What should I tell my care team before I take this medication?
They need to know if you have any of these conditions:
- Immune system problems
- Infection, especially a viral infection, such as chickenpox, cold sores, herpes
- Kidney disease
- Low blood cell levels (white cells, red cells, and platelets)
- Lung disease
- An unusual or allergic reaction to topotecan, other medications, foods, dyes, or preservatives
- If you or your partner are pregnant or trying to get pregnant
- Breast-feeding
What may interact with this medication?
- Amiodarone
- Captopril
- Carvedilol
- Certain antibiotics, such as azithromycin, clarithromycin, erythromycin,
- Certain medications for fungal infections, such as ketoconazole, itraconazole
- Conivaptan
- Cyclosporine
- Dronedarone
- Eltrombopag
- Felodipine
- Grapefruit juice
- Lopinavir
- Quercetin
- Quinidine
- Ranolazine
- Ritonavir
- Ticagrelor
- Verapamil
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medication?
Your condition will be monitored carefully while you are receiving this medication.
This medication may make you feel generally unwell. This is not uncommon as chemotherapy can affect healthy cells as well as cancer cells. Report any side effects. Continue your course of treatment even though you feel ill unless your care team tells you to stop.
This medication may increase your risk of getting an infection. Call your care team for advice if you get a fever, chills, sore throat, or other symptoms of a cold or flu. Do not treat yourself. Try to avoid being around people who are sick.
This medication may increase your risk to bruise or bleed. Call your care team if you notice any unusual bleeding.
Be careful brushing or flossing your teeth or using a toothpick because you may get an infection or bleed more easily. If you have any dental work done, tell your dentist you are receiving this medication.
Avoid taking medications that contain aspirin, acetaminophen, ibuprofen, naproxen, or ketoprofen unless instructed by your care team. These medications may hide a fever.
Talk to your care team if you or your partner may be pregnant. Serious birth defects can occur if you take this medication during pregnancy and for 6 months after the last dose. You will need a negative pregnancy test before starting this medication. Contraception is recommended while taking this medication and for 6 months after the last dose. Your care team can help you find the option that works for you.
If your partner can get pregnant, use a condom during sex while taking this medication and for 3 months after the last dose.
Do not breastfeed while taking this medication.
This medication may cause infertility. Talk to your care team if you are concerned about your fertility.
What are the most serious risks of this medication?
This medication can decrease the amount of blood cells (white cells, red cells, platelets) your body makes. This increases the risk of anemia, bleeding, and infection. Your care team will check your blood cell levels during your treatment. Talk to your care team right away if you have unusual bruising or bleeding, fever, chills, cough, sore throat, pain or trouble when passing urine, or a general feeling of discomfort or being unwell.