Inform your doctor of your allergies (food or drugs), medical conditions and medical history before taking this drug, especially of: a current infection, low blood cell counts (e.g., anemia, neutropenia, thrombocytopenia), gout, heart problems (e.g., recent heart attack, heart failure, irregular heartbeat), a history of receiving any anthracycline-type drug (e.g., doxorubicin, idarubicin, daunorubicin, mitoxantrone), kidney problems, liver disease, severe mouth sores (stomatitis), radiation treatment (especially to the chest area).
Do not have immunizations/vaccinations without the consent of your doctor, and avoid contact with people who have recently received oral polio vaccine.
This medication may make you more sensitive to the sun. Avoid prolonged sun exposure.
Avoid getting cut or bruised. Protect yourself from infection.
Children may be more sensitive to side effects.
This medication may lower sperm count or may cause abnormal sperm to form, possibly causing infertility or birth defects and affect menstruation in females and cause premature menopause. Consult your doctor or pharmacist for details.
Pregnant women should not take this drug. Consult your doctor for more details.
Before using this drug, tell your doctor of the current medications, products (herbal/nonprescription) that you are taking especially of: cyclosporine, digoxin, progesterone, streptozocin, stavudine, trastuzumab, zidovudine, azole antifungals (such as ketoconazole), calcium channel blockers (e.g., verapamil, nifedipine), rifamycins (such as rifabutin), St. John’s wort, drugs used to treat seizures (such as carbamazepine, phenytoin, phenobarbital), among others.
Avoid eating foods or products containing turmeric (curcumin) while taking doxorubicin. It may decrease doxorubicin’s effects. Consult your doctor or pharmacist for more details.