TOPOTECAN HYDROCHLORIDE

Topotecan decreases bone marrow function. This effect may lead to a low number of blood cells such as red cells, white cells, and platelets. A low number of blood cells can cause anemia and decrease your body’s ability to fight an infection. Tell your doctor right away if you develop any of the following symptoms: unusual tiredness, pale skin, signs of infection (such as sore throat that doesn’t go away, fever, chills), easy bruising/bleeding.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

• wheezing, feeling short of breath, chest pain, dry cough;
• fever, chills, flu symptoms, mouth and throat ulcers, rapid and shallow breathing, fainting;
• pale skin, feeling light-headed, rapid heart rate, trouble concentrating;
• easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;
• diarrhea with fever and stomach cramps;
• pain or burning when you urinate; or
• skin changes or severe irritation where the needle is placed.

Less serious side effects may include:

• nausea, diarrhea, vomiting;
• tired feeling; or
• temporary hair loss.

This is not a complete list of side effect

Precautions

Tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies before using Topotecan. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Let your doctor or pharmacist, be aware of your medical history, especially of: blood/bone marrow disorders, kidney problems.

This drug may make you weak or tired. Abstain from any activity that alertness until you are sure you can perform such activities safely. Do not drive or use machinery. Also limit alcoholic beverages.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Other medications can affect the removal of topotecan from your body, which may affect how topotecan works. Examples include azole antifungals (such as ketoconazole), cyclosporine, macrolide antibiotics (such as erythromycin), HIV protease inhibitors (such as ritonavir), among others.

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call emergency hotline.

Available brands:

• Hycamtin
• Topotel