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INDICATIONS

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INSTRUCTIONS

Take this medicine only as directed because of your doctor. Do not take pretty much than it, and never get it more often than your medical professional ordered. The exact quantity of medicine you will need may be carefully worked out. Taking excessive might increase the chance of side effects, while taking weak hands might not exactly improve your condition.

Cyclophosphamide might be given as well as certain other medicines. If you are using a mixture of medicines, ensure that you take every one at the proper time and never mix them. Ask your wellbeing care professional to help you plan ways to make sure to take your medicines on the right times.

While you are using cyclophosphamide, it is vital that you drink extra fluids which means you pass more urine. Also, empty your bladder frequently, including at least once when asleep. This will help prevent kidney and bladder problems whilst your kidneys working well. Cyclophosphamide passes from one's body inside the urine. If a lot of than it appears within the urine or if the urine stays within the bladder a long time, you can get dangerous irritation. Follow your physician's instructions carefully about how much fluid to drink each day. Some patients might have to the miracles of water to 7 to 12 cups (3 quarts) of fluid a day.

Usually it's always best to take cyclophosphamide initial thing within the morning, to cut back the risk of bladder problems. However, a medical expert may wish that you go with food in smaller doses over the day, to lessen stomach upset or profit the medicine work better. Follow your medical professional's instructions carefully about when you ought to take cyclophosphamide.

Cyclophosphamide often causes nausea, vomiting, and decrease of appetite. However, it is crucial that you keep using the medicine even though you begin to feel ill. Do not stop taking this medicine without first checking with your doctor. Ask your wellbeing care professional for ways to minimize these effects.

If you vomit after that taking a dose of cyclophosphamide, seek advice from your medical professional. You will be told if you should make dose again or hold off until the next scheduled dose.

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If you miss a dose on this medicine, go on it as quickly as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your normal dosing schedule. Do not double doses.

Call your doctor or pharmacist for instructions.

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DOSAGE

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The dose of this medicine will change for several patients. Follow your physician's orders or even the directions for the label. The following information includes exactly the average doses of the medicine. If your dose is unique, usually do not put it back unless your medical professional tells you to do so.

The quantity of medicine which you take depends on the strength of the medicine. Also, the number of doses you take daily, time allowed between doses, and also the amount of time you go ahead and take medicine depend about the medical problem for which you happen to be using the medicine.

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STORAGE

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Store Cytoxan at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store far from heat, moisture, and light. Store the medicine in the closed container. Keep from freezing. Keep Cytoxan out of the reach of youngsters and far from pets.

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Side Effects

Along having its needed effects, a medicine may cause some negative effects. Although not most of these side effects may occur, should they do occur they might need medical attention.

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

More common: cough or hoarseness, fever or chills, back or side pain, missing menstrual periods, painful or difficult urination.

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With high doses and/or long-term treatment: blood in urine, dizziness, confusion, or agitation, fast heartbeat, joint pain, breathlessness, swelling of feet or lower legs, unusual tiredness or weakness.

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Less common: black, tarry stools or blood in stools, pinpoint red spots on skin, unusual bleeding or bruising.

Rare: frequent urination, redness, swelling, or pain at site of injection, sores in mouth and on lips, sudden shortness of breath, unusual thirst, yellow eyes or skin.

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Some unwanted side effects may occur have a tendency to don't need medical help. These unwanted effects might go away during treatment as your body adjusts towards the medicine. Also, your wellbeing care professional might be able to inform you of approaches to prevent or reduce many of these unwanted effects. Check with your health care professional if these things unwanted side effects continue or are bothersome or if you've questions about them:

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More common: darkening of skin and fingernails, lack of appetite, nausea / vomiting.

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Less common: diarrhea or stomach pain, flushing or redness of face, headache, increased sweating, skin rash, hives, or itching, swollen lips.

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Cyclophosphamide might cause a brief loss of hair in some people. After treatment ends, normal hair regrowth should return, even though the new hair might be a slightly different color or texture.

After you stop applying this medicine, it may well still produce some side effects that require attention. During this period of your energy, check with your doctor immediately if you see the next negative effects:
Blood in urine

Other unwanted effects unlisted might also occur in some patients. If you notice another effects, check along with your medical practioner.

Call your medical professional for medical health advice about unwanted effects.

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Precautions

Take this medicine only as directed because of your doctor. Do not take pretty much from it, and do not get it more often than your physician ordered. The exact amount of medicine you need may be carefully worked out. Taking a lot of may increase the potential for unwanted side effects, while taking not enough may well not enhance your condition.

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It is vital that your medical professional check your progress at regular visits to make certain that this prescription medication is functional and to search for unwanted effects.

While you might be receiving treatment with cyclophosphamide, and once you stop treatment from it, do not have any immunizations (vaccinations) without a medical expert's approval. Cyclophosphamide may lower your body's resistance and there is an opportunity you can find the problem the immunization is meant to prevent. In addition, other persons living in your property must not take oral polio vaccine nevertheless there is a possibility they could pass the polio virus to you. Also, avoid persons who've recently taken oral polio vaccine during the last many months. Do not get close to them, and do not stay within the same room with them for very long. If you cannot take these precautions, you should think of wearing a protective breathing apparatus that covers the nose and mouth.

Before having any type of surgery, including dental surgery, or emergency treatment, ensure that the medical professional or dentist in control is aware that you are taking this medicine, especially if you've got taken it within the past 10 days.

Cyclophosphamide can temporarily lower the volume of white blood cells in your blood, increasing the probability of getting an infection. It can also lower the amount of platelets, that are needed for proper blood clotting. If this occurs, there are particular precautions it is possible to take, particularly if your blood count is low, to cut back the chance of infection or bleeding:
If you can, avoid people with infections. Check with your physician immediately if you feel you're getting an infection or if you receive a fever or chills, cough or hoarseness, lower back or side pain, or painful or difficult urination.
Check with your physician immediately if you see any unusual bleeding or bruising; black, tarry stools; blood in urine or stools; or pinpoint red spots on your skin.
Be careful when you use a consistent toothbrush, dental floss, or toothpick. Your physician, dentist, or nurse may recommend other solutions to clean your teeth and gums. Check with your medical doctor before having any dental work done.
Do not touch your vision or perhaps the inside of your nose unless you have just washed both hands and also have not touched other things in the meantime.
Be careful not to cut yourself when you might be using sharp objects say for example a safety razor or fingernail or toenail cutters.
Avoid contact sports or another situations where bruising or injury could occur.

Before you've got any tests, tell the medical doctor in charge that you happen to be investing in this medicine. The results of some tests could be affected by this medicine.

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