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|Topotecan

Topotecan

Topotecan is used for:

Treating ovarian cancer and small cell lung cancer that do not respond well to other types of cancer treatment. It may also be used for other conditions as determined by your doctor.

Topotecan is an antineoplastic. It works by killing cancer cells.

Do NOT use Topotecan if:

• you are allergic to any ingredient in Topotecan
• you are pregnant or are breast-feeding
• you have bone marrow depression or severely low blood cell counts

Contact your doctor or health care provider right away if any of these apply to you.

Before using Topotecan :

Some medical conditions may interact with Topotecan . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are planning to become pregnant
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have kidney problems or a history of blood disorders

Some MEDICINES MAY INTERACT with Topotecan . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Hydantoins (eg, phenytoin) because the effectiveness of Topotecan may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Topotecan may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Topotecan :

Use Topotecan as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Topotecan is usually administered as an injection at your doctor"s office, hospital, or clinic. If you are using Topotecan at home, carefully follow the injection procedures taught to you by your health care provider.
• If Topotecan contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
• If this medicine accidentally spills on your skin, wash it off immediately with soap and water.
• Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
• If you miss a dose of Topotecan , contact your doctor immediately.

Ask your health care provider any questions you may have about how to use Topotecan .

Important safety information:

• Topotecan may lower your body"s ability to fight infection. Prevent infection by avoiding contact with people with colds or other infections. Notify your doctor of any signs of infection including fever, sore throat, rashes, or chills.
• If nausea, vomiting, or loss of appetite occurs, ask your doctor or pharmacist for ways to lessen these effects.
• Avoid vaccinations with live virus vaccines (eg, measles, mumps, oral polio) while you are taking Topotecan and for several months after you stop treatment. Vaccinations may be less effective.
• LAB TESTS, including complete blood cell counts, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
• Use Topotecan with caution in the ELDERLY because they may be more sensitive to its effects.
• Topotecan is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Topotecan has been shown to cause harm to the human fetus. If you become pregnant, discuss with your doctor the benefits and risks of using Topotecan during pregnancy. It is unknown if Topotecan is excreted in breast milk. Do not breast-feed while taking Topotecan .

Possible side effects of Topotecan :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back pain; body pain; bruising; constipation; coughing; diarrhea; fatigue; flushing; hair loss; headache; hives; itching; loss of appetite; mild muscle or join pain; nausea; rash; skeletal pain; stomach pain; swelling or soreness of the mouth or tongue; tiredness; weakness; vomiting.

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); fever or chills; numbness or tingling of your hands or feet; pain, redness, or swelling at the injection site; skin rash; unusual or unexplained bruising or bleeding.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Store Topotecan at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Use immediately after reconstitution. Do not store in the bathroom. Keep Topotecan out of the reach of children and away from pets.

General information:

• If you have any questions about Topotecan , please talk with your doctor, pharmacist, or other health care provider.
• Topotecan is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Topotecan . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.