INDICATIONS
Cytoxan disturbs the expansion of cancer cells, which are eventually destroyed.
INSTRUCTIONS
Take this medicine only as directed by your doctor. Do not take about of it, and never go more frequently than your doctor ordered. The exact amount of medicine you need has become carefully solved. Taking a lot of might increase the possibility of negative effects, while taking too little may not improve your condition.
Cyclophosphamide may also be given along with certain other medicines. If you happen to be using a mix of medicines, make certain you take each on the correct time and do not mix them. Ask your overall health care professional to assist you plan a means to remember to take your medicines with the right times.
While you happen to be using cyclophosphamide, it is crucial that you drink extra fluids so that you will pass more urine. Also, empty your bladder frequently, including at least when asleep. This will help prevent kidney and bladder problems whilst your kidneys working well. Cyclophosphamide passes from your body inside the urine. If excessive of it appears within the urine or if the urine stays within the bladder too much time, it can cause dangerous irritation. Follow your doctor's instructions carefully about how exactly much fluid to drink each day. Some patients may need to the best liquid to 7 to 12 cups (3 quarts) of fluid every day.
Usually it's always best to take cyclophosphamide very first thing within the morning, to cut back the risk of bladder problems. However, your physician may want you to go with food in smaller doses over the day, to minimize stomach upset or assist the medicine are better. Follow your doctor's instructions carefully about when you ought to take cyclophosphamide.
Cyclophosphamide often causes nausea, vomiting, and loss in appetite. However, it is crucial which you continue using the medicine although you may commence to feel ill. Do not stop investing in this medicine without first checking with your medical professional. Ask your quality of life care professional for ways to lessen these effects.
If you vomit soon after having a dose of cyclophosphamide, seek advice from your doctor. You will be told if they should take the dose again or wait until the next scheduled dose.
If you miss a dose of the medicine, go on it immediately. However, if it's almost time for your upcoming dose, skip the missed dose and get back to your regular dosing schedule. Do not double doses.
Call your doctor or pharmacist for instructions.
DOSAGE
The dose of the medicine changes for various patients. Follow a medical expert's orders or perhaps the directions around the label. The following information includes just the average doses with this medicine. If your dose is different, do not change it out unless a medical expert tells you to definitely do so.
The volume of medicine which you take depends about the strength of the medicine. Also, the quantity of doses you're taking on a daily basis, some time allowed between doses, along with the amount of time you make medicine depend for the condition for which you might be 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 light. Store the medicine in the closed container. Keep from freezing. Keep Cytoxan out of the reach of youngsters and faraway from pets.
Along using its needed effects, medication could cause some uncomfortable side effects. Although not many of these side effects may occur, whenever they do occur they will often need medical assistance.
Check with your medical professional immediately if any of the following unwanted side effects occur:
More common: cough or hoarseness, fever or chills, back 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, breathlessness, swelling of feet or 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 as well as on lips, sudden lack of breath, unusual thirst, yellow eyes or skin.
Some side effects may occur very often don't need medical attention. These unwanted effects might go away during treatment as the body adjusts towards the medicine. Also, your overall health care professional could possibly tell you about solutions to prevent or reduce some unwanted effects. Check with your overall health care professional if the following unwanted effects continue or are bothersome or if you've got questions about them:
More common: darkening of skin and fingernails, lack of appetite, queasiness.
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 brief decrease of hair in certain people. After treatment has finished, normal growth of hair should return, although the new hair may be a slightly different color or texture.
After you stop applying this medicine, it may still produce some negative effects that require attention. During this period of time, talk with your doctor immediately if you notice the next unwanted effects:
Blood in urine
Other side effects unpublished might also occur in most patients. If you notice some other effects, check using your medical practioner.
Call your medical professional for medical health advice about side effects.
Take this medicine only as directed through your doctor. Do not take more or less of it, and do not get it more frequently than your physician ordered. The exact amount of medicine you will need has become carefully solved. Taking excessive could raise the possibility of negative effects, while taking not enough might not exactly increase your condition.
It is critical that a medical expert look at the progress at regular visits to make certain that this prescription medication is functional also to search for negative effects.
While you happen to be receiving care with cyclophosphamide, and after you stop treatment by it, do not have any immunizations (vaccinations) without your physician's approval. Cyclophosphamide may lessen your body's resistance and there is a chance you can find the infection the immunization is meant to prevent. In addition, other persons residing in your property must not take oral polio vaccine as there is a possibility they can pass the polio virus to you. Also, avoid persons that have recently taken oral polio vaccine in the last many months. Do not get near to them, , nor stay in the same room with them for days on end. If you cannot take these precautions, you should think of wearing a protective breathing filter that covers the nose and mouth.
Before having any type of surgery, including dental surgery, or emergency treatment, guarantee the health practitioner or dentist in charge recognizes that you are investing in this medicine, especially if you've taken it in the last 10 days.
Cyclophosphamide can temporarily lower the amount of white blood cells with your blood, enhancing the possibility of getting disease. It can also lower the number of platelets, that happen to be necessary for proper blood clotting. If this occurs, there are specific precautions you can take, particularly when your blood count is low, to cut back the risk of infection or bleeding:
If you'll be able to, avoid those with infections. Check with your doctor immediately if you feel you are getting contamination or if you receive a fever or chills, cough or hoarseness, small of the back or side pain, or painful or difficult urination.
Check with your doctor immediately possibly any unusual bleeding or bruising; black, tarry stools; blood in urine or stools; or pinpoint red spots on your skin.
Be careful when you use an everyday toothbrush, dental floss, or toothpick. Your medical professional, dentist, or nurse may recommend other approaches to clean your teeth and gums. Check with your medical doctor before having any dental work done.
Do not touch your vision or perhaps the inside of your nose unless you've got just washed your hands and possess not touched anything else inside meantime.
Be careful to never cut yourself when you're using sharp objects for instance a safety razor or fingernail or toenail cutters.
Avoid contact sports and other situations where bruising or injury could occur.
Before you've got any lab tests, tell the medical professional in charge that you're investing in this medicine. The results of some tests could possibly be afflicted with this medicine.
Airmail: 2-3 business weeks
EMS: 3-8 business days