Brand & Generic Names
Basic Information
- Habit forming? No
- Prescription needed? Yes
- Available as generic? No
- Drug class: Antineoplastic
Uses
- Treats head, neck, ovarian and cervical cancer.
- Treats leukemia, melanoma and polycythemia vera.
Dosage & Usage Information
How to take:
Capsules--Swallow with liquid. If you can't swallow whole, open
capsule and take with liquid or food. Instructions to take on
empty stomach mean 1 hour before or 2 hours after eating.
When to take:
According to doctor's instructions.
If you forget a dose:
Skip this dose. Never double dose. Resume
regular schedule.
What drug does:
Probably interferes with synthesis of DNA.
Time lapse before drug works:
2 hours.
Don't take with:
Any other medicines (including over-the-counter drugs such as
cough and cold medicines, laxatives, antacids, diet pills,
caffeine, nose drops or vitamins) without consulting your
doctor.
Overdose
SYMPTOMS:
Black, tarry stools; fainting; seizures.
WHAT TO DO:
- Dial 911 (emergency) or O (operator) for an ambulance or
medical help. Then give first aid immediately.
- See EMERGENCY Information.
Possible Adverse Reactions or Side Effects
Life-threatening:
In case of overdose, see Overdose Section.
Common:
- Skin rash, fever, chills,
cough, back pain.
- Diarrhea, drowsiness,
nausea, vomiting.
Infrequent:
Mouth sores, bruising,
constipation, red skin.
Rare:
Confusion,
hallucinations,
headache, swollen feet.
Warnings & Precautions
Don't take if:
- You have chicken pox.
- You have shingles (herpes zoster).
Before you start, consult your doctor:
- If you have anemia.
- If you have gout.
- If you have an infection.
- If you have kidney disease.
Over age 60:
Adverse reactions and side effects may be more frequent and
severe than in younger persons. You may need smaller doses for
shorter periods of time.
Pregnancy:
Risk to unborn child outweighs drug benefits. Don't use.
Breast-feeding:
Drug passes into milk. Avoid drug or discontinue nursing until
you finish medicine. Consult doctor for advice on maintaining
milk supply.
Infants & children:
Effect not documented. Consult your pediatrician.
Prolonged use:
Talk to your doctor about the need for follow-up medical
examinations or laboratory studies to check kidney function,
complete blood counts (white blood cell count, platelet count,
red blood cell count, hemoglobin, hematocrit) and serum uric
acid.
Skin & sunlight:
No problems expected.
Driving, piloting or hazardous work:
Avoid if you feel confused, drowsy or dizzy.
Discontinuing:
May still experience symptoms of bone marrow depression, such
as: blood in stools, fever or chills, blood spots under the
skin, back pain, hoarseness, bloody urine. If any of these
occur, call your doctor right away.
Others:
- Advise any doctor or dentist whom you consult that you take
this medicine.
- May affect results in some medical tests.
Possible Interaction with Other Drugs
GENERIC NAME |
COMBINED EFFECT |
| |
------------------------ |
----------------------- |
Bone marrow |
Dangerous suppression of bone |
depressants, other* |
marrow activity. |
Clozapine |
Toxic effect on bone marrow. |
Levamisole |
Increased risk of bone marrow |
|
depression. |
Probenecid |
May require increased dosage to |
|
treat gout. |
Sulfinpyrazone |
May require increased dosage to |
|
treat gout. |
Tiopronin |
Increased risk of toxicity to bone |
|
marrow. |
Vaccines, live or |
Increased danger from vaccines. |
| |
Possible Interaction with Other Substances
INTERACTS WITH |
COMBINED EFFECT |
--------------- |
--------------- |
Alcohol: |
No special problems expected. |
| |
Beverages: |
No special problems expected. |
| |
Cocaine: |
Increased confusion. Avoid. |
| |
Foods: |
No special problems expected. |
| |
Marijuana: |
Increased confusion. Avoid. |
| |
Tobacco: |
No special problems expected. |
|