CeeNU® | CeeNU (lomustine) - 10mg (20 Capsules)

Uses
CeeNU (Lomustine) is used to treat various types of cancer. Lomustine belongs to a class of drugs known as alkylating agents. It works by slowing or stopping the growth of cancer cells.

Dosage and administration
Take this medication by mouth as a single dose as directed by your physician. (See also Warning section.) Your dose may consist of 2 or more different strengths/colors of capsules. Taking this medication on an empty stomach with a full glass of water may decrease nausea and vomiting. Unless your physician instructs you otherwise, drink plenty of fluids to avoid a serious loss of body water (dehydration).

The dosage is based on your medical condition, other treatments (e.g., radiation, chemotherapy), body size, and response to therapy (e.g., side effects such as low white blood cell count).

Do not increase your dose or take this medication more often than prescribed. Your condition will not improve any faster, and the risk of serious side effects may be increased.

Since this drug can be absorbed through the skin and lungs, women who are pregnant or who may become pregnant should not handle this medication or breathe the dust from the capsules.

Side effects
Nausea, vomiting, loss of appetite, diarrhea, and mouth/lip sores may occur. Nausea and vomiting usually last for less than 24 hours, though loss of appetite can last for several days. Nausea and vomiting can be quite severe. In some cases, your physician may prescribe medication to prevent/treat nausea and vomiting. Changes in diet such as eating several small meals or limiting activity may help decrease some of these effects. If these effects persist or worsen, notify your physician or pharmacist promptly.

Temporary hair loss may occur. Normal hair growth should return after treatment has ended.

Remember that your physician has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. (See also Precautions section)

Tell your physician immediately if any of these unlikely but serious side effects occur:

• confusion
• swelling of lower legs/feet
• vision changes

Tell your physician immediately if any of these rare but very serious side effects occur:

• coughing up blood
• persistent nausea/vomiting
• stomach/abdominal pain
• black tarry stools
• unusual tiredness
• change in the amount of urine
• dark or pink urine
• yellow eyes/skin

Precautions
Lomustine may cause serious blood disorders (decreased bone marrow function leading to low number of white blood cells/platelets and anemia). It can lower your body's ability to fight an infection and increase your risk of bleeding. These side effects usually occur 4-6 weeks after your dose. Higher doses and more doses increase the chance of these side effects.

Seek immediate medical attention if you develop symptoms of infection (fever, chills, persistent sore throat) or unusually easy bruising/ bleeding. (See also Side effects section)

Your physician will monitor you and perform blood tests weekly for at least 6 weeks after each dose. Your dose and any further treatment will be based on your blood tests. You will have to wait at least 6 weeks between doses.

Your physician or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your physician or pharmacist first.

This drug should not be used with the following medications because very serious interactions may occur:

• nalidixic acid
• live vaccines

If you are currently using either of the medications listed above, or have received or plan to receive any vaccines, tell your physician or pharmacist before starting lomustine.

Before using this medication, tell your physician or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

• 'blood thinners' (e.g., heparin, warfarin)
• other drugs that can affect the immune system (e.g., chemotherapy, cyclosporine)

This does not contain all possible interactions. Therefore, before using this product, tell your physician or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your physician and pharmacist.

Delivery Time: 7-14 Days