{"id":24986,"date":"2022-09-05T08:09:04","date_gmt":"2022-09-05T08:09:04","guid":{"rendered":"https:\/\/zeepedia.com\/?p=24986"},"modified":"2022-09-06T07:12:46","modified_gmt":"2022-09-06T07:12:46","slug":"thiotepa-riemser","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/thiotepa-riemser\/","title":{"rendered":"Thiotepa Riemser &#8211; tiotepa uses, dose and side effects"},"content":{"rendered":"\n<p>15 mg powder for concentrate for infusion solution, solution\u00a0100 mg powder for concentrate for\u00a0infusion solution, solution<br>tiotepa<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Thiotepa Riemser is and what it is used for<\/h2>\n\n\n\n<p>Thiotepa Riemser contains the active substance thiotepa, which belongs to a group of medicines called alkylating agents.<\/p>\n\n\n\n<p>Thiotepa Riemser is used to prepare patients for bone marrow transplantation.\u00a0It works by destroying bone marrow cells.\u00a0This makes it possible to transplant new bone marrow cells (hematopoietic\u00a0stem cells\u00a0), which in turn enable the body to form healthy\u00a0blood cells.<\/p>\n\n\n\n<p>Thiotepa Riemser can be used by adults and children and adolescents.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Thiotepa Riemer<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Thiotepa Riemser<\/h2>\n\n\n\n<p>&#8211; if you are allergic to thiotepa<\/p>\n\n\n\n<p>&#8211; if you are pregnant or think you may be pregnant<\/p>\n\n\n\n<p>&#8211; if you are breastfeeding<\/p>\n\n\n\n<p>&#8211; if you receive vaccination against yellow fever, live viral and bacterial vaccines.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>You should tell your doctor if you have:<\/p>\n\n\n\n<p>&#8211; liver or kidney problems<\/p>\n\n\n\n<p>&#8211; heart or lung problems<\/p>\n\n\n\n<p>&#8211; seizures (&nbsp;epilepsy&nbsp;) or have had them in the past (if these are treated with&nbsp;phenytoin&nbsp;or fosphenytoin).<\/p>\n\n\n\n<p>Because Thiotepa Riemser destroys bone marrow cells responsible for the production of\u00a0blood cells, you will regularly give blood samples during treatment to check the number of\u00a0blood cells.<\/p>\n\n\n\n<p>To prevent and treat\u00a0infection, you will be given anti-infection medicine.<\/p>\n\n\n\n<p>Thiotepa Riemser may induce another type of cancer in the future.&nbsp;Your doctor will discuss this risk with you.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Thiotepa Riemer<\/h2>\n\n\n\n<p>Tell your doctor if you are taking or have recently taken or might take any other medicines.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>You must tell your doctor if you are pregnant or think you may be pregnant before receiving Thiotepa Riemer.\u00a0You must not use Thiotepa Riemser during pregnancy.<\/p>\n\n\n\n<p>Both women and men using Thiotepa Riemser must use effective contraception during treatment.&nbsp;Male patients should not father children while they are being treated and the year after treatment has ended.<\/p>\n\n\n\n<p>It is unknown if this drug is excreted in breast milk.\u00a0As a precaution, women must not breastfeed during treatment with Thiotepa Riemer.<\/p>\n\n\n\n<p>Thiotepa Riemser can impair fertility in men and women.&nbsp;Male patients should seek advice on saving sperm before starting treatment.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>Likely, certain\u00a0side effects\u00a0of tiotepa such as dizziness, headache, and blurred vision can affect the ability to drive vehicles and use machines.\u00a0If you notice such\u00a0side effects, you should not drive or use machinery.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Thiotepa Riemser<\/h2>\n\n\n\n<p>Your doctor will calculate the&nbsp;dose&nbsp;according to your body surface area or weight and your disease.<\/p>\n\n\n\n<p><strong>How Thiotepa Riemser is given<\/strong><\/p>\n\n\n\n<p>Thiotepa Riemser is given by qualified healthcare professionals as an&nbsp;intravenous&nbsp;infusion&nbsp;(drip into a vein) after diluting the solution for injection.&nbsp;Each&nbsp;infusion&nbsp;lasts 2-4 hours.<\/p>\n\n\n\n<p><strong>Frequency of administration<\/strong><\/p>\n\n\n\n<p>You will receive your\u00a0infusions\u00a0every 12 or 24 hours.\u00a0The treatment can last up to 5 days.\u00a0How often the\u00a0infusions\u00a0are given and how long the treatment depends on your illness.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, Thiotepa Riemser can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>The most serious&nbsp;side effects&nbsp;of treatment with Thiotepa Riemser or of the transplant may include<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased number of circulating&nbsp;blood cells&nbsp;(intended effect of the drug to prepare you for your transplant infusion)<\/li><li>infection<\/li><li>liver dysfunction including blockage of a vein in the liver<\/li><li>the graft&nbsp;attacks your body (&nbsp;graft&nbsp;-versus-host reaction)<\/li><li>respiratory complications.<\/li><\/ul>\n\n\n\n<p>Your doctor will regularly check your blood levels and liver enzymes to detect and treat these\u00a0side effects.<\/p>\n\n\n\n<p>Other&nbsp;side effects&nbsp;of Thiotepa Riemser, which may occur in some frequencies, are listed below:<\/p>\n\n\n\n<p><strong>Very common&nbsp;side effects&nbsp;(may affect more than 1 in 10 users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>increased susceptibility to infection<\/li><li>blood poisoning (inflammatory condition throughout the body;\u00a0sepsis\u00a0)<\/li><li>reduced number of\u00a0white blood cells,\u00a0platelets,\u00a0and\u00a0red blood cells\u00a0(\u00a0anemia\u00a0)<\/li><li>the transplanted cells attack your body (\u00a0graft\u00a0-versus-host reaction)<\/li><li>dizziness, headache, blurred vision<\/li><li>uncontrolled shaking of the body (seizures)<\/li><li>a tingling, tingling, or numbness sensation (\u00a0paresthesia\u00a0)<\/li><li>partial\u00a0loss of mobility<\/li><li>cardiac arrest<\/li><li>nausea, vomiting, diarrhea<\/li><li>inflammation\u00a0of the oral mucosa (\u00a0mucositis\u00a0)<\/li><li>irritated stomach, esophagus, intestine<\/li><li>inflammation\u00a0of the colon<\/li><li>anorexia\u00a0decreased appetite<\/li><li>high blood sugar level<\/li><li>skin rash,\u00a0itching, scaling of the skin<\/li><li>changed skin color (not to be confused with jaundice \u2013 see below)<\/li><li>skin redness (\u00a0erythema\u00a0)<\/li><li>hair loss<\/li><li>back and abdominal pain, pain<\/li><li>muscle and <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/joint-pain\/\">joint pain<\/a><\/li><li>abnormal electrical activity in the heart (\u00a0arrhythmia\u00a0)<\/li><li>inflammation\u00a0of the lung tissue<\/li><li>enlarged liver<\/li><li>altered organ function<\/li><li>blockage of a vein in the liver (hepatic venous occlusive disease, VOD)<\/li><li>yellowing of the skin and eyes (jaundice)<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/impaired-hearing\/\">impaired hearing<\/a><\/li><li>clogging of lymphatic vessels<\/li><li>high\u00a0blood pressure<\/li><li>elevated levels of liver, kidney, and digestive enzymes<\/li><li>abnormal amounts of\u00a0electrolytes\u00a0in the blood<\/li><li>weight gain<\/li><li>fever, general weakness, chills<\/li><li>bleeding<\/li><li>nosebleeds<\/li><li>general swelling due to fluid retention (\u00a0edema\u00a0)<\/li><li>pain or\u00a0inflammation\u00a0at the injection site<\/li><li>eye infection\u00a0(\u00a0conjunctivitis\u00a0)<\/li><li>decreased sperm count<\/li><li>bleeding from the vagina<\/li><li>missed periods (\u00a0amenorrhea\u00a0)<\/li><li>memory loss<\/li><li>delayed weight gain and height growth<\/li><li>bladder dysfunction<\/li><li>too low production of\u00a0testosterone<\/li><li>insufficient production of thyroid hormone<\/li><li>insufficient activity of the\u00a0pituitary\u00a0gland<\/li><li>state of confusion<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>worry, confusion<\/li><li>abnormal bulging of one of the\u00a0arteries\u00a0in the brain (\u00a0intracranial\u00a0aneurysm\u00a0)<\/li><li>elevated creatinine level<\/li><li>allergic reactions<\/li><li>blood clot (clogging of a blood vessel; embolism)<\/li><li>disturbances in the heart rhythm<\/li><li>failure of the heart<\/li><li>dysfunction of the cardiovascular system<\/li><li>lack of oxygen<\/li><li>fluid accumulation in the lungs (\u00a0pulmonary edema)<\/li><li>pulmonary hemorrhages<\/li><li>respiratory arrest<\/li><li>blood in the urine (\u00a0hematuria\u00a0) and moderate deterioration of kidney function<\/li><li>inflammation\u00a0of the bladder<\/li><li>discomfort when urinating and decreased urine volume (\u00a0dysuria\u00a0and\u00a0oliguria\u00a0)<\/li><li>the increased amount of nitrogen components in the bloodstream<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cataracts\/\">cataracts<\/a>\u00a0_\u00a0_<\/li><li>liver failure<\/li><li>cerebral hemorrhage<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cough-in-children\/\">cough<\/a><\/li><li>constipation and stomach upset<\/li><li>blockage of the intestine<\/li><li>perforation of the stomach<\/li><li>altered muscle tension<\/li><li>greatly reduced coordination of muscle movements<\/li><li>bruising due to low\u00a0platelet count<\/li><li>menopausal symptoms<\/li><li>cancer<\/li><li>abnormal brain function<\/li><li>male and female infertility<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;side effects&nbsp;(may affect up to 1 in 100 users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>skin inflammation and scaling of the skin (erythrodermic\u00a0psoriasis\u00a0)<\/li><li>delirium, nervousness, hallucinations,\u00a0agitation<\/li><li>stomach\/intestinal ulcers<\/li><li>inflammation\u00a0of the muscle tissue of the heart (\u00a0myocarditis\u00a0)<\/li><li>heart disease (\u00a0cardiomyopathy\u00a0)<\/li><\/ul>\n\n\n\n<p><strong>Frequency not known (frequency cannot be calculated from available data)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>increased\u00a0blood pressure\u00a0in the arteries (blood vessels) of the lungs (\u00a0pulmonary\u00a0arterial\u00a0<a href=\"https:\/\/zeepedia.com\/medical\/diseases\/hypertension\/\">hypertension<\/a>\u00a0)<\/li><li>serious skin damage (e.g. severe\u00a0lesions, large blisters, etc.) potentially covering the entire body surface which may be life-threatening<\/li><li>damage to a part of the brain (the so-called white brain matter) which can even be life-threatening (leukoencephalopathy).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Thiotepa Riemser<\/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 before the expiry date which is stated on the carton and the vial label after EXP.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store and transport cold (2 \u00b0C-8 \u00b0C).<\/p>\n\n\n\n<p>Do not freeze.<\/p>\n\n\n\n<p>After\u00a0preparation, the solution is stable for 8 hours if stored at 2 \u00b0C-8 \u00b0C.<\/p>\n\n\n\n<p>After dilution, the solution is stable for 24 hours if stored at 2 \u00b0C-8 \u00b0C and in<\/p>\n\n\n\n<p>4 hours if stored at 25 \u00b0C.&nbsp;From a&nbsp;microbiological&nbsp;point of view, the product should be used immediately.<\/p>\n\n\n\n<p>Unused medicines and waste must be disposed of according to current instructions.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<p>Thiotepa Riemser 15 mg powder for concentrate for\u00a0infusion solution, solution<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is thiotepa.&nbsp;One&nbsp;vial&nbsp;contains 15 mg of thiotepa.&nbsp;After&nbsp;reconstitution&nbsp;, each ml contains 10 mg thiotepa (10 mg\/ml).<\/li><\/ul>\n\n\n\n<p>Thiotepa Riemser 100 mg powder for concentrate for\u00a0infusion solution, solution<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is thiotepa.&nbsp;One&nbsp;vial&nbsp;contains 100 mg of thiotepa.&nbsp;After&nbsp;reconstitution&nbsp;, each ml contains 10 mg thiotepa (10 mg\/ml).<\/li><li>Thiotepa Riemser does not contain any other excipients.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>Thiotepa Riemser 15 mg powder for concentrate for\u00a0infusion solution, solution<\/p>\n\n\n\n<p>Thiotepa Riemser is a white crystalline powder supplied in a glass&nbsp;vial&nbsp;containing 15 mg of thiotepa.<\/p>\n\n\n\n<p>Thiotepa Riemser 100 mg powder for concentrate for\u00a0infusion solution, solution<\/p>\n\n\n\n<p>Thiotepa Riemser is a white crystalline powder supplied in a glass&nbsp;vial&nbsp;containing 100 mg of thiotepa.<\/p>\n\n\n\n<p>Each carton contains 1\u00a0vial.<\/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>Esteve Pharmaceuticals GmbH<\/p>\n\n\n\n<p>Hohenzollerndamm 150-151<\/p>\n\n\n\n<p>14199 Berlin<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>HWI development GmbH<\/p>\n\n\n\n<p>Stra\u00dfburger Str. 77<\/p>\n\n\n\n<p>77767 Appenweier<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p>Contact the representative of the Marketing Authorization Holder if you would like to know more about this medicine:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgi\u00eb\/Belgique\/Belgien<\/strong>Eurocept PharmaceuticalsPays-Bas\/Nederland\/NiederlandeTel\/Tel: +31 35 528 8377 info@eurocept.nl<\/td><td><strong>Lithuania<\/strong>UAB ARMILALithuaniaTel: +370- (0) 5 2777596 info@armila.com<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>Thrive Pharma Ltd.Bulgaria phone: +359 2 878 05 43office@thrivepharmabg.com<\/td><td><strong>Luxembourg\/Luxembourg<\/strong>Eurocept PharmaceuticalsPays-Bas\/Nederland\/NiederlandeTel\/Tel: +31 35 528 8377info@eurocept.nl<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>LERAM pharmaceuticals s.r.Czech RepublicPhone: +420 513 035 442info@leram-pharma.cz<\/td><td><strong>Magyarorsz\u00e1g<\/strong>SANATIS Europe Kft.Magyarorsz\u00e1gPhone: +36- (0) 23 367 673office@sanatis.hu<\/td><\/tr><tr><td><strong>Denmark<\/strong>CampusPharma ABSwedenTel: +46 31 205020info@campuspharma.se<\/td><td><strong>Malta<\/strong>Esteve Pharmaceuticals GmbHIl-GermaniaPhone: +49-(0) 30 338427-0info.germany@esteve.com<\/td><\/tr><tr><td><strong>Deutschland<\/strong>Esteve Pharmaceuticals GmbHDeutschlandPhone: +49-(0) 30 338427-0info.germany@esteve.com<\/td><td><strong>The Netherlands<\/strong>Eurocept PharmaceuticalsThe Netherlands phone: +31 35 528 8377info@eurocept.nl<\/td><\/tr><tr><td><strong>Estonia<\/strong>AUXILIA Pharma O\u00dcEstoniaPhone: +372 605 00 05info@auxiliapharma.eu<\/td><td><strong>Norway<\/strong>CampusPharma ABSwedenTel: +46 31 205020info@campuspharma.se<\/td><\/tr><tr><td><strong>Greece<\/strong>Esteve Pharmaceuticals GmbHGermanyTel: +49-(0) 30 338427-0info.germany@esteve.com<\/td><td><strong>Austria<\/strong>AGEA Pharma GmbHAustriaPhone: +43- (0) 1 336 01 41office@ageapharma.com<\/td><\/tr><tr><td><strong>Spain<\/strong>Esteve Pharmaceuticals, SASpainPhone: +34 93 446 60 00<\/td><td><strong>Polish<\/strong>COPHARMA JOSEPH RAKOTO PolandPhone: +48 691 702 426joseph.rakoto@copharma.pl<\/td><\/tr><tr><td><strong>France<\/strong>KEOCYTEFranceTel: +33 1 42 31 07 10contact@keocyt.com<\/td><td><strong>Portugal<\/strong>Esteve Pharmaceuticals GmbHGermanyPhone: +49-(0) 30 338427-0info.germany@esteve.com<\/td><\/tr><tr><td><strong>Hrvatska<\/strong>MEDIS Adria dooHrvatskaPhone: +385 1 2303 446info@medisadria.hr<\/td><td><strong>Romania<\/strong>SANATIS Europe Kft.Hungary phone: +36- (0) 23 367 673office@sanatis.hu<\/td><\/tr><tr><td><strong>Ireland<\/strong>Esteve Pharmaceuticals GmbHGermanyPhone: +49-(0) 30 338427-0info.germany@esteve.com<\/td><td><strong>Slovenija<\/strong>MEDIS dooSlovenijaPhone: +386- (0) 1 589 69 00info@medis.si<\/td><\/tr><tr><td><strong>Iceland<\/strong>CampusPharma ABSwedenPhone: +46 31 205020info@campuspharma.se<\/td><td><strong>Slovenian Republic<\/strong>LERAM pharmaceuticals s.r.Czech RepublicPhone: +420 513 035 442info@leram-pharma.cz<\/td><\/tr><tr><td><strong>Italy<\/strong>Esteve Pharmaceuticals GmbHGermaniaPhone: +49-(0) 30 338427-0info.germany@esteve.com<\/td><td><strong>Finland\/Finland<\/strong>CampusPharma ABRuotsiaPhone\/Tel: +46 31 205020info@campuspharma.se<\/td><\/tr><tr><td><strong>Cyprus<\/strong>Esteve Pharmaceuticals GmbHGermanyTel: +49-(0) 30 338427-0info.germany@esteve.com<\/td><td><strong>Sweden<\/strong>CampusPharma ABSwedenPhone: +46 31 205020info@campuspharma.se<\/td><\/tr><tr><td><strong>Latvia<\/strong>Auxilia Pharma O\u00dcEstoniaPhone: +372 605 00 05info@auxiliapharma.eu<\/td><td><strong>United Kingdom (Northern Ireland)<\/strong>Esteve Pharmaceuticals GmbHGermanyPhone: +49-(0) 30 338427-0info.germany@esteve.com<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Thiotepa Riemser contains the active substance thiotepa, which belongs to a group of medicines called alkylating agents.<\/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":[2200,22500],"tags":[25884,25880,25877,25883,25875,25876,25881,25878,25882,25879],"class_list":["post-24986","post","type-post","status-publish","format-standard","hentry","category-medicines","category-t","tag-benefits-of-thiotepa-riemser","tag-benefits-of-tiotepa","tag-thiotepa-riemser","tag-thiotepa-riemser-side-effects","tag-tiotepa","tag-tiotepa-side-effects","tag-what-is-thiotepa-riemser","tag-what-is-tiotepa","tag-what-thiotepa-riemser-is-used-for","tag-what-tiotepa-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24986","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=24986"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24986\/revisions"}],"predecessor-version":[{"id":25045,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24986\/revisions\/25045"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=24986"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=24986"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=24986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}