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What special precautions should I follow?

Before taking Topotecan:

You should not receive topotecan if you have severe bone marrow depression or if you are pregnant or breast-feeding.

Moreover, tell your doctor if you have kidney disease. You may not be able to receive topotecan, or you may need a dosage adjustment or special tests during treatment.

Some drugs may affect topotecan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without first telling your doctor.

This medication falls into the FDA pregnancy category D. This means that it can cause harm to an unborn baby. Do not receive topotecan without telling your doctor if you are pregnant. It could cause harm to the unborn baby, so please use an effective form of birth control, and tell your doctor if you become pregnant during treatment.

Additionally, it is not known whether topotecan passes into breast milk or if it could harm a nursing baby. Do not receive this medication without telling your doctor if you are breast-feeding a baby.

Topotecan can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.

Avoid contact with people who have colds, the flu, or other contagious illnesses. Contact your doctor immediately if you develop signs of infection.

Do not receive a "live" vaccine while you are being treated with topotecan, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you.

Topotecan can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.


FDA Information

Why is this medication prescribed?

Other uses for this medicine

Dosage and using this medicine

What should I do if I forget a dose?

What side effects can this medication cause?

What storage conditions are needed for this medicine?

In case of an emergency/overdose


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