Country: United Kingdom
Language: English
Source: MHRA (Medicines & Healthcare Products Regulatory Agency)
Topotecan hydrochloride
Actavis UK Ltd
L01XX17
Topotecan hydrochloride
4mg
Powder for solution for infusion
Intravenous
No Controlled Drug Status
Valid as a prescribable product
BNF: 08010500; GTIN: 5012617021410
PACKAGE LEAFLET: INFORMATION FOR THE USER TOPOTECAN ACTAVIS 1 MG POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION TOPOTECAN ACTAVIS 4 MG POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION topotecan - Read all of this leaflet carefully before you start using this medicine. - Keep this leaflet. You may need to read it again. - If you have any further questions, ask your doctor. - If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor. IN THIS LEAFLET : 1. What Topotecan Actavis is and what it is used for 2. Before you use Topotecan Actavis 3. How to use Topotecan Actavis 4. Possible side effects 5. How to store Topotecan Actavis 6. Further information 1. WHAT TOPOTECAN ACTAVIS IS AND WHAT IT IS USED FOR Topotecan Actavis helps to kill tumour cells. Topotecan Actavis is used to treat: - small cell lung cancer that has come back after chemotherapy - advanced cervical cancer if surgery or radiotherapy is not possible. In this case Topotecan Actavis treatment is combined with medicines containing cisplatin. 2. BEFORE YOU USE TOPOTECAN ACTAVIS DO NOT USE TOPOTECAN ACTAVIS - if you are allergic (hypersensitive) to topotecan or any of the other ingredients of Topotecan Actavis (listed in section 6 under ‘What Topotecan Actavis contains’); - if you are breast-feeding. You should stop breast-feeding before starting treatment with Topotecan Actavis; - if your blood cell counts are too low. TELL YOU DOCTOR if you think any of these could apply to you. TAKE SPECIAL CARE WITH TOPOTECAN ACTAVIS Tell your doctor: - if you have any kidney problems. Your dose of Topotecan Actavis may need to be adjusted. Topotecan Actavis is not recommended in case of severe kidney impairment; - if you have liver problems. Topotecan Actavis is not recommended in case of severe liver impairment; - if you suffer from lung inflammation with signs such as cough, fever and difficulties in breathing, see also section 4 “Possible side effects”. Topotecan Actavis may cause a decr Read the complete document
OBJECT 1 TOPOTECAN ACTAVIS 4 MG POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION Summary of Product Characteristics Updated 26-Oct-2011 | Accord-UK Ltd 1. Name of the medicinal product Topotecan Actavis 4 mg powder for concentrate for solution for infusion 2. Qualitative and quantitative composition Each vial contains 4 mg topotecan (as hydrochloride). After reconstitution, 1 ml concentrate contains 1 mg topotecan. Excipient: Each vial contains 2.07 mg sodium (0.09 mmol). For a full list of excipients, see section 6.1. 3. Pharmaceutical form Powder for concentrate for solution for infusion. Yellow lyophilisate. 4. Clinical particulars 4.1 Therapeutic indications Topotecan monotherapy is indicated for the treatment of patients with relapsed small cell lung cancer (SCLC) for whom re-treatment with the first-line regimen is not considered appropriate (see section 5.1). Topotecan in combination with cisplatin is indicated for patients with carcinoma of the cervix recurrent after radiotherapy and for patients with Stage IVB disease. Patients with prior exposure to cisplatin require a sustained treatment free interval to justify treatment with the combination (see section 5.1). 4.2 Posology and method of administration Method of administration The use of topotecan should be confined to units specialised in the administration of cytotoxic chemotherapy and should only be administered under the supervision of a physician experienced in the use of chemotherapy (see section 6.6). Topotecan must be reconstituted and further diluted before use (see section 6.6). Posology When used in combination with cisplatin, the full prescribing information for cisplatin should be consulted. Prior to administration of the first course of topotecan, patients must have a baseline neutrophil count of ≥ 1.5 x 10 9 /l, a platelet count of ≥ 100 x 10 9 /l and a haemoglobin level of ≥ 9 g/dl (after transfusion if necessary). _SMALL CELL LUNG CARCINOMA_ _Initial dose_ The recommended dose of topotecan is 1.5 mg/m 2 body surface area/day admi Read the complete document