{"id":7196,"date":"2021-02-19T12:19:36","date_gmt":"2021-02-19T12:19:36","guid":{"rendered":"https:\/\/zeepedia.com\/?p=7196"},"modified":"2021-05-29T07:48:22","modified_gmt":"2021-05-29T07:48:22","slug":"cymevene","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/cymevene\/","title":{"rendered":"Cymevene &#8211; Ganciclovir uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n500 mg&nbsp;powder for concentrate for&nbsp;infusion&nbsp;solution&nbsp;<br>ganciclovir<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Cymevene is and what it is used for<\/h2>\n\n\n\n<p><strong>What Cymevene is<\/strong><\/p>\n\n\n\n<p>Cymene contains the active substance ganciclovir.&nbsp;It belongs to a group of medicines called antiviral medicines.<br><\/p>\n\n\n\n<p><strong>What Cymevene is used for<\/strong><\/p>\n\n\n\n<p>Cymevene is used to treat diseases caused by a&nbsp;virus&nbsp;called&nbsp;cytomegalovirus&nbsp;(&nbsp;CMV&nbsp;) in adults and adolescents 12 years of age and older who have a weakened immune system.&nbsp;It is also used to prevent&nbsp;CMV&nbsp;&#8211;&nbsp;infection&nbsp;after organ transplantation or during treatment with&nbsp;chemotherapy&nbsp;in adults and children from birth.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The virus&nbsp;can affect all parts of the body.&nbsp;It includes the retina at the back of the eye &#8211; this means that the&nbsp;virus&nbsp;can cause vision problems.<\/li><li>The virus&nbsp;can affect anyone, but it is a particular problem in people with a weakened immune system.&nbsp;In these people can&nbsp;CMV&nbsp;&#8211;&nbsp;Virus&nbsp;et lead to a serious illness.&nbsp;A weakened immune system can be caused by other diseases (such as&nbsp;AIDS&nbsp;) or by drugs (such as&nbsp;chemotherapy&nbsp;or drugs that affect the immune system).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before you use Cymevene<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Cymevene if:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>you are allergic to ganciclovir or any of the other ingredients of this medicine (listed in section 6).<\/li><li>you are breastfeeding (see section Breastfeeding below). Do not use Cymevene if any of the above apply to you.&nbsp;If you are not sure, talk to your doctor, pharmacist, or nurse before using Cymevene.<\/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 Cymevene about:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you are allergic to aciclovir, valaciclovir, penciclovir, or famciclovir &#8211; these are other medicines used to treat viral infections.<\/li><li>you have a low number of&nbsp;white blood cells,&nbsp;red blood cells,&nbsp;or&nbsp;platelets&nbsp;&#8211; your doctor will take blood samples before you start your treatment and during treatment<\/li><li>you have previously had problems with the number of&nbsp;blood cells&nbsp;caused by drugs<\/li><li>you have impaired kidney function &#8211; your doctor will give you a lower&nbsp;dose&nbsp;and check your blood levels more often during treatment<\/li><li>you undergo radiation therapy.<\/li><\/ul>\n\n\n\n<p>If any of the above apply to you (or you are not sure), talk to your doctor, pharmacist or nurse before using Cymevene.<br><\/p>\n\n\n\n<p><em>Be alert to signs of&nbsp;side effects&nbsp;that are<\/em><\/p>\n\n\n\n<p>Cymene can cause some serious&nbsp;side effects&nbsp;that you must tell your doctor immediately.&nbsp;Be aware of the serious&nbsp;side effects&nbsp;listed in section 4 and tell your doctor immediately if you notice any of these while you are being treated with Cymevene &#8211; your doctor may tell you to stop taking Cymevene and you may need&nbsp;urgent&nbsp;medical attention. care.<br><\/p>\n\n\n\n<p><em>Samples and controls<\/em><\/p>\n\n\n\n<p>While you are taking Cymevene, your doctor will take regular blood tests.&nbsp;This is to make sure that the&nbsp;dose&nbsp;you receive is right for you.&nbsp;During the first two weeks, these blood samples will be taken frequently.&nbsp;After that, the samples will be taken less frequently.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>There is limited information on the safety and efficacy of Cymevene in the treatment of&nbsp;CMV&nbsp;in children under 12 years of age.&nbsp;Toddlers and infants receiving Cymevene to prevent&nbsp;CMV&nbsp;disease will have regular blood tests.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Cymevene<\/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>In particular, tell your doctor or pharmacist if you are taking any of the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>imipenem\/cilastatin &#8211; used against bacterial infections,<\/li><li>pentamidine &#8211; used to treat parasitic or lung infections,<\/li><li>flucytosine, amphotericin B &#8211; used against fungal infections,<\/li><li>trimethoprim, trimethoprim\/sulfamethoxazole, dapsone &#8211; used against bacterial infections,<\/li><li>probenecid &#8211; used for&nbsp;gout,<\/li><li>mycophenolate mofetil, ciclosporin, tacrolimus &#8211; used after organ transplantation,<\/li><li>vincristine, vinblastine, doxorubicin &#8211; used against cancer,<\/li><li>hydroxyurea &#8211; used against a disease called&nbsp;polycythemia, sickle cell disease, and cancer,<\/li><li>didanosine, stavudine, zidovudine, tenofovir, or any other medicine used to&nbsp;treat HIV<\/li><li>adefovir or any other medicine used to treat&nbsp;hepatitis&nbsp;B.<\/li><\/ul>\n\n\n\n<p>If any of the above apply to you (or you are not sure), talk to your doctor or pharmacist before using Cymevene.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p>Cymene should not be used by pregnant women unless the benefits to the mother outweigh the potential risks to the unborn baby.<\/p>\n\n\n\n<p>If you are pregnant or think you may be pregnant, do not use this medicine unless your doctor tells you to.&nbsp;This is because Cymevene can harm your unborn baby.<br><\/p>\n\n\n\n<p><em>Use of contraceptives<\/em><\/p>\n\n\n\n<p>You should not get pregnant while using this medicine.&nbsp;This is because it can harm your unborn baby.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><i>women<\/i> you are a woman who may become pregnant &#8211; use contraception while using Cymevene.&nbsp;Also, do this for at least 30 days after stopping treatment with Cymevene.<\/li><li><i>if<\/i> you are a man and have a female partner who may become pregnant &#8211; use condoms as contraception while using Cymevene.&nbsp;Also, do this for at least 90 days after stopping treatment with Cymevene.<\/li><\/ul>\n\n\n\n<p>If you or your partner become pregnant while taking Cymevene, tell your doctor immediately.<br><\/p>\n\n\n\n<p><em>Breast-feeding<\/em><\/p>\n\n\n\n<p>Do not use Cymevene if you are breast-feeding.&nbsp;If your doctor wants you to start taking Cymevene, you must stop breast-feeding before you start taking this medicine.&nbsp;This is because Cymevene can pass into breast milk.<br><\/p>\n\n\n\n<p><em>Fertility<\/em><\/p>\n\n\n\n<p>Cymene may affect&nbsp;fertility.&nbsp;Cymevene can cause men to temporarily or permanently stop producing sperm.&nbsp;If you are planning to have children, talk to your doctor or pharmacist before using Cymevene.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>You may feel drowsy, dizzy, confused, or shaky, or you may lose your balance or have cramps while using Cymevene.&nbsp;If this happens, do not drive or use any tools or machines.<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 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.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cymevene contains sodium<\/h2>\n\n\n\n<p>This medicine contains 43 mg of&nbsp;sodium&nbsp;(the main ingredient in common salt\/table salt) in each 500 mg&nbsp;vial.&nbsp;This corresponds to 2% of the maximum recommended daily&nbsp;sodium&nbsp;intake&nbsp;for adults.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Cymevene<\/h2>\n\n\n\n<p>Always use this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<p><em>Using this medicine<\/em><\/p>\n\n\n\n<p>Cymevene will be given to you by a doctor or nurse.&nbsp;It will be given into a vein through a tube.&nbsp;It is called an&nbsp;intravenous&nbsp;infusion&nbsp;and it usually takes an hour.<br><\/p>\n\n\n\n<p>Dosage&nbsp;one of Cymevene varies from patient to patient.&nbsp;Your doctor will calculate how much you need.&nbsp;It depends on:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>your weight (in children the length can also be taken into account)<\/li><li>your age<\/li><li>how well your kidneys are working<\/li><li>your blood levels<\/li><li>what you are using the medicine for.<\/li><\/ul>\n\n\n\n<p>How often you should receive Cymevene and how long you should continue to use it also varies.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You will usually start by getting one or two&nbsp;infusions&nbsp;each day.<\/li><li>If you receive two&nbsp;infusions&nbsp;per day, it will continue for up to 21 days.<\/li><li>Thereafter, the doctor may prescribe&nbsp;an infusion&nbsp;once a day.<\/li><\/ul>\n\n\n\n<p><em>People who have kidney or blood problems<\/em><\/p>\n\n\n\n<p>If you have any kidney or blood problems, your doctor may suggest a lower&nbsp;dose&nbsp;of Cymevene and check your blood counts more often during treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Cymevene then you should&nbsp;<\/h2>\n\n\n\n<p>If you think you have been given too much Cymevene, talk to your doctor or go to the hospital immediately.&nbsp;You may get any of the following symptoms if you have had too much:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>abdominal pain, diarrhea, or nausea<\/li><li>tremors or convulsions<\/li><li>blood in the urine<\/li><li>kidney or liver problems<\/li><li>altered blood levels.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Cymevene<\/h2>\n\n\n\n<p>Do not stop using Cymevene without talking to your doctor first.<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.&nbsp;The following&nbsp;side effects&nbsp;may occur with this medicine:<br><\/p>\n\n\n\n<p><strong>Serious&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>Tell your doctor immediately if you notice any of the following serious&nbsp;side effects&nbsp;&#8211; your doctor may tell you to stop taking Cymevene and you may need&nbsp;urgent&nbsp;medical attention:<\/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>low&nbsp;white blood cell count&nbsp;&#8211; with signs of&nbsp;infection&nbsp;such as sore throat, cold sores, or fever<\/li><li>low&nbsp;red blood cell count&nbsp;&#8211; signs include shortness of breath or fatigue, palpitations, or pale skin<\/li><\/ul>\n\n\n\n<p><strong>Common:<\/strong>&nbsp;may affect up to 1 in 10 users<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>blood poisoning (&nbsp;sepsis&nbsp;) &#8211; signs include fever, chills, palpitations, confusion, and slurred speech<\/li><li>low&nbsp;platelet count&nbsp;&#8211; signs include bleeding or you are more likely to get bruises, blood in urine or feces, or bleeding from the gums, the bleeding can be severe<\/li><li>severely low blood levels<\/li><li>pancreatitis &#8211; sign is severe abdominal pain that spreads to the back<\/li><li>cramps<\/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>failure of bone marrow to produce&nbsp;blood&nbsp;s<\/li><li>hallucinations &#8211; hearing or seeing things that are not real<\/li><li>abnormal thoughts or feelings, lose touch with reality<\/li><li>renal impairment<\/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>severe&nbsp;allergic reaction&nbsp;&#8211; signs may include red itchy skin, swelling of the throat, face, lips, or mouth, difficulty swallowing or breathing.<\/li><\/ul>\n\n\n\n<p>Contact a doctor immediately if you notice any of the above&nbsp;side effects.<br><\/p>\n\n\n\n<p><strong>Other&nbsp;side effects&nbsp;ar<\/strong><\/p>\n\n\n\n<p>Tell your doctor, pharmacist, or nurse if you notice any of the following side effects:<\/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>cod or cod in the mouth<\/li><li>upper respiratory infections (e.g. sinusitis,&nbsp;inflammation&nbsp;of the tonsils)<\/li><li>loss of appetite<\/li><li>headache<\/li><li>cough<\/li><li>shortness of breath<\/li><li>diarrhea<\/li><li>nausea or vomiting<\/li><li>abdominal pain<\/li><li>eczema<\/li><li>fatigue<\/li><li>fever.<\/li><\/ul>\n\n\n\n<p><strong>Common:<\/strong>&nbsp;may affect up to 1 in 10 users<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>influenza<\/li><li>urinary tract infection &#8211; signs include fever, urination more often than usual, pain when urinating<\/li><li>infection&nbsp;of the skin and the&nbsp;tissues&nbsp;under the skin<\/li><li>mild&nbsp;allergic reaction&nbsp;&#8211; signs may include red and itchy skin<\/li><li>weight loss<\/li><li>feeling depressed, anxious, or confused<\/li><li>difficulty sleeping<\/li><li>hands or feet feel weak and numb, which can affect balance<\/li><li>feeling changes, tingling, tickling, stinging, or burning sensation<\/li><li>taste changes<\/li><li>overindulge<\/li><li>eye inflammation (&nbsp;conjunctivitis&nbsp;), pain in the eyes, or problems with vision<\/li><li>earache<\/li><li>low&nbsp;blood pressure, which can make you feel dizzy or faint<\/li><li>difficulty swallowing<\/li><li>constipation, gas tension, indigestion, abdominal pain, swollen abdomen<\/li><li>cold sores<\/li><li>abnormal results on liver and kidney tests<\/li><li>night sweats<\/li><li>itching, rash<\/li><li>hair loss<\/li><li>back pain, pain in muscles or joints, muscle cramps<\/li><li>feeling dizzy, feeling weak, or feeling sick<\/li><li>a skin reaction at the site of injection &#8211; such as&nbsp;inflammation, pain, and swelling.<\/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>feel upset<\/li><li>tremors, tremors<\/li><li>deafness<\/li><li>irregular heartbeat<\/li><li>hives, dry skin<\/li><li>blood in the urine<\/li><li>infertility&nbsp;in men &#8211; see section &#8220;Fertility&#8221;<\/li><li>chest pain.<\/li><\/ul>\n\n\n\n<p><strong>Side effects&nbsp;are in children and adolescents<\/strong><\/p>\n\n\n\n<p>Low blood levels are more common in children, especially in toddlers and infants.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Cymevene<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Powder: No special storage instructions.&nbsp;Do not use this medicine after the expiry date which is stated on the carton.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>After preparation:<\/p>\n\n\n\n<p>Chemical and physical in-use stability has been demonstrated for the reconstituted product for 12 hours at 25 \u00b0 C after reconstitution with water for injections.&nbsp;Do not store in the refrigerator or freezer.<\/p>\n\n\n\n<p>From a&nbsp;microbiological&nbsp;point of view, the reconstituted solution should be used immediately.&nbsp;If not used immediately, in-use storage times and conditions before use is the responsibility of the user.<br><\/p>\n\n\n\n<p>After dilution in infusion solution (sodium chloride 0.9%,&nbsp;glucose&nbsp;5%, Ringer or Ringer Lactate&nbsp;solution for injection&nbsp;):<\/p>\n\n\n\n<p>Chemical and physical in-use stability has been demonstrated for 24 hours at 2 &#8211; 8 \u00b0 C (do not freeze).<\/p>\n\n\n\n<p>From a&nbsp;microbiological&nbsp;point of view, Cymevene&nbsp;infusion solution&nbsp;should be used immediately.&nbsp;If not used immediately, in-use storage times and conditions before use are the responsibility of the user and should not be longer than 24 hours at 2 to 8 \u00b0 C, unless&nbsp;reconstitution&nbsp;and dilution have 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 ganciclovir.&nbsp;Each&nbsp;vial&nbsp;contains 500 mg of ganciclovir as ganciclovir sodium.&nbsp;After&nbsp;reconstitution&nbsp;of the powder, 1 ml of concentrate contains 50 mg of ganciclovir.<\/li><li>The other ingredients are sodium hydroxide and&nbsp;hydrochloric acid.<\/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>Cymevene is a white to off-white powder for concentrate for&nbsp;solution&nbsp;for&nbsp;infusion, supplied in single-dose vials of glass with a rubber stopper and an aluminum closure with a snap cap.&nbsp;Prepared Cymevene solution varies in color from colorless to light yellow.<br><\/p>\n\n\n\n<p>Cymevene is supplied in packs of 1 or 5 vials.<\/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>CHEPLAPHARM Arzneimittel GmbH<\/p>\n\n\n\n<p>Ziegelhof 24<\/p>\n\n\n\n<p>17489 Greifswald<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>CHEPLAPHARM Arzneimittel GmbH<\/p>\n\n\n\n<p>Ziegelhof 23-24<\/p>\n\n\n\n<p>17489 Greifswald<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p><strong>Cymeven iv:<\/strong>&nbsp;Germany<\/p>\n\n\n\n<p><strong>Cymevan:<\/strong>&nbsp;France<\/p>\n\n\n\n<p><strong>Citovirax:<\/strong>&nbsp;Italy<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cymene contains the active substance ganciclovir. It belongs to a group of medicines called antiviral medicines.<\/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":[6298,6300,6302,6293,6295,6297,6301,6296,6299,6294],"class_list":["post-7196","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-cymevene","tag-cymevene-powder","tag-cymevene-side-effects","tag-ganciclovir","tag-ganciclovir-powder","tag-ganciclovir-side-effects","tag-side-effects-of-cymevene","tag-side-effects-of-ganciclovir","tag-what-is-cymevene","tag-what-is-ganciclovir"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7196","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=7196"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7196\/revisions"}],"predecessor-version":[{"id":11192,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7196\/revisions\/11192"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=7196"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=7196"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=7196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}