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Temozolomide

Latest prescription information about Temozolomide. Learn how to pronounce the drug’s name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, its storage instructions and warnings if any when taken during pregnancy. Also listed are the International and Indian trade name(s) of the drug and its price list.
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Generic Name : Temozolomide
Pronunciation : TEM-oh-ZOE-loe-mide
Therapeutic Classification : Chemotherapy
Trade Name(s): 
India- Emzolam Cap, Gliotem Cap, Gliotem Tab, Glioz Cap, Temo Trust Cap, Temodal Cap, Temolon Cap, Temonat Cap, Temozam Cap.
International- Temodar.
Why it is prescribed (Indications) : 
This medication is an anticancer agent, used for brain cancers i.e. anaplastic astrocytoma and glioblastoma multiforme. It is also used for treating melanoma.

When it is not to be taken (Contraindications): 


Hypersensitivity.

Pregnancy Category :

A B C D X
Category D : There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.


When it is to be taken : 
Anaplastic astrocytoma: The starting dose is 150 mg/m2 once daily for first 5 days in 28days cycle. It may be adjusted depending upon blood counts. Max: 200 mg/m2/day.
Metastatic melanoma: The dose is given in range of 150 – 200mg/m2 once daily for first 5 days in 28days cycle, as a single therapy.
How it should be taken : 
It comes as a capsule to take by mouth, should be taken on an empty stomach.
Special Instruction : 
*Use a reliable method of birth control to prevent pregnancy. It may harm the fetus.
*It may increase your risk of developing a second cancer.Contact your doctor immediately.
*Monitor complete blood count, Pneumocystis carinii pneumonia (PCP) development regularly.
*Caution should be exercised in patients with history of liver or kidney disease, pregnancy, elderly greater than 70 yrs, children.
*It may cause dizziness or drowsiness. Do not drive a car or operate machinery while taking this medication.
Side Effects : 
Most common- Hair loss, fatigue, nausea, vomiting, headache, constipation, loss of appetite, convulsions, rash, weakness, diarrhea, weakness, fever, dizziness, abnormal coordination, viral infection, memory loss, and sleeplessness.
Central Nervous System- Convulsions, dizziness, tingling, drowsiness, incoordination, confusion, anxiety, depression.
Blood- Decrease in number of all blood cells.
Endocrine- Adrenal hypercorticism.
Gastrointestinal - Nausea, vomiting, constipation, diarrhea, abdominal pain, loss of appetite.
Musculoskeletal - Muscle pain.
Respiratory- Upper respiratory tract infection, inflammation of pharynx, sinusitis, coughing.
Skin- Rash, itching.
Genitourinary- Urinary tract infection, increased frequency.
Eye- Double vision, vision abnormal.
Other Precautions : 
*Avoid using contaminated solution of this medication.
Storage Conditions : 
Oral: Store at 15-30°C. Store it at room temperature and away from excess heat and moisture.

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