Why is this medication prescribed?

Folotyn (pralatrexate) is a prescription medication used in the treatment of a type of cancer called peripheral T-cell lymphoma (PTCL). PTCL is a rare and aggressive form of non-Hodgkin lymphoma that affects a type of white blood cell called T-cells. Folotyn works by inhibiting the growth of cancer cells.

How should this medicine be used?

Here’s how Folotyn is typically used:

• Administration: Folotyn is usually administered as an injection into a vein (intravenously) by a healthcare professional in a clinical setting such as a hospital or doctor’s office.
• Dosage: The dosage and schedule of Folotyn treatment can vary depending on factors such as the individual’s health condition, response to treatment, and any side effects experienced. It’s crucial to follow the dosage instructions provided by the healthcare provider.
• Treatment Schedule: Folotyn treatment is often given once weekly for several weeks in a row, followed by a rest period. This pattern may be repeated for several cycles depending on the response to treatment and the severity of the disease.
• Monitoring: During treatment with Folotyn, patients are typically monitored closely by their healthcare provider for any signs of side effects or complications. Blood tests may be performed regularly to monitor blood cell counts and overall health.
• Follow-up: After completing the prescribed course of Folotyn treatment, patients may undergo additional tests or scans to assess the response to treatment and determine if further therapy is needed.

It’s essential for patients to communicate openly with their healthcare provider about any concerns or side effects experienced during Folotyn treatment. Additionally, it’s important to attend all scheduled appointments and follow the healthcare provider’s instructions carefully for the best possible outcome.

Other uses for this medicine

Folotyn (pralatrexate) is primarily used for the treatment of peripheral T-cell lymphoma (PTCL), as mentioned earlier. However, healthcare providers may sometimes prescribe medications for uses other than those listed in the official prescribing information. This practice is known as off-label use. Off-label use of Folotyn may occur at the discretion of the prescribing healthcare provider based on their clinical judgment and assessment of the patient’s individual circumstances.

What special precautions should I follow?

Regarding special precautions for using Folotyn, here are some important points to consider:

• Pregnancy and breastfeeding: Folotyn may cause harm to a developing fetus, so it is important to avoid becoming pregnant or fathering a child while receiving treatment with Folotyn. Women of childbearing potential should use effective contraception during treatment and for a period after treatment ends. Breastfeeding should be avoided during Folotyn therapy.
• Blood cell counts: Folotyn can affect blood cell counts, including white blood cells, red blood cells, and platelets. Regular blood tests may be conducted to monitor these counts during treatment. Inform your healthcare provider immediately if you experience symptoms such as fever, chills, easy bruising or bleeding, or unusual tiredness.
• Liver and kidney function: Folotyn may affect liver and kidney function. Your healthcare provider may perform tests to monitor these organ functions during treatment.
• Allergies: Inform your healthcare provider of any known allergies to medications or other substances. Folotyn contains inactive ingredients that may cause allergic reactions in some individuals.
• Drug interactions: Inform your healthcare provider of all medications, supplements, and herbal products you are taking, as they may interact with Folotyn and affect its effectiveness or increase the risk of side effects.
• Precautions for administration: Folotyn is administered by a healthcare professional through an intravenous infusion. It should be given according to the prescribed dosage and schedule. Follow all instructions provided by your healthcare provider or pharmacist regarding the proper administration of Folotyn.
• Side effects: Be aware of potential side effects of Folotyn, including nausea, vomiting, fatigue, diarrhea, mouth sores, and decreased appetite. Inform your healthcare provider of any side effects experienced during treatment.

It’s crucial to communicate openly with your healthcare provider about any concerns or questions you may have regarding Folotyn treatment. They can provide personalized guidance and support to help manage potential risks and optimize the benefits of therapy.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Folotyn. However, maintaining a balanced and nutritious diet is generally recommended to support overall health and well-being during cancer treatment. It’s essential to stay hydrated and consume foods that are easy to digest, especially if you experience nausea, vomiting, or mouth sores as side effects of Folotyn. Your healthcare provider or a registered dietitian can provide personalized dietary advice based on your individual needs and any side effects you may experience.

What should I do if I forget a dose?

If you miss a dose of Folotyn, contact your healthcare provider as soon as possible for further guidance. It may be necessary to reschedule the missed dose or adjust the treatment schedule accordingly. It’s important not to double the dose to make up for a missed one unless instructed to do so by your healthcare provider. Consistent adherence to the prescribed treatment schedule is essential for the effectiveness of Folotyn therapy.

What side effects can this medication cause?

Folotyn (pralatrexate) can cause various side effects, which can vary in severity from person to person. Some common side effects of Folotyn include:

• Nausea and vomiting
• Fatigue
• Diarrhea
• Mouth sores or ulcers
• Decreased appetite
• Constipation
• Skin rash or itching
• Hair loss (alopecia)
• Weakness
• Headache
• Fever or chills
• Peripheral edema (swelling of the limbs)
• Shortness of breath or difficulty breathing
• Cough
• Dizziness
• Changes in taste sensation
• Insomnia or difficulty sleeping
• Muscle or joint pain

In addition to these common side effects, Folotyn may also cause more serious adverse reactions that require immediate medical attention. These can include:

• Severe allergic reactions (e.g., difficulty breathing, swelling of the face, lips, tongue, or throat)
• Severe skin reactions (e.g., blistering, peeling, or rash)
• Severe gastrointestinal reactions (e.g., severe vomiting, diarrhea, or abdominal pain)
• Bone marrow suppression (e.g., decreased blood cell counts leading to increased risk of infection, anemia, or bleeding)

It’s important for patients receiving Folotyn treatment to communicate openly with their healthcare provider about any side effects or symptoms experienced during therapy. Your healthcare provider can provide guidance on managing side effects and may adjust your treatment regimen if necessary to minimize discomfort and optimize the benefits of therapy. Additionally, if you experience any severe or concerning side effects, seek medical attention promptly.

What should I know about storage and disposal of this medication?

Storage and Disposal:

• Folotyn should be stored at room temperature, away from light and moisture.
• Keep Folotyn out of the reach of children and pets.
• Do not use Folotyn beyond the expiration date printed on the packaging.
• If you have unused or expired Folotyn, follow proper disposal procedures as instructed by your healthcare provider or pharmacist. This may involve returning unused medication to a pharmacy or medical facility for safe disposal.

In case of emergency/overdose

• In case of an overdose or emergency situation, contact your healthcare provider, local emergency services, or go to the nearest emergency room immediately.
• Symptoms of an overdose may include severe nausea, vomiting, diarrhea, mouth sores, weakness, confusion, and other signs of toxicity.
• Be prepared to provide information about the amount of Folotyn ingested, the time of ingestion, and any symptoms experienced.

What other information should I know?

• Inform all healthcare providers involved in your care, including dentists and pharmacists, that you are receiving treatment with Folotyn.
• Attend all scheduled appointments for blood tests, monitoring, and follow-up visits as recommended by your healthcare provider.
• Avoid contact with individuals who have contagious illnesses, especially if your blood cell counts are low due to Folotyn treatment.
• Discuss any concerns or questions about Folotyn treatment with your healthcare provider, including potential side effects, drug interactions, and precautions.

Remember to always follow your healthcare provider’s instructions carefully regarding the storage, administration, and disposal of Folotyn. Additionally, be vigilant about monitoring for any signs of side effects or adverse reactions and seek prompt medical attention if needed.