Mitoxantrone (By injection)
mye-toe-ZAN-trone
Treats the symptoms of multiple sclerosis (MS). Also treats prostate cancer and certain types of leukemia (such as acute nonlymphocytic leukemia or ANLL).
Drug classes
Antineoplastic Agent (About this – PubMed Health)
Uses
Uses of This Medicine
Mitoxantrone injection is used alone or together with other medicines to treat advanced prostate cancer and acute nonlymphocytic leukemia (ANLL). It belongs to the group of medicines known as antineoplastics or cancer medicines. Mitoxantrone is also used to treat some forms of multiple sclerosis (MS). This medicine will not cure MS, but it may extend the time between relapses.
Mitoxantrone interferes with the growth of cancer cells, which are eventually destroyed. Since the growth of normal body cells may also be affected by mitoxantrone, other unwanted effects will also occur. Some of these may be serious and must be reported to your doctor. Other effects, like hair loss, may not be serious but may cause concern. Some unwanted effects may not occur for months or years after the medicine is used.
Before you begin treatment with mitoxantrone, you and your doctor should talk about the good this medicine will do as well as the risks of using it.
This medicine is to be administered only by or under the immediate supervision of your doctor.
Other uses (PubMed Health)
How To Use
Injectable
Medicines used to treat cancer are very strong and can have many side effects. Before receiving this medicine, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor during your treatment.
Your doctor will prescribe your dose and schedule. This medicine is given through a needle placed in a vein.
You will receive this medicine while you are in a hospital or cancer treatment center. A nurse or other trained health professional will give you this medicine.
If this medicine gets on your skin, rinse the area well with warm water and tell your doctor. If the medicine gets in your eyes, rinse your eyes with large amounts of water, and tell your doctor.
Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.
If a dose is missed:
This medicine needs to be given on a fixed schedule. If you miss a dose, call your doctor, home health caregiver, or treatment clinic for instructions.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Tell your doctor about all other medicines you are using, radiation treatment, and all other cancer medicines you have received in the past.
This medicine may interfere with vaccines. Ask your doctor before you get a flu shot or any other vaccines.
When Not To Use
You should not receive this medicine if you have had an allergic reaction to mitoxantrone, or if you are pregnant or breastfeeding.
Warnings
It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant. Your doctor may require you to have a pregnancy test before you receive each dose of this medicine, to make sure you are not pregnant.
Make sure your doctor knows if you have liver disease, anemia, blood clotting problems, bone marrow problems, low white blood cell counts, bleeding problems, or any kind of infection. Also, tell your doctor if you have had cancer treatment or radiation in the past.
Make sure your doctor knows if you have heart or blood vessel disease, congestive heart failure, or any type of swelling (such as in your ankles, feet, or hands). Your doctor may need to check your heart function before you start using this medicine.
If you have pain, burning, redness, or swelling of your skin area where the IV needle is placed, tell your doctor right away.
This medicine may change the color of your urine to bluish-green. The whites of your eyes may also appear slightly bluish-green. This is normal, especially within the first 24 hours after you receive the medicine.
This medicine may make you bleed, bruise, or get infections more easily. Take precautions to prevent illness and injury. Wash your hands often.
Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments. Your doctor may also want to check your heart while you are using this medicine.
Cancer medicine can cause nausea or vomiting, sometimes even after you receive medicine to prevent these effects. Ask your doctor or nurse about other ways to control any nausea or vomiting that might happen.
Possible side effects
Summary More details
Call your doctor right away if you notice any of these side effects:
Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Burning, pain, swelling, or bruising of your skin where the needle is placed.
Fever, chills, cough, runny or stuffy nose, sore throat, and body aches.
Nausea, vomiting, loss of appetite, or pain in your upper stomach.
Pain or burning when you urinate, change in how much or how often you urinate.
Pain or redness at the place of injection.
Rapid weight gain.
Shortness of breath, cold sweat, and bluish-colored skin.
Swelling in your hands, ankles, or feet.
Uncontrollable nausea, vomiting, or diarrhea.
Uneven heartbeats.
Unusual bleeding or bruising.
Unusual tiredness or weakness.
Yellowing of your skin or the whites of your eyes.
If you notice these less serious side effects, talk with your doctor:
Back pain, bone pain.
Blue skin at the place of injection.
Changes in your menstrual periods.
Depressed mood.
Hair loss.
Mild nausea, constipation, diarrhea, heartburn, vomiting, or stomach pain or upset.
Sores or white patches on your lips, mouth, or throat.
If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
More side effects of this drug
Brand names include
Novantrone, OTN Mitoxantrone
There may be other brand names for this medicine.
