{"id":5952,"date":"2020-12-29T14:59:02","date_gmt":"2020-12-29T14:59:02","guid":{"rendered":"https:\/\/zeepedia.com\/?p=5952"},"modified":"2021-07-06T06:38:19","modified_gmt":"2021-07-06T06:38:19","slug":"bendamustine-medac","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/bendamustine-medac\/","title":{"rendered":"Bendamustine medac &#8211; Bendamustine hydrochloride uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n2.5 mg \/ ml&nbsp;powder for concentrate for&nbsp;infusion&nbsp;solution&nbsp;<br>bendamustine hydrochloride<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Bendamustine medac is and what it is used for<\/h2>\n\n\n\n<p>Bendamustine medac is a medicine that contains an active substance called bendamustine hydrochloride (hereafter referred to as bendamustine).<\/p>\n\n\n\n<p>Bendamustine medac is a medicine used to treat certain cancers (&nbsp;cytostatics&nbsp;).<\/p>\n\n\n\n<p>Bendamustine medac is used as the sole medicine or in combination with other medicines 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&nbsp;lymphoma&nbsp;when the results of previous rituximab treatment have been short-lived or completely absent<\/li><li>multiple&nbsp;myeloma&nbsp;when high-dose&nbsp;chemotherapy&nbsp;with&nbsp;autologous&nbsp;stem cell transplantation&nbsp;(transplantation with own&nbsp;stem cells&nbsp;) or treatment with thalidomide or bortezomib is not appropriate.<\/li><\/ul>\n\n\n\n<p>Bendamustine hydrochloride contained in Bendamustine medac 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 using Bendamustine medac<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Bendamustine medac<\/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>if you are breastfeeding;&nbsp;if treatment with bendamustine is necessary while breast-feeding, breast-feeding must be stopped (see section Pregnancy, breast-feeding and&nbsp;fertility&nbsp;).<\/li><li>if you have severe liver failure (liver damage).<\/li><li>if the skin or whites of the eyes are yellow due to liver or blood problems (jaundice).<\/li><li>if you have severely impaired&nbsp;bone marrow&nbsp;function&nbsp;(bone marrow depression) and the number of&nbsp;white blood cells&nbsp;and \/ or&nbsp;platelets&nbsp;is very low.<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have undergone major surgery within 30 days before starting treatment.<\/li><li>if you have an&nbsp;infection&nbsp;, especially if it is associated with low&nbsp;white blood cell count&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 or nurse before using Bendamustine medac:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if the&nbsp;<strong>ability to form&nbsp;blood cells&nbsp;in your&nbsp;bone marrow&nbsp;is impaired<\/strong>&nbsp;.&nbsp;The number of&nbsp;white blood cells&nbsp;and&nbsp;platelets&nbsp;should be checked before starting treatment with Bendamustine medac, before each new course and between courses.<\/li><li>if you have an&nbsp;<strong>infection<\/strong>&nbsp;.&nbsp;Contact a doctor if you have signs of&nbsp;infection&nbsp;, e.g.&nbsp;fever or lung problems.<\/li><li>if you already have any&nbsp;<strong>heart disease<\/strong>&nbsp;(eg heart attack, chest pain, severe heart rhythm disturbances).<\/li><\/ul>\n\n\n\n<p>Talk to your doctor or nurse while taking Bendamustine medac:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you&nbsp;<strong>experience nausea and \/ or vomiting<\/strong>&nbsp;.&nbsp;Your doctor may give you a medicine that reduces nausea.<\/li><li>if you feel&nbsp;<strong>pain in the side, have blood in the urine or if your urine volume decreases<\/strong>&nbsp;.&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;and \/ or heart problems within 48 hours of the first&nbsp;dose of&nbsp;a Bendamustine medac.&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 any&nbsp;<strong>skin reaction<\/strong>&nbsp;when treated with Bendamustine medac.&nbsp;These reactions may 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 a&nbsp;<strong>severe&nbsp;allergic reaction&nbsp;or&nbsp;hypersensitivity reaction<\/strong>&nbsp;.&nbsp;Pay attention to infusion-related reactions (eg fever, chills,&nbsp;itching&nbsp;or rash) after the first course of treatment.<\/li><\/ul>\n\n\n\n<p>Men treated with Bendamustine medac should avoid having children during treatment and for 6 months after stopping treatment.&nbsp;Find out the possibilities of storing sperm before starting treatment &#8211; treatment with Bendamustine medac can lead to permanent&nbsp;infertility&nbsp;(sterility) (see section Pregnancy, breast-feeding and&nbsp;fertility&nbsp;).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>There is no experience with the use of bendamustine hydrochloride in children and adolescents.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Bendamustine medac<\/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>Other drugs can be affected by bendamustine hydrochloride, which in turn can affect the way bendamustine hydrochloride works.&nbsp;Bendamustine hydrochloride can affect and be affected by the following drugs:<br><\/p>\n\n\n\n<p>If Bendamustine medac is used with other medicines that inhibit the formation of&nbsp;blood cells&nbsp;in the&nbsp;bone marrow&nbsp;, the effect on the&nbsp;bone marrow&nbsp;can be&nbsp;strengthened.<br><\/p>\n\n\n\n<p>About Bendamustine medac is used with a medicine that affects your&nbsp;immune response&nbsp;, the effect on the&nbsp;immune response&nbsp;et reinforced.<br><\/p>\n\n\n\n<p>Chemotherapy&nbsp;can reduce the effectiveness of live&nbsp;virus&nbsp;vaccination&nbsp;.&nbsp;Cytostatics also increase the risk of&nbsp;infection&nbsp;after vaccination with live vaccine (eg vaccine against viral diseases).<br><\/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><em>Pregnancy<\/em><\/p>\n\n\n\n<p>Bendamustine medac can damage the hereditary system and has caused malformations in experimental animals.&nbsp;Bendamustine medac should not be used during pregnancy unless clearly indicated by a doctor.&nbsp;If you need to be treated during pregnancy, talk to your doctor about the risk of birth defects and the need for genetic counseling.<br><\/p>\n\n\n\n<p><em>Fertility<\/em><\/p>\n\n\n\n<p>If you are a woman and could become pregnant, you must use an effective method of contraception both before and during treatment with Bendamustine medac.&nbsp;If you become pregnant while being treated with Bendamustine medac, contact your doctor immediately and ask for genetic counseling.<br><\/p>\n\n\n\n<p>If you are a man, you should avoid having children when you are treated with Bendamustine medac and for another 6 months after stopping treatment.&nbsp;Bendamustine medac can lead to&nbsp;infertility&nbsp;, so it may be a good idea to find out about the possibility of storing your sperm before starting treatment.<br><\/p>\n\n\n\n<p><em>Breast-feeding<\/em><\/p>\n\n\n\n<p>Bendamustine medac must not be used during breast-feeding.&nbsp;If treatment with Bendamustine medac is necessary while breast-feeding, breast-feeding must be stopped.<br><\/p>\n\n\n\n<p>Ask your doctor or pharmacist for advice before taking any medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Bendamustine hydrochloride has a significant effect 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.<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\">3. How to use Bendamustine medac<\/h2>\n\n\n\n<p>Bendamustine medac is given as a drip into a vein for 30\u201160 minutes.&nbsp;Dosage&nbsp;varies and the drug can be given either as a single treatment or in combination with other drugs.<br><\/p>\n\n\n\n<p>Treatment should not be initiated if the&nbsp;white blood cell count&nbsp;and \/ or&nbsp;platelet counties lower than certain levels.<br><\/p>\n\n\n\n<p>These values \u200b\u200bare tested regularly.<br><\/p>\n\n\n\n<p><em>Chronic lymphocytic leukemia<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>100 mg Bendamustine medac per square meter body area (calculated based on your weight and height): days 1 and 2<\/li><li>The course is repeated at 4-week intervals up to 6 times<\/li><\/ul>\n\n\n\n<p><em>Non-Hodgkin&#8217;s&nbsp;lymphoma<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>120 mg Bendamustine medac per square meter body area (calculated based on your weight and height): days 1 and 2<\/li><li>The course is repeated at 3-week intervals at least 6 times<\/li><\/ul>\n\n\n\n<p><em>Multiple&nbsp;myeloma<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>120\u2011150 mg Bendamustine medac per square meter body area (calculated based on your weight and height): days 1 and 2<\/li><li>60 mg prednisone per square meter body surface area (calculated based on your weight and height)&nbsp;intravenously&nbsp;(injected into a vein) or orally (orally): day 1\u20114<\/li><li>The course is repeated at 4-week intervals at least 3 times<\/li><\/ul>\n\n\n\n<p>Treatment must be stopped if the&nbsp;white blood cell count&nbsp;and \/ or&nbsp;platelet count&nbsp;drops to certain levels.&nbsp;Treatment can be continued when the number of&nbsp;white blood cells and&nbsp;platelets&nbsp;has increased.<br><\/p>\n\n\n\n<p><em>Hepatic or renal impairment<\/em><\/p>\n\n\n\n<p>Depending on the degree of hepatic impairment, it may be necessary to adjust&nbsp;someone (30% adjustment in patients with moderate hepatic impairment).&nbsp;Bendamustine medac must not be used if you have severe hepatic impairment.&nbsp;No dose adjustment is required in patients with renal impairment.&nbsp;The attending physician decides if a dose adjustment is necessary.<br><\/p>\n\n\n\n<p><em>How the medicine is given<\/em><\/p>\n\n\n\n<p>Treatment with Bendamustine medac must be done under the supervision of a physician experienced in the treatment of cancer.&nbsp;Your doctor will prescribe the&nbsp;dose of Bendamustine medac that is right for you and will take the necessary precautions.<br><\/p>\n\n\n\n<p>The prescribed infusion solution is given as an&nbsp;intravenous&nbsp;infusion&nbsp;for 30-60 minutes.<br><\/p>\n\n\n\n<p><em>Length of treatment<\/em><\/p>\n\n\n\n<p>There are no set time limits for how long treatment with Bendamustine medac should be given.&nbsp;The duration of treatment depends on the disease and on the effect of the treatment.<\/p>\n\n\n\n<p>If you have any further questions, or if you have any further questions on the use of Bendamustine medac, ask your doctor or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Bendamustine medac<\/h2>\n\n\n\n<p>If a&nbsp;dose&nbsp;of Bendamustine medac 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 Bendamustine medac<\/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.<\/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>Contact a doctor or seek medical attention immediately if you notice any of the following&nbsp;side effects&nbsp;(no known frequency):<br><\/p>\n\n\n\n<p>Severe rash, including Steven Johnson&#8217;s syndrome and&nbsp;toxic epidermal necrolysis.&nbsp;These can appear as reddish spot-like spots or circular&nbsp;plaques&nbsp;, 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&nbsp;.<br><\/p>\n\n\n\n<p>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><\/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 needle is inserted may be a sign that the medicine has ended up outside the blood vessel.&nbsp;This can cause pain and difficult to heal skin lesions.<\/p>\n\n\n\n<p>The&nbsp;side effect&nbsp;of Bendamustine medac that is dose-limiting is weakened bone marrow function.<\/p>\n\n\n\n<p>In general, bone marrow function returns to normal after treatment.&nbsp;Bone marrow failure may lead to reduced&nbsp;blood cell&nbsp;s, which in turn can lead to increased risk of&nbsp;infection&nbsp;you,&nbsp;anemia&nbsp;(&nbsp;anemia&nbsp;) or increased risk of bleeding.<br><\/p>\n\n\n\n<p><strong>Very common&nbsp;<\/strong>side effects&nbsp;(may affect more than 1 user in 10)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>low&nbsp;white blood cell count&nbsp;(&nbsp;leukopenia&nbsp;)<\/li><li>decreased hemoglobin value (&nbsp;hemoglobin&nbsp;is the red dye in the blood)<\/li><li>low&nbsp;platelet count&nbsp;(&nbsp;thrombocytopenia&nbsp;)<\/li><li>infection&nbsp;is<\/li><li>nausea<\/li><li>vomiting<\/li><li>mucositis<\/li><li>increased creatinine levels in the blood<\/li><li>increased urea value in the blood<\/li><li>fever<\/li><li>fatigue<\/li><li>headache<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;<\/strong>side effects&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>bleeding<\/li><li>disturbed metabolism due to dying cancer cells that release their contents into the bloodstream (tumor lysis syndrome)<\/li><li>decreased number of&nbsp;red blood cells&nbsp;(&nbsp;anemia&nbsp;), which may cause paleness, weakness or shortness of breath<\/li><li>low number of&nbsp;neutrophils&nbsp;(&nbsp;neutropenia&nbsp;)<\/li><li>hypersensitivity reactions&nbsp;, e.g.&nbsp;allergic&nbsp;dermatitis&nbsp;(&nbsp;dermatitis&nbsp;),&nbsp;hives&nbsp;(&nbsp;urticaria&nbsp;)<\/li><li>elevated levels of the liver enzymes AST \/ ALT<\/li><li>elevated value of&nbsp;enzyme&nbsp;an alkaline phosphatase (AFOS)<\/li><li>increased value of&nbsp;bilirubin&nbsp;(bile dye)<\/li><li>low potassium levels in the blood<\/li><li>disturbed cardiac function (palpitations, angina)<\/li><li>arrhythmias in the heart (&nbsp;arrhythmia&nbsp;)<\/li><li>low or high&nbsp;blood pressure&nbsp;(&nbsp;hypotension&nbsp;or&nbsp;hypertension&nbsp;)<\/li><li>disturbed lung function<\/li><li>diarrhea<\/li><li>constipation<\/li><li>pain in the mouth (inflammation of the mouth)<\/li><li>loss of appetite<\/li><li>hair loss<\/li><li>skin changes<\/li><li>absent 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;)<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;<\/strong>side effects&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>accumulation of fluid in the pericardium (fluid enters the pericardium surrounding the heart)<\/li><li>impaired formation of all types of&nbsp;blood cells&nbsp;(&nbsp;myelodysplastic syndrome&nbsp;)<\/li><li>acute&nbsp;leukemia<\/li><li>heart attack, chest pain<\/li><li>heart failure<\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;<\/strong>side effects&nbsp;(may affect up to 1 in 1,000 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>blood poisoning (&nbsp;sepsis&nbsp;)<\/li><li>severe allergic&nbsp;hypersensitivity reactions&nbsp;(anaphylactic reactions)<\/li><li>symptoms reminiscent of anaphylactic reactions (anaphylactoid reactions)<\/li><li>drowsiness<\/li><li>lose your voice<\/li><li>sudden&nbsp;circulatory failure<\/li><li>redness (&nbsp;erythema&nbsp;)<\/li><li>dermatitis&nbsp;(&nbsp;dermatitis&nbsp;)<\/li><li>itching<\/li><li>skin rash (macular exanthema)<\/li><li>heavy sweating<\/li><li>impaired bone marrow function, which may make you feel sick or may be seen on blood tests<\/li><\/ul>\n\n\n\n<p><strong>Very rare&nbsp;<\/strong>side effects&nbsp;(may affect up to 1 in 10,000 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>pneumonia<\/li><li>degradation of&nbsp;red blood cells<\/li><li>rapid fall in blood pressure, sometimes with skin reactions or rash (anaphylactic&nbsp;shock&nbsp;)<\/li><li>disturbed sense of taste<\/li><li>disturbed sensation (&nbsp;paresthesia&nbsp;)<\/li><li>discomfort and pain in arms and legs (&nbsp;peripheral&nbsp;neuropathy&nbsp;)<\/li><li>nervous system disorder, so-called anticholinergic syndrome<\/li><li>neurological disorders<\/li><li>disturbed coordination<\/li><li>brain inflammation (&nbsp;encephalitis&nbsp;)<\/li><li>increased heart rate (&nbsp;tachycardia&nbsp;)<\/li><li>inflammation&nbsp;of veins (&nbsp;phlebitis&nbsp;)<\/li><li>formation of connective tissue in the lungs (&nbsp;pulmonary fibrosis&nbsp;)<\/li><li>esophagitis with bleeding (bleeding&nbsp;esophagitis&nbsp;)<\/li><li>bleeding in the stomach or intestines<\/li><li>infertility&nbsp;(inability to conceive and have children)<\/li><li>impaired function in several organs (multiple organ failure)<\/li><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>&nbsp;(occurs in an unknown number of users)<\/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><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 Bendamustine medac<\/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 EXP.&nbsp;The first two digits indicate the month and the last four digits indicate the year.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Keep the vial in the outer carton.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p><strong>Shelf life after opening the medicine pack or&nbsp;preparing the&nbsp;infusion solution<\/strong><\/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 and for 2 days at 2 \u00b0 C to 8 \u00b0 C in polyethylene bags.<\/p>\n\n\n\n<p>From a&nbsp;microbiological&nbsp;point of view, the product should be used immediately.&nbsp;If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and would normally not be longer than 24 hours at 2 \u00b0 C to 8 \u00b0 C, unless reconstitution \/ dilution (etc.) has taken place under controlled and validated aseptic conditions. .<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<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is bendamustine hydrochloride.<\/li><\/ul>\n\n\n\n<p>1&nbsp;vial&nbsp;contains 25 mg bendamustine hydrochloride.<\/p>\n\n\n\n<p>1&nbsp;vial&nbsp;contains 100 mg bendamustine hydrochloride.<\/p>\n\n\n\n<p>After&nbsp;reconstitution&nbsp;, 1 ml of concentrate contains 2.5 mg of bendamustine hydrochloride.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The other ingredient is mannitol.<\/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 lyophilised powder in an&nbsp;amber glass&nbsp;vial&nbsp;with a stopper and an aluminum snap cap.<br><\/p>\n\n\n\n<p>Type I glass vials of 25 ml.<\/p>\n\n\n\n<p>Type I glass vials of 50 ml.<br><\/p>\n\n\n\n<p>Bendamustine medac is available in packs of 1, 5 or 10 vials each containing 25 mg bendamustine hydrochloride and 1 or 5 vials each containing 100 mg bendamustine hydrochloride.<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 Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>medac society for clinical specialties mbH<\/p>\n\n\n\n<p>Theaterstr.&nbsp;6<\/p>\n\n\n\n<p>22880 Wedel<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Denmark<\/td><td>Bendamedac 2.5 mg \/ ml<\/td><\/tr><tr><td>France<\/td><td>Bendamustine medac 2.5 mg\/ml powder for dilution solution for&nbsp;perfusion<\/td><\/tr><tr><td>Iceland<\/td><td>Bendamustine medac 2.5 mg \/ ml<\/td><\/tr><tr><td>Italy<\/td><td>Bendamustine medac<\/td><\/tr><tr><td>Lithuania<\/td><td>Bendamustine medac 2.5 mg \/ ml milteliai infuzinio tirpalo concentratui<\/td><\/tr><tr><td>Netherlands<\/td><td>Bendamustine&nbsp;HCl&nbsp;medac 2.5 mg \/ ml, powder for concentrate for solution for infusion<\/td><\/tr><tr><td>UK<\/td><td>Bendamustine hydrochloride 2.5 mg \/ ml Powder for concentrate for solution for&nbsp;infusion<\/td><\/tr><tr><td><\/td><td><\/td><\/tr><tr><td>Germany<\/td><td>Bendamustin medac 2.5 mg \/ ml powder for concentrate for infusion<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Bendamustine medac is a medicine that contains an active substance called bendamustine hydrochloride (hereafter referred to as bendamustine).<\/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":[9154,9158,9161,2212,9157,9162,9156,9160,9155,9159],"class_list":["post-5952","post","type-post","status-publish","format-standard","hentry","category-b","category-medicines","tag-bendamustine-hydrochloride","tag-bendamustine-medac","tag-bendamustine-medac-side-effects","tag-medicine","tag-side-effects-of-bendamustine-hydrochloride","tag-side-effects-of-bendamustine-medac","tag-what-bendamustine-hydrochloride-is-used-for","tag-what-bendamustine-medac-is-used-for","tag-what-is-bendamustine-hydrochloride","tag-what-is-bendamustine-medac"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5952","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=5952"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5952\/revisions"}],"predecessor-version":[{"id":12140,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5952\/revisions\/12140"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=5952"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=5952"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=5952"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}