{"id":6819,"date":"2021-01-14T10:32:44","date_gmt":"2021-01-14T10:32:44","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6819"},"modified":"2021-06-08T07:33:42","modified_gmt":"2021-06-08T07:33:42","slug":"cisplatin-accord","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/cisplatin-accord\/","title":{"rendered":"Cisplatin Accord &#8211; Cisplatin uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n1 mg \/ mL&nbsp;concentrate for&nbsp;infusion&nbsp;solution&nbsp;<br>cisplatin<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Cisplatin Accord is and what it is used for<\/h2>\n\n\n\n<p>Cisplatin belongs to a group of medicines called&nbsp;chemotherapy drugs&nbsp;, which are used to treat cancer.&nbsp;Cisplatin can be used alone but is usually used in combination with other&nbsp;chemotherapy drugs&nbsp;.<br><\/p>\n\n\n\n<p><strong>What is it used for?<\/strong><\/p>\n\n\n\n<p>Cisplatin can destroy cells in the body that can cause certain types of cancer (&nbsp;tumorsin the testicles, ovaries and bladder, epithelial&nbsp;tumors&nbsp;in the head and neck area, lung cancer and, in combination with radiation, cervical cancer).<br><\/p>\n\n\n\n<p>Cisplatin contained in the Cisplatin Accord may also be approved for the treatment of other conditions not mentioned in this leaflet.&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\">2. What you need to know before using Cisplatin Accord<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Cisplatin Accord<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to cisplatin or any of the other ingredients of this medicine (listed in section 6)<\/li><li>if you have a history of hypersensitivity to similar cancer medicines<\/li><li>if you have severe kidney disease<\/li><li>if you have a hearing impairment<\/li><li>If you have a low&nbsp;blood cell count&nbsp;(called &#8220;bone marrow suppression&#8221;), your doctor will check it with a blood test<\/li><li>if you suffer from dehydration<\/li><li>if you need to get the yellow fever vaccine<\/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, pharmacist or nurse before using Cisplatin Accord:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have any symptoms of nerve damage (&nbsp;peripheral&nbsp;neuropathy&nbsp;) such as tingling, numbness or loss of sensation<\/li><li>if you have received radiation treatment to the head.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Cisplatin Accord<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>certain types of&nbsp;antibiotics&nbsp;such as&nbsp;cephalosporins&nbsp;,&nbsp;aminoglycosides&nbsp;and amphotericin B, and certain contrast agents (may be given in conjunction with X-ray examination) may aggravate&nbsp;side effects&nbsp;caused by cisplatin;&nbsp;especially kidney problems.<\/li><li>Certain&nbsp;diuretics&nbsp;(loop&nbsp;diuretics&nbsp;),&nbsp;aminoglycosides&nbsp;(&nbsp;antibiotics&nbsp;) and ifosfamide (anticancer medicines) may aggravate the&nbsp;side effect of&nbsp;hearing loss caused by cisplatin.<\/li><li>bleomycin (anti-cancer drug), methotrexate (used to treat cancer or&nbsp;arthritis&nbsp;) and paclitaxel (anti-cancer drug) in combination with cisplatin may cause more&nbsp;side effects&nbsp;.<\/li><li>Oral blood thinners (&nbsp;anticoagulants&nbsp;) may have a reduced effect in combination with cisplatin.&nbsp;Your doctor will monitor this with blood tests.<\/li><li>Some medicines for hypersensitivity (&nbsp;antihistamines&nbsp;) may mask symptoms of imbalance (eg dizziness or&nbsp;tinnitus&nbsp;).<\/li><li>antispasmodics (anticonvulsants) e.g.&nbsp;phenytoin&nbsp;may have a reduced effect in combination with cisplatin<\/li><li>Side effects&nbsp;caused by ifosfamide (medicines for cancer) can be aggravated by cisplatin.<\/li><\/ul>\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>Due to the risk of birth defects, male and female patients should take contraceptives both during treatment and for at least 6 months after stopping treatment.<br><\/p>\n\n\n\n<p>Treatment with cisplatin may cause permanent (&nbsp;irreversible&nbsp;)&nbsp;infertility&nbsp;in men.&nbsp;It is recommended that men who wish to become fathers in the future seek advice regarding cryopreservation (freeze storage) of semen before treatment.&nbsp;Talk to your doctor if you have any concerns.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Do not drive or use machines if you experience any&nbsp;side effects&nbsp;that may affect your ability to do so.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cisplatin Accord contains sodium<\/h2>\n\n\n\n<p>Cisplatin Accord contains 3.5 mg&nbsp;sodium&nbsp;per ml (main ingredient in cooking \/ table salt).&nbsp;This corresponds to 38.3% of the highest recommended daily intake of&nbsp;sodium for adults.<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.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Cisplatin Accord<\/h2>\n\n\n\n<p><strong>Dosage&nbsp;and&nbsp;route of&nbsp;administration<\/strong><\/p>\n\n\n\n<p>Cisplatin should only be administered by a cancer treatment specialist.<\/p>\n\n\n\n<p>The concentrate is diluted with a sodium chloride solution.<\/p>\n\n\n\n<p>Emergency equipment must be available to deal with anaphylactic reactions.<\/p>\n\n\n\n<p>Cisplatin is only administered as an&nbsp;injection&nbsp;into a vein (&nbsp;intravenous&nbsp;infusion&nbsp;) and should not come into contact with materials containing aluminum.<\/p>\n\n\n\n<p>The recommended dose of cisplatin depends on your general condition, the expected effect of treatment and whether cisplatin is given alone (&nbsp;monotherapy&nbsp;) or in combination with other medicines (&nbsp;combination therapy&nbsp;).<br><\/p>\n\n\n\n<p><em>Cisplatin (&nbsp;monotherapy&nbsp;)<\/em><\/p>\n\n\n\n<p>The following&nbsp;dose&nbsp;is recommended:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>A single dose of 50-120 mg \/ m\u00b2 body surface area every three to four weeks.<\/li><li>15\u201320 mg \/ m\u00b2 per day for a five-day period, every three to four weeks.<\/li><\/ul>\n\n\n\n<p><em>Cisplatin in combination with other chemotherapy (&nbsp;combination therapy&nbsp;)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>20 mg \/ m\u00b2 or more, once every three to four weeks.<\/li><\/ul>\n\n\n\n<p>Cisplatin is used in combination with radiation to treat cervical cancer.<\/p>\n\n\n\n<p>A typical&nbsp;dose&nbsp;is 40 mg \/ m\u00b2 per week for six weeks.<\/p>\n\n\n\n<p>To prevent or reduce kidney problems, we recommend that you drink large amounts of water for 24 hours after cisplatin treatment.&nbsp;Cisplatin Accord should not be given more than once every three to four weeks.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Cisplatin Accord than you should<\/h2>\n\n\n\n<p>Your doctor will decide what&nbsp;dose&nbsp;you should take based on the conditions that apply to you.&nbsp;In case of overdose, the&nbsp;side effects&nbsp;may&nbsp;get worse.&nbsp;Your doctor may give you appropriate treatment for the&nbsp;side effects&nbsp;.&nbsp;Contact a doctor immediately if you think you have used too much cisplatin.<br><\/p>\n\n\n\n<p>Always use this medicine exactly according to the instructions given to you by your doctor or pharmacist.&nbsp;If you are not sure, talk to your doctor or pharmacist.<br><\/p>\n\n\n\n<p><\/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>Contact your doctor immediately if you get any of the following:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>severe&nbsp;allergic reaction&nbsp;&#8211; you experience a sudden itchy rash (&nbsp;hives&nbsp;), swelling of the hands, feet, ankles, face, lips, mouth or throat (which may cause difficulty swallowing or breathing) and you may feel dizzy<\/li><li>severe chest pain that may radiate to the jaw or arm with sweating, shortness of breath and nausea (heart attack)<\/li><li>pain or swelling at the injection site during&nbsp;infusion&nbsp;one (may be due to the fact that&nbsp;infusion&nbsp;one does not enter the blood vessel properly, which can lead to serious damage to the&nbsp;tissue&nbsp;around the injection site)<\/li><li>stroke<\/li><li>disorders of brain function (confusion, slurred speech, sometimes vision loss, memory loss and paralysis).<\/li><\/ul>\n\n\n\n<p>These&nbsp;side effects&nbsp;are serious and you may need&nbsp;urgent&nbsp;care.<br><\/p>\n\n\n\n<p><strong>Very common<\/strong>&nbsp;(may affect more than 1 user in 10)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased bone marrow function (which may affect the production of blood cells)<\/li><li>reduction in the number of&nbsp;white blood cells&nbsp;, which increases the risk of infection (&nbsp;leukopenia&nbsp;)<\/li><li>reduction in the number of&nbsp;platelets&nbsp;, which increases the risk of bruising and bleeding (&nbsp;thrombocytopenia&nbsp;)<\/li><li>decrease in the number of&nbsp;red blood cells&nbsp;which may cause weakness or pale skin (&nbsp;anemia&nbsp;)<\/li><li>decreased amount of&nbsp;sodium&nbsp;in the blood<\/li><li>fever.<\/li><\/ul>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>severe pain or swelling in the legs, chest pain or difficulty breathing (may indicate a blood clot in a vein)<\/li><li>fast, irregular or slow heartbeat<\/li><li>sepsis&nbsp;(blood poisoning).<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>severe&nbsp;allergic reaction&nbsp;(see description above)<\/li><li>damage to the ears (toxicity)<\/li><li>decreased amount of&nbsp;magnesium&nbsp;in the blood<\/li><li>abnormal sperm production.<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>increased risk of&nbsp;acute&nbsp;leukemia<\/li><li>seizures<\/li><li>fainting, headache, confusion and loss of vision<\/li><li>loss of certain types of brain function including brain dysfunction characterized by&nbsp;spasms&nbsp;and decreased consciousness<\/li><li>heart attack<\/li><li>inflammation&nbsp;of the mucous membranes of the mouth (&nbsp;stomatitis&nbsp;)<\/li><li>peripheral&nbsp;neuropathy&nbsp;in the sensory nerves, characterized by tickling,&nbsp;itching&nbsp;or tingling without cause and sometimes by taste, sensory and visual disturbances, sudden cutting pain from the neck down to the back and legs when bending forward.<\/li><\/ul>\n\n\n\n<p><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cardiac arrest.<\/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>signs of&nbsp;infection&nbsp;such as fever or sore throat<\/li><li>hemolytic anemia<\/li><li>inadequate secretion of the&nbsp;hormone&nbsp;et&nbsp;vasopressin&nbsp;(&nbsp;ADH&nbsp;) which can reduce the amount of&nbsp;sodium&nbsp;in the blood and which causes the body to retain fluid<\/li><li>increased level of amylase (&nbsp;enzyme&nbsp;) in the blood<\/li><li>dehydration<\/li><li>decreased amount of&nbsp;calcium&nbsp;,&nbsp;phosphate&nbsp;and&nbsp;potassium&nbsp;in the blood<\/li><li>increased amount of&nbsp;uric acid&nbsp;in the blood<\/li><li>muscle spasms<\/li><li>diseases of the spinal cord that can cause a feeling of electric shock going through the arms and legs<\/li><li>loss of taste<\/li><li>vision problems (blurred vision, impaired color perception, loss of vision or eye pain)<\/li><li>ringing in the ears or deafness<\/li><li>heart problems<\/li><li>unusually cold or pale hands and feet<\/li><li>tingling, numbness or trembling in the hands, feet, arms or legs<\/li><li>persistent headache<\/li><li>feels or is ill<\/li><li>loss of appetite, anorexia<\/li><li>hiccup<\/li><li>diarrhea<\/li><li>increased amount of liver enzymes, increased amount of&nbsp;bilirubin<\/li><li>breathing difficulties<\/li><li>kidney or urine problems<\/li><li>hair loss<\/li><li>rash<\/li><li>extreme fatigue \/ weakness<\/li><li>swelling or tenderness at the injection site<\/li><li>cramps or&nbsp;spasm&nbsp;are<\/li><li>burning or knitting sensation<\/li><li>bruising or bleeding<\/li><li>hemolytic-uremic syndrome that can cause changes in the kidneys and blood.<\/li><\/ul>\n\n\n\n<p>Cisplatin can cause problems in the blood, liver and kidneys.&nbsp;Your doctor will take blood samples to check this.<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 Cisplatin Accord<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Keep the vial in the outer carton.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p><em>Cisplatin Accord 1 mg \/ mL concentrate for&nbsp;infusion&nbsp;solution<\/em><\/p>\n\n\n\n<p>Store in the outer carton.&nbsp;Sensitive to light.&nbsp;Store in a cold place.&nbsp;Do not freeze.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the vial or outer carton after \u201cEXP.&nbsp;that. \u201d.&nbsp;The expiration date is the last day of the specified month.&nbsp;Do not use this medicine if you notice any visible deterioration.<br><\/p>\n\n\n\n<p>All materials used for preparation and&nbsp;administration&nbsp;or that have been in contact with cisplatin in any way should be discarded in accordance with local cytotoxic guidelines.<br><\/p>\n\n\n\n<p>Discard the bottle if the solution is cloudy or contains a&nbsp;precipitate&nbsp;that does not dissolve.<\/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<p>The active substance in Cisplatin Accord is cisplatin.<\/p>\n\n\n\n<p>Each milliliter (ml) of solution contains 1 milligram (mg) of cisplatin.&nbsp;The medicine is supplied in brown glass containers called vials.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Pack sizes<\/td><td>10 ml<\/td><td>25 ml<\/td><td>50 ml<\/td><td>100 ml<\/td><\/tr><tr><td>Cisplatin<\/td><td>10 mg<\/td><td>25 mg<\/td><td>50 mg<\/td><td>100 mg<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>The medicine is sold in packs of one&nbsp;vial&nbsp;(not all pack sizes may be marketed).<br><\/p>\n\n\n\n<p>The other ingredients are water for injections, sodium chloride,&nbsp;hydrochloric acid&nbsp;(for&nbsp;pH&nbsp;adjustment) and \/ or sodium hydroxide (for&nbsp;pH&nbsp;adjustment).<\/p>\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>Cisplatin Accord is a clear, colorless to pale yellow solution in a brown&nbsp;vial&nbsp;, largely free of particles sealed with a snap cap with white clear seal.<br><\/p>\n\n\n\n<p>1 pack of 1&nbsp;vial&nbsp;of 10 ml contains 10 mg of cisplatin.<\/p>\n\n\n\n<p>1 pack of 1&nbsp;vial&nbsp;of 25 ml contains 25 mg of cisplatin.<\/p>\n\n\n\n<p>1 pack of 1&nbsp;vial&nbsp;of 50 ml contains 50 mg of cisplatin.<\/p>\n\n\n\n<p>1 pack of 1&nbsp;vial&nbsp;of 100 ml contains 100 mg of cisplatin.<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><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Accord Healthcare BV&nbsp;<br>Winthontlaan 200&nbsp;<br>3526 kV Utrecht The&nbsp;<br>Netherlands<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Accord Healthcare Limited<\/p>\n\n\n\n<p>Sage House, 319, Pinner Road<\/p>\n\n\n\n<p>North Harrow, Middlesex<\/p>\n\n\n\n<p>HA1 4HF<\/p>\n\n\n\n<p>UK<br><\/p>\n\n\n\n<p>Accord Healthcare Polska Sp.z oo,<\/p>\n\n\n\n<p>ul.&nbsp;Lutomierska 50,95-200 Pabianice, Poland<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cisplatin belongs to a group of medicines called chemotherapy drugs , which are used to treat cancer. Cisplatin can be used alone but is usually used in combination with other chemotherapy drugs .<\/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":[7118,7134,7138,7136,7137,7133,7120,7121,2212,7119,7135],"class_list":["post-6819","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-cisplatin","tag-cisplatin-accord","tag-cisplatin-accord-dose","tag-cisplatin-accord-side-effects","tag-cisplatin-accord-uses","tag-cisplatin-dose","tag-cisplatin-side-effects","tag-cisplatin-uses","tag-medicine","tag-what-is-cisplatin","tag-what-is-cisplatin-accord"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6819","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=6819"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6819\/revisions"}],"predecessor-version":[{"id":11416,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6819\/revisions\/11416"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6819"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6819"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6819"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}