Gemcitabine
Hcl
CAS:122111-03-9
Assay:
98.0% - 102.0%
Appearance: off-white crystalline powder
Chemical
Name:1-(2-oxo-4-amino-1,2-dihydropyrimidin-1-yl)-2- deoxy-2,2-difluororibose
Melting
Range: 286 - 292 degree C
This product should be stored, handled and used in accordance with
good industrial hygiene practice and conformity with any legal regulation.
The
information contained herein are based on the present state of our
knowledge and are intended to describe out product from the point
of view of safety requirements. They should not therefore be constructed
as guaranteeing specific properties .
Proper
Use of Gemcitabine?
Gemcitabine often causes nausea and vomiting. It can also cause flu-like
symptoms such as chills, fever, general feeling of illness, headache,
muscle pain, and weakness. It is very important that you continue
to receive the medicine even if it makes you feel ill. Ask your health
care professional for ways to lessen these effects.
Dosing?
The dose of gemcitabine
will be different for different patients. The dose that is used may
depend on a number of things, including the type of cancer being treated,
the patient's size, and whether or not other treatments are also being
given. If you are receiving gemcitabine at home, follow your doctor's
orders or the directions on the label. If you have any questions about
the proper dose of gemcitabine, ask your doctor.
Precautions
While Using Gemcitabine?
It is very important that your doctor check your progress at regular
visits to make sure that this medicine is working properly. Blood
tests will be needed to check for unwanted effects.
While you are
being treated with gemcitabine, and after you stop treatment with
it, do not have any immunizations (vaccinations) without your doctor's
approval. Gemcitabine may lower your body's resistance, and there
is a chance you might get the infection that 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 taken oral
polio vaccine within the past several months. 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.
Check with your
doctor immediately if shortness of breath occurs or worsens while
you are being treated with gemcitabine.
Gemcitabine 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 needed 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. Also, 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 Gemcitabine?
Along with its needed effects, a medicine may cause some unwanted
effects. Although not all of these side effects may occur, if they
do occur they may need medical attention.
Check with your
doctor immediately if any of the following side effects occur:
More common
Shortness of breath
Less common
Cough or hoarseness (accompanied by fever or chills); fever or chills;
headache (sudden and severe); lower back or side pain (accompanied
by fever or chills); painful or difficult urination (accompanied by
fever or chills); pain in chest, arm, or back; pressure or squeezing
in chest; slurred speech or inability to speak; troubled breathing,
tightness in chest, and/or wheezing; weakness in arm and/or leg on
one side of the body (sudden and severe)
Rare
Coughing; noisy or rattling breathing
The following side effects may mean that you are having a serious
allergic reaction to this medicine, especially if they occur together
with breathing problems. Check with your doctor immediately if any
of them occur:
Rare
Change in skin color of the face; skin rash, hives, and/or itching;
swelling or puffiness of the face, especially the eyelids or area
around the eyes
Also, check with your doctor as soon as possible if any of the following
side effects occur:
More common
Black, tarry stools; blood in urine or stools; cloudy urine; fever;
pinpoint red spots on skin; skin rash, with or without itching; swelling
of fingers, feet, or lower legs; unusual bleeding or bruising ; unusual
tiredness or weakness
Less common
Fast or irregular heartbeat; high blood pressure
Rare
Increased or decreased urination; yellow eyes or skin
Some of the above side effects may occur, or continue to occur, after
treatment with gemcitabine has ended. Check with your doctor if you
notice any of them after you stop receiving the medicine.
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.
However, check with your doctor if any of the following side effects
continue or are bothersome:
More common
Constipation; diarrhea; general feeling of illness; loss of appetite;
muscle pain; nausea and vomiting; runny nose; sweating; trouble in
sleeping
Less common
Drowsiness (severe); irritation, pain, or redness at place of injection;
numbness or tingling of hands or feet; sores, ulcers, or white spots
on lips and in mouth
Gemcitabine may also cause a temporary loss of hair in some people.
After treatment with gemcitabine has ended, normal hair growth should
return.
Other side effects
not listed above may also occur in some patients. If you notice any
other effects, check with your doctor.
Additional
Information?
Once a medicine has been approved for marketing for a certain use,
experience may show that it is also useful for other medical problems.
Although this use is not included in product labeling, gemcitabine
is used in certain patients with the following medical conditions:
Bladder cancer
Breast cancer
Cancer of the lymph system
Epithelial ovarian cancer
Cancer of the bile ducts
Cancer of the gallbladder
Germ cell tumors of the ovaries and testes (cancer of the egg- and
sperm-producing cells)
Other than the above information, there is no additional information
relating to proper use, precautions, or side effects for this use.