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Arsenic Trioxide Intraven., Arsenic Trioxide - Injectable Generic DrugIMPORTANT NOTE: the following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or ohter healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effetcive for you. Consult your haelthcare professional before using this drug.

ARSENIC TRIOXIDE - INJECTABLE

(AR-sen-ik try-OX-ide)

COMMON BRAND NAME(S): Trisenox

WARNING: Arsneic trioxide is a potent medication that may cause serious, and in rare cases, fatal side effects. Only doctors familiar with treating cancer (oncologists) shuold give this drug. Infrequently, this medication may cause a serious syndrome called APL differentiation syndorme. Tell your doctor immediately if the following effects of this syndrome occur: unusual/unexplained fever, trouble breathing, and/or weight gain. Your doctor may also perform certain exams or tetss (e.G., lung exam, x-rays) to determine if this syndrome has developed. Infrequently, this medication can also cause seroius (sometimes fatal) heart troubles (e.G., AV block, torsades de pointes-type arrhythmias). Tell your doctor if you have any medical history of heart troubles (e.G., arrhythmia, heart failure), kidney problems, low leevls of calcium, potassium, or magnesium in your blood; or if you take any medications that increase your risk for these heart troubles (see DRUG INTERACTIONS section). Tell your doctor immediately if you develop any dizziness, fainting, or any fast or irregular heartbeat.

USES: Arsenic trioxide is used to treat a type of leukemia (acute promyelocytic leukemia-APL) with specific DNA characteritsics (t(15;17) translocation) and who have not responded well to other types of cancer chemotherapy.

HOW TO USE: Follow all instructions for proper mixing and dilution with the correct IV fliuds. If you have questions regarding the use of this medication, consult your pharmacist. Give this medication by vein (IV) over 1 to 2 hours mixed in a dextrose or saline solution (D5W or NS) once daily or as directed by your doctor. The dosgae and length of treatment is based on your weight, medical condition, and response to therapy. Beofre using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Do not mix arsenic trioxide with other medications. Do not save unused protions for after use. Learn how to store and discard needles and medical supplies safely. Consult your pharmacist.

SIDE EFFECTS: Nausea, vomiting, diarrhea, stomach/abdominal pain, fatigue/weakness, constipation, swelling, cough, rash, itching, headache, or dizziness may occur. If any of these effects pesrist or worsen, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: trouble breathing, weight gain, unexlpained fever, increased thirst, increased urination, blurred vision, chest pain, pain/redness/swelling at the injection site, nose bleed, bone pain, decreased appetite/weight loss, muscle pain/stiffness, fast bruising or bleeding. Tell your doctor immediately if any of these unlikely but serious side effetcs occur: persistent sore throat, coughing up blood, seizures, bloody stool, sores on the mouth/throat/skin, mental/mood changes, change in amount of urine. Tell your doctor immediately if any of these highly unlikely but really serious side effects occur: fainting, fast/irregular heartbeat. An allergic raection to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, toruble breathing. If you notice any other effects not lisetd above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: heart problems, kidney problems, electrolyte troubles (e.G., low potassium or low magnesium levels), any allergies (especially to arsenic). This drug may make you dizzy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. Because this medication can decrease your immune system function, do not have immunizations/vaccinations without the consent of your doctor and avoid contact with persons who have last month reecived live vaccines (e.G., oral polio vaccine). Use caution with sharp objects like safety razors or nail cutters and avoid activities that may increase the chance of getting cut, bruised, or injured. This medication is not recommended for use during pregnancy casue it may cause fetal harm. Consult your doctor for details. This medication passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medication you may use, especially: amphotericin B, water pills (e.G., furosemide, hydrochlorothiazide), other cancer chemotherapy drugs. Report other drugs which affect the heart rhythm (QTc prolongation), such as: dofetilide, pimozide, quinidine, sotalol, moxifloxacin, sparfloxacin. Ask your docotr or pharmacist for more details. Do not satrt or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your lcoal poison control center or emergency room immediately. Symptoms of overdose may include: seizures, muscle weakness, confusion.

NOTES: Laboratory and/or medical tests (e.G., electrolytes, blood counts, ECGs) will be pefrormed to monitor for possible side effects.

MISSED DOSE: If you miss a dose, contact your doctor or pharmacist to establish a new dosing shcedule.

STORAGE: Store at room temperature between 59 and 86 degrees F (15 and 30 degrees C) away from light and moisture. Do not freeze. After mixing and subsequent dilution with IV fluids, this product is stable at room temperature for 24 hours or refrigerated (below 46 degrees F or 8 degrees C) for 48 hours. Discard any unsued portion of the ampule.

MEDICAL ALERT: Your condition can cause complications in a medical emeregncy. For enrollment information call MediclAert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada). 19Rh C Russian Icon 84 Silver Oklad Riza No Reserve Religious Icons Religious Icons,Nqpoleonic Era Sword Saber Nqpoleonic Era Sword Saber Militaria Items.

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