{"id":5946,"date":"2020-12-29T14:52:17","date_gmt":"2020-12-29T14:52:17","guid":{"rendered":"https:\/\/zeepedia.com\/?p=5946"},"modified":"2021-07-06T06:38:41","modified_gmt":"2021-07-06T06:38:41","slug":"bendamustin-actavis","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/bendamustin-actavis\/","title":{"rendered":"Bendamustine Actavis &#8211; Bendamustine hydrochloride uses, dose and side effects"},"content":{"rendered":"\n<p> 2.5 mg\/ml powder for concentrate for solution for infusion&nbsp;<br>bendamustine hydrochloride<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Bendamustin Actavis is and what it is used for<\/h2>\n\n\n\n<p>Bendamustine Actavis is a medicine used to treat certain cancers (&nbsp;cytostatics&nbsp;).<br><\/p>\n\n\n\n<p>Bendamustine Actavis is used as the sole drug or in combination with other drugs to treat the following cancers:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>chronic lymphocytic leukemia&nbsp;if combination chemotherapy with fludarabine is not appropriate.<\/li><li>non-Hodgkin&#8217;s lymphoma&nbsp;when the results of previous rituximab treatment have been short-lived or absent altogether.<\/li><li>multiple&nbsp;myeloma&nbsp;when treatment with thalidomide or bortezomib is not appropriate.<\/li><\/ul>\n\n\n\n<p>Bendamustine hydrochloride contained in Bendamustine Actavis may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Bendamustin Actavis<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Bendamustin Actavis<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to bendamustine hydrochloride or any of the other ingredients of this medicine (listed in section 6)<\/li><li>while breastfeeding: if treatment with Bendamustine Actavis is necessary while breast-feeding, breast-feeding must be stopped (see \u201cPregnancy, breast-feeding and fertility\u201d)<\/li><li>if you have severe hepatic impairment (damage to the functional cells of the liver)<\/li><li>if you have yellow skin or whites of the eyes due to liver or blood disease (jaundice)<\/li><li>if you have severe bone marrow function (bone marrow depression) and severe changes in the number of&nbsp;white blood cells&nbsp;and&nbsp;platelets&nbsp;in the blood<\/li><li>if you have undergone major surgery less than 30 days before starting treatment<\/li><li>if you have an&nbsp;infection, especially if it is accompanied by a decrease in the number of&nbsp;white blood cells&nbsp;(&nbsp;leukopenia&nbsp;)<\/li><li>in connection with vaccination against yellow fever.<\/li><\/ul>\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 or during treatment with Bendamustine Actavis:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if the ability to form&nbsp;blood cells&nbsp;in your&nbsp;bone marrow&nbsp;is impaired.&nbsp;The number of&nbsp;white blood cells&nbsp;and&nbsp;platelets&nbsp;in the blood should be checked before starting treatment with Bendamustine Actavis, before each subsequent treatment cycle, and during treatment-free intervals.<\/li><li>if you have an&nbsp;infection.&nbsp;Contact a doctor if you have signs of&nbsp;infection, e.g.&nbsp;fever or lung problems.<\/li><li>if you get any skin reaction during treatment with Bendamustine Actavis.&nbsp;These skin reactions can be exacerbated.<\/li><li>if you get painful red or purple rashes that spread and blisters and\/or other injuries begin to appear on the mucous membranes (eg mouth and lips), especially if you have previously had photosensitivity,&nbsp;infection&nbsp;of the respiratory tract (e.g.&nbsp;bronchitis&nbsp;), and\/or fever.<\/li><li>if you have any heart disease (eg heart attack, chest pain, severe heart rhythm disturbances).<\/li><li>if you feel pain in the side, have blood in the urine, or if your urine volume decreases.&nbsp;If your disease is very severe, your body may not be able to get rid of all the slag from the dying cancer cells.&nbsp;This condition is called tumor lysis syndrome and can lead to&nbsp;kidney failure&nbsp;or heart problems within 48 hours of the first&nbsp;dose&nbsp;of Bendamustin Actavis.&nbsp;Your doctor can make sure you get enough fluids (hydrated) and give you other medicines to prevent the problem from occurring.<\/li><li>if you get a severe&nbsp;allergic reaction&nbsp;or&nbsp;hypersensitivity reaction.&nbsp;You should be aware of infusion-related reactions after the first treatment cycle.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Bendamustin Actavis<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>If Bendamustin Actavis is used in combination with other medicines that inhibit the formation of blood in the&nbsp;bone marrow, it may lead to an increase in the effect on the&nbsp;bone marrow.<br><\/p>\n\n\n\n<p>If Bendamustin Actavis is used in combination with medicines that alter your&nbsp;immune response, e.g.&nbsp;ciclosporin and tacrolimus, the effect on the&nbsp;immune response&nbsp;may be&nbsp;enhanced.<br><\/p>\n\n\n\n<p>Drugs such as bendamustine (&nbsp;cytostatics&nbsp;) may weaken the effect of vaccination with live&nbsp;viruses.&nbsp;Cytostatics also&nbsp;increase the risk of&nbsp;infection&nbsp;when vaccinated with live vaccines (eg vaccines against viral diseases).<br><\/p>\n\n\n\n<p>If Bendamustin Actavis is used with medicines that inhibit a specific liver enzyme (CYP1A2), such as fluvoxamine (antidepressant),&nbsp;ciprofloxacin&nbsp;(used to treat bacterial&nbsp;infections&nbsp;), aciclovir (used to treat viral infections), and cimetidine (used to treat heartburn and&nbsp;stomach ulcers&nbsp;) these drugs can affect each other&#8217;s effect.<\/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>Bendamustine Actavis can cause genetic damage and has caused malformations in experimental animals.&nbsp;Bendamustine Actavis should not be used during pregnancy unless your doctor has told you to.&nbsp;If you need to be treated during pregnancy, consult your doctor about the risk of potential birth defects that the treatment may cause.&nbsp;Genetic counseling is also recommended.<br><\/p>\n\n\n\n<p><strong>Fertility<\/strong><\/p>\n\n\n\n<p>If you are a woman of&nbsp;childbearing potential, you must use some effective contraceptive method both before and during treatment with Bendamustine Actavis.&nbsp;If you become pregnant during treatment with Bendamustine Actavis, you must immediately inform your doctor and ask for genetic counseling.<br><\/p>\n\n\n\n<p>If you are a man, you should avoid having children during the treatment of Bendamustin Actavis and 6 months after the end of treatment.&nbsp;There is also a risk that treatment with Bendamustine Actavis will lead to&nbsp;infertility.&nbsp;You should therefore investigate the possibilities of sperm storage before starting treatment.<br><\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>Bendamustine Actavis must not be used during breast-feeding.&nbsp;If treatment with Bendamustine Actavis is necessary during the breastfeeding period, breast-feeding must be stopped.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Bendamustine Actavis has a major impact on the ability to drive and use machines.&nbsp;Do not drive or use machines if you experience&nbsp;side effects, e.g.&nbsp;dizziness or impaired coordination.&nbsp;<br><\/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.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Bendamustin Actavis<\/h2>\n\n\n\n<p>Bendamustine Actavis is given in a vein for 30-60 minutes in different&nbsp;doses, either alone (&nbsp;monotherapy&nbsp;) or in combination with other medicines.<br><\/p>\n\n\n\n<p>Treatment should not be started if you have a low number of&nbsp;white blood cells&nbsp;(&nbsp;leukocytes&nbsp;) and\/or&nbsp;platelets.&nbsp;This is checked regularly by your doctor.<br><\/p>\n\n\n\n<p><strong>Chronic lymphocytic leukemia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>100 mg Bendamustin Actavis per square meter of body surface area (based on your height and weight)<\/td><td>on day 1 + 2<\/td><\/tr><tr><td>Repeat the cycle after 4 weeks up to 6 times<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Non-Hodgkin&#8217;s lymphoma<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>120 mg Bendamustin Actavis per square meter body area (based on your height and weight)<\/td><td>on day 1 + 2<\/td><\/tr><tr><td>Repeat the cycle after 3 weeks at least 6 times<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Multiple&nbsp;myeloma<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>120-150 mg Bendamustin Actavis per square meter body area (based on your height and weight)<\/td><td>on day1 + 2<\/td><\/tr><tr><td>60 mg prednisone per square meter of body surface area (based on your height and weight)&nbsp;intravenously or orally<\/td><td>on day1 &#8211; 4<\/td><\/tr><tr><td>Repeat the cycle after 4 weeks at least 3 times<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Treatment should be discontinued if the number of&nbsp;white blood cells&nbsp;(&nbsp;leukocytes&nbsp;) and\/or&nbsp;platelets&nbsp;drops to established levels.&nbsp;Treatment can be continued when the number of&nbsp;white blood cells&nbsp;and&nbsp;platelets&nbsp;has increased.<br><\/p>\n\n\n\n<p><strong>Hepatic or renal impairment<\/strong><\/p>\n\n\n\n<p>Depending on how severely impaired your liver function is, it may be necessary to adjust&nbsp;dose&nbsp;one.&nbsp;hepatic impairment).&nbsp;No dose adjustment is necessary for renal impairment.&nbsp;Your treating physician will decide if a dose adjustment is necessary or not.<br><\/p>\n\n\n\n<p><strong>How it is administered<\/strong><\/p>\n\n\n\n<p>Treatment with Bendamustin Actavis should only be performed by a physician experienced in the treatment of cancer.&nbsp;Your doctor will prescribe the&nbsp;dose&nbsp;of Bendamustine Actavis that is right for you and will take the necessary precautions.<br><\/p>\n\n\n\n<p>Your treating physician will give the infusion solution after the prescribed preparations.&nbsp;The solution is given into a vein in the form of a short-term&nbsp;infusion over 30-60 minutes.<br><\/p>\n\n\n\n<p><strong>Length of treatment<\/strong><\/p>\n\n\n\n<p>There are no set time limits for how long treatment with Bendamustine Actavis should be given.&nbsp;The duration of treatment depends on the disease and the effect of the treatment.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of Bendamustine Actavis, ask your doctor or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Bendamustin Actavis<\/h2>\n\n\n\n<p>If a&nbsp;dose&nbsp;of Bendamustin Actavis is missed, your doctor will usually continue treatment according to the usual dosing schedule.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Bendamustin Actavis<\/h2>\n\n\n\n<p>The attending physician decides whether to discontinue treatment or whether to switch to another treatment.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<br><\/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.&nbsp;Some of the&nbsp;side effects&nbsp;listed below may be detected by tests performed by your doctor.<br><\/p>\n\n\n\n<p>In very rare cases, tissue damage (&nbsp;necrosis&nbsp;) has occurred, as the drug has inadvertently ended up outside the blood vessel (extravasation).&nbsp;A burning sensation in which the infusion needle is inserted may be a sign that&nbsp;administration is&nbsp;taking place outside the blood vessels.&nbsp;The consequence of such&nbsp;administration&nbsp;may be pain and difficult-to-heal skin lesions.<br><\/p>\n\n\n\n<p>A dose-limiting&nbsp;side effect&nbsp;of Bendamustin Actavis is impaired bone marrow function, which usually returns to normal after treatment.&nbsp;Impaired bone marrow function can lead to a decrease in the number of blood cells, which in turn can lead to an increased risk of&nbsp;infection,&nbsp;anemia,&nbsp;or an increased risk of bleeding.<br><\/p>\n\n\n\n<p><strong>Very common&nbsp;<\/strong>&nbsp;<em>(may affect more than 1 user in 10):<\/em><\/p>\n\n\n\n<p>Low&nbsp;white blood cell count&nbsp;<strong>(<\/strong>&nbsp;disease-fighting cells in your blood)<\/p>\n\n\n\n<p>Reduction of the red pigment in the blood (hemoglobin: (a&nbsp;protein&nbsp;in&nbsp;red blood cells that carries oxygen throughout the body))<\/p>\n\n\n\n<p>Low&nbsp;platelet count&nbsp;(colorless&nbsp;blood cells&nbsp;that help the blood to coagulate)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Infection&nbsp;is<\/li><li>Nausea<\/li><li>Vomiting<\/li><li>Mucositis<\/li><li>Headache<\/li><li>Elevated creatinine levels in the blood (a chemical residue produced by your muscles)<\/li><li>Elevated urea levels in the blood (a chemical residue)<\/li><li>Fever<\/li><li>Fatigue<br><\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;<\/strong><em>(may affect up to 1 in 10 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Bleeding<\/li><li>Disrupted metabolism is due to the content of dying cancer cells being released into the blood<\/li><li>Decreased number of&nbsp;red blood cells, which can make the skin paler and cause weakness or shortness of breath (&nbsp;anemia&nbsp;)<\/li><li>Low neutrophil count (a common type of&nbsp;white blood cell&nbsp;important for fighting&nbsp;infections&nbsp;)<\/li><li>Hypersensitivity reactions, e.g.&nbsp;allergic&nbsp;dermatitis&nbsp;(&nbsp;dermatitis&nbsp;),&nbsp;hives&nbsp;(&nbsp;urticaria&nbsp;)<\/li><li>Elevated values \u200b\u200bof liver enzymes AST \/ ALT (which may indicate&nbsp;inflammation&nbsp;or damage to cells in the liver)<\/li><li>An increase in alkaline phosphatases (an&nbsp;enzyme&nbsp;made mainly in the liver and skeleton)<\/li><li>Elevated&nbsp;bilirubin levels&nbsp;(a substance formed during the normal breakdown of&nbsp;red blood cells&nbsp;)<\/li><li>Low potassium levels in the blood (a nutrient that is essential for the function of nerve and muscle cells, including those in your heart.)<\/li><li>Disorders of heart function<\/li><li>Cardiac arrhythmias (&nbsp;arrhythmia&nbsp;)<\/li><li>Low or high&nbsp;blood pressure&nbsp;(&nbsp;hypotension&nbsp;or&nbsp;hypertension&nbsp;)<\/li><li>Impaired lung function<\/li><li>Diarrhea<\/li><li>Constipation<\/li><li>Pain in the mouth (&nbsp;stomatitis&nbsp;)<\/li><li>Reduced appetite<\/li><li>Hair loss<\/li><li>Skin changes<\/li><li>Absence of menstruation (&nbsp;amenorrhea&nbsp;)<\/li><li>Pain<\/li><li>Insomnia<\/li><li>Overindulge<\/li><li>Dehydration<\/li><li>Dizziness<\/li><li>Itchy rash (&nbsp;urticaria&nbsp;)<br><\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;<\/strong><em>(may affect up to 1 in 100 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pneumonia&nbsp;(pneumocystis jirovecii&nbsp;pneumonia&nbsp;)<\/li><li>Accumulation of fluid in the pericardium (which surrounds the heart)<\/li><li>Impaired formation of all types of&nbsp;blood cells&nbsp;in the&nbsp;bone marrow&nbsp;(the fungus-like material on the inside of your bones where blood cells are formed)<\/li><li>Acute&nbsp;leukemia<\/li><li>Myocardial infarction, chest pain<\/li><li>Heart failure<br><\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;<\/strong><em>(may affect up to 1 in 1,000 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Infection&nbsp;in the blood (&nbsp;sepsis&nbsp;)<\/li><li>Impaired bone marrow function, which can mean that you feel sick or can be seen on blood tests<\/li><li>Severe allergic&nbsp;hypersensitivity reactions&nbsp;(anaphylactic reactions)<\/li><li>Symptoms reminiscent of anaphylactic reactions (anaphylactoid reactions)<\/li><li>Drowsiness<\/li><li>Inability to speak (aphonia)<\/li><li>Acute&nbsp;circulatory failure&nbsp;(decreased&nbsp;blood pressure&nbsp;and blood flow leading to a deterioration in the supply of oxygen and other nutrients in the body)<\/li><li>Redness (&nbsp;erythema&nbsp;)<\/li><li>Inflammation&nbsp;of the skin (&nbsp;dermatitis&nbsp;)<\/li><li>Itching&nbsp;(&nbsp;pruritus&nbsp;)<\/li><li>Skin rash (macular exanthema)<\/li><li>Excessive sweating (&nbsp;hyperhidrosis&nbsp;)<br><\/li><\/ul>\n\n\n\n<p><strong>Very rare&nbsp;<\/strong><em>(may affect up to 1 in 10,000 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Primary&nbsp;atypical&nbsp;pneumonia&nbsp;(&nbsp;pneumonia&nbsp;)<\/li><li>Degradation of&nbsp;red blood cells<\/li><li>Rapidly decreasing&nbsp;blood pressure, sometimes accompanied by skin reactions or rash (anaphylactic&nbsp;shock&nbsp;)<\/li><li>Decreased sense of taste<\/li><li>Emotional disorders (&nbsp;paresthesia&nbsp;)<\/li><li>Feelings of discomfort and pain in the joints (&nbsp;peripheral&nbsp;neuropathy&nbsp;)<\/li><li>Severe conditions result in the blockade of specific&nbsp;receptors&nbsp;in the nervous system.<\/li><li>Disorder of the nervous system<\/li><li>Coordination difficulties (&nbsp;ataxia&nbsp;)<\/li><li>Brain inflammation (&nbsp;encephalitis&nbsp;)<\/li><li>Increased heart rate (&nbsp;tachycardia&nbsp;)<\/li><li>Inflammation&nbsp;of the veins (&nbsp;phlebitis&nbsp;)<\/li><li>Connective tissue formation in the lungs (&nbsp;pulmonary fibrosis&nbsp;)<\/li><li>Bleeding and&nbsp;inflammation&nbsp;of the esophagus (hemorrhagic&nbsp;esophagitis&nbsp;)<\/li><li>Bleeding in the stomach or intestines<\/li><li>Infertility<\/li><li>Multiple organ failure<br><\/li><\/ul>\n\n\n\n<p><strong>Has been reported&nbsp;&nbsp;<\/strong><em>(occurs in an unknown number of users)<\/em>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Liver failure<\/li><li>Kidney failure<\/li><li>Irregular and often fast heart rate (&nbsp;atrial fibrillation&nbsp;)<\/li><li>Painful red or purple rash that spreads and blisters and\/or other damage that begins to appear on the mucous membranes (eg mouth and lips), especially if you have previously had photosensitivity,&nbsp;infection&nbsp;of the respiratory tract (eg&nbsp;bronchitis&nbsp;), and\/or fever.<\/li><li>Rash with combination therapy with rituximab<\/li><li>Pneumonitis<\/li><li>Bleeding from the lungs<\/li><\/ul>\n\n\n\n<p>Tumors&nbsp;(&nbsp;myelodysplastic syndrome,&nbsp;acute&nbsp;myeloid&nbsp;leukemia&nbsp;(AML), bronchial cancer) have been reported after treatment with bendamustine.&nbsp;No clear association with bendamustine could be established.<br><\/p>\n\n\n\n<p>Contact a doctor or seek medical attention immediately if you notice any of the following&nbsp;side effects&nbsp;(no known frequency):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Severe rash, including Steven Johnson&#8217;s syndrome and&nbsp;toxic epidermal necrolysis&nbsp;.&nbsp;These can appear as reddish spot-like spots or circular&nbsp;plaques, often with blisters in the middle of the torso, flaky skin, sores in the mouth, nose, eyes, and genitals and can be followed by fever and&nbsp;flu-like symptoms.<\/li><li>Widespread rash, high body temperature, enlarged&nbsp;lymph nodes,&nbsp;and involvement of other body organs (drug&nbsp;side effect&nbsp;with&nbsp;eosinophilia&nbsp;and systemic symptoms also known as DRESS or drug hypersensitivity syndrome).<br><\/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 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<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Bendamustin Actavis<\/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 use this medicine after the expiry date which is stated on the label and carton after \u201cEXP\u201d.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p><em>Unopened<\/em><\/p>\n\n\n\n<p>No special storage instructions.<br><\/p>\n\n\n\n<p><em>Ready-made concentrate<\/em><\/p>\n\n\n\n<p>The powder should be reconstituted immediately after opening the vial.<\/p>\n\n\n\n<p>The reconstituted concentrate should be diluted immediately with 0.9% sodium chloride solution (see instructions at the end of this leaflet).<br><\/p>\n\n\n\n<p><em>Infusion&nbsp;solution<\/em><\/p>\n\n\n\n<p>After&nbsp;reconstitution&nbsp;and dilution, chemical and physical in-use stability has been demonstrated for 3.5 hours at 25 \u00b0 C \/ 60% RH under normal lighting conditions, and for 2 days at 2 \u00b0 C to 8 \u00b0 C when protected from light in polyethylene bags.<br><\/p>\n\n\n\n<p>From a&nbsp;microbiological&nbsp;point of view, the solution should be used immediately.&nbsp;If the solution is not used immediately, the responsibility for shelf life and storage before use lies with the user.&nbsp;This storage should normally not be longer than 24 hours at 2 \u00b0 C to 8 \u00b0 C unless reconstitution\/dilution has been performed under controlled and validated aseptic conditions.<br><\/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>The active substance is bendamustine hydrochloride.&nbsp;After&nbsp;reconstitution, 1 ml of concentrate contains 2.5 mg of bendamustine hydrochloride.&nbsp;One 26 ml&nbsp;vial contains 25 mg bendamustine hydrochloride.&nbsp;One 60 ml&nbsp;vial&nbsp;contains 100 mg bendamustine hydrochloride.<\/li><li>The other ingredient is mannitol.&nbsp;<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>White to off-white freeze-dried powder.<br><\/p>\n\n\n\n<p>Amber vials (type I) of 26 ml or 60 ml with&nbsp;freeze-drying caps&nbsp;of type I rubber (bromobutyl) and an aluminum lid with polypropylene disc.&nbsp;The vials are enclosed in a protective cover.<br><\/p>\n\n\n\n<p>26 ml vials contain 25 mg bendamustine hydrochloride and are supplied in packs of 1, 5, 10, or 20 vials.<\/p>\n\n\n\n<p>60 ml vials contain 100 mg bendamustine hydrochloride and are supplied in packs of 1 or 5 vials.<br><\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Actavis Group PTC EHF.<\/p>\n\n\n\n<p>Reykjavikurvegur 76-78 Hafnarfjordur<\/p>\n\n\n\n<p>Iceland<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>SC SINDEN-PHARMA SRL<\/p>\n\n\n\n<p>Ion Mihalache Boulevard No.11<\/p>\n\n\n\n<p>Sector 1, 011171, Bucharest<\/p>\n\n\n\n<p>Romania<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bendamustine Actavis is a medicine used to treat certain cancers ( cytostatics ).<\/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":[2202,2200],"tags":[9175,9177,9154,9163,9179,9157,9178,9156,9176],"class_list":["post-5946","post","type-post","status-publish","format-standard","hentry","category-b","category-medicines","tag-bendamustine-actavis","tag-bendamustine-actavis-powder","tag-bendamustine-hydrochloride","tag-bendamustine-hydrochloride-powder","tag-side-effects-of-bendamustine-actavis","tag-side-effects-of-bendamustine-hydrochloride","tag-what-bendamustine-actavis-is-used-for","tag-what-bendamustine-hydrochloride-is-used-for","tag-what-is-bendamustine-actavis"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5946","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=5946"}],"version-history":[{"count":6,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5946\/revisions"}],"predecessor-version":[{"id":12143,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5946\/revisions\/12143"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=5946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=5946"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=5946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}