{"id":6663,"date":"2021-01-11T13:37:05","date_gmt":"2021-01-11T13:37:05","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6663"},"modified":"2021-06-11T14:16:58","modified_gmt":"2021-06-11T14:16:58","slug":"cerubidin","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/cerubidin\/","title":{"rendered":"Cerubidin &#8211; Daunorubicin uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n20 mg&nbsp;powder for&nbsp;infusion&nbsp;solution&nbsp;<br>Daunorubicin<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Cerubidin is and what it is used for<\/h2>\n\n\n\n<p>Cerubidin is a medicine used to&nbsp;treat leukemia&nbsp;(cancer of the blood).&nbsp;Drugs used to treat cancer are often called&nbsp;chemotherapy drugs&nbsp;and Cerubidin belongs to a group of&nbsp;chemotherapy drugs&nbsp;called&nbsp;anthracyclines.&nbsp;These work by disrupting the growth of cancer cells.<br><\/p>\n\n\n\n<p>Leukemia&nbsp;is a collective name for a number of different diseases that affect the white&nbsp;blood cells&nbsp;so that they increase in number in an abnormal and uncontrollable way.<br><\/p>\n\n\n\n<p>The drug is used in the treatment of:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rapidly progressing&nbsp;leukemia&nbsp;in adults<\/li><li>in the treatment of certain types of rapidly progressing&nbsp;leukemia&nbsp;in children (as part of combination therapy of different drugs).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before you use Cerubidin<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Cerubidin<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to daunorubicin or any of the other ingredients of this medicine (listed in section 6)<\/li><li>if you know you are allergic to&nbsp;anthracycline&nbsp;you<\/li><li>if your&nbsp;bone marrow&nbsp;is affected with disturbed\/impaired blood cell production<\/li><li>if you have a serious&nbsp;infection<\/li><li>if you have severe hepatic or renal impairment<\/li><li>if you have&nbsp;heart failure<\/li><li>if you have recently had a heart attack<\/li><li>if you have severe heart rhythm problems<\/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>Talk to your doctor before taking Cerubidin:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have previously received radiotherapy as there may be an increased risk of local reactions in the same area during treatment with Cerubidin.<\/li><li>if you are older<\/li><li>if you have\/have had heart disease or high&nbsp;blood pressure<\/li><li>If you have&nbsp;heart failure&nbsp;or if you have recently had a heart attack, do not use Cerubidin<\/li><li>if you are also taking medicines that can&nbsp;inhibit the&nbsp;contractions of the heart or medicines that can be harmful to the heart, such as <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/trazimera\/\">trastuzumab<\/a><\/li><li>if you have kidney problems<\/li><li>if you have liver problems<\/li><li>if you are deficient in certain types of blood cells<\/li><li>if you have an&nbsp;infection&nbsp;(&nbsp;infection&nbsp;should be treated before starting treatment with Cerubidin)<\/li><li>if you have previously taken Cerubidin or another similar medicine as it may increase the risk of serious heart problems.<\/li><li>if you are going to undergo a vaccination<\/li><\/ul>\n\n\n\n<p>Vaccination with live vaccines should be avoided.&nbsp;Killed or inactivated vaccines can be given, but it is not certain that you will get the full effect.<br><\/p>\n\n\n\n<p>Cerubidin provides a reduced activity in the&nbsp;bone marrow&nbsp;and to avoid complications associated with it, your doctor will monitor your blood levels closely to be able to take any action quickly.&nbsp;One usually recovers 2-3 weeks after the last&nbsp;injection&nbsp;one.<br><\/p>\n\n\n\n<p>This type of drug affects the body&#8217;s production of immune cells.&nbsp;This can make you more susceptible to serious&nbsp;infections.<br><\/p>\n\n\n\n<p>Cerubidin may cause nausea and vomiting which may lead to dehydration.&nbsp;Consult a doctor if you are bothered by this.<br><\/p>\n\n\n\n<p>Intestinal inflammation (&nbsp;colitis&nbsp;) has been reported with the use of daunorubicin.&nbsp;See section 4, Possible&nbsp;side effects.<br><\/p>\n\n\n\n<p>Your doctor will also monitor your heart function before, during, and after treatment with Cerubidin.&nbsp;This is to be able to identify the risk of heart complications that may occur.<br><\/p>\n\n\n\n<p>The treating physician considers the pros and cons and decides in each case which treatment to give and the physician will take blood samples to check your blood levels.<br><\/p>\n\n\n\n<p>A neurological disorder called PRES has been reported when treatment with daunorubicin has been used in combination with other cancer treatments.&nbsp;PRES can cause symptoms such as headaches, seizures, lethargy, confusion, and visual disturbances.&nbsp;If you experience any of these symptoms, consult your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Cerubidin<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.&nbsp;Cerubidin may affect or be affected by other medicines, which may increase the risk of&nbsp;side effects.&nbsp;These other drugs are mainly:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cardiac drugs (eg calcium channel blockers).&nbsp;Concomitant use with Cerubidin may affect the heart.<\/li><li>other drugs that can affect the&nbsp;bone marrow, such as cytarabine and cyclophosphamide (medicines for cancer),&nbsp;sulfonamides&nbsp;and chloramphenicol (medicines for bacterial infections), diphenylhydantoin (medicines for&nbsp;epilepsy&nbsp;), amidopyrine derivatives (medicines for pain and fever), and certain medicines for&nbsp;viruses.<\/li><li>drugs that can affect the liver (eg methotrexate, which is used against cancer, among other things).<\/li><li>sulfonamides&nbsp;and certain diuretics.&nbsp;Concomitant use with Cerubidin may lead to an increase in the amount of&nbsp;uric acid&nbsp;in the blood (hyperuricemia).<\/li><li>anticoagulants (eg&nbsp;acetylsalicylic acid&nbsp;).&nbsp;May lead to an increased tendency to bleed if you have reduced&nbsp;platelet counts.<\/li><\/ul>\n\n\n\n<p>It is important to know that the intake and uptake\/effect of other medicines can be affected by mucositis that can occur in the mouth and in the gastrointestinal tract during treatment with Cerubidin.<\/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>You should not use Cerubidin during pregnancy unless you and your doctor decide that the benefit to you outweighs the potential risk to you and your unborn baby.<br><\/p>\n\n\n\n<p>If you are a woman of&nbsp;childbearing potential, you should use effective contraception.<br><\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>Cerubidin should not be used during breastfeeding as there is no information on whether Cerubidin passes into breast milk.<br><\/p>\n\n\n\n<p><strong>Fertility<\/strong><\/p>\n\n\n\n<p>Cerubidin may affect male and female&nbsp;fertility.<br><\/p>\n\n\n\n<p>Cerubidin can cause chromosomal damage in sperm.&nbsp;If you are a man, you should get advice on freezing sperm before starting Cerubidin treatment.<\/p>\n\n\n\n<p>Men undergoing treatment must use effective contraception during and up to 6 months after stopping treatment.<br><\/p>\n\n\n\n<p>If you are a woman of&nbsp;childbearing potential, you must use an effective method of contraception during treatment with Cerubidin.<br><\/p>\n\n\n\n<p>If you want to get pregnant after stopping Cerubidine treatment, you should get genetic counseling before starting Cerubidin treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Cerubidin may affect your ability to drive or use machines due to possible&nbsp;side effects&nbsp;of the treatment such as nausea and vomiting.<\/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 increased 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 Cerubidin<\/h2>\n\n\n\n<p>Treatment with Cerubidin takes place in a hospital and should be initiated by or in consultation with a physician with extensive experience in chemotherapy.<br><\/p>\n\n\n\n<p>Cerubidine can be given alone or in combination with other medicines.<br><\/p>\n\n\n\n<p>It is given as an&nbsp;infusion&nbsp;into one of your veins (&nbsp;intravenously&nbsp;).<\/p>\n\n\n\n<p>Tell your doctor or nurse immediately if you feel a burning sensation around the area where Cerubidin is given.&nbsp;This may be because the medicine has ended up outside the infusion site and the&nbsp;infusion&nbsp;should then be stopped and other measures may need to be taken.<br><\/p>\n\n\n\n<p>Dose&nbsp;one is individually adjusted to your body weight.&nbsp;Your doctor will decide how often you should receive treatment depending on how you respond to the medication.<br><\/p>\n\n\n\n<p>Your health condition will be closely monitored during treatment with Cerubidin, which may include blood tests, urine tests, and monitoring of heart function (&nbsp;ECG&nbsp;).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use for children and adolescents<\/h2>\n\n\n\n<p>Dosage&nbsp;of Cerubidin in children older than 2 years is usually based on body surface area and is adjusted for each individual patient.&nbsp;Normally the course is repeated after 3-6 weeks.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor 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>Stop taking Cerubidin and contact&nbsp;&nbsp;<strong>a<\/strong>&nbsp;doctor&nbsp;<strong>immediately<\/strong>&nbsp;or see the nearest emergency department if you experience the following symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fever, shortness of breath, or palpitations can be signs of a serious&nbsp;infection, which can sometimes be fatal (eg blood poisoning,&nbsp;septic&nbsp;shock,&nbsp;pneumonia&nbsp;).&nbsp;(Very common &#8211; affects more than 1 user in 10).<\/li><li>If you have heart problems with symptoms such as shortness of breath and swollen legs.&nbsp;(Common &#8211; affects more than 1 user in 100).<\/li><li>Allergic reactions (&nbsp;hypersensitivity reactions&nbsp;).&nbsp;Symptoms of an&nbsp;allergic reaction may include swelling of the eyelids, face, or lips, low&nbsp;blood pressure, palpitations, sudden itchy rash (hives), sudden wheezing, chest tightness, shortness of breath, and dizziness.&nbsp;(Has been reported &#8211; occurs in an unknown number of users).<\/li><li>Diarrhea, abdominal pain, mucus, or blood in the stool, may be a sign of intestinal inflammation (&nbsp;colitis&nbsp;).&nbsp;(Has been reported &#8211; occurs in an unknown number of users).<\/li><\/ul>\n\n\n\n<p><strong>Other side effects:<\/strong><\/p>\n\n\n\n<p><em>Very common<\/em>&nbsp;(affects more than 1 user in 10)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Blood effects<\/li><li>Bone marrow Effect &#8211; Reduced blood formation in the&nbsp;bone marrow&nbsp;one which can give rise to&nbsp;infection&nbsp;s<\/li><li>Impact on the heart muscles<\/li><li>Bleeding<\/li><li>Diarrhea<\/li><li>Inflammation&nbsp;of the esophagus<\/li><li>Inflammation&nbsp;of the oral mucosa or mucous membranes of the esophagus<\/li><li>Nausea\/vomiting<\/li><li>Skin effects (skin rash,&nbsp;redness&nbsp;)<\/li><li>Hair loss<\/li><li>Pain<\/li><li>Laboratory values \u200b\u200bthat are linked to liver function may be affected<\/li><\/ul>\n\n\n\n<p><em>Common<\/em>&nbsp;(affects more than 1 user in 100)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Abdominal pain<\/li><li>Local&nbsp;inflammation&nbsp;in a friend<\/li><li>When measuring heart activity with&nbsp;ECG&nbsp;(electrocardiography), abnormalities can be seen<\/li><\/ul>\n\n\n\n<p><em>Uncommon<\/em>&nbsp;(affects less than 1 user in 100)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Blood cancers (secondary&nbsp;leukemia&nbsp;) including rapidly progressing blood cancers (&nbsp;acute&nbsp;myeloid&nbsp;leukemia&nbsp;) and affecting the white&nbsp;blood cells&nbsp;(&nbsp;myelodysplastic syndrome&nbsp;).<\/li><li>Myocardial infarction<\/li><\/ul>\n\n\n\n<p><em>Has been reported<\/em>&nbsp;(occurs in an unknown number of users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Dehydration<\/li><li>Degradation of cancer cells (&nbsp;Tumor&nbsp;light&nbsp;syndrome);&nbsp;acute elevated uric acid levels in the blood (with possible impairment of renal function)<\/li><li>Angina pectoris<\/li><li>Increase of the connective tissue in the heart muscle<\/li><li>Myocarditis\/myocarditis<\/li><li>Irregular heartbeat<\/li><li>Feeling of warmth<\/li><li>Shock<\/li><li>Lack of oxygen in&nbsp;tissue&nbsp;are<\/li><li>Liver inflammation<\/li><li>Liver failure<\/li><li>&nbsp;Inflammation of the skin (&nbsp;contact dermatitis&nbsp;)<\/li><li>Skin itching<\/li><li>Hypersensitivity to irradiated skin (&#8220;radiation recall reaction&#8221;)<\/li><li>Hyperpigmentation&nbsp;of skin and nails<\/li><li>Hives<\/li><li>Red urine for 1-2 days after&nbsp;administration<\/li><li>Absence of menstruation<\/li><li>Reduced number of sperm (&nbsp;azoospermia&nbsp;)<\/li><li>Overindulge<\/li><li>That&nbsp;infusion&nbsp;one ends up outside the vein (perivenous extravasation)<\/li><li>Death<\/li><li>Hardening of veins<\/li><li>Inflammation&nbsp;and clot in a superficial vein (&nbsp;thrombophlebitis&nbsp;)<\/li><li>Thickening of the venous wall (phlebosclerosis)<\/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 Cerubidin<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>The solution must be protected from direct sunlight.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;That.&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<p>Waste that has been in contact with Cerubidin must be handled in accordance with current procedures for hazardous waste.&nbsp;When disposing of any spills, use protective equipment as shown below.&nbsp;Contaminated surfaces are rinsed with copious amounts of water.&nbsp;Glass shards and drying materials are treated as hazardous waste.&nbsp;Residues of Cerubidin can be inactivated with sodium hypochlorite solution if necessary.<\/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 daunorubicin hydrochloride<\/li><li>The other ingredients are 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>A colorless vial containing 20 mg powder for&nbsp;solution&nbsp;for&nbsp;infusion.<\/p>\n\n\n\n<p>Pack size: 10 x 20 mg<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><em>Marketing Authorisation Holder<\/em><\/p>\n\n\n\n<p>Sanofi AB, Box 30052, 104 25 Stockholm<br><\/p>\n\n\n\n<p><em>Manufacturer<\/em><\/p>\n\n\n\n<p>Cenexi Laboratories Thissen<\/p>\n\n\n\n<p>2-6, rue de la Papyr\u00e9e 1420 Braine L\u00b4Alleud<\/p>\n\n\n\n<p>Belgium<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cerubidin is a medicine used to treat leukemia (cancer of the blood). Drugs used to treat cancer are often called chemotherapy drugs and Cerubidin belongs to a group of chemotherapy drugs called anthracyclines. These work by disrupting the growth of cancer cells.<\/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":[2203,2200],"tags":[7416,7419,7418,7412,7415,7414,2212,2328,7417,7413],"class_list":["post-6663","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-cerubidin","tag-cerubidin-powder","tag-cerubidin-side-effects","tag-daunorubicin","tag-daunorubicin-powder","tag-daunorubicin-side-effects","tag-medicine","tag-powder","tag-what-is-cerubidin","tag-wht-is-daunorubicin"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6663","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=6663"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6663\/revisions"}],"predecessor-version":[{"id":11509,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6663\/revisions\/11509"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6663"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6663"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6663"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}