Arsenic Trioxide - Systemic
Brand Names
Trisenox
Arsenic Trioxide *** Before Using *** How to Use *** Fore Safe Use *** Side Effects
Before Using
In deciding to using a medication,
the chance of taking the drug must be weighed against the good it will
do. This is a decision you will make. For arsenic trioxide,
the following must be considered
Allergic reaction
Tell your family doctor if you have any unusual
or allergy to arsenic.
Pregnancy care
There is a risk that this drug may cause
birth defects if it is taken at time of conception or if it is taken by the
mother during pregnancy. Studies in rats and mice have shown that arsenic
trioxide causes birth defects in the fetus and other problems - including miscarriage.
Studies on the effects in pregnancy have not been done.Be sure that you have discussed these possible effects with your family doctor
before receiving this drug. Before receiving arsenic trioxide make sure
your family doctor knows if you are pregnant or if you may become pregnant. It is
best to use some kind of birth control while you are receiving arsenic trioxide.
Tell your family doctor right away if you think you have become pregnant while receiving
arsenic trioxide.
Breast-feeding problem
Arsenic is distributed into human breast milk.
Arsenic trioxide is not recommended during breast-feeding, because it may
cause unwanted effects in nursing babies.
Use for Children
Studies on this drug have been done only in
a limited number of diseaseds over the age of 5 years and there is no specific
information comparing use of arsenic trioxide in child under the age of
5 with use in other age groups.
Elderly care
Many medication have not been studied specifically
in elderly people. Therefore, it may not be known whether they work exactly
the same way they do in adults people or if they cause various side effects
or problems in elderly people. There is no special info comparing use
of arsenic trioxide in the elderly with use in other age groups.
Drug interactions
Although certain medication must not be using
together at all, in other cases two various medication may be using together
even if an interaction might occur. In these cases, your family doctor may want to
change the dose, or other precautions may be necessary. When you are taking
arsenic trioxide, it is especially important that your health care provider
know if you are taking any of the following:
-
Amphotericin B by injection - Fungizone
-
Antiarrhythmics - acebutolol " Sectral ", adenosine " Adenocard ",
amiodarone " Cordarone ", atenolol " Tenormin ", digoxin " Lanoxin ",
digitoxin " Crystodigin ", diltiazem " Cardizem ", disopyramide "
Norpace ", encainide " Enkaid ", esmolol " Brevibloc ", flecainide
" Tambocor ", metoprolol " Lopressor ", mexiletine "
Mexitil ", moricizine " Ethmozine ", nadolol " Corgard ", oxprenolol
" Trasicor ", phenytoin " Dilantin ", procainamide " Procan ",
propafenone " Rythmol ", propranolol " Inderal ", quinidine "
Quinaglute ", sotalol " Betapace ", timolol " Blocadren ", tocainide
" Tonocard ", verapamil " Isoptin "
-
Antifungals, azole - fluconazole " Diflucan ", itraconazole "
Sporanox ", ketoconazole " Nizoral "
-
Antihistamines
-
Fluoroquinolones - ciprofloxacin " Cipro ", enoxacin " Penetrex ",
grepafloxacin " Raxar ", levofloxacin " Levaquin ", lomefloxacin "
Maxaquin ", norfloxacin " Noroxin ", ofloxacin " Floxin ", sparfloxacin
" Zagam "
-
Diuretics, potassium-depleting - bumetanide " Bumex ", ethacrynic
acid " Edecrin ", furosemide " Lasix ", indapamide " Lozol ",
thiazide diuretics "water pills "
-
Tricyclic antidepressants - amitriptyline " Elavil ", amoxapine
" Asendin ", clomipramine " Anafranil ", desipramine " Norpramin ",
doxepin " Sinequan ", imipramine " Tofranil ", nortriptyline "
Pamelor ", protriptyline " Vivactil ", trimipramine " Surmontil " These
medication may increase the risk of experiencing a life threatening heart rhythm
problem while taking arsenic trioxide and concurrent use of these agents with
arsenic trioxide may cause blood disorders
-
Thioridazine - Mellaril These medication may increase
the risk of experiencing a life threatening heart rhythm problem while taking
arsenic trioxide.
Other Information for using
The presence of other medical
problems may effect the use of arsenic trioxide. Make sure you tell your family doctor
if you have any other medical problems, especially:
-
Abnormal heart rhythms
-
Congestive heart failure
-
Low magnesium levels in the blood
-
Low potassium levels in the blood These medical problems may
increase the risk of experiencing a life threatening heart rhythm problem
while taking arsenic trioxide.
-
Kidney problems Arsenic trioxide is removed from the body by
the kidneys; kidney problems may cause the drug to build up.
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