{"id":13945,"date":"2021-09-23T06:49:41","date_gmt":"2021-09-23T06:49:41","guid":{"rendered":"https:\/\/zeepedia.com\/?p=13945"},"modified":"2021-11-02T10:35:20","modified_gmt":"2021-11-02T10:35:20","slug":"hycamtin","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/hycamtin\/","title":{"rendered":"Hycamtin &#8211; Topotecan uses, dose and side effects"},"content":{"rendered":"\n<p>0.25 \/ 1 mg&nbsp;Topotecan&nbsp;hard capsules<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Hycamtin is and what it is used for<\/h2>\n\n\n\n<p>Hycamtin helps to destroy&nbsp;your&nbsp;tumor.<\/p>\n\n\n\n<p><strong>Hycamtin&nbsp;is used to treat&nbsp;small cell lung cancer<\/strong>&nbsp;that has recurred after&nbsp;chemotherapy.<\/p>\n\n\n\n<p>Your doctor will decide with you whether Hycamtin treatment is better than continuing treatment with the&nbsp;chemotherapy&nbsp;you were treated with from the beginning.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before you take Hycamtin<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Hycamtin<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/topotecan-ebewe\/\">topotecan<\/a> or any of the other ingredients of this medicine (listed in section 6)<\/li><li>if you are breast-feeding<\/li><li>if your blood levels are too low.&nbsp;Your doctor will then inform you based on the test results of your most recent blood test.<\/li><\/ul>\n\n\n\n<p><strong>Tell your doctor<\/strong>&nbsp;if any of these apply to you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Before starting treatment, your doctor must tell you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have any kidney or liver problems.&nbsp;Your Hycamtin&nbsp;dose&nbsp;may then need to be adjusted.<\/li><li>if you are pregnant or planning to become pregnant.&nbsp;See section &#8220;Pregnancy and breast-feeding&#8221; below.<\/li><li>if you are a man and planning to have children.&nbsp;See section &#8220;Pregnancy and breast-feeding&#8221; below.<\/li><\/ul>\n\n\n\n<p><strong>Tell your doctor<\/strong>&nbsp;if any of these apply to you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Hycamtin<\/h2>\n\n\n\n<p>Tell your doctor if you have recently taken, or might take any other medicines, including medicines obtained without a prescription and herbal medicines.<\/p>\n\n\n\n<p>There may be a higher-than-normal risk of&nbsp;side effects&nbsp;if you are also treated with cyclosporine A. You will be closely monitored if you are taking these medicines at the same time.<\/p>\n\n\n\n<p>Remember to tell your doctor if you start taking any other medicine while you are taking Hycamtin.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>Hycamtin is not recommended for pregnant women.&nbsp;It can harm a fetus during or shortly after treatment.&nbsp;You should use an effective contraceptive.&nbsp;Ask your doctor for advice.&nbsp;Do not try to get pregnant until your doctor tells you it is safe to do so.<\/p>\n\n\n\n<p>Male patients who wish to have a child should ask their doctor for advice on family planning or treatment.&nbsp;If your partner becomes pregnant during treatment, you must tell your doctor immediately.<\/p>\n\n\n\n<p>Do not breastfeed if you are being treated with Hycamtin.&nbsp;Do not start breastfeeding again until your doctor tells you that it is safe to do so.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Hycamtin may make you feel tired.&nbsp;If you feel tired or weak, do not drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Hycamtin contains ethanol<\/h2>\n\n\n\n<p>This medicine contains small amounts of&nbsp;ethanol&nbsp;(alcohol).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to take Hycamtin<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>The capsule (s) must be swallowed whole and must not be chewed, crushed, or divided.<\/p>\n\n\n\n<p>The Hycamtin-&nbsp;dose&nbsp;(and the number of capsules) you receive is determined by your doctor, based on:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>your body surface area (measured as square meters)<\/li><li>the results of the blood samples taken before treatment.<\/li><\/ul>\n\n\n\n<p>The prescribed number of capsules should be swallowed whole once daily for 5 days.<\/p>\n\n\n\n<p><strong>Hycamtin capsules must not be opened or crushed.&nbsp;<\/strong>If the capsules are punctured or leaking, wash your hands immediately with soap and water.&nbsp;If you get the contents of the capsule in your eyes, immediately rinse your eyes with a gentle jet of water for at least 15 minutes.&nbsp;Contact a doctor after eye contact or if you get a skin reaction.<\/p>\n\n\n\n<p><strong>To take out a capsule<\/strong><\/p>\n\n\n\n<p>The capsules are provided in special packages to prevent children from taking them out.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>1.&nbsp;<strong>Remove a blister pocket:<\/strong>&nbsp;tear along the perforated line to remove a blister pocket from the map.<\/td><\/tr><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20070706000011#\" rel=\"noopener\"><\/a><br><\/td><\/tr><tr><td>2.&nbsp;<strong>Pull off the outer cover:<\/strong>&nbsp;start at the colored tab, lift up and pull along the blister pocket.<\/td><\/tr><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20070706000011#\" rel=\"noopener\"><\/a><br><\/td><\/tr><tr><td>3.&nbsp;<strong>Push out the capsule:<\/strong>&nbsp;gently push one end of the capsule through the foil cover.<\/td><\/tr><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20070706000011#\" rel=\"noopener\"><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Hycamtin than you should<\/h2>\n\n\n\n<p>Ask your doctor or pharmacist immediately if you have taken too many capsules or if a child has accidentally taken the medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Hycamtin<\/h2>\n\n\n\n<p>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose.&nbsp;Take the next&nbsp;dose&nbsp;at the usual time.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Serious side effects: tell your doctor<\/strong><\/p>\n\n\n\n<p>These&nbsp;<strong>very common&nbsp;<\/strong>side effects&nbsp;can occur in&nbsp;<strong>more than 1 in 10&nbsp;<\/strong><strong>people<\/strong>&nbsp;treated with Hycamtin:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Signs of&nbsp;infection<\/strong>&nbsp;: Hycamtin may reduce the number of&nbsp;white blood cells&nbsp;and reduce your resistance to&nbsp;infection&nbsp;.&nbsp;This can lead to life-threatening conditions.&nbsp;Symptoms include:<ul><li>fever<\/li><li>severe deterioration of your general condition<\/li><li>local symptoms such as sore throat or difficulty urinating (for example, a burning sensation when urinating, which may be due to a urinary tract infection).<\/li><\/ul><\/li><li><strong>Diarrhea.&nbsp;<\/strong>It can be serious.&nbsp;If you get more than 3 episodes of diarrhea per day, contact your doctor immediately.<\/li><li>Sometimes severe abdominal pain, fever and possibly diarrhea (in rare cases bloody) can be signs of&nbsp;inflammation&nbsp;in the intestines (&nbsp;<em>colitis<\/em>&nbsp;).<\/li><\/ul>\n\n\n\n<p>This&nbsp;<strong>rare&nbsp;<\/strong>side effect&nbsp;can occur in&nbsp;<strong>up to&nbsp;<\/strong><strong>1 in 1,000 people<\/strong>&nbsp;treated with Hycamtin:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Pneumonia<\/strong>&nbsp;(<em>&nbsp;interstitial lung disease<\/em>&nbsp;): You are most at risk if you have a pre-existing lung disease, have had radiation therapy to your lungs, or if you have previously taken medication that caused lung damage.&nbsp;Signs of this can be:<ul><li>breathing difficulties<\/li><li>cough<\/li><li>fever.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>Contact your doctor immediately<\/strong>&nbsp;if you get symptoms of any of these conditions as it may be necessary to be hospitalized.<\/p>\n\n\n\n<p><strong>Very common&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>These may occur in&nbsp;<strong>more than 1 in 10 people<\/strong>&nbsp;treated with Hycamtin:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Feeling of general weakness and tiredness (temporary&nbsp;<em>anemia&nbsp;<\/em>(&nbsp;anemia&nbsp;)).&nbsp;In some cases, you may need a&nbsp;blood transfusion&nbsp;.<\/li><li>Easier to get bruises and bleeding, due to a decrease in the number of coagulating cells in the blood.&nbsp;This can lead to major bleeding from relatively small wounds such as small cuts.&nbsp;In rare cases, this can lead to severe bleeding&nbsp;<em>(&nbsp;hemorrhage&nbsp;)<\/em>&nbsp;.&nbsp;Talk to your doctor for advice on how to minimize the risk of bleeding.<\/li><li>Weight loss and loss of appetite (&nbsp;<em>anorexia<\/em>&nbsp;), fatigue, weakness.<\/li><li>Nausea, vomiting.<\/li><li>Hair loss.<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>These can occur in&nbsp;<strong>up to 1 in 10 people<\/strong>&nbsp;treated with Hycamtin:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Allergic or&nbsp;<em>hypersensitivity&nbsp;s<\/em>&nbsp;(including rash).<\/li><li>Inflammation&nbsp;and sores in the mouth, tongue or gums.<\/li><li>Fever.<\/li><li>Stomach ache, constipation, indigestion.<\/li><li>General feeling of discomfort.<\/li><li>Skin itching.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>These can occur in&nbsp;<strong>up to 1 in 100 people<\/strong>&nbsp;treated with Hycamtin:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Yellowish skin.<\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>These can occur in&nbsp;<strong>up to 1 in 1,000 people<\/strong>&nbsp;treated with Hycamtin:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Severe allergic or&nbsp;<em>anaphylactic<\/em>&nbsp;reactions.<\/li><li>Swelling due to fluid retention (&nbsp;<em>angioedema<\/em>&nbsp;).<\/li><li>Itchy rash (or&nbsp;<em>hives<\/em>&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Side effects&nbsp;are without known frequency<\/strong><\/p>\n\n\n\n<p>The frequency of some&nbsp;side effects&nbsp;is not known (derived from spontaneous reports and the frequency can not be calculated from the available data)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Severe abdominal pain, nausea, vomiting of blood, black or bloody stools (possible symptoms of gastrointestinal perforation [gastrointestinal perforation]).<\/li><li>Sores in the mouth, difficulty swallowing, abdominal pain, nausea, vomiting, diarrhea, bloody stools (possible signs and symptoms of&nbsp;inflammation&nbsp;of the mucous membranes of the mouth, stomach and \/ or intestines [mucositis]).<\/li><\/ul>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This also applies to any side effects not mentioned in this information.&nbsp;You can also report side effects directly to the Medical Products Agency.&nbsp;By reporting side effects, you can help increase drug safety information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Hycamtin<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton.<\/p>\n\n\n\n<p>Store in a refrigerator (2\u00baC-8\u00baC).<\/p>\n\n\n\n<p>Do not freeze.<\/p>\n\n\n\n<p>Store the blister in the outer carton.&nbsp;Sensitive to light.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>The active substance is<\/strong>&nbsp;topotecan.&nbsp;Each capsule contains 0.25 mg or 1 mg of topotecan (as hydrochloride).<\/li><li><strong>The other ingredients are:<\/strong>&nbsp;hydrogenated vegetable oil, glyceryl monostearate, gelatin, titanium dioxide (E171) and only for 1 mg capsules;&nbsp;red iron oxide (E172).&nbsp;The capsules are printed with black ink containing black iron oxide (E172), shellac, anhydrous&nbsp;ethanol&nbsp;, propylene glycol, isopropyl alcohol, butanol, concentrated ammonia solution and potassium hydroxide.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Hycamtin 0.25 mg capsules are opaque, white to off-white, and marked with \u201cHycamtin\u201d and \u201c0.25 mg\u201d.<\/p>\n\n\n\n<p>Hycamtin 1 mg capsules are pink and marked with \u201cHycamtin\u201d and \u201c1 mg\u201d.<\/p>\n\n\n\n<p>Hycamtin 0.25 mg and 1 mg are available in packs of 10 capsules.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Novartis Europharm Limited<\/p>\n\n\n\n<p>Vista Building<\/p>\n\n\n\n<p>Elm Park, Merrion Road<\/p>\n\n\n\n<p>Dublin 4<\/p>\n\n\n\n<p>Ireland<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Novartis Pharmac\u00e9utica SA<\/p>\n\n\n\n<p>Gran Via de les Corts Catalanes, 764<\/p>\n\n\n\n<p>08013 Barcelona<\/p>\n\n\n\n<p>Spain<\/p>\n\n\n\n<p>Novartis Pharma GmbH<\/p>\n\n\n\n<p>Roonstrasse 25<\/p>\n\n\n\n<p>90429 Nuremberg<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p>GlaxoSmithKline Manufacturing SpA<\/p>\n\n\n\n<p>Strada Provinciale Asolana 90<\/p>\n\n\n\n<p>43056 San Polo di Torrile<\/p>\n\n\n\n<p>Parma<\/p>\n\n\n\n<p>Italy<\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgium \/ Belgique \/ Belgien<\/strong>Novartis Pharma NVTel: +32 2 246 16 11<\/td><td><strong>Lithuania<\/strong>Novartis Pharma Services Inc.Tel: +370 5 269 16 50<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>Novartis Bulgaria EOODTel: +359 2 489 98 28<\/td><td><strong>Luxembourg \/ Luxemburg<\/strong>Novartis Pharma NVTel: +32 2 246 16 11<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>Novartis sroTel: +420 225 775 111<\/td><td><strong>Hungary<\/strong>Novartis Hungary Kft.Tel .: +36 1 457 65 00<\/td><\/tr><tr><td><strong>Denmark<\/strong>Sandoz A \/ STel: +45 63 95 10 00<\/td><td><strong>Malta<\/strong>Novartis Pharma Services Inc.Tel: +356 2122 2872<\/td><\/tr><tr><td><strong>Germany<\/strong>Novartis Pharma GmbHTel: +49 911 273 0<\/td><td><strong>The Netherlands<\/strong>Novartis Pharma BVTel: +31 26 37 82 555<\/td><\/tr><tr><td><strong>Eesti<\/strong>Novartis Pharma Services Inc.Tel: +372 66 30 810<\/td><td><strong>Norway<\/strong>Sandoz A \/ STel: +45 63 95 10 00<\/td><\/tr><tr><td><strong>Greece<\/strong>Novartis (Hellas) AEBE:\u0397\u03bb: +30 210 281 17 12<\/td><td><strong>Austria<\/strong>Novartis Pharma GmbHTel: +43 1 86 6570<\/td><\/tr><tr><td><strong>Spain<\/strong>BEXAL PHARMACEUTICALS, SATel: +34 900 456 856<\/td><td><strong>Poland<\/strong>Novartis Poland Sp.&nbsp;z ooTel .: +48 22 375 4888<\/td><\/tr><tr><td><strong>France<\/strong>SandozTel: +33 800 45 57 99<\/td><td><strong>Portugal<\/strong>Novartis Farma &#8211; Pharmaceutical Products, SATel: +351 21 000 8600<\/td><\/tr><tr><td><strong>Croatia<\/strong>Novartis Hrvatska dooTel.&nbsp;+385 1 6274 220<\/td><td><strong>Romania<\/strong>Sandoz SRLTel: +40 21 40751 60<\/td><\/tr><tr><td><strong>Ireland<\/strong>Novartis Ireland LimitedTel: +353 1 260 12 55<\/td><td><strong>Slovenia<\/strong>Novartis Pharma Services Inc.Tel: +386 1 300 75 50<\/td><\/tr><tr><td><strong>Iceland<\/strong>Vistor hf.Phone: +354 535 7000<\/td><td><strong>Slovak Republic<\/strong>Novartis Slovakia sroTel: +421 2 5542 5439<\/td><\/tr><tr><td><strong>Italy<\/strong>Novartis Farma SpATel: +39 02 96 54 1<\/td><td><strong>Finland \/ Finland<\/strong>Novartis Finland OyPuh \/ Tel: +358 (0) 10 6133 200<\/td><\/tr><tr><td><strong>\u039a\u03cd\u03c0\u03c1\u03bf\u03c2<\/strong>Novartis Pharma Services Inc.:\u0397\u03bb: +357 22 690 690<\/td><td><strong>Sweden<\/strong>Sandoz A \/ STel: +45 63 95 10 00<\/td><\/tr><tr><td><strong>Latvia<\/strong>SIA \u201cNovartis Baltics\u201dTel: +371 67 887 070<\/td><td><strong>United Kingdom (Northern Ireland)<\/strong>Novartis Ireland LimitedTel: +44 1276 698370<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Hycamtin is used to treat small cell lung cancer that has recurred after chemotherapy.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,2208],"tags":[13604,13598,13600,13603,13605,13594,13597,13599,13602,13601,13595,13596],"class_list":["post-13945","post","type-post","status-publish","format-standard","hentry","category-medicines","category-h","tag-benefits-of-hycamtin","tag-benefits-of-topotecan","tag-hycamtin","tag-hycamtin-capsule","tag-hycamtin-side-effects","tag-topotecan","tag-topotecan-capsule","tag-topotecan-side-effects","tag-what-hycamtin-is-used-for","tag-what-is-hycamtin","tag-what-is-topotecan","tag-what-topotecan-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/13945","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=13945"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/13945\/revisions"}],"predecessor-version":[{"id":15226,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/13945\/revisions\/15226"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=13945"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=13945"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=13945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}