Mitoxantron Ebewe

Mitoxantron Ebewe is a cancer medicine that stops cancer cells from growing and is also used to treat a specific type of multiple sclerosis.

Form
infuusiokonsentraatti, liuosta varten
Strength
2 mg/ml
Active Ingredient
Mitoxantrone hydrochloride
Manufacturer
Ebewe Pharma Ges.m.b.H. Nfg.KG

How to Use

Dosage

Your doctor will decide your dose based on your body surface area; doses typically range from 5–14 mg per square meter, given as a single dose or daily for a few days, depending on your condition.

Method

The medicine is always given as a diluted, slow drip into a vein (intravenous infusion) under a doctor's supervision.

Important

The maximum dose typically given on a single day is 14 mg per square meter.

Possible Side Effects

COMMON
  • •Infections
  • •Low red blood cells (anemia), tiredness, shortness of breath
  • •Low white blood cells (neutrophils, leukocytes, granulocytes)
  • •Nausea
  • •Vomiting
  • •Hair loss
  • •Low platelet count, bleeding, bruising
  • •Weakness, lack of energy
  • •Loss of appetite
  • •Constipation
  • •Diarrhea
  • •Mouth and lip inflammation
  • •Fever
  • •Congestive heart failure
  • •Abnormal white blood cell count
  • •Headache
  • •Irregular heartbeat
  • •Abnormal EKG
  • •Decreased heart pumping ability without symptoms
  • •Abnormal liver function tests
  • •Abnormal absence of menstruation
  • •Heart attack
  • •Shortness of breath
RARE
  • •Bone marrow depression
  • •Bone marrow failure (insufficient blood cell production)
  • •Severe allergic reaction (anaphylaxis), including hives, swelling (hands, feet, ankles, face, lips, mouth/throat), difficulty swallowing/breathing, dizziness
  • •Upper respiratory infections
  • •Urinary tract infections
  • •Sepsis (blood poisoning)
  • •Opportunistic infections (infections by microorganisms normally not causing disease in healthy immune system)
  • •White blood cell cancer (acute myeloid leukemia)
  • •Bone marrow abnormalities leading to leukemia (myelodysplastic syndrome)
  • •Weight changes
  • •Metabolic disorders (tumor lysis syndrome)
  • •Anxiety
  • •Confusion
  • •Tingling sensation
  • •Severe bleeding
  • •Low blood pressure
  • •Abdominal pain
  • •Gastrointestinal bleeding (blood in vomit/stool, black tarry stools)
  • •Mucosal inflammation
  • •Pancreatitis (inflammation of the pancreas)
  • •Liver abnormalities
  • •Skin inflammations (redness)
  • •Nail abnormalities (e.g., nail detachment, changes in nail surface/structure)
  • •Rash
  • •Changes in whites of eyes color
  • •Skin discoloration
  • •Extravasation (leakage into surrounding tissue) symptoms: redness, swelling, pain, burning sensation, skin discoloration, tissue necrosis (cell death)
  • •Abnormal liver and kidney function tests (elevated creatinine, urea nitrogen)
  • •Kidney damage (nephropathy) causing swelling and weakness
  • •Urine discoloration
  • •Edema (swelling)
  • •Taste disorders
  • •Pneumonia (lung inflammation)
  • •Heart muscle damage (cardiomyopathy) preventing the heart from pumping properly
  • •Slow heartbeat
  • •Sudden death

Important Warnings

  • Do not use this medicine if you are allergic to mitoxantrone, sulfites, or any other ingredient.
  • Do not use if you are pregnant (especially for MS treatment) or breastfeeding, as it can harm the baby.
  • This medicine can harm your heart. Your doctor will check your heart function before and during treatment.
  • Mitoxantron Ebewe can affect your blood cell counts. Your doctor will perform regular blood tests.
  • This medicine is always given as a drip into a vein. It must not be given under the skin, into a muscle, an artery, or the spinal fluid, as this can cause severe damage.
Show 3 more warnings
  • This medicine can turn your urine blue-green and may also cause a bluish tint to your skin, nails, and the whites of your eyes.
  • You must use effective contraception during and after treatment, as the medicine can harm an unborn baby or affect fertility.
  • Contact your doctor immediately if you experience fever, infections, unexplained bleeding or bruising, weakness, or difficulty breathing.