{"id":19855,"date":"2022-03-19T11:06:32","date_gmt":"2022-03-19T11:06:32","guid":{"rendered":"https:\/\/zeepedia.com\/?p=19855"},"modified":"2022-03-21T11:28:40","modified_gmt":"2022-03-21T11:28:40","slug":"onureg","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/onureg\/","title":{"rendered":"Onureg &#8211; Azacitidine uses, dose and side effects"},"content":{"rendered":"\n<p>200 mg and 300 mg&nbsp;film-coated tablets<br>azacitidine<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Onureg is and what it is used for<\/h2>\n\n\n\n<p><strong>What Onureg is<\/strong><\/p>\n\n\n\n<p>Onureg is a cancer medicine that belongs to a group of medicines called\u00a0antimetabolites.\u00a0Onureg contains the active substance azacitidine.<\/p>\n\n\n\n<p><strong>What Onureg is used for<\/strong><\/p>\n\n\n\n<p>Onureg is used to treat adults with\u00a0acute myeloid leukemia\u00a0(AML).\u00a0It is a form of cancer that affects the\u00a0bone marrow\u00a0and can lead to problems with the production of normal\u00a0blood cells.<\/p>\n\n\n\n<p>Onureg is used to keep the disease under control (&nbsp;remission&nbsp;&#8211; when the disease is milder or inactive).<\/p>\n\n\n\n<p><strong>How Onureg works<\/strong><\/p>\n\n\n\n<p>Onureg works by preventing the growth of cancer cells.\u00a0Azacitidine, the active substance in Onureg, works by changing the way cells activate and deactivate genes.\u00a0It also reduces the production of new genetic material (\u00a0RNA\u00a0and\u00a0DNA\u00a0).\u00a0These mechanisms are thought to block the growth of cancer cells in\u00a0leukemia.<\/p>\n\n\n\n<p>Talk to your doctor or nurse if you have any questions about how Onureg works and why you have been given this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Onureg<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Onureg<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to azacitidine or any of the other ingredients of this medicine (listed in section 6)<\/li><li>if you are breast-feeding.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p><strong>Blood tests<\/strong><\/p>\n\n\n\n<p>You may have blood samples taken before you start taking Onureg and also while you are being treated with Onureg to make sure you have enough&nbsp;blood cells&nbsp;and that your liver and kidneys are working properly.&nbsp;Your doctor will decide how often you need to take blood samples.<\/p>\n\n\n\n<p>If you get any of these symptoms during treatment with Onureg, tell your doctor, pharmacist, or nurse immediately:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>bruising or bleeding &#8211; can be caused by you having a low number of a type of&nbsp;blood cell&nbsp;called platelets;<\/li><li>fever &#8211; can be caused by an&nbsp;infection&nbsp;due to low&nbsp;white blood cell count&nbsp;, which can be life threatening;<\/li><li>diarrhea, vomiting or nausea.<\/li><\/ul>\n\n\n\n<p>Your doctor may need to change your\u00a0dose, take a break or stop taking Onureg altogether.\u00a0Your doctor may prescribe other medicines to relieve these symptoms.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Onureg is not recommended for children and adolescents under 18 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Onureg<\/h2>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken, or might take any other medicines.\u00a0This is because Onureg may affect the way some other medicines work.\u00a0Other medicines may also affect the way Onureg works.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, contraception and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before using this medicine.\u00a0Men should not have children during treatment with Onureg.<\/p>\n\n\n\n<p>Pregnancy<\/p>\n\n\n\n<p>You should not take Onureg if you are pregnant as it may harm your baby.&nbsp;Tell your doctor immediately if you become pregnant during treatment.<\/p>\n\n\n\n<p>Contraceptive<\/p>\n\n\n\n<p>If you are a&nbsp;fertile&nbsp;woman, you should use an effective method of contraception while taking Onureg and up to 6 months after stopping treatment with Onureg.&nbsp;Men should use an effective method of contraception while taking Onureg and up to 3 months after stopping treatment with Onureg.<\/p>\n\n\n\n<p>Your doctor will talk to you about which contraceptive method is most appropriate.<\/p>\n\n\n\n<p>Breast-feeding<\/p>\n\n\n\n<p>Do not breast-feed while you are being treated with Onureg as it may be harmful to your baby.<\/p>\n\n\n\n<p><strong>Fertility<\/strong><\/p>\n\n\n\n<p>Onureg may affect your ability to have children.&nbsp;Talk to your doctor before using it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>You may feel tired, weak, or have difficulty concentrating.\u00a0If you notice this or if you get any other\u00a0side effects, do not drive or use any tools or implements.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Onureg contains lactose and sodium<\/h2>\n\n\n\n<p><strong>Onureg contains&nbsp;lactose<\/strong><\/p>\n\n\n\n<p>Onureg contains&nbsp;lactose&nbsp;.&nbsp;If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<p><strong>Onureg contains&nbsp;sodium<\/strong><\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;sodium&nbsp;per tablet, ie essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Onureg<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Consult a doctor if you are unsure.<\/p>\n\n\n\n<p><strong>How much to take<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;is 300 mg orally once daily.<\/li><li>Your doctor may reduce your&nbsp;dose&nbsp;to 200 mg once a day.<\/li><\/ul>\n\n\n\n<p>Onureg is given in treatment cycles of 28 days.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You take Onureg daily for the first 14 days of each 28-day cycle.<\/li><li>Then follows a treatment-free period of 14 days for the rest of the cycle.<\/li><\/ul>\n\n\n\n<p>Your doctor will tell you which&nbsp;dose&nbsp;to take.&nbsp;The doctor may decide to:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>extend the treatment time beyond the 14 days in each treatment cycle<\/li><li>reduce the&nbsp;dose&nbsp;one or make a temporary pause in the treatment<\/li><li>shorten the treatment time to 7 days.<\/li><\/ul>\n\n\n\n<p>Always take Onureg exactly as your doctor has told\u00a0you.<\/p>\n\n\n\n<p>Your doctor will give you medicine to reduce nausea and vomiting.\u00a0You take it 30 minutes before each Onureg tablet, during the first and second treatment cycles.\u00a0If necessary, your doctor will instruct you to take it for a long time.<\/p>\n\n\n\n<p><strong>How to take this medicine<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Take Onureg once daily, at the same time each day.<\/li><li>Swallow the tablets whole with a full glass of water.<\/li><li>To ensure the correct&nbsp;dose&nbsp;, do not divide, crush, dissolve or chew the tablets.<\/li><li>You can take the tablets with food or between meals.<\/li><\/ul>\n\n\n\n<p>If you vomit after taking a tablet, do not take a new&nbsp;dose&nbsp;that day.&nbsp;Instead, wait until the next day and take your scheduled&nbsp;dose&nbsp;as usual.&nbsp;Do not take two&nbsp;doses&nbsp;on the same day.<\/p>\n\n\n\n<p>If you get powder from a broken tablet on your skin, wash your skin immediately with soap and water.\u00a0If you get powder in your eyes, nose, or mouth, rinse the area thoroughly with water.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Onureg than you should<\/h2>\n\n\n\n<p>If you have taken too many tablets, consult a doctor or go to the hospital immediately.&nbsp;If possible, take the medicine pack and this leaflet with you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Onureg<\/h2>\n\n\n\n<p>If you forget to take Onureg at the usual time, take your usual&nbsp;dose&nbsp;as soon as you remember on the same day, and then take the next&nbsp;dose&nbsp;at the usual time the next day.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten or vomited tablet.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Onureg<\/h2>\n\n\n\n<p>Do not stop taking Onureg unless your doctor tells you to.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Serious&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>If you get any of these symptoms during treatment with Onureg, tell your\u00a0<strong>doctor, pharmacist, or nurse immediately:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>bruising or bleeding &#8211; can be caused by you having a low number of a type of&nbsp;blood cell&nbsp;called platelets;<\/li><li>fever &#8211; can be caused by an&nbsp;infection&nbsp;due to low&nbsp;white blood cell count&nbsp;, which can be life threatening;<\/li><li>diarrhea, vomiting or nausea.<\/li><\/ul>\n\n\n\n<p><strong>Other&nbsp;side effects&nbsp;are:<\/strong><\/p>\n\n\n\n<p><strong>Very common&nbsp;side effects&nbsp;(<\/strong>&nbsp;may affect more than 1 in 10 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>constipation<\/li><li>abdominal pain<\/li><li>infection&nbsp;of the nose, sinuses and throat<\/li><li>lung infection&nbsp;(&nbsp;pneumonia&nbsp;)<\/li><li>fatigue or weakness<\/li><li>decreased appetite<\/li><li>pain in different parts of the body &#8211; can be anything from cutting pain to excruciating pain<\/li><li>stiff joints<\/li><li>back pain.<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;(<\/strong>&nbsp;may affect up to 1 in 10 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>influenza<\/li><li>urinary tract infection<\/li><li>hay fever<\/li><li>concern<\/li><li>weight loss.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Onureg<\/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 blister and carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>No special storage instructions.<\/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\">Contents of the pack 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>The active substance is azacitidine.&nbsp;Each film-coated tablet contains either 200 mg or 300 mg of azacitidine.<\/li><li>The other ingredients are croscarmellose sodium (E468), magnesium stearate (E572), mannitol (E421) and silica-treated microcrystalline cellulose (E460, E551).<\/li><li>The 200 mg tablet coating &#8211; Pink Opadry II contains: hypromellose (E464), titanium dioxide (E171),&nbsp;lactose monohydrate&nbsp;, polyethylene glycol \/ macrogol (E1521), triacetin (E1518) and red iron oxide (E172).&nbsp;See section 2 \u201cOnureg contains sodium\u201d.<\/li><li>The 300 mg tablet coating &#8211; Brown Opadry II contains: hypromellose (E464), titanium dioxide (E171)&nbsp;lactose monohydrate&nbsp;, polyethylene glycol \/ macrogol (E1521), triacetin (E1518), red iron oxide (E172), yellow iron oxide (E172) and black iron oxide (E172) ).&nbsp;See section 2 \u201cOnureg contains sodium\u201d.<\/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>Onureg 200 mg film-coated tablets are pink and oval with \u201c200\u201d debossed on one side and \u201cONU\u201d on the other side.<\/p>\n\n\n\n<p>Onureg 300 mg film-coated tablets are brown and oval with \u201c300\u201d debossed on one side and \u201cONU\u201d on the other side.<\/p>\n\n\n\n<p>The film-coated tablets are packaged in aluminum blisters.<\/p>\n\n\n\n<p>Each pack contains 7 or 14 film-coated tablets.&nbsp;Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Bristol \u2011 Myers Squibb Pharma EEIG<\/p>\n\n\n\n<p>Plaza 254<\/p>\n\n\n\n<p>Blanchardstown Corporate Park 2<\/p>\n\n\n\n<p>Dublin 15, D15 T867<\/p>\n\n\n\n<p>Ireland<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Celgene Distribution BV<\/p>\n\n\n\n<p>Orteliuslaan 1000<\/p>\n\n\n\n<p>3528 BD Utrecht<\/p>\n\n\n\n<p>Netherlands<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Onureg is a cancer medicine that belongs to a group of medicines called antimetabolites . Onureg contains the active substance azacitidine.<\/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":[2200,18526],"tags":[9531,20198,20197,20199,20204,20200,20203,20205,9533,9532,20201,20202],"class_list":["post-19855","post","type-post","status-publish","format-standard","hentry","category-medicines","category-o","tag-azacitidine","tag-azacitidine-side-effects","tag-azacitidine-tabelt","tag-benefits-of-azacitidine","tag-benefits-of-onureg","tag-onureg","tag-onureg-side-effects","tag-onureg-tablet","tag-what-azacitidine-is-used-for","tag-what-is-azacitidine","tag-what-is-onureg","tag-what-onureg-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19855","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=19855"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19855\/revisions"}],"predecessor-version":[{"id":19918,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19855\/revisions\/19918"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=19855"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=19855"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=19855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}