{"id":5317,"date":"2020-12-15T11:26:48","date_gmt":"2020-12-15T11:26:48","guid":{"rendered":"https:\/\/zeepedia.com\/?p=5317"},"modified":"2021-07-28T18:31:53","modified_gmt":"2021-07-28T18:31:53","slug":"amekrin","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/amekrin\/","title":{"rendered":"Amekrin &#8211; Amsacrine uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n75 mg \/ 1.5 mL&nbsp;concentrate and diluent to concentrate for&nbsp;infusion&nbsp;solution&nbsp;<br>amsacrine<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Amekrin is and what it is used for<\/h2>\n\n\n\n<p>Amekrin belongs to a group of medicines called&nbsp;cytostatics&nbsp;(medicines used to treat cancer).<\/p>\n\n\n\n<p>It is used to treat&nbsp;acute&nbsp;myeloid&nbsp;leukemia, also called AML.&nbsp;AML is a type of blood and bone marrow cancer.<\/p>\n\n\n\n<p>Amekrin is used in adults when the disease has not responded to other treatments or in relapses.<\/p>\n\n\n\n<p>Amsakrin contained in Amekrin may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or other healthcare professional if you have any further questions and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before you use Amekrin<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Amekrin<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to amsacrine or acridine derivatives or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are already receiving (or have recently received) other cancer treatments<\/li><li>if you are breast-feeding.<\/li><\/ul>\n\n\n\n<p>Talk to your doctor before using this medicine if any of the above apply to you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before you are treated with Amekrin.<\/p>\n\n\n\n<p>Your doctor will be especially careful if any of the following apply to you.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You have had kidney or liver disease.<\/li><li>You have a heart problem.<\/li><li>You have been told that the potassium level in your blood is too low.<\/li><li>You suffer from&nbsp;porphyria&nbsp;(&nbsp;porphyria&nbsp;is an unusual disease that occurs when a certain&nbsp;enzyme is&nbsp;not formed in a sufficient amount in the liver).<\/li><\/ul>\n\n\n\n<p>Talk to your doctor before using this medicine if any of the above apply to you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Amekrin should only be used by adults.&nbsp;Amekrin should not be used by children and adolescents under 18 years of age.<br><\/p>\n\n\n\n<p><strong>Regular examinations<\/strong><\/p>\n\n\n\n<p>Your doctor will perform regular medical examinations, e.g.&nbsp;blood tests to check the number of&nbsp;blood cells&nbsp;and kidney and liver function as well as examinations of the heart.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other drugs and Amekrin<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>A large number of drugs can interact with Amekrin and have markedly altered effects.&nbsp;Some examples:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Influenza&nbsp;and pneumococcal vaccine (&nbsp;pneumococci&nbsp;are bacteria that can lead to&nbsp;pneumonia, for example&nbsp;)<\/li><li>Live vaccines<\/li><li>Other drugs used to treat cancer<\/li><li>Methotrexate is used to treat, among other things, cancer and rheumatoid&nbsp;arthritis<\/li><\/ul>\n\n\n\n<p>If you are already taking any of these medicines, talk to your doctor before receiving Amekrin.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/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 or pharmacist for advice before taking this medicine.<br><\/p>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p>During pregnancy, this medicine should only be given if absolutely necessary.&nbsp;The benefits of treatment must be weighed against the risk to your unborn child.<br><\/p>\n\n\n\n<p><strong>Precautions regarding pregnancy for men and women<\/strong><\/p>\n\n\n\n<p>Women of&nbsp;childbearing potential&nbsp;must use effective contraception during and up to three months after stopping treatment.&nbsp;Men must use effective contraceptive during and up to six months after stopping treatment.<br><\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>Do not breast-feed while receiving Amekrin.<br><\/p>\n\n\n\n<p><strong>Fertility<\/strong><\/p>\n\n\n\n<p>There is some evidence to suggest that amsacrine has a negative effect on&nbsp;female&nbsp;fertility.&nbsp;Some evidence suggests that&nbsp;male fertility&nbsp;may be temporarily adversely affected.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Amekrin is unlikely to affect your ability to drive or use machines.&nbsp;If you experience&nbsp;side effects&nbsp;such as headache and dizziness after the&nbsp;infusion&nbsp;has been given to you, be careful when driving or using machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Amekrin<\/h2>\n\n\n\n<p>You will normally be given Amekrin in a hospital by a doctor or nurse who has experience in the use of&nbsp;chemotherapy.<\/p>\n\n\n\n<p>Amekrin is injected slowly as an&nbsp;infusion&nbsp;into a vein for 1-2 hours.<\/p>\n\n\n\n<p>Dose&nbsp;one is calculated by your doctor based on your age and body surface area (normally 300-650 mg per square meter per treatment period).<br><\/p>\n\n\n\n<p><strong>Initial treatment<\/strong><\/p>\n\n\n\n<p>You will receive one&nbsp;infusion&nbsp;per day for 3-7 days.<br><\/p>\n\n\n\n<p><strong>Further treatment<\/strong><\/p>\n\n\n\n<p>After the initial treatment period, additional&nbsp;doses&nbsp;are&nbsp;given&nbsp;depending on the number of&nbsp;blood cells&nbsp;in your blood.<\/p>\n\n\n\n<p>If Amekrin reduces the number of&nbsp;blood cells&nbsp;too much, your doctor may need to give you a&nbsp;blood transfusion.<\/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\">If you use more Amekrin than you should &nbsp;<\/h2>\n\n\n\n<p>Because&nbsp;infusion&nbsp;one will be given under the supervision of a doctor, it is unlikely that you will receive more than necessary.&nbsp;Talk to your doctor if you are worried about&nbsp;dosing&nbsp;one of the medicines.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse.<\/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.<br><\/p>\n\n\n\n<p><strong>All medicines can cause allergic reactions, although severe allergic reactions are rare.&nbsp;Sudden wheezing, difficulty breathing, swelling of the eyelids, face or lips, rash or&nbsp;itching&nbsp;(especially if the rash or itching affects the whole body) should be reported to a doctor immediately.<\/strong><br><\/p>\n\n\n\n<p><strong><em>Very common (may affect more than 1 user in 10)<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Minor bleeding from the skin and mucous membranes<\/li><li>Diarrhea, stomach ache<\/li><li>Low&nbsp;blood pressure<\/li><li>Pain and swelling at the injection site due to&nbsp;inflammation&nbsp;of a blood vessel<\/li><li>Elevated liver values<\/li><li>Inflammation&nbsp;of the mouth<\/li><li>Nausea, vomiting.<\/li><\/ul>\n\n\n\n<p><strong><em>Common (may affect up to 1 in 10 people)<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Severe reduction in&nbsp;blood cell&nbsp;s that can cause weakness, bruising or bleeding, or increase the risk of&nbsp;infection&nbsp;s<\/li><li>Bleeding<\/li><li>Severe heart problems (eg&nbsp;heart failure&nbsp;causing shortness of breath), irregular heartbeat<\/li><li>Attack<\/li><li>Hepatitis, jaundice (causes skin and whites of the eyes to turn yellow), impaired liver function<\/li><li>Blood in the urine<\/li><li>Skin loss, dermatitis<\/li><li>Infection<\/li><li>Fever<\/li><li>Shortness of breath<\/li><li>Low potassium levels can cause muscle weakness, twitching, or abnormal heart rhythm<\/li><li>Mood swings<\/li><li>Hair loss<\/li><li>Hives, rash<\/li><li>Irritation at the injection site.<\/li><\/ul>\n\n\n\n<p><strong><em>Rare (may affect up to 1 in 1,000 people):<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Other serious heart problems (eg life-threatening irregular heartbeat, palpitations, slow heartbeat,&nbsp;ECG&nbsp;changes)<\/li><li>Anemia, a decrease in&nbsp;red blood cells&nbsp;that can lead to pale skin, weakness, or shortness of breath<\/li><li>Severe reduction in&nbsp;white blood cells&nbsp;which increases the risk of&nbsp;infection&nbsp;s<\/li><li>Severe&nbsp;allergic reaction, swelling due to excess fluid in the body, hypersensitivity<\/li><li>Renal impairment (eg urinary incontinence,&nbsp;renal failure&nbsp;)<\/li><li>Weight loss, weight gain<\/li><li>Lethargy&nbsp;(extreme fatigue or drowsiness), confusion<\/li><li>Headache, dizziness<\/li><li>Decreased touch sensitivity or touch<\/li><li>A nerve disorder that can lead to weakness, tingling, or numbness<\/li><li>Visual disturbances<\/li><li>Egg whites in the urine<\/li><li>Abnormal liver and kidney values<\/li><\/ul>\n\n\n\n<p><strong><em>No known frequency (cannot be calculated from the available data)<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>High levels of&nbsp;uric acid&nbsp;in the blood<\/li><\/ul>\n\n\n\n<p>The above list of possible&nbsp;side effects&nbsp;may seem daunting, but&nbsp;acute&nbsp;leukemia&nbsp;is a serious illness that requires aggressive treatment.<br><\/p>\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 includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Amekrin<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/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 for Amekrin<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is amsacrine.&nbsp;Each ml of concentrate for&nbsp;solution&nbsp;for&nbsp;infusion&nbsp;contains 50 mg of amacrin.&nbsp;Each&nbsp;vial&nbsp;contains 75 mg of amsacrine.<\/li><li>The other ingredients are N, N-dimethylacetamide,&nbsp;lactic acid,&nbsp;and water for injections.&nbsp;<\/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>Amekrin delivered in sets of one&nbsp;vial&nbsp;of clear glass with a concentrate and a&nbsp;vial&nbsp;of clear glass with liquid.&nbsp;The concentrate vial contains the active substance amsacrine and N, N-dimethylacetamide in 1.5 ml clear orange \/ red liquid.<\/p>\n\n\n\n<p>The vial of liquid contains 13.5 ml solution of&nbsp;lactic acid&nbsp;in water for injections as a clear solution.<br><\/p>\n\n\n\n<p>Pack size<\/p>\n\n\n\n<p>1 x 6 vials of concentrate for&nbsp;solution&nbsp;for&nbsp;infusion&nbsp;and 6 vials of liquid for&nbsp;solution&nbsp;for&nbsp;infusion.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>Eurocept International BV<\/p>\n\n\n\n<p>Trapgans 5<\/p>\n\n\n\n<p>1244 RL Ankeveen<\/p>\n\n\n\n<p>Netherlands<br><\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><td><strong>Name of Member State<\/strong><\/td><td><strong>Name of the medicine<\/strong><\/td><\/tr><\/thead><tbody><tr><td>Austria<\/td><td>Amsidyl 75 mg \/ 1.5 ml concentrate and solvent for concentrate for solution for infusion<\/td><\/tr><tr><td>Belgium<\/td><td>Amsidine 75 mg \/ 1.5 ml concentrate and solvent for solution for infusion<\/td><\/tr><tr><td>Czech Republic<\/td><td>Amsidyl 75 mg \/ 1.5 ml ml concentrate and rosemary concentrate for infused rosemary<\/td><\/tr><tr><td>Denmark<\/td><td>Amekrin 75 mg \/ 1.5 ml concentrate and solvent for concentrate for solution for infusion&nbsp;<\/td><\/tr><tr><td>Finland<\/td><td>Amekrin 75 mg \/ 1.5 ml infusioconcentrate and liuotin, infusion concentrate liuosta varten<\/td><\/tr><tr><td>Germany<\/td><td>Amsidyl 75 mg concentrate for the preparation of an infusion solution<\/td><\/tr><tr><td>Iceland<\/td><td>Amekrin 75 mg \/ 1.5 ml Concentrate and solvent for concentrate for solution for infusion<\/td><\/tr><tr><td>Ireland<\/td><td>Amsidine concentrate and solvent for solution for&nbsp;infusion&nbsp;50 mg\/ml<\/td><\/tr><tr><td>Italy<\/td><td>Amsadina 75 mg \/ 1.5 ml concentrate and solvent per concentrate per solution per infusion<\/td><\/tr><tr><td>Luxembourg<\/td><td>Amsidine 75 mg \/ 1.5 ml diluted and solvent solution for&nbsp;perfusion<\/td><\/tr><tr><td>Malta<\/td><td>Amsidine Concentrate in Solvent Gel Solutions 50 mg \/ ml Infusion<\/td><\/tr><tr><td>Netherlands<\/td><td>Amsidine concentrate and solvent for solution for infusion 75 mg \/ 1.5 ml<\/td><\/tr><tr><td>Norway<\/td><td>Amekrin 75 mg \/ 1.5 ml concentrate and liquid for concentrate for solution for infusion<\/td><\/tr><tr><td>Poland<\/td><td>Amsidyl 75 mg \/ 1.5 ml concentrate and concentrate for concentrates and infusion preparations<\/td><\/tr><tr><td>Portugal<\/td><td>Amekrin 75 mg \/ 1.5 ml concentrate and solvent for concentration for perfusion<\/td><\/tr><tr><td>Slovakia<\/td><td>Amsidyl 75 mg \/ 1.5 ml concentrate and suspension for infusion concentrate<\/td><\/tr><tr><td>Spain<\/td><td>Amekrin 75 mg \/ 1.5 ml concentrate and solvent for solution for perfusion<\/td><\/tr><tr><td><\/td><td><\/td><\/tr><tr><td>UK<\/td><td>Amsidine concentrate and solvent for solution for&nbsp;infusion&nbsp;50 mg \/ ml<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Amekrin belongs to a group of medicines called cytostatics (medicines used to treat cancer).<\/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":[2201,2200],"tags":[10675,10679,10670,10673,10678,10674,10677,10672,10676,10671],"class_list":["post-5317","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-amekrin","tag-amekrin-injection","tag-amsacrine","tag-amsacrine-injection","tag-side-effects-of-amekrin","tag-side-effects-of-amsacrine","tag-what-amekrin-is-used-for","tag-what-amsacrine-is-used-for","tag-what-is-amekrin","tag-what-is-amsacrine"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5317","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=5317"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5317\/revisions"}],"predecessor-version":[{"id":12757,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5317\/revisions\/12757"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=5317"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=5317"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=5317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}