Treats cancer, including leukemia.
When This Medicine Should Not Be Used
How to Use This Medicine
- Medicines used to treat cancer are very strong and can have many side effects. Before receiving this medicine, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor during your treatment.
- You will receive this medicine while you are in a hospital or cancer treatment center. A nurse or other trained health professional will give you this medicine.
- Your doctor will prescribe your dose and schedule. This medicine is given through a needle placed in a vein.
- Missed dose: This medicine needs to be given on a fixed schedule. If you miss a dose, call your doctor, home health caregiver, or treatment clinic for instructions.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Warnings While Using This Medicine
- It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
- Tell your doctor if you are breastfeeding, you have kidney or liver disease, or you had a hematopoietic stem cell transplant (HSCT).
- This medicine may cause the following problems:
- Capillary leak syndrome or systemic inflammatory response syndrome (SIRS)
- High uric acid levels or tumor lysis syndrome
- Serious liver or kidney problems
- This medicine may make you bleed, bruise, or get infections more easily. Take precautions to prevent illness and injury. Avoid people who are ill, and wash your hands often. Brush and floss your teeth gently, do not play rough sports, and be careful with sharp objects.
- Cancer medicines can cause nausea and/or vomiting in most people, sometimes even after receiving medicines to prevent it. Ask your doctor or nurse about other ways to control these side effects.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Blistering, peeling, red skin rash
- Blue lips and fingernails, increased sweating, pale skin
- Change in how much or how often you urinate
- Chest tightness, trouble breathing, rapid shallow breathing
- Dark urine or pale stools, loss of appetite, stomach pain, yellow skin or eyes
- Fast, pounding, or uneven heartbeat
- Fever, chills, cough, sore throat, and body aches
- Lightheadedness, dizziness, or fainting
- Rapid weight gain, swelling of your hands, ankles, feet, or face
- Red or brown urine
- Unusual bleeding, bruising, or weakness
If you notice these less serious side effects, talk with your doctor:
- Nosebleeds, bleeding from your gums
- Pain, itching, burning, swelling, or a lump under your skin where the needle is placed
- Small red spots under your skin
- Warmth or redness of your face, neck, arm, or upper chest
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088
- Last reviewed on 8/4/2014
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2013 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.