20 . May , 2018 - Sunday
Check todays hot topics or new products

Find a Drug: Advanced

Please Sign in or Register

All about: CeeNU

Big Image

Some commonly used brand names are:

In the U.S.—

  • CeeNU

In Canada—

  • CeeNU

Another commonly used name is CCNU .

Category

  • Antineoplastic

Description

Lomustine (loe-MUS-teen) belongs to the group of medicines known as alkylating agents. It is used to treat some kinds of cancer.

Lomustine interferes with the growth of cancer cells, which are eventually destroyed. Since the growth of normal body cells may also be affected by lomustine, other effects will also occur. Some of these may be serious and must be reported to your doctor. Other effects, like hair loss, may not be serious but may cause concern. Some effects may not occur for months or years after the medicine is used.

Before you begin treatment with lomustine, you and your doctor should talk about the good this medicine will do as well as the risks of using it.

Lomustine is available only with your doctor's prescription, in the following dosage form:

  • Oral
  • Capsules (U.S. and Canada)

Before Using This Medicine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For lomustine, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to lomustine.

Pregnancy—Tell your doctor if you are pregnant or if you intend to have children. There is a chance that this medicine may cause birth defects if either the male or female is taking it at the time of conception or if it is taken during pregnancy. Lomustine causes birth defects in rats and causes toxic or harmful effects in the fetus of rats and rabbits at doses about the same as the human dose. In addition, many cancer medicines may cause sterility which could be permanent. Sterility has been reported in animals and humans with this medicine.

Be sure that you have discussed this with your doctor before taking this medicine. It is best to use some kind of birth control while you are taking lomustine. Tell your doctor right away if you think you have become pregnant while taking lomustine.

Breast-feeding—Tell your doctor if you are breast-feeding or if you intend to breast-feed during treatment with this medicine. Because lomustine may cause serious side effects, breast-feeding is generally not recommended while you are receiving it.

Children—Although there is no specific information comparing use of lomustine in children with use in other age groups, this medicine is not expected to cause different side effects or problems in children than it does in adults.

Older adults—Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of lomustine in the elderly with use in other age groups.

Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking lomustine, it is especially important that your health care professional know if you have ever been treated with x-rays or cancer medicines or if you are taking any of the following:

  • Amphotericin B by injection (e.g., Fungizone) or
  • Antithyroid agents (medicine for overactive thyroid) or
  • Azathioprine (e.g., Imuran) or
  • Chloramphenicol (e.g., Chloromycetin) or
  • Colchicine or
  • Flucytosine (e.g., Ancobon) or
  • Ganciclovir (e.g., Cytovene) or
  • Interferon (e.g., Intron A, Roferon-A) or
  • Plicamycin (e.g., Mithracin) or
  • Zidovudine (e.g., AZT, Retrovir)—Lomustine may increase the effects of these medicines or radiation therapy on the blood

Other medical problems—The presence of other medical problems may affect the use of lomustine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Chickenpox (including recent exposure) or
  • Herpes zoster (shingles)—Risk of severe disease affecting other parts of the body
  • Infection—Lomustine can decrease your body's ability to fight infection
  • Kidney disease—Effects of lomustine may be increased because of slower removal from the body
  • Lung disease—Risk of lung problems caused by lomustine may be increased

Proper Use of This Medicine

Take this medicine only as directed by your doctor . Do not take more or less of it than your doctor ordered. The exact amount of medicine you need has been carefully worked out. Taking too much may increase the chance of side effects, while taking too little may not improve your condition.

In order that you receive the proper dose of lomustine, there may be two or more different types of capsules in the container. This is not an error. It is important that you take all of the capsules in the container as one dose so that you receive the right dose of the medicine.

This medicine is sometimes given together with certain other medicines. If you are using a combination of medicines, make sure that you take each one at the right time and do not mix them. Ask your health care professional to help you plan a way to remember to take your medicines at the right times.

Nausea and vomiting occur often after lomustine is taken, but usually last less than 24 hours. Loss of appetite may last for several days. This medicine is best taken on an empty stomach at bedtime so that it will cause less stomach upset. Ask your health care professional for other ways to lessen these effects.

If you vomit shortly after taking a dose of lomustine, check with your doctor. You may be told to take the dose again.

Dosing—The dose of lomustine will be different for different patients. The dose that is used may depend on a number of things, including what the medicine is being used for, the patient's size, and whether or not other medicines are also being taken. If you are taking lomustine at home, follow your doctor's orders or the directions on the label . If you have any questions about the proper dose of lomustine, ask your doctor.

Precautions While Using This Medicine

It is important that your doctor check your progress at regular visits to make sure that this medicine is working properly and to check for unwanted effects.

While you are being treated with lomustine, and after you stop treatment with it, do not have any immunizations (vaccinations) without your doctor's approval . Lomustine may lower your body's resistance and there is a chance you might get the infection the immunization is meant to prevent. In addition, other persons living in your household should not take oral polio vaccine since there is a chance they could pass the polio virus on to you. Also, avoid persons who have recently taken oral polio vaccine. Do not get close to them, and do not stay in the same room with them for very long. If you cannot take these precautions, you should consider wearing a protective face mask that covers the nose and mouth.

Lomustine can temporarily lower the number of white blood cells in your blood, increasing the chance of getting an infection. It can also lower the number of platelets, which are necessary for proper blood clotting. If this occurs, there are certain precautions you can take, especially when your blood count is low, to reduce the risk of infection or bleeding:

  • If you can, avoid people with infections. Check with your doctor immediately if you think you are getting an infection or if you get a fever or chills, cough or hoarseness, lower back or side pain, or painful or difficult urination.
  • Check with your doctor immediately if you notice any unusual bleeding or bruising; black, tarry stools; blood in urine or stools; or pinpoint red spots on your skin.
  • Be careful when using a regular toothbrush, dental floss, or toothpick. Your medical doctor, dentist, or nurse may recommend other ways to clean your teeth and gums. Check with your medical doctor before having any dental work done.
  • Do not touch your eyes or the inside of your nose unless you have just washed your hands and have not touched anything else in the meantime.
  • Be careful not to cut yourself when you are using sharp objects such as a safety razor or fingernail or toenail cutters.
  • Avoid contact sports or other situations where bruising or injury could occur.

Side Effects of This Medicine

Along with their needed effects, medicines like lomustine can sometimes cause unwanted effects such as blood problems, loss of hair, and other side effects; these are described below. Also, because of the way these medicines act on the body, there is a chance that they might cause other unwanted effects that may not occur until months or years after the medicine is used. These delayed effects may include certain types of cancer, such as leukemia. Discuss these possible effects with your doctor.

Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

Less common

Black, tarry stools; blood in urine or stools; cough or hoarseness; fever or chills; lower back or side pain; painful or difficult urination; pinpoint red spots on skin; unusual bleeding or bruising

Check with your doctor as soon as possible if any of the following side effects occur:

Less common

Awkwardness; confusion; decrease in urination; slurred speech; sores in mouth and on lips; swelling of feet or lower legs; unusual tiredness or weakness

Rare

Cough; shortness of breath

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Loss of appetite; nausea and vomiting (usually last less than 24 hours)

Less common

Darkening of skin; diarrhea; skin rash and itching

This medicine may cause a temporary loss of hair in some people. After treatment with lomustine has ended, normal hair growth should return.

After you stop using this medicine, it may still produce some side effects that need attention. During this period of time, check with your doctor if you notice any of the following side effects:

Black, tarry stools; blood in urine or stools; cough or hoarseness; fever or chills; lower back or side pain; painful or difficult urination; pinpoint red spots on skin; unusual bleeding or bruising

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Revised: 09/30/1997

The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Healthcare does not assume any responsibility or risk for your use of the Thomson Healthcare products.

Recent Drug Updates at DrugIndexOnline:





Almotriptan Almotriptan
Generic name: Almotriptan Brand names: Axert Why is Almotriptan prescribed? Axert is a migraine treatment. It relieves the type of migraine that's accompanied by an aura (a set of symptoms that includes visual disturbances, speech difficulties, tingling, numbness, and weakness), as well as the k more...

Augmentin XR Extended-Release Tablets Augmentin XR Extended-Release Tablets
Generic Name: Amoxicillin/Clavulanate Extended-Release Tablets (a-MOX-i-SIL-in/KLAV-ue-la-nate) Brand Name: Augmentin XRAugmentin XR Extended-Release Tablets is used for:Treating infections caused by certain bacteria. Augmentin XR Extended-Release Tablets is a penicillin antibiotic. It works by more...

Bonine Bonine
Some commonly used brand names are: In the U.S.— Antivert 3 Antivert/25 3 Antivert/50 3 Bonine 3 Dramamine II 3 Marezine 2 Meclicot 3 Medivert 3 In Canada— Bonamine 3 Marzine 2 Note: For quick reference, the following medicines are numbered to match the corresponding brand n more...

Calfactant Calfactant
Pronouncation: (Kal-FACK-tant) Class: Lung surfactant Trade Names: Infasurf - Suspension, intratracheal 35 mg phospholipids/mL suspended in sodium chloride 0.9% solution and 0.65 mg proteins. With 26 mg phosphatidylcholine, of which 16 mg is disaturated phosphatidylcholine. Also includes 0.26 mg of more...

Clobetasone Topical Clobetasone Topical
Some commonly used brand names are: In the U.S.— Alphatrex 3 Aristocort 20 Aristocort A 20 Betatrex 3 Beta-Val 3 Bio-Syn 9 Cordran 11 Cordran SP 11 Cormax 4 Cutivate 12 Cyclocort 1 Delta-Tritex 20 Dermabet 3 Dermatop 19 Diprolene 3 Diprolene AF 3 Diprosone 3 Elocon 18 Florone 7 Florone E more...

Fleet Pediatric Enema Rectal Fleet Pediatric Enema Rectal
Some commonly used brand names are: In the U.S.— Bisco-Lax 1 Ceo-Two 5 Dacodyl 1 Deficol 1 Dulcolax 1 Fleet Babylax 3 Fleet Bisacodyl 1 Fleet Enema 7 Fleet Enema for Children 7 Fleet Enema Mineral Oil 4 Fleet Glycerin Laxative 3 Fleet Laxative 1 Sani-Supp 3 Senokot 6 Theralax 1 Therevac P more...

Niacinol Niacinol
Generic Name: Inositol Niacinate (in-OH-sih-tole nye-a-SIN-ate) Brand Name: Examples include Niacin Flush Free and NiacinolNiacinol is used for:Improving blood circulation in certain conditions and lowering cholesterol and triglycerides in the blood. It may also be used for other conditions as more...

Ovide topical Ovide topical
Generic Name: malathion (topical) (ma la THIGH on) Brand Names: Ovide What is malathion? Malathion is a pediculicide. It affects the nervous system of parasites (lice). Malathion is used to treat head lice. Malathion may also be used for purposes other than those listed in this medicati more...