Citafine 1400mg Injection 1?S Allschoolabs -

Description

INTRODUCTION
CITAFINE 1400MG INJECTION contains Gemcitabine which belongs to the group of medicines called Antimetabolites.?CITAFINE 1400MG INJECTION is used in the treatment of non-small cell lung cancer (alone or combined with cisplatin), pancreatic cancer, breast cancer (with paclitaxel), ovarian cancer (with carboplatin) and bladder cancer (with cisplatin).
Cancer is a disease in which there is uncontrollable growth of some of the body?s cells that spread to other parts of the body.?During CITAFINE 1400MG INJECTION treatment, your doctor might ask you to take certain blood tests to check your blood cell count, kidney function?or liver function.
Avoid drinking alcohol during CITAFINE 1400MG INJECTION treatment as it can make you feel sleepy. Before receiving CITAFINE 1400MG INJECTION, inform your doctor if you had or are going to have radiotherapy, have been vaccinated recently?or if you have any liver, kidney?or heart diseases.
CITAFINE 1400MG INJECTION is not recommended for use in pregnant women, breastfeeding women, children and adolescents (under 18 years of age). Consult your doctor before receiving it.
The most common side effects of receiving CITAFINE 1400MG INJECTION are vomiting, constipation, hair loss, poor appetite, headache, insomnia, cough, itching, sweating, etc. Contact your doctor if any of the symptoms or side effects bother you.
USES OF CITAFINE 1400MG INJECTION
Used in the treatment of:
Non-small cell lung cancer (alone or with cisplatin)

Pancreatic cancer

Breast cancer (with paclitaxel)

Ovarian cancer (with carboplatin)

Bladder cancer (with cisplatin)

HOW CITAFINE 1400MG INJECTION WORKS
CITAFINE 1400MG INJECTION kills the dividing cancer cells by inhibition of their DNA (hereditary material) synthesis.
DIRECTIONS FOR USE
CITAFINE 1400MG INJECTION will be given to you only by a doctor or a nurse into a vein as an intravenous infusion. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and surface area?and disease condition.
SIDE EFFECTS OF CITAFINE 1400MG INJECTION

COMMON

Vomiting, nausea, constipation, diarrhoea

Hair loss

Liver problems

Blood or protein in urine, abnormal urine test

Swollen ankles, fingers, feet, face

Poor appetite

Headache

Insomnia, sleepiness

Cough, runny nose

Itching, sweating

Muscle or back pain

Fever, weakness, chills, infections

UNCOMMON

Scarring of air sacs of the lungs

Wheezing

Scarring of the lungs seen as abnormal chest X ray/scan

Heart, kidney?or liver failure

Stroke

RARE

Low blood pressure

Skin scaling, ulceration or blistering

Skin sloughing and severe blistering

Injection site reactions

Radiation recall (a skin rash like severe sunburn which can occur on skin that has been exposed to radiotherapy in the past)

Fluid in the lungs

Radiation toxicity (scarring of the air sacs of the lung related to radiation therapy)

Gangrene of fingers or toes

Inflammation of the blood vessels
Stop receiving CITAFINE 1400MG INJECTION and contact your doctor immediately if you experience any of the following side effects:
Allergic reactions (mild to moderate skin rash, fever, itching)

Low haemoglobin (tiredness, feeling faint, easy breathlessness, paleness)

Low platelet count (bleeding from the gums, nose or mouth, any bleeding that would not stop, reddish or pinkish urine, unexpected bruising)

Low white blood cell count with fever, sweating or other signs of infection

Stomatitis (pain, redness, swelling, mouth ulcers)

Mild breathing trouble

Irregular heartbeat

Capillary leak syndrome (generalised swelling, shortness of breath, weight gain due to fluid leakage from small blood vessels into tissues)

Posterior reversible encephalopathy syndrome (headache with vision changes, confusion, seizures or fits)

Thrombotic microangiopathy and haemolytic uraemic syndrome (extreme tiredness and weakness, bruises, low or no urine output, signs of infection)

HOW TO MANAGE SIDE EFFECTS
Nausea:
Take regular sips of a cold drink. Have ginger or peppermint tea. Stick to simple meals. Avoid eating oily or spicy foods. If symptom persists, contact your doctor.
Vomiting:
Get adequate rest. Drink lots of fluids, especially water. Have small sips if you feel sick. Eat when you feel like it ? no need to eat or avoid any specific foods. If symptom persists, contact your doctor.
Diarrhea:
Drink fluids such as water or fruit juices so that you are sufficiently hydrated. If symptom persists, contact your doctor.
Constipation:
Have plenty of fiber rich foods like fresh fruits, vegetables, cereals?and drink ample amount of water. Exercise more regularly. If symptom persists, contact your doctor.
Poor appetite:
Eat when you are hungry. Eat smaller meals more often than usual. Snack only when you?re hungry. Eat a protein-rich or other healthy snack such as dried fruit and nuts. If symptom persists, contact your doctor.
Headache:
Drink plenty of water and get adequate rest. Try to be relaxed and stress free. Take medicine for headache after asking your doctor. If symptom persists, contact your doctor.
Skin rash:
Avoid hot showers to prevent further irritation of skin. Do not scratch the affected area. Use protective clothing when going outdoors. Regularly moisturize your skin. If symptom persists, contact your doctor.
WARNING & PRECAUTIONS

PREGNANCY
CITAFINE 1400MG INJECTION is not recommended for use in pregnancy. Consult your doctor before receiving it.
BREASTFEEDING
CITAFINE 1400MG INJECTION is not recommended for use in breastfeeding women. Consult your doctor before receiving it.
DRIVING AND USING MACHINES
Do not drive or operate any machines if you feel sleepy after receiving CITAFINE 1400MG INJECTION.
ALCOHOL
Do not consume alcohol during the treatment with CITAFINE 1400MG INJECTION as it can make you feel sleepy.
KIDNEY
CITAFINE 1400MG INJECTION should be used with caution in patients who had or have any kidney diseases. Contact your doctor before receiving it.
LIVER
CITAFINE 1400MG INJECTION should be used with caution in patients who had or have any liver diseases. Contact your doctor before receiving it.
ALLERGY
Do not receive CITAFINE 1400MG INJECTION if you are allergic to gemcitabine or any of the other ingredients of this medicine.
HEART DISEASE
CITAFINE 1400MG INJECTION should be used with caution in patients who had or have any heart or vascular diseases. Contact your doctor before receiving it.
OTHERS
Before receiving CITAFINE 1400MG INJECTION, inform your doctor if you:
Had or are about to have radiotherapy

Have been vaccinated recently
Use in paediatrics:
CITAFINE 1400MG INJECTION is not recommended for use in children and adolescents (under 18 years of age) due to insufficient data on safety and efficacy. Consult your child?s doctor for advice.
Use in geriatrics:
No dose adjustment of CITAFINE 1400MG INJECTION is required for elderly patients, however, consult your doctor before receiving it.
INTERACTIONS
A. Drug ? Drug interactions:
Before receiving CITAFINE 1400MG INJECTION, inform your doctor if you are taking, have taken?or might take any other medicine, including prescription, non-prescription or any herbal medicine.
Overdosage:
CITAFINE 1400MG INJECTION will be administered to you only by a doctor or a nurse in a hospital?and so it is unlikely to receive an overdose. However, consult your doctor or nurse if you experience anything unusual.
SYNOPSIS

Drug :?? Gemcitabine

Pharmacological Category :?? Pyrimidine antagonists

Therapeutic Indication :?? Cancer treatment

Dosage Forms :?? Injection

MORE INFORMATION

Keep CITAFINE 1400MG INJECTION out of reach of children

Store CITAFINE 1400MG INJECTION between 25?C

FAQs ABOUT CITAFINE 1400MG INJECTION
Can CITAFINE 1400MG INJECTION cause hearing loss?
According to some studies, CITAFINE 1400MG INJECTION is ototoxic, which means it can cause hearing or balance problems. Consult your doctor if you experience any problems with hearing during this treatment.
How long do I need to take CITAFINE 1400MG INJECTION?
You usually have CITAFINE 1400MG INJECTION as a course of several cycles of treatment. This means that you receive the medicine and then rest to allow your body to recover. Usually, a cycle of CITAFINE 1400MG INJECTION is over 3 to 4 weeks (21 to 28 days), but your doctor will determine the duration of treatment according to your condition.
Is it safe to have a baby during treatment with CITAFINE 1400MG INJECTION?
For women, CITAFINE 1400MG INJECTION is not recommended for use if you are pregnant or planning for a baby. Men are advised not to father a child during and up to 6 months after treatment with CITAFINE 1400MG INJECTION. You may want to seek counselling on sperm storage before starting your treatment. Consult your doctor for advice.
Can I receive CITAFINE 1400MG INJECTION if I got recently vaccinated?
Before receiving CITAFINE 1400MG INJECTION, inform your doctor if you recently got vaccinated as it can affect the number of blood cells that are tested during this treatment. Consult your doctor for advice.
Can I drive a car during treatment with CITAFINE 1400MG INJECTION?
CITAFINE 1400MG INJECTION may make you feel sleepy, especially if you have consumed any alcohol. Do not drive a car until you are sure that this treatment has not made you feel sleepy. Consult your doctor if you feel any side effect during treatment with CITAFINE 1400MG INJECTION that may stop you from driving or using machines.
REFERENCES
1. KD. Tripathi. Chemotherapy of Neoplastic Diseases. Essentials of Medical Pharmacology. Eighth edition. 2019. Page ? 924.
2. Alliance for Clinical Trials in Oncology. Gemcitabine Alone or in Combination With Other Chemotherapy Drugs in Treating Patients With Metastatic Cancer of the Pancreas. NIH U.S. National Library of Medicine. ClinicalTrials.gov. [Revised in July 2016] [Accessed on 8th November 2022]?https://clinicaltrials.gov/ct2/show/NCT00012220
3. El Karak F, Flechon A. Gemcitabine in bladder cancer.?NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. December 2007. [Accessed on 8th November 2022]?https://pubmed.ncbi.nlm.nih.gov/18035967/
4. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in November 2019] [Accessed on 8th November 2022]?https://www.medicines.org.uk/emc/files/pil.2490.pdf
5. Sun Pharmaceutical Industries Europe BV. Electronic Medicines Compendium (EMC). [Revised in December 2018] [Accessed on 8th November 2022]?https://www.medicines.org.uk/emc/files/pil.7298.pdf
6. Pfizer Ltd. Gemcitabine. [Revised in June 2019] [Accessed on 8th November 2022]?https://labeling.pfizer.com/ShowLabeling.aspx?format=PDF&id=4464
USEFUL DIAGNOSTIC TESTS