(DOX oh ROO bi sin) Brand: Adriamycin
• You must not use this medicine if you have an untreated or uncontrolled infection, severe liver malady, severe heart problems, or if you have recently had a heart attack.
• Doxorubicin may reason dangerous effects on your heart. Call your doctor at once if you have chest pain, shortness of breath (even with mild exertion), swelling, or rapid weight gain.
• Speak your caregivers if you feel any burning, pain, or swelling near the IV needle when doxorubicin is injected. Call your doctor if you have irritation or skin changes where the injection was given.
• Doxorubicin can lower blood cells that help your body fight infections and help your blood to clot. You may get an infection or bleed more easily. Call your doctor if you have unusual bruising or bleeding, or signs of infection (fever, chills, body aches).
• Using doxorubicin may magnify your risk of developing a bone marrow malady or another types of cancer, such as leukemia.
• Doxorubicin is a cancer medicine that interferes with the growth and spread of cancer cells in the body.
• Doxorubicin is used to treat various types of cancers that affect the breast, bladder, ovary, thyroid, stomach, lungs, bones, nerve tissues, muscles, joints, and soft tissues. Doxorubicin is also used to treat Hodgkin's malady and determined types of leukemia.
• Doxorubicin may also be used for purposes not listed in this medicine guide.
• You must not use this medicine if you are allergic to doxorubicin or similar medications (doxorubicin, daunorubicin, epirubicin, idarubicin, mitoxantrone), or if you have:
· an untreated or uncontrolled infection (including mouth sores);
· severe liver disease;
· severe heart problems; or
· if you have recently had a heart attack.
• To create certain doxorubicin is safety for you, speak your doctor if you have:
· liver or kidney disease;
· bone marrow suppression;
· heart malady; or
· if you have been treated till with doxorubicin, daunorubicin, epirubicin, idarubicin, or mitoxantrone.
• Tell your doctor about all another cancer medicines or radiation treatments you have received in the past.
• Using doxorubicin may magnify your risk of developing a bone marrow malady or another types of cancer, such as leukemia. Ask your doctor about your specific risk.
• FDA pregnancy category D. Do not use doxorubicin if you are pregnant. It could harm the unborn child. Use effective birth control, and speak your doctor if you become pregnant during treatment.
• Doxorubicin can pass into breast milk and may harm a nursing child. You must not breast-feed while you are using doxorubicin.
• Doxorubicin is injected into a vein through an IV. A healthcare provider will give you this injection.
• Doxorubicin is sometimes given together with another cancer medications. You may be given another medications to prevent nausea, vomiting, or infections.
• Speak your caregivers if you feel any burning, pain, or swelling near the IV needle when doxorubicin is injected.
• If any of this medicine accidentally gets on your skin, wash it thoroughly with soap and warm water.
• Doxorubicin can lower blood cells that help your body fight infections and help your blood to clot. Your blood will need to be tested often. Your cancer treatments may be delayed based on the results of these tests.
• Call your doctor for instructions if you miss an appointment for your doxorubicin injection.
• Since this medicine is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.
• Avoid being around people who are sick or have infections. Speak your doctor at once if you develop signs of infection.
• Avoid activities that may magnify your risk of bleeding or injury. Use extra care to prevent bleeding while shaving or brushing your teeth.
• This medication can pass into body fluids (including urine, feces, vomit, semen, vaginal fluid). For at least 48 hours after you receive a doze, avoid allowing your body fluids to come into contact with your hands or another surfaces. Patients and caregivers must wear rubber gloves while cleaning up body fluids, handling contaminated trash or laundry or changing diapers. Wash hands till and after removing gloves. Wash soiled clothing and linens apart from another laundry.
• Body fluids must not be handled by a woman who is pregnant or who may become pregnant. Use condoms during sexual activity to avoid exposure to body fluids.
• Do not receive a "live" vaccine while using doxorubicin, or you could develop a serious infection. Live vaccines include measles, mumps, rubella (MMR), rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.
• Some side effects may occur during the injection. Speak your caregiver right away if you feel dizzy, nauseated, light-headed, sweaty, or have a headache, chest tightness, back pain, trouble breathing, or swelling in your face.
• Call your doctor at once if you have:
· feeling short of breath (even with mild exertion), swelling, rapid weight gain;
· fever, chills, body aches, flu symptoms, sores in your mouth and throat;
· pale skin, light bruising, unusual bleeding, feeling like you might pass out;
· quick, slow, or uneven heartbeats;
· anxiety, sweating, severe shortness of breath, wheezing, gasping for breath;
· chest pain, sudden cough, cough with foamy mucus, rapid breathing, coughing up blood;
· lower back pain, blood in your urine, few or no urinating;
· numbness or tingly feeling near your mouth, weak pulse, overactive reflexes, confusion, fainting;
· muscle weakness, tightness, or contraction; or
· pain, burning, irritation, or skin changes where the injection was given.
• Doxorubicin may reason your urine to turn a reddish-orange color. This side effect by itself is generally not harmful. However, call your doctor if you also have upper stomach pain, clay-colored stools, or jaundice (yellowing of your skin or the whites of your eyes).
• General side effects may include:
· missed menstrual periods;
· darkening of your skin or nails;
· temporary hair loss;
· feeling weak or tired;
· mild nausea, diarrhea; or
· eye redness, puffy eyelids.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• Speak your doctor about all medicines you use, and those you start or stop using during your treatment with doxorubicin, especially:
· cyclosporine;
· dexrazoxane;
· progesterone;
· saquinavir;
· verapamil; or
· seizure medication--phenobarbital, phenytoin.
• This list is not complete. Another drugs may interact with doxorubicin, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Not all possible interactions are listed in this medicine manual.
• Your doctor or pharmacist can provide more information about doxorubicin.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.