TICE BCG

Overview

TICE BCG is a prescription medicine containing weakened, live BCG bacteria, administered directly into the bladder. It is used to treat and prevent carcinoma in situ (CIS) of the urinary bladder. It is also used after transurethral resection (TUR) to help prevent primary or recurrent stage Ta or T1 papillary bladder tumors. It is not recommended for stage TaG1 tumors unless the risk of recurrence is high, and it is not indicated for papillary tumors beyond stage T1.

What it treats

- Treatment and prevention of carcinoma in situ (CIS) of the urinary bladder. - Prevention of primary or recurrent stage Ta or T1 papillary bladder tumors following transurethral resection (TUR). Not recommended for stage TaG1 papillary tumors unless the risk of recurrence is judged to be high. Not indicated for papillary tumors beyond stage T1.

Safety information

Side effects

Common side effects include pain or burning when urinating, needing to urinate more often or urgently, blood in the urine, bladder cramps, and flu-like symptoms such as fever, chills, tiredness and feeling unwell. Nausea, vomiting, abdominal pain, and muscle or joint pain may also occur. Bladder irritation typically starts 4–6 hours after treatment and lasts 24–72 hours. Side effects may become more frequent and more severe with repeated treatments. Serious infections can occur, including BCG infection that spreads throughout the body and causes sepsis, which can be fatal. Infection may also affect the lungs, liver, bones, bone marrow, kidneys, lymph nodes, prostate or testicles. Contact a doctor immediately if you develop a persistent fever, a sudden illness with fever, or fever and a general feeling of illness that progressively worsen. These symptoms require immediate assessment for systemic infection, and BCG treatment should be stopped if such infection is suspected.

FDA boxed warning

WARNING

TICE ® BCG contains live, attenuated mycobacteria. Because of the potential risk for transmission, prepare, handle, and dispose of TICE ® BCG as a biohazard material (see PRECAUTIONS and DOSAGE AND ADMINISTRATION sections).

A boxed warning is the strongest warning the US Food and Drug Administration requires on a medicine label. Text is taken from the official label, with internal section references removed.

When to call your doctor

- Seek medical attention immediately for a fever that does not go away. - Seek medical attention immediately for a sudden illness with fever, or fever with worsening tiredness or a growing feeling of being unwell.

If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.

Interactions

TICE BCG should not be used with medicines that suppress the immune system or bone marrow, or with radiation therapy, because these can interfere with the immune response. Tell your doctor if you are receiving any of these treatments. Antimicrobial medicines used to treat other infections may reduce the effectiveness of TICE BCG. Tell your doctor about any treatment for another infection. Antituberculosis medicines, such as isoniazid, should not be used to prevent or treat the local urinary irritation caused by TICE BCG.

Using TICE BCG

Dosing

Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.

Storage

Store in the original carton below 25°C, protected from light, unless the pack states refrigeration. Do not freeze. Keep all medicines out of the sight and reach of children.

Clinical information on this page is summarised from the US FDA label TICE BCG (BACILLUS CALMETTE-GUERIN) POWDER, FOR SUSPENSION [MERCK SHARP & DOHME LLC] (DailyMed, retrieved 19 September 2026).

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