INDICATIONS
Cytoxan disturbs the development of cancer cells, which are eventually destroyed.
INSTRUCTIONS
Take this medicine only as directed by your doctor. Do not take approximately than it, and don't go on it more often than your medical professional ordered. The exact quantity of medicine you may need has become carefully solved. Taking a lot of might increase the possibility of negative effects, while taking too little might not increase your condition.
Cyclophosphamide is sometimes given in addition to certain other medicines. If you are using a mixture of medicines, make certain you take each one of these with the correct time and never mix them. Ask your health care professional that will help you plan a means to remember to take your medicines with the right times.
While you're using cyclophosphamide, it is vital that you drink extra fluids so that you will pass more urine. Also, empty your bladder frequently, including at least one time at night time. This will help prevent kidney and bladder problems and keep your kidneys working well. Cyclophosphamide passes from one's body inside the urine. If a lot of of it appears inside the urine or if the urine stays inside the bladder too long, it can dangerous irritation. Follow your medical professional's instructions carefully about how precisely much fluid to drink each day. Some patients may need to drink up to 7 to 12 cups (3 quarts) of fluid every day.
Usually it's best to take cyclophosphamide initial thing in the morning, to reduce the risk of bladder problems. However, your doctor might prefer you to definitely take it with food in smaller doses within the day, to lessen stomach upset or assist the medicine are better. Follow a medical expert's instructions carefully about when you should take cyclophosphamide.
Cyclophosphamide often causes nausea, vomiting, and decrease of appetite. However, it is very important that you just carry on using the medicine even though you commence to feel ill. Do not stop using this medicine without first checking with your doctor. Ask your overall health care professional for ways to reduce these effects.
If you vomit shortly after going for a dose of cyclophosphamide, consult your medical professional. You will be told whether or not to consider the dose again or hold back until the following scheduled dose.
If you miss a dose of this medicine, go on it immediately. However, if it is almost time for your next dose, skip the missed dose and return to your family dosing schedule. Do not double doses.
Call your physician or pharmacist for instructions.
DOSAGE
The dose of the medicine will be different many different patients. Follow your doctor's orders or directions around the label. The following information includes merely the average doses on this medicine. If your dose differs, usually do not change it unless a medical expert tells you to do so.
The quantity of medicine which you take depends on the strength of the medicine. Also, the volume of doses you take on a daily basis, enough time allowed between doses, along with the time period you make medicine depend about the medical problem for which you're using the medicine.
STORAGE
Store Cytoxan at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store far from heat, moisture, and lightweight. Store the medicine in a very closed container. Keep from freezing. Keep Cytoxan out of the reach of youngsters and away from pets.
Along with its needed effects, medicines could potentially cause some uncomfortable side effects. Although not these side effects may occur, when they happen they might need medical assistance.
Check with a medical expert immediately if these things negative effects occur:
More common: cough or hoarseness, fever or chills, spine or side pain, missing menstrual periods, painful or difficult urination.
With high doses and/or long-term treatment: blood in urine, dizziness, confusion, or agitation, fast heartbeat, joint pain, breathlessness, swelling of feet or lower legs, unusual tiredness or weakness.
Less common: black, tarry stools or blood in stools, pinpoint red spots on skin, unusual bleeding or bruising.
Rare: frequent urination, redness, swelling, or pain at site of injection, sores in mouth and so on lips, sudden shortness of breath, unusual thirst, yellow eyes or skin.
Some unwanted side effects may occur that always tend not to need medical assistance. These negative effects may go away during treatment as the body adjusts to the medicine. Also, your wellbeing care professional could possibly tell you about ways to prevent or reduce a few of these unwanted side effects. Check with your overall health care professional if these things unwanted effects continue or are bothersome or if you've questions about them:
More common: darkening of skin and fingernails, loss of appetite, feeling sick.
Less common: diarrhea or stomach pain, flushing or redness of face, headache, increased sweating, skin rash, hives, or itching, swollen lips.
Cyclophosphamide could potentially cause a temporary lack of hair in some people. After treatment has ended, normal hair growth should return, even though new hair might be a slightly different color or texture.
After you stop using this medicine, it may well still produce some negative effects which need attention. During this period of time, consult a medical expert immediately if you notice these negative effects:
Blood in urine
Other unwanted effects unlisted can also occur in most patients. If you notice any other effects, check together with your medical practioner.
Call your physician for medical advice about negative effects.
Take this medicine only as directed through your doctor. Do not take about of it, and don't get it more frequently than your doctor ordered. The exact quantity of medicine you will need continues to be carefully exercised. Taking an excessive amount of may increase the potential for negative effects, while taking weak hands may well not improve your condition.
It is essential that a medical expert check your progress at regular visits to ensure that this medicine is working properly and to look for uncomfortable side effects.
While you are receiving care with cyclophosphamide, and as soon as you stop treatment from it, usually do not have any immunizations (vaccinations) without a medical expert's approval. Cyclophosphamide may lessen your body's resistance and there is a possibility you can find chlamydia the immunization is meant to prevent. In addition, other persons moving into your house must not take oral polio vaccine nevertheless there is an opportunity they can pass the polio virus onto you. Also, avoid persons who have recently taken oral polio vaccine in the last a few months. Do not get close to them, and don't stay within the same room using them for too long. If you cannot take these precautions, you should consider wearing a protective face mask that covers the nose and mouth.
Before having any kind of surgery, including dental surgery, or emergency treatment, make sure the medical professional or dentist in charge recognizes that you're using this medicine, especially if you have taken it within the past 10 days.
Cyclophosphamide can temporarily lower the quantity of white blood cells with your blood, enhancing the possibility of getting an infection. It can also lower the volume of platelets, which are needed for proper blood clotting. If this occurs, there are particular precautions you can take, specially when your blood count is low, to reduce potential risk of infection or bleeding:
If you can, avoid people who have infections. Check with a medical expert immediately if you think maybe you happen to be getting disease or if you recruit a fever or chills, cough or hoarseness, back or side pain, or painful or difficult urination.
Check with your physician immediately if you see any unusual bleeding or bruising; black, tarry stools; blood in urine or stools; or pinpoint red spots on the skin.
Be careful when you use a consistent toothbrush, dental floss, or toothpick. Your medical professional, dentist, or nurse may recommend other solutions to clean your teeth and gums. Check along with your medical professional before having any dental work done.
Do not touch the eyes or of one's nose unless you might have just washed both your hands and possess not touched whatever else inside meantime.
Be careful never to cut yourself when you are using sharp objects like a safety razor or fingernail or toenail cutters.
Avoid contact sports or any other situations where bruising or injury could occur.
Before you might have any medical tests, tell the physician in charge that you're taking this medicine. The results of some tests could possibly be impacted by this medicine.
Airmail: 2-3 business weeks
EMS: 3-8 business days