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TopotecanTTopotecanTopotecanEnglishPharmacyNANANADrugs and SupplementsCaregivers Adult (19+)NA2010-03-24T04:00:00ZRita V. Kutti, BScPhm, RPh59.00000000000008.00000000000000964.000000000000Drugs (A-Z)Drug A-Z<p>Your child needs to take the medicine called topotecan. This information sheet explains what topotecan does, how to give it, and what side effects or problems your child may have when they take this medicine.</p><p>Your child needs to take the medicine called topotecan (say: toe-poe-TEE-kan). This information sheet explains what topotecan does, how to give it, and what side effects or problems your child may have when they take this medicine.</p><h2>Before giving topotecan to your child</h2> <p>Tell your child's doctor if your child has ever reacted badly to topotecan or any other drugs.</p> <h3>Talk with your child's doctor or pharmacist if your child has any of the following conditions. Precautions may need to be taken with this medicine if your child:</h3> <ul><li>has low blood counts<br></li> <li>has an infection or recent exposure to infection, such as chickenpox<br></li> <li>has kidney or liver problems<br></li> <li>is pregnant</li></ul><h2>How will your child get topotecan?</h2> <p>Topotecan is a clear light yellow-coloured liquid that a nurse will give by needle into your child's vein. Usually your child will get this medicine in the hospital clinic or on the nursing unit.</p><h2>What are the possible side effects of topotecan?</h2> <p>Your child may have some of these side effects while they take topotecan. Check with your child's doctor if your child continues to have any of these side effects and they do not go away, or they bother your child:</p> <ul><li>upset stomach or throwing up<br></li> <li>watery bowel movements (diarrhea)<br></li> <li>trouble having a bowel movement (constipation)<br></li> <li>stomach cramps<br></li> <li>tiredness<br></li> <li>cough</li></ul> <p>Most of the following side effects are not common, but they may be a sign of a serious problem. Let your child's doctor or nurse know as soon as possible if your child has any of these side effects:</p> <ul><li>cough or hoarse voice<br></li> <li>dark urine or yellow skin or eyes<br></li> <li>rash<br></li> <li>headache</li></ul> <h3>Most of the following side effects are not common, but they may be a sign of a serious problem. Call your child's doctor right away or take your child to Emergency if your child has any of these side effects:</h3> <ul><li>signs of infection such as a fever, chills, or a sore throat<br></li> <li>unusual bleeding or bruising<br></li> <li>blood in the urine or stools<br></li> <li>pain when urinating<br></li> <li>feeling extremely tired or weak<br></li> <li>severe nausea or vomiting or stomach pain</li></ul><h2>What safety measures should you take when your child is using topotecan?</h2> <p>Topotecan can lower the number of white blood cells in the blood temporarily, which increases your child's chances of getting an infection. Your child can take the following precautions to prevent infections, especially when the blood count is low:</p> <ul><li>Avoid people with infections, such as a cold or the flu.<br></li> <li>Avoid places that are very crowded with large groups of people.<br></li> <li>Be careful when brushing or flossing your child's teeth. Your doctor, nurse or dentist may suggest different ways to clean your child's mouth and teeth.<br></li> <li>You and your child should not touch your child's eyes or inside the nose without washing hands first.<br></li> <li>Your child's nurse will review with you what to do in case of fever.</li></ul> <p>Topotecan can lower the number of platelets in the blood, which increases your child's risk of bleeding. You can take the following precautions:</p> <ul><li>Be careful not to cut your child when using fingernail scissors or toenail clippers.<br></li> <li>Be careful when shaving or waxing.<br></li> <li>Your child should avoid contact sports where bruising or injury could occur.<br></li> <li>Before your child has surgery, including dental surgery, inform the doctor or dentist that your child is taking topotecan.</li></ul> <p>Your child should not receive any immunizations (vaccines) without your child's doctor's approval. Your child or anyone else in your household should not get oral polio vaccine while your child is being treated for cancer. Tell your child's doctor if anyone in your household has recently received oral polio vaccine. Your child should avoid contact with anyone who has recently received this vaccine. Other live vaccines that your child should not get include measles, mumps, and rubella (MMR) vaccine and chickenpox vaccine.</p> <p>Your child may lose their hair. It will grow back once your child is no longer receiving topotecan. Its colour and texture may change. Use a gentle shampoo and a soft brush.</p> <p>There is a chance that topotecan may cause birth defects if it is taken at the time of conception or if it is taken during pregnancy. If your child is sexually active it is best that they use birth control while receiving topotecan. Tell the doctor right away if your child may be pregnant.</p><h2>What other important information should you know about topotecan?</h2><ul><li>Check with your child's doctor or pharmacist before giving your child any other medicines (prescription, non-prescription, herbal, or natural products).</li><li>Keep a list of all medications your child is on to show the doctor or pharmacist.</li><li>Do not keep any medicines that are out of date. Check with your pharmacist about the best way to throw away outdated or leftover medicines.<br></li></ul>
拓扑替康拓扑替康TopotecanChineseSimplifiedPharmacyNANANADrugs and SupplementsAdult (19+) CaregiversNA2010-03-24T04:00:00ZRita V. Kutti, BScPhm, RPhFlat ContentDrug A-Z<p>你的孩子需要使用称为拓扑替康的药物。此信息篇解释拓扑替康做什么和如何给予,以及当你的孩子使用这种药物的时候,他或她可能有的副作用或问题。</p>

 

 

拓扑替康256.000000000000拓扑替康TopotecanChineseSimplifiedPharmacyNANANADrugs and SupplementsAdult (19+) CaregiversNA2010-03-24T04:00:00ZRita V. Kutti, BScPhm, RPhFlat ContentDrug A-Z<p>你的孩子需要使用称为拓扑替康的药物。此信息篇解释拓扑替康做什么和如何给予,以及当你的孩子使用这种药物的时候,他或她可能有的副作用或问题。</p><h2>这是什么药?</h2><p>拓扑替康是用来杀死癌细胞的药物。</p><p>你可能听到过拓扑替康的商品名称,Hycamtin®。拓扑替康为注射剂型。</p><h2>在给予你的孩子这种药物之前</h2><p>如果你的孩子过去对拓扑替康或任何其它药物严重过敏,告诉你的孩子的医生。</p><h3>如果你的孩子有任何下列疾病,告知你的孩子的医生或药剂师。如果你的孩子有下列疾病,使用这种药物可能需要采取预防措施:</h3><ul><li>有低血球计数</li><li>有感染或最近接触感染,例如水痘</li><li>有肾脏或肝脏问题</li><li>怀孕</li></ul><h2>你的孩子将如何得到这个药?</h2><p>拓扑替康是一种透明淡黄色的液体,将由护士注射入你的孩子的静脉。通常,你的孩子将在医院门诊或护理室给予这种药物。</p><h2>这种药物的可能的副作用是什么?</h2><p>当你的孩子使用拓扑替康时,他或她可能有一些副作用。如果你的孩子继续有任何下面副作用,而且它们没有消失,或者它们烦扰你的孩子,与你的孩子的医生协商:</p><ul><li>胃部不适或呕吐</li><li>水样大便(腹泻)</li><li>大便困难(便秘)</li><li>胃痉挛</li><li>疲倦</li><li>咳嗽</li></ul><p>大多数这些副作用是不常见的,但是,它们可能是一个严重问题的征兆。如果你的孩子有任何以下这些症状,尽快让你的孩子的医生或护士知道:</p><ul><li>咳嗽或声音嘶哑</li><li>暗色尿液或皮肤或眼睛发黄</li><li>皮疹</li><li>头痛</li></ul><h3>大多数这些副作用是不常见的,但是,它们可能是一个严重问题的征兆。如果你的孩子有任何以下这些症状,立刻打电话给你的孩子的医生,或带你的孩子去急诊:</h3><ul><li>感染迹象,如发烧、发冷,或喉咙疼痛</li><li>不寻常的出血或瘀伤</li><li>尿液或大便有血</li><li>排尿疼痛 </li><li>感觉非常疲倦或虚弱</li><li>严重的恶心、呕吐或腹部疼痛</li></ul><h2>当你的孩子使用这种药物时,你应该采取什么安全措施? </h2><p>拓扑替康可能暂时降低血液中白血球的数量,增加了你的孩子受感染的机会。你的孩子可以采取以下措施,以预防感染,特别是当血液计数低的时候:</p><ul><li>避免接触有感染的人,比如感冒或流感。</li><li>避免到有大量人群非常拥挤的地方。</li><li>当刷牙或使用牙线清洁你的孩子的牙齿时,要小心。你的医生、护士,或牙医可能会建议不同的方法来清洁你的孩子的口腔和牙齿。</li><li>没有首先洗手,你和你的孩子不应该接触你的孩子的眼睛或鼻子里。</li><li>你的孩子的护士将与你讨论万一你的孩子有发烧时,你做什么。</li></ul><p>拓扑替康可以降低血液中的血小板数量,从而增加你的孩子出血的风险。你可以采取以下预防措施:</p><ul><li>当使用指甲剪刀或脚趾指甲刀剪的时候,小心不要刺伤你的孩子。</li><li>当刮脸或打蜡时,需要小心。</li><li>你的孩子应该避免可能发生瘀伤或受伤的接触性运动。</li><li>在你的孩子做手术之前,包括牙科手术,告诉医生或牙医你的孩子正在使用拓扑替康。</li></ul><p>没有你的孩子的医生的批准,你的孩子不应该接受任何预防接种(疫苗)。当你的孩子正在接受癌症治疗时,你的孩子或你的家庭中的任何其他人不应该接受口服脊髓灰质炎疫苗。如果你的家庭中的任何人最近接受了口服脊髓灰质炎疫苗,告诉你的孩子的医生。你的孩子应该避免接触任何最近接受了这种疫苗的人。你的孩子不应该接种的其它活疫苗包括:麻疹、腮腺炎和风疹联合疫苗(MMR)和水痘疫苗。</p><p>你的孩子可能失去他们的头发。一旦你的孩子停止使用拓扑替康,头发将重新生长。头发的颜色和质地可能有所变化。使用温和的洗发水和软的刷子。</p><p>如果在受孕时,或者如果在怀孕期间使用拓扑替康,有可能有导致出生缺陷的机会。如果你的孩子是性活跃的,建议在接受拓扑替康的时候,他或她最好使用某种类型的节育措施。如果你的孩子可能怀孕,立即告诉你的医生。 </p><h2>你还应该知道其它什么重要信息?</h2><p>在给予你的孩子任何其它药物(处方药、非处方药、草药或天然产品)之前,与你的孩子的医生或药剂师协商。</p><p>保留一个列有你的孩子正在使用的所有药物的清单,向医生或药剂师出示这个清单。</p><p>不保留任何已经过期的药物。与你的药剂师协商扔掉过期或剩余药品的最佳方式。</p><p>如果你的孩子使用了过量的任何药物,拨打以下电话之一与安大略省中毒中心联系。这些电话都是免费的。</p><ul><li>如果你住在多伦多, 致电416-813-5900。</li><li>如果你住在安大略省的其它地区, 致电1-800-268-9017。 </li><li>如果你住在安大略省以外,致电当地的中毒信息中心。 </li></ul><p>免责声明:本家庭医学援助中的信息在付印时是准确的。它提供了有关拓扑替康的信息摘要, 不包含有关此药的所有可能的信息。没有列出所有的副作用。如果你有任何疑问或想了解更多有关拓扑替康的信息, 告诉你的医护人员。 </p>https://assets.aboutkidshealth.ca/AKHAssets/ICO_DrugA-Z.png拓扑替康False

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