Patient Medication Information: uses, side effects, how to take - Cabazitaxel for Injection (DR Reddy's Laboratories)
Serious Warnings and Precautions
Cabazitaxel for Injection should only be given by a qualified healthcare professional experienced in the use of anticancer treatments. Possible serious side effects with the use of Cabazitaxel for Injection include:
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What is Cabazitaxel for Injection used for?
Cabazitaxel for Injection is used with prednisone and prednisolone to treat prostate cancer in adults who have been previously treated with docetaxel and who have:
- Prostate cancer that has spread to other parts of the body (metastasized)
- Prostate cancer that no longer responds to hormone treatment
How does Cabazitaxel for Injection work?
Every cell in your body contains a supporting structure. If this structure is damaged, the cell cannot grow or divide.
Cabazitaxel for Injection makes the structure in cells unnaturally stiff, so the cancer cells can no longer grow or divide.
What are the ingredients in Cabazitaxel for Injection?
Medicinal ingredient: Cabazitaxel
Non-medicinal ingredients: Anhydrous citric acid, and Polysorbate 80. The diluent contains 13% (w/w) ethanol in water for injection.
Cabazitaxel for Injection comes in the following dosage forms:
Solution for Injection: 40 mg / mL (in vials containing 60 mg / 1.5 mL cabazitaxel)
Do not use Cabazitaxel for Injection if:
you have a history of severe allergic reactions to:
- cabazitaxel, or
- other medicines containing polysorbate 80, or
- any of the other ingredients in the formulation
- your white blood cell count is too low.
- you have a severe liver disease.
- you have recently received or you are about to receive the yellow fever vaccine.
To help avoid side effects and ensure proper use, talk to your healthcare professional before you take Cabazitaxel for Injection. Talk about any health conditions or problems you may have, including if you:
- have a decreased ability to produce blood cells
- have anemia (low number of red blood cells)
- have or had gastrointestinal problems
- have stomach pain, fever, persistent constipation which may be a sign of gastrointestinal problems
- have severe or persistent diarrhea, nausea or vomiting which may result in dehydration.
- have a history of diseases of digestive tract
- have a fever. A fever is the earliest sign of infection which may be caused by reduced white blood cell count.
- have any allergies. Antiallergic medicines will be given to you to reduce the risk of an allergic reaction, as Cabazitaxel for Injection may also cause serious allergic reactions (hypersensitivity).
- have previously received pelvic radiotherapy
- have liver or kidney problems.
- have inflammation of the bladder.
- have a heart problem or an irregular heart rate
- new or worsening lung problems
- are over the age of 65
are pregnant or planning on becoming pregnant
- are breast-feeding or planning on breast-feeding. Cabazitaxel for Injection should not be used while breast-feeding
- are going to have any vaccines. Cabazitaxel for Injection should not be used if you have recently received or you are about to receive a live vaccine (such as yellow fever vaccine), since concomitant use may result in serious life-threatening infections.
Other warnings you should know about:
Contraception for Men: Cabazitaxel for Injection might be present in your semen. Use a condom every time you have sexual intercourse with a woman who is pregnant or can get pregnant while you are taking Cabazitaxel for Injection and for 6 months after your last dose. You should talk to your doctor about preserving your sperm prior to receiving Cabazitaxel for Injection.
Driving and Using Machinery: Cabazitaxel for Injection may cause fatigue or dizziness. If you experience these symptoms, do not drive or use any tools or machines.
Laboratory Test: Your doctor will perform blood tests on a weekly basis and before each treatment cycle.
Problems with your Nervous System: Cabazitaxel can cause weakness, numbness and pain, usually in the hands and feet.
Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements or alternative medicines.
The following may interact with Cabazitaxel for Injection:
- medicines used to treat infections, such as: ketoconazole, itraconazole, rifampicin, clarithromycin, indinavir, nelfinavir, ritonavir, saquinavir, voriconazole
- medicines used to treat seizures, such as: carbamazepine, phenytoin, phenobarbital.
- live vaccines
How to take Cabazitaxel for Injection:
- Cabazitaxel for Injection will be given to you as an infusion into the vein (intravenous infusion) by a healthcare professional every 3 weeks.
- The infusion will take about 1 hour.
- Your healthcare professional may also give you other medicines by injection, into the vein, to reduce your risk of experiencing an allergic reaction.
- During treatment with Cabazitaxel for Injection you will also need to take 10 mg of prednisone or prednisolone orally every day.
Usual dose:
Your healthcare professional will decide the dose of Cabazitaxel for Injection you should receive based on your height and weight.
Overdose:
| If you think you, or a person you are caring for, have taken too much Cabazitaxel for Injection, contact a healthcare professional, hospital emergency department, regional poison control centre or Health Canada’s toll-free number, 1-844 POISON-X (1-844-764-7669) immediately, even if there are no signs or symptoms. |
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Missed Dose:
This medicine needs to be given on a fixed schedule. If you miss an appointment, call your doctor or nurse for instructions.
What are possible side effects from using Cabazitaxel for Injection?
These are not all the possible side effects you may have when taking Cabazitaxel for Injection. If you experience any side effects not listed here, tell your healthcare professional.
- diarrhea, nausea, vomiting, constipation, abdominal pain
- decreased appetite
- change in the sense of taste
- blood in the urine (hematuria)
- hair loss
- change in the colour of your nails; nails may detach
- tiredness
- muscle pain, muscle spasms, or joint pain or joint stiffness
- back pain
- weakness
- cough
- shortness of breath
- acid reflux (Gastroesophageal Reflux Disease)
- low blood pressure
- headache
- dizziness
- dehydration
- urinary tract infection
Serious side effects and what to do about them
| Serious side effects and what to do about them | |||
| Symptom / effect | Talk to your healthcare professional | Stop taking drug and get immediate medical help | |
| Symptom / effect | Talk to your healthcare professional | Stop taking drug and get immediate medical help | |
| Only if severe | In all cases | ||
| Only if severe | In all cases | ||
| COMMON | |||
Infection: Fever, chills, redness or swelling at the injection site, cough that brings up mucus, sore throat | √ | ||
| Anemia (decreased number of red blood cells): fatigue, loss of energy, irregular heartbeats, pale complexion, shortness of breath, weakness | √ | ||
Neutropenia (low white blood cells): infections, fatigue, fever, aches, pains and flu-like symptoms | √ | ||
Thrombocytopenia (low blood platelets): bruising or bleeding for longer than usual if you hurt yourself, fatigue and weakness | √ | ||
Persistent vomiting or diarrhea; abdominal pain, abdominal tenderness, persistent constipation, dark stool or blood in stool. | √ | ||
Gastrointestinal (GI) bleeding (bleeding anywhere along the GI tract between mouth and anus): blood in vomit, black tarry stool, bright red blood in your stool or coming from rectum, rapid pulse, low blood pressure, low urine flow, confusion, weakness, dizziness; | √ | ||
| Gastrointestinal perforation (a hole in the wall of your stomach or bowels): severe abdominal pain and tenderness, nausea, vomiting, chills or fever | √ | ||
| Kidney symptoms: blood in the urine, urinary incontinence, decreased amount of urine, pain while urinating, swelling, especially in legs and feet, feeling confused, anxious, | √ | ||
| restless or sleepy, pain in the back just below the rib cage. | |||
Acute Kidney failure (severe kidney problems): confusion, itchiness or rashes, puffiness in your face and hands, swelling in your feet or ankles, urinating less or not at all, weight gain. | √ | ||
| Extreme weakness or fatigue | √ | ||
| Peripheral neuropathy (damage to nerves outside the brain and spinal cord): numbness, tingling, burning or decreased sensation in the hands and feet | √ | ||
| Radiation cystitis (inflammation of the bladder in patients that have received radiotherapy) : persistent urge to urinate, a burning sensation or pain when urinating, passing frequent, small amounts of urine, blood in the urine (hematuria). | √ | ||
| UNCOMMON | |||
| Allergic reactions: trouble breathing, tightness in the throat, rash, hives, swelling of the lips or tongue, low blood pressure | √ | ||
| UNKNOWN FREQUENCY | |||
Respiratory problems: difficulty breathing, shortness of breath, cough, fatigue. | √ | ||
| Vein thrombosis: (blood clot formed in one or more of the veins in your body usually in the legs or lungs): leg pain or swelling, shortness of breath, chest pain, cough, sweating, rapid or irregular heartbeat, dizziness. | √ | ||
If you have a troublesome symptom or side effect that is not listed here or becomes bad enough to interfere with your daily activities, tell your healthcare professional.
Reporting Side Effects
You can report any suspected side effects associated with the use of health products to Health Canada by:
NOTE: Contact your health professional if you need information about how to manage your side effects. The Canada Vigilance Program does not provide medical advice. |
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Storage:
The unopened vials should be stored at room temperature between 15°C to 30°C. Cabazitaxel for Injection is stored with your healthcare professional.
If you want more information about Cabazitaxel for Injection:
- Talk to your healthcare professional
- Find the full product monograph that is prepared for healthcare professionals and includes this Patient Medication Information by visiting the Health Canada Drug Product Database website (Drug Product Database: Access the database); the manufacturer’s website www.drreddys.com or by calling 1-855-845-1739.